EnableComp

Auditor

• Conduct coding audits of submitted outpatient facility and professional claims
• Review billing accuracy and compliance with third-party carrier billing and coding procedures
• Coordinate with revenue cycle teams to investigate rejected or denied claims
• Assist with claim corrections and appeals through inter-departmental collaboration
• Use Microsoft Office Suite to produce correspondence, charts, spreadsheets, and related information
• Maintain knowledge of medical coding and healthcare market changes
• Gather and analyze claims and medical records information to assess documentation findings and outcomes
• Draft payer appeals using nationally sourced coding guidelines
• Communicate coding expertise and audit outcomes internally and externally
• Perform other duties as required

Coding Denials Auditor

Billing Specialist

• Investigate and analyze Motor Vehicle Accident accounts to identify and coordinate insurance benefits and resolve outstanding client balances
• Work closely with patients and insurance carriers until first-party claims are processed and resolved
• Handle patient health information (PHI) while maintaining strict privacy and security of confidential and proprietary information
• Conduct online medical research of MVA claim payments using EnableComp’s proprietary software, systems, tools, and other medical websites
• Research, request, acquire, and review medical records, provider notes, explanations of benefits, and supporting documentation
• Submit hospital claims to insurance companies to ensure prompt and accurate reimbursement
• Follow up with payers to update claim systems accurately and verify receipt of supporting documentation
• Make key decisions to facilitate claim resolution
• Prepare accurate MVA billing packets and submit them with required documentation
• Communicate with patients and insurance adjusters regarding claim status and timely resolution prospects
• Review payer EOBs and determine appropriate actions for claim balances after auto insurance claim resolution
• Perform other duties as required

Revenue Specialist, First Party Billing

General

• Act as liaison between key client contacts and insurance companies
• Handle patient health information (PHI) while maintaining privacy and security of confidential and proprietary information
• Analyze and evaluate workers’ compensation claim payments using EnableComp’s proprietary software, systems, and tools
• Research, request, and acquire medical records, implant manufacturer invoices, and supporting documentation
• Submit supporting documentation with hospital claims to insurance companies for prompt and correct reimbursement
• Conduct timely telephone follow-up with payers to confirm receipt of claims and documentation and facilitate reimbursement
• Prepare Workers’ Compensation initial bill packets or appeal letters and submit them with required documentation
• Perform other duties as required

Revenue Specialist – Worker's Compensation

Implementation Specialist

• Oversee new and existing contract/client implementations, client system conversions, internal onboarding initiatives, enhanced solution design, internal enhancement initiatives, and efficiency enhancements
• Plan, execute, and coordinate onboarding customers into the EnableComp service suite
• Manage the implementation team of project managers and analysts
• Ensure implementation timelines, deliverables, and client satisfaction
• Lead software-based product implementations and service integration activities
• Guide internal resources and clients on solution design and integration with Health Information Systems and Clearinghouses such as Epic, Soarian, McKesson, Emdeon, and Experian
• Represent the company’s operational expertise and manage executive client relationships
• Resolve client-reported issues and actionable items
• Develop and implement processes to track and measure implementation status, delivery time, quality, and client satisfaction
• Align business and IT roadmaps across Operations, Sales/Marketing, Finance, and IT
• Build processes supporting planning, business continuity, scalable operations, and continual improvement
• Provide status and effectiveness reporting to senior management
• Support Sales & Marketing with pricing, proposals, and prospect presentations or meetings
• Manage process improvement and technology-based projects supporting revenue growth and cost reduction
• Research potential new revenue streams and recommend implementation steps
• Contribute to change management and integration/adoption efforts

