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Revenue Specialist, Denials

Enablecomp · Franklin, TN

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. Position Summary The Revenue Specialist, Denials acts as the liaison between key client contacts and our denials appeal process to the appropriate payer. The Revenue Specialist, Denials is responsible for the initial denial audit and activities to resolve outstanding claims. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information. Key Responsibilities • Review and evaluate Denied and other assigned claims using EnableComp's proprietary software, systems and tools. Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement. • Research, request and acquire all pertinent medical records and any other supporting documentation necessary and then submit with hospital claims to the appropriate payer to ensure prompt correct claims reimbursement. • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement. • Other duties as required. Requirements and Qualifications • High School Diploma or GED required. Associates or Bachelor's Degree preferred. • 5+ years' experience in healthcare field working in billing or collections. • 1+ years' client facing/customer services experience. • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements. • Equivalent combination of education and experience will be considered. • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology. • Strong understanding of the revenue cycle process. • Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements. • Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims. • Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms. • Demonstrate strong ability to review client/payer contracts to identify complex underpayments. • Regular and predictable attendance. • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Special Considerations and Prerequisites • Practices and adheres to EnableComp's Core Values, Vision and Mission. • Proven ability to meet and/or exceed productivity targets and goals. • Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders. • Must be a self-starter and able to work independently without direct supervision. • Proven written and verbal communication skills. • Strong analytical and problem-solving skills. • Proven experience working with external clients; strong customer service skills and business acumen. • Ability to prioritize and manage multiple competing priorities and projects concurrently. • Must be able to remain in stationary position 50% of the time. • Occasionally moves about inside the office to access office equipment, etc. • Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer. EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. Don't just take our word for it! Hear what our people are saying: "I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist "I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations

Client Support Specialist

Enablecomp · Franklin, TN

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. Position Summary The Client Support Representative is an operational support role within the Client Support team, responsible for executing core tasks that enable EnableComp's revenue cycle operations. This role focuses primarily on medical documentation retrieval and processing, assisting with inventory reconciliation compilation, and supporting prebill work queue resolution. The Client Support Representative partners with the Client Delivery team to communicate operational findings and escalate client-impacting issues, ensuring seamless coordination across functions. This role does not have direct client interaction; all client communication is facilitated through the Client Delivery team. Key Responsibilities • Retrieve and acquire medical documentation from client systems, including but not limited to implant invoices, UB-04 documents, Explanations of Benefits, and medical record components • Submit document request lists and monitor outstanding requests on a regular cadence to ensure EnableComp receives necessary claim documentation for processing • Scan, upload, and store medical documentation and confidential patient health information (PHI) in accordance with EnableComp's data handling standards • Assist in compiling client reconciliations by gathering and organizing data from client systems and EnableComp platforms to prepare reconciliation reports for review and resolution • Assist in working client reconciliations by researching closed and returned claims, resolving open items, posting adjustments, entering refund and payment research requests, and reviewing or rebilling missing claims • Support prebill work queue resolution for assigned clients, maintaining performance within established KPI standards • Partner with Client Delivery team members to communicate operational findings, escalate client-impacting issues, and ensure alignment on inventory and documentation needs • Identify and report client system issues, workflow barriers, and process gaps to the Client Support People Leader for resolution or escalation • Identify and escalate recurrent process gaps that contribute to claims appearing on reconciliations to the Client Support People Leader, supporting upstream resolution by Revenue Services • Maintain accurate and consistent documentation within the E360 platform in real time as actions are completed, ensuring all account activity is properly recorded • Use multiple systems to perform accurate and timely data entry in support of operational workflows • Assist in efficiently moving work through the department and cooperate with other departments as needed • Follow established standard operating procedures (SOPs) and contribute feedback on process improvement opportunities • Other duties as assigned Requirements and Qualifications • High School Diploma or GED required • 1+ years of experience in a healthcare operations, revenue cycle, or document management environment preferred • Familiarity with medical claims documentation and payer/provider data processes preferred • Equivalent combination of education and experience will be considered • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook) • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions. • Regular and predictable attendance Special Considerations and Prerequisites • Practices and adheres to EnableComp's Core Values, Vision and Mission • Ability to handle large volumes of work while paying close attention to detail • Ability to work in a fast-paced environment with a strong sense of urgency • Demonstrated ability to work under limited supervision, manage multiple tasks, and prioritize assignments within time constraints • Effectively communicate issues, problems, and results that impact timelines for task completion • Ability to interact professionally at multiple levels within the organization • Strong organizational skills and attention to detail • Willingness to learn and adapt in a dynamic, evolving operational environment EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. Don't just take our word for it! Hear what our people are saying: "I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist "I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations

Director, Client Success - Revenue Cycle - (REMOTE)

