Vice President, Denials & Revenue Recovery

🔥 0 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🔴 Lead

👔 Vice President

👻 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

• Establish strategic priorities aligned with revenue, margin, client value, and company growth objectives • Identify opportunities to expand revenue recovery capabilities, products, services, and client outcomes • Serve as a senior subject matter expert and executive resource for Revenue Recovery and Denials • Own the strategy, financial performance, and operational execution of Zero Balance Recovery • Establish recovery, revenue, productivity, and profitability targets and ensure performance against goals • Improve inventory identification, claim prioritization, workflows, payer strategies, staffing, and technology • Partner with Product and Technology to expand automation, AI, analytics, and scalable Zero Balance capabilities • Align inventory, staffing, processes, and technology with monthly, quarterly, and annual financial objectives • Lead variance analysis and corrective action planning with executive leadership and operational teams • Partner with Finance on budgeting, forecasting, financial modeling, and business planning • Ensure new products, technology, and processes are scalable and implemented across the organization • Serve as an executive resource for key clients and strategic accounts • Partner with Sales and Client Success on retention, expansion, executive relationships, and new business opportunities • Lead resolution of significant client issues and coordinate cross-functional resources • Build and lead a high-performing Revenue Recovery and Denials organization • Establish organizational structure, workforce plans, performance expectations, and succession strategies • Recruit, develop, coach, and retain high-performing leaders • Lead organizational change, transformation, integration, and growth initiatives • Maintain knowledge of HIPAA, healthcare revenue cycle operations, insurance billing, reimbursement, payer regulations, and provider contract language • Ensure compliance, policies, procedures, training, and operational standards • Represent Revenue Recovery and Denials in executive leadership and cross-functional initiatives • Support strategic planning, acquisitions, integrations, and corporate initiatives • Perform other duties supporting EnableComp’s strategic objectives

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, Revenue Cycle Management, or related field; advanced degree preferred • 10+ years of progressive healthcare revenue cycle, revenue recovery, denials, collections, hospital finance, managed care, or related experience • 5+ years of senior leadership experience managing multiple teams, functions, products, or business lines • Experience leading revenue recovery, denials, appeals, collections, Zero Balance, or related healthcare financial operations • Experience with revenue forecasting, budgeting, profitability, and margin management • Experience developing and executing strategies that improve revenue, recovery, and profitability • Experience leading large, complex organizations through managers and senior leaders • Cross-functional partnership experience with Product, Technology, Finance, Sales, Client Success, and Operations • Strong understanding of hospital revenue cycle, payer behavior, reimbursement methodologies, healthcare financials, and provider contract language • Strong analytical, strategic, communication, problem-solving, and executive leadership skills • Strong computer proficiency, including Microsoft Office • Ability to travel 0–20% as business needs require • Equivalent combination of education and experience will be considered • Regular and predictable attendance required • Adherence to EnableComp’s Core Values, Vision, and Mission • Strong professional written and oral communication skills • Production-environment experience and ability to meet deadlines • Excellent people skills for interfacing with multiple internal stakeholders • Proven success setting priorities for direct reports and obtaining quantifiable results • Ability to manage multiple projects and priorities across several teams • Healthcare experience and familiarity with payer or provider data sets • Experience communicating obstacles and challenges and developing action plans for management

🏖️ Benefits

• Professional growth and development support • Tools, resources, and support for career growth • Flexible, family-oriented work environment • Healthy work-life balance • Work culture that includes fun and celebrates success • Equal opportunity employment