Validation Representative

🔥 0 minutes ago

🎸 Tennessee – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Logo of EnableComp

EnableComp

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

• Prepare claims, verify insurance, and retrieve medical records and documents from various systems for timely filing or re-adjudication of Motor Vehicle Accident claims • Contact employers, insurers, and other outside entities via outbound calls, email, or fax to verify or obtain information and receive Insurance Claim and Bill Review packages • Manage inbound and outbound calls efficiently and effectively • Obtain supporting claim documentation, compile billing packets, and file insurance claims • Move work efficiently through the department as part of a team • Conduct research and support organizational teams as needed • Use several systems for accurate and timely data entry • File and handle confidential documentation and patient health information while following HIPAA guidelines • Perform other duties as required

🎯 Requirements

• High School Diploma preferred • Equivalent combination of education and experience will be considered • 1 year of medical bill processing experience desired • Strong phone and verbal communication skills • Experience with electronic document management in a healthcare setting desired • Strong computer proficiency • Basic office applications, including MS Office (Word, Excel, and Outlook) • Regular and predictable attendance • Ability to professionally and confidently represent EnableComp via phone, email, and fax • Ability to handle large volumes of work while maintaining attention to detail • Ability to work in a fast-paced environment • Experience working under limited supervision, managing multiple tasks, and prioritizing assignments under time constraints • Ability to effectively communicate issues, problems, and results impacting project timelines • Ability to interact professionally at multiple levels within a client-oriented organization • Competent in MS Office Suite and Windows applications • Ability to sit for long periods of time

🏖️ Benefits

• Full-time employment • Professional growth and development opportunities • Tools, resources, and support for career development • Family-oriented and flexible work culture • Work-life balance support

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