Supervisor, WC/VA

Employment Type: Full-Time

Position Overview

EnableComp is a leading provider of Specialty Revenue Cycle Management solutions for healthcare organizations. With over 24 years of expertise and the unified E360 RCM™ intelligent automation platform, EnableComp enhances financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Our solutions leverage proprietary algorithms, extensive claim processing intelligence, and expert human oversight to manage Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims, as well as denials across all payer classes. We partner with clients to streamline reimbursement, accelerate cash flow, improve yield, manage accounts receivable, reduce denials, and provide data-rich performance insights.

EnableComp is a multi-year recipient of the Top Workplaces award, recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024, and has been on the Inc. 5000 list for eleven consecutive years.

The Supervisor, WC/VA is a crucial support role responsible for overseeing a team of Revenue Specialists and Account Managers. This position acts as the internal escalation point for claim processing resolutions and contributes to client account success by managing inquiries, document management for claim processing and payment research, invoice/billing inquiries, file delays, system access, and other related tasks.

Key Responsibilities

• Team Supervision: Responsible for the daily supervision of assigned Revenue Services teams.
• Client Escalation: Serve as the primary escalation point, directly or through staff, to resolve client roadblocks hindering the claims resolution process. Provide direction to Account Managers and Revenue Specialists for claim and client issue resolution.
• Task Prioritization: Partner with Managers to disseminate the priority of daily tasks to the assigned team.
• Performance Management: Prepare performance evaluations and account reviews, participating in their delivery with the Department Leader.
• Claim Analysis: Analyze and evaluate claim payments using EnableComp’s proprietary software, systems, and tools. Determine if medical providers are reimbursed in compliance with applicable state worker’s compensation fee schedules and/or PPO contracts using provided payer documentation.
• Documentation & Submission: Research, request, and acquire all pertinent medical records, implant manufacturer invoices, and other necessary supporting documentation. Submit these with hospital claims to insurance companies to ensure prompt and correct reimbursement.
• Client Communication Management: Manage internal coordination, communication, and messaging for external client requests and reported issues.
• Client Reporting: Create, review, and maintain external-facing client reports.
• Meeting Facilitation: Facilitate internal and external meetings to discuss process improvements, resolve client issues, and address internal challenges.
• External Client Interaction: Respond to and communicate with external clients regarding topics such as remote system access, document requests, payment research, end-user training coordination, and more.
• Payer Follow-up: Conduct timely and thorough telephone follow-up with insurance companies to ensure proper reimbursement.
• Billing & Appeals: Prepare correct initial bill packets or appeal letters using EnableComp systems and tools.
• Data Support: Collaborate with the Data Analytics team to research issues with claim and payment imports.
• Training & Mentorship: Train and mentor staff, including new hires, focusing on ongoing training needs derived from Standard Operating Procedures (SOPs) for goal escalation.
• Data Quality Support: Work with the Data Quality team to research issues related to calculations and other projects.
• Document Management: Contribute to document management processes.

Requirements

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Company Information

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.

Application Instructions

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