Supervisor, Zero Balance Denials

🔥 18 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• 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

🎯 Requirements

• High School Diploma or GED required; Associates or Bachelor’s Degree a plus • 5+ years’ experience in healthcare, working in zero balance line of business • 5+ years’ client-facing/customer service experience • 2–5 years’ supervisory experience • 5+ years’ experience with commercial/government billing and collections • Proven hospital revenue cycle operations experience, focused on zero balance or underpayment recovery • Ability to identify recovery opportunities within large claim inventories • Experience with payer portals, claims systems, and healthcare revenue cycle technology platforms • Expert understanding of insurance payer/provider claims processing and data requirements • Experience supporting outsourced zero balance or contingency-based recovery programs • Strong computer proficiency, including MS Office (Word, Excel, Outlook) • Equivalent combination of education and experience considered • Regular and predictable attendance • Exceptional interpersonal, coaching, mentoring, written, and verbal communication skills • Strong analytical and problem-solving skills • External client experience, customer service skills, and business acumen • Ability to prioritize and manage multiple competing priorities and projects • Ability to sit for long periods of time

🏖️ Benefits

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