Senior Vice President, Client Implementations, Revenue Cycle

Supervisor

• Lead and oversee Zero Balance operations
• Provide daily supervision, coaching, and support to assigned team members
• Manage hiring, onboarding, training, performance management, and corrective action
• Prepare and deliver performance evaluations and account reviews
• Train and mentor staff on accuracy, payer strategy, and zero balance recovery practices
• Perform quality-control reviews for due diligence, compliance, and workflow adherence
• Identify and pursue recovery opportunities in large inventories of zero-balance hospital claims
• Analyze claim payments using proprietary systems, tools, and payer documentation
• Prepare and submit bill packets and appeal letters
• Follow up with insurance companies to drive correct reimbursement
• Research and compile medical records, implant invoices, and supporting documentation
• Apply CPT, ICD-10, and modifier knowledge to claims, appeals, and recovery strategy
• Escalate access and claim-resolution roadblocks
• Coordinate responses to external client requests and reported issues
• Facilitate meetings on client concerns, process improvements, and operational challenges
• Communicate directly with clients about system access, documentation, payment research, and training
• Partner with Managers to prioritize work and align operational goals
• Collaborate with Data Analytics, Data, and Product teams on claim, payment, data-import, and calculation issues
• Support departmental and enterprise operational initiatives

Supervisor, Zero Balance Denials

Customer Success Manager

• Participate throughout the client lifecycle, including sales, implementations, project go-lives, business reviews, and cross-sell identification
• Oversee Client Success activities for designated clients
• Coordinate with EnableComp leadership to execute duties professionally and timely
• Serve as an ambassador for a fast-paced, detail-oriented, supportive team
• Manage KPI metrics, customer surveys, scoring, and client retention goals
• Track client performance goals and conduct regular status and progress reviews
• Generate and deliver monthly and quarterly client reporting packages
• Collaborate with internal teams on client-specific strategies, action plans, issue resolution, revenue maximization, and cross-sell opportunities
• Work with IT and Product Support on file corrections, updates, and automation
• Schedule and attend client meetings and conference calls
• Develop agendas and presentation materials, create meeting summaries, and generate deliverables
• Assist Implementation with process updates and manage post-implementation client deliverables
• Manage client obligations and maintain customer satisfaction
• Participate in internal client account review meetings
• Exercise independent judgment and discretion
• Perform other duties as required

Director, Client Success – Revenue Cycle

Customer Support

• Retrieve and acquire medical documentation from client systems, including implant invoices, UB-04 documents, Explanations of Benefits, and medical record components
• Submit document request lists and monitor outstanding requests
• Scan, upload, and store medical documentation and confidential patient health information in accordance with data-handling standards
• Compile client reconciliations by gathering and organizing data from client systems and EnableComp platforms
• Research closed and returned claims, resolve open items, post adjustments, enter refund and payment research requests, and review or rebill missing claims
• Support prebill work queue resolution while meeting established KPI standards
• Partner with Client Delivery to communicate operational findings and escalate client-impacting issues
• Identify and report client system issues, workflow barriers, and process gaps
• Identify and escalate recurrent reconciliation-related process gaps
• Maintain accurate real-time documentation in the E360 platform
• Use multiple systems for accurate and timely data entry
• Assist with departmental workflow and cross-department cooperation
• Follow SOPs and provide feedback on process improvement opportunities
• Perform other duties as assigned

Client Support Specialist

• Supervise assigned Revenue Services teams daily
• Serve as the primary escalation point for claims-resolution roadblocks and client issues
• Direct Account Managers and Revenue Specialists in resolving claims and client issues
• Partner with Managers to prioritize daily team tasks
• Prepare performance evaluations and account reviews with the Department Leader
• Analyze and evaluate claim payments using proprietary software, systems, and tools
• Verify provider reimbursement against applicable state workers’ compensation fee schedules and PPO contracts
• Research and acquire medical records, implant manufacturer invoices, and supporting documentation for claims reimbursement
• Coordinate internal communication and messaging for external client requests and issues
• Create, review, and maintain external-facing client reports
• Facilitate internal and external process-improvement and issue-resolution meetings
• Respond to external clients regarding remote system access, document requests, payment research, and end-user training
• Conduct telephone follow-up with insurance companies to ensure proper reimbursement
• Prepare initial bill packets and appeal letters
• Collaborate with Data Analytics, Data Quality, and Document Management teams
• Train and mentor staff, including new hires
• Perform quality-control tasks for account flow and due diligence
• Manage more difficult client accounts
• Participate in hiring, training, performance management, and corrective action throughout the employee lifecycle
• Handle protected health information and maintain confidentiality and security
• Support operational initiatives through team collaboration
• Perform other duties as required