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EnableComp

Outsourced workers' compensation claims management

Client Support Representative

Clinical Support & Patient AdministrationPosted on Nov 10
Full-timeNo salary listedRemote

About the Job

Requirements

  • A high school diploma or GED is required.
  • Strong computer proficiency and the ability to use basic office applications, including Microsoft Word, Excel, and Outlook.
  • Ability to handle large volumes of work while paying close attention to detail.
  • Ability to work in a fast-paced environment with a strong sense of urgency.
  • Ability to work under limited supervision, manage multiple tasks, and prioritize assignments within time constraints.
  • Ability to communicate issues, problems, and results that affect task-completion timelines.
  • Ability to interact professionally at multiple levels within the organization.
  • Strong organizational skills and attention to detail.
  • Willingness to learn and adapt in a dynamic, evolving operational environment.
  • Regular and predictable attendance.
  • Ability to perform the essential duties satisfactorily, with reasonable accommodation where applicable.

Responsibilities

  • Retrieve and acquire medical documentation from client systems, including implant invoices, UB-04 documents, Explanations of Benefits, and medical record components.
  • Submit document request lists and regularly monitor outstanding requests to ensure necessary claim documentation is received for processing.
  • Scan, upload, and store medical documentation and confidential patient health information in accordance with data-handling standards.
  • Assist in compiling client reconciliations by gathering and organizing data from client systems and company platforms to prepare reports for review and resolution.
  • Assist with client reconciliations by researching closed and returned claims, resolving open items, posting adjustments, entering refund and payment research requests, and reviewing or rebilling missing claims.
  • Support prebill work-queue resolution for assigned clients while maintaining performance within established key performance indicator standards.
  • Partner with Client Delivery team members to communicate operational findings, escalate client-impacting issues, and align on inventory and documentation needs.
  • Identify and report client-system issues, workflow barriers, and process gaps to the Client Support People Leader for resolution or escalation.
  • Identify and escalate recurring process gaps that contribute to claims appearing on reconciliations, supporting upstream resolution by Revenue Services.
  • Maintain accurate, real-time documentation in the E360 platform so account activity is properly recorded.
  • Use multiple systems to perform accurate and timely data entry supporting operational workflows.
  • Help move work efficiently through the department and cooperate with other departments as needed.
  • Follow established standard operating procedures and provide feedback on process-improvement opportunities.
  • Perform other duties as assigned.

Desired Qualifications

  • One or more years of experience in a healthcare operations, revenue cycle, or document management environment.
  • Familiarity with medical claims documentation and payer/provider data processes.

About the Company

EnableComp

Outsourced workers' compensation claims management

EnableComp focuses on helping healthcare providers maximize revenue from complex workers' compensation claims. It achieves this by outsourcing the claims management process, including billing and collections, to a specialized partner. The core product, Enforcer, along with clinical expertise, data-driven analytics, managed care, and proprietary technology, streamlines workflows and ensures efficient handling of WC claims. Unlike broader outsourcing firms, EnableComp targets workers’ compensation specifically and uses its proprietary software and vetted processes to drive higher reimbursements and lower administrative costs for hospitals and clinics. The company’s goal is to reduce administrative burden for providers while increasing the amount of money they collect from WC claims.

Company size
501-1,000
Company stage
M&A
Total funding
$5.3M
Headquarters
Franklin, TX
Founded
2000

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