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Role Description

• Responsible for the daily supervision of assigned Revenue Services teams.
• Serves as the primary escalation point to work with clients to resolve roadblocks that may hinder the claims resolution process.
• Provides direction to Account Managers and Revenue Specialists to resolve existing claims/client issues.
• Partners with Managers to disseminate priority of daily tasks to assigned team.
• Prepares performance evaluations and account reviews.
• Analyzes and evaluates claim payments using EnableComp’s proprietary software, systems, and tools.
• Researches, requests, and acquires all pertinent medical records and supporting documentation necessary for claims reimbursement.
• Manages internal coordination, communication, and messaging for external client requests and reported issues.
• Creates, reviews, and maintains external-facing client reports.
• Facilitates internal and external meetings to discuss process improvements and resolve client/internal issues.
• Responds and communicates with external clients regarding various topics such as remote system access and document requests.
• Conducts timely and thorough telephone follow-up with insurance companies to ensure proper reimbursement.
• Prepares correct initial bill packet or appeal letter using EnableComp systems tools.
• Works with Data Analytics team to research issues with claim and payment imports.
• Trains and mentors staff as needed, including new hires.
• Works with Data Quality team to research issues with calculations and other projects.
• Works with Document Management team to remove roadblocks around document acquisition.
• Performs Quality Control tasks on behalf of management regarding account flow and due diligence.
• Responsible for the full employee life cycle including hiring decisions, training, performance management, and corrective action.
• Handles patient health information (PHI) and maintains extreme privacy and security.
• Supports operational initiatives through team collaboration.
• Other duties as required.

Qualifications

• High School Diploma or GED required; Associates or Bachelor’s Degree a plus.
• 5 years’ experience in healthcare field working in billing or collections.
• 5 years’ client facing/customer services experience.
• 1-2 years supervisory or team lead experience.
• 3-5 years’ experience with commercial/government billing and collections preferred.
• Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
• Strong computer proficiency and understanding of basic office applications, including MS Office (Word, Excel, and Outlook).
• Equivalent combination of education and experience will be considered.
• Regular and predictable attendance.

Requirements

• Must be able to perform each essential duty satisfactorily.
• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
• Practices and adheres to EnableComp's Core Values, Vision, and Mission.
• Must demonstrate exceptional interpersonal skills and exhibit an approachable nature.
• Can-do attitude with service-oriented approach and strong sense of urgency.
• Must be a self-starter and able to work independently without direct supervision.
• Proven written and verbal communication skills.
• Strong analytical and problem-solving skills.
• Ability to appropriately handle stress and interact cooperatively with others.
• Proven experience working with external clients; strong customer service skills and business acumen.
• Ability to prioritize and manage multiple competing priorities and projects concurrently.
• General office environment; must be able to sit for long periods of time.

Benefits

• EnableComp is an Equal Opportunity Employer M/F/D/V.
• All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status.
• Commitment to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
• Continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.
• Investment in employees as the key to success.