Revenue Specialist

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🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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EnableComp

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Venture Round on 2022-07

Consulting • Insurance • Logistics

EnableComp is a company that specializes in revenue cycle management (RCM) for healthcare providers and health systems across the United States. They focus on processing complex claims related to Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid, as well as denial management for all payer classes. By leveraging intelligent automation and their proprietary E360 RCM™ platform, EnableComp helps healthcare providers increase revenue, control costs, and streamline billing processes. With expertise in handling complex claims, the company ensures accurate and timely reimbursement, providing significant uplift to collections and improving the financial performance of its clients.

📋 Description

• Verify patient eligibility when needed • Analyze and evaluate Medicaid claim payments using company systems and payer payment documentation • Research, request, and acquire medical records and supporting documentation for hospital claims • Review and correct UB-04 billing components in accordance with billing laws • Follow up with payers by telephone to confirm receipt of claims and facilitate reimbursement • Prepare and submit Medicaid initial bill packets with supporting documentation • Analyze account delinquencies and activity to ensure timely and accurate payments • Verify or request authorizations and assist with concurrent review activities • File confidential documentation and PHI while adhering to HIPAA guidelines • Manage inbound and outbound calls • Help move work efficiently through the department as part of a team • Appeal claim denials and underpayments • Perform other duties as required

🎯 Requirements

• High School Diploma or GED required • Associate’s or Bachelor’s Degree preferred • 1–2+ years’ experience in healthcare billing or collections • 1+ years’ client-facing/customer service experience • 1+ years’ experience with UB-04 billing and collections required • CMS-1500 billing and other complex claims experience is a plus • Intermediate understanding of insurance payer/provider claims processing and data requirements • Intermediate understanding of Medicaid payers preferred • Equivalent combination of education and experience will be considered • Strong computer proficiency and ability to use MS Office, including Word, Excel, and Outlook • Regular and predictable attendance • Ability to meet or exceed productivity targets and goals • Ability to work independently without direct supervision • Proven written and verbal communication skills • Strong analytical and problem-solving skills • Experience working with external clients, strong customer service skills, and business acumen • Ability to prioritize and manage multiple competing priorities and projects • Ability to remain stationary 50% of the time • Ability to operate computers and office equipment

🏖️ Benefits

• Full-time employment • Professional growth and development • Tools, resources, and support for career growth • Flexible and family-oriented work environment • Work-life balance support