Enablecomp · Franklin, TN

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. Position Summary The Director, Client Success, is responsible for managing and growing client relationships through hands on partnership and collaboration with both EnableComp operations and sales leadership. This role focuses on delivering exceptional service, aligning client expectations with internal capabilities, and driving satisfaction and retention through consistent, proactive communication. The Director acts as an extension of the client, translating needs into actionable plans, resolving challenges, and identifying opportunities to enhance performance and expand market share through consistent service that exceeds client expectations. Key Responsibilities • Participate in entirety of Client Lifecycle. Sales process, Implementations, Project Go Lives, Business Reviews, and identify additional Cross Sell opportunities • Will oversee Client Success activities for designated clients. • Communicate and coordinate with EnableComp Leadership to ensure all job duties as assigned are executed professionally and timely in accordance with EnableComp standard. • Acts as an "ambassador" for a fast-paced, detail oriented supportive team by facilitating friendly, courteous, efficient, and well-presented service to assigned clients. • Manages KPI metrics including, but not limited to, customer surveys, scoring and client retention goals. • Reviews, understands and tracks assigned client's performance goals and meets regularly with assigned clients to review their status and progress with an emphasis on highlighting EnableComp's value proposition and ROI across product lines. • Generates EnableComp's monthly and quarterly reporting packages, delivers to assigned clients timely, and ensures they consistently reflect the pertinent EnableComp metrics and benchmarks. • Collaborates with internal teams to develop and implement client specific strategies and action plans for communication, resolution of open internal/external items and maximization of current and future revenue, including the identification of cross-sell opportunities. • Works closely with IT and Product Support teams regularly on file corrections, updates, and automation. • Schedules and attends regular meetings or conference calls with assigned clients to discuss status and reports and ensures the necessary EnableComp team members contribute appropriately. • Develops agendas and other presentation materials, create meeting summaries and generate meeting deliverables. • Assists Implementation with the roll-out of any process update/rollout initiatives and manage client deliverables post-implementation. • Manages and controls client obligations, maintaining a high level of customer satisfaction at all levels of the organization. • Participates in internal client account review meetings (sales forecast, at risk, etc.). • Use of independent judgement and discretion as it relates to responsibilities detailed above. • Other duties as required. Requirements & Qualifications • Bachelor's Degree in Business, Sales/Marketing or other related field of study • Must have 7-10 years demonstrated experience in account management in the healthcare technology industry, specifically engaging hospital revenue cycle management. • Equivalent combination of education and experience will be considered. • Experience with claims billing and IT/EDI systems preferred. • Experience with CRM software (e.g. Salesforce.com) • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Key Considerations & Prerequisites • Effective polished professional presentation skills for developing/communicating analytics, results and ROI to all stakeholders. • Strong passion for serving the needs and expectations of the client. • Must be a self-starter and able to work independently as well as partner and collaborate with internal departments and leaders. • Excellent written and oral communication skills to communicate with internal stakeholders and external clients. • Demonstrated experience managing stressful situations effectively through difficult conversations, communicating obstacles, challenges and developing action plans to present to management. • Demonstrates a consultative relationship style both internally and externally; is a team player and has a positive-can-do attitude. • Strong analysis and problem-solving skills. • Must be able to manage conflicting priorities, while being extremely adaptable and flexible. • Up to 30% travel required. EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. Don't just take our word for it! Hear what our people are saying: "I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist "I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented an

Select and gather products for customers' on-line orders in the most efficient manner with attention to freshness and quality. Assemble customers' on-line orders, process coupons and payment, and deliver and load orders to cars when customers arrive at store for pick up. Provide a positive customer service experience that makes customers want to return to on-line shopping. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion, and safety. RESPONSIBILITIES *Essential Job Functions:* · Online Grocery Pick-Up Clerk working as In-Store Grocery Shopper is responsible for selecting and gathering products for customers' on-line orders in the most efficient manner with attention to freshness and quality. · In-Store Grocery Shopper initiates and completes selection process for customers' on-line orders. · Online Grocery Pick-Up team is responsible for assembling customers' on-line orders, process coupons and payment, and deliver and load orders to cars when customers arrive at store for pick up. · In-Store Grocery Shopper will scan and bag orders on the go while following all bagging standards. · E-Commerce team including Online Grocery Pick- Up associate communicates any substitutions or exceptions to customer's order at time of pick-up. · Meet/exceed customer expectations for ease of shopping, variety, freshness, and cleanliness. · Adhere to local, state, and federal laws, food safety procedures, and company guidelines. · Receive customers' orders from Order Selector according to guidelines, store products in optimal temperature zones. · Read and follow directions given in the note section · Ensure quality and freshness of all items chosen · Communicate with customers via a portable phone and respond to calls in a professional and timely manner · Retrieve each customer's order from all staging locations and ensure order accuracy, load order into customers' cars · Pick-Up Clerk should provide a positive customer service experience that makes customers want to return to on-line shopping. · Process the orders through the point of sale (POS) system · Follow policies and procedures to determine appropriate substitutions in the event of an out-of-stock · Maintain organization and cleanliness of staging areas and equipment · Report pricing, scanning, and item location discrepancies and invalid temperature types to the store e-Commerce supervisor · Inspect equipment and notify store Pick-Up supervisor or other store management of items in need of repair · Perform required opening and closing procedures · Assist in training new e-Commerce team members · Meet/exceed productivity standards · Ability to work cooperatively in high paced and sometimes stressful environment. · Ability to manage conflict in a reasonable, nonconfrontational and cooperative manner. · Ability to act with honesty and integrity regarding customer and business information. · Ability to follow directions and seek assistance when necessary to resolve customer and business issues. · Provide sup QUALIFICATIONS *Minimum Position Qualifications:* * Ability to work without supervision * Ability to read shelf tags * Basic math skills (i.e., counting, addition, and subtraction) * Excellent oral/written communication skills * * *Desired Previous Experience:* * Any experience as a personal shopper or in a production oriented or warehouse environment, stocking shelves, or experience as a cashier