Full-Time

Revenue Specialist

Veteran's Administration

Posted on 1/16/2025

EnableComp

EnableComp

201-500 employees

Maximizes revenue from workers' compensation claims

Data & Analytics
Consulting
Healthcare

Mid

Remote in USA

Category
Financial Analysis
Management Accounting
Accounting

You match the following EnableComp's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • High School Diploma or GED required. Associates or Bachelor’s Degree preferred.
  • 2-4+ years’ experience in healthcare field working in billing or collections.
  • 2+ years’ client facing/customer services experience.
  • 1+ years’ experience with VA billing and collections required. Other complex claims experience a plus.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Intermediate level understanding of government and veteran benefit programs.
  • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
  • Equivalent combination of education and experience will be considered.
  • To perform this job successfully, an individual 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.
  • Regular and predictable attendance.
Responsibilities
  • Analyze and evaluate Veterans Administration (VA) claim payments using EnableComp’s proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state fee schedule.
  • Research, request and acquire all pertinent medical records and any other supporting documentation necessary and then submit with hospital claims to the Veterans Administration or TriWest to ensure prompt correct claims reimbursement.
  • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
  • Prepare correct Veterans Administration initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies.
  • Other duties as required.
Desired Qualifications
  • Practices and adheres to EnableComp’s Core Values, Vision and Mission.
  • Proven ability to meet and/or exceed productivity targets and goals.
  • Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders.
  • 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.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.

EnableComp focuses on helping healthcare providers maximize revenue from complex workers' compensation claims. These claims can be difficult to manage, often consuming significant resources and causing confusion. EnableComp simplifies this process by using a combination of clinical expertise, data analytics, managed care, and proprietary technology. Their main product, Enforcer, is a software that streamlines the management of these claims, allowing healthcare providers to concentrate on their primary operations while EnableComp handles the details of billing and collections. Unlike many competitors, EnableComp operates on an outsourcing model, where healthcare providers delegate their claims management to them, ensuring efficient handling and optimal revenue recovery. The company's goal is to provide specialized support that enables clients to achieve the highest possible reimbursement from workers' compensation claims.

Company Size

201-500

Company Stage

M&A

Total Funding

$5.3M

Headquarters

Franklin, Texas

Founded

2000

Simplify Jobs

Simplify's Take

What believers are saying

  • EnableComp's acquisition of ANI Healthcare Solutions enhances their denial management capabilities.
  • The appointment of Frank Forte as CEO brings extensive healthcare technology leadership to EnableComp.
  • EnableComp's E360 RCM platform is recognized for excellence in specialty revenue cycle solutions.

What critics are saying

  • Increased competition from emerging RCM technology companies may threaten EnableComp's market share.
  • The ongoing labor shortage in healthcare could impact EnableComp's service delivery.
  • Integration challenges from the ANI Healthcare Solutions acquisition may disrupt operations.

What makes EnableComp unique

  • EnableComp specializes in complex workers' compensation claims management for healthcare providers.
  • Their proprietary software, Enforcer, streamlines claims processing and maximizes revenue recovery.
  • EnableComp's outsourcing model allows healthcare providers to focus on core clinical activities.

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Benefits

Flexible Work Hours

Professional Development Budget

Unlimited Paid Time Off

Company News

Hit Consultant
Jan 24th, 2025
Streamlining Va Claims Processing: Guide For Healthcare Providers

Zachary Schultz, CSMC, CRCR, Sr. Director of Product Policy and Solutions at EnableCompHealthcare providers navigating Veterans Administration (VA) claims face complex eligibility requirements, multiple payer systems, and stringent documentation demands. These challenges create significant operational burdens for facilities and can impact veterans’ access to timely care. With VA claims representing less than 5% of most hospitals’ patient revenue, providers often struggle to allocate sufficient resources to master these intricate processes, leading to delayed reimbursements, underpayments, and increased write-offs for VA patients.The Complex World of Military Healthcare ClaimsThe complexity begins with eligibility determination. Veterans’ healthcare isn’t simply showing VA health insurance and receiving treatment. Multiple military payers exist, each with distinct processing requirements

Hit Consultant
Dec 6th, 2024
Enablecomp Appoints Frank Forte As Ceo To Drive Rcm

EnableComp Appoints Frank Forte as CEO to Drive RCM. by Healthcare Executive Hires 12/06/2024 Leave a Comment. Frank Forte, CEO at EnableCompWhat You Should Know: – EnableComp, a provider of technology-driven solutions for healthcare revenue cycle management, has announced the appointment of Frank Forte as its new CEO. – Forte brings extensive experience in healthcare technology and revenue cycle leadership to this role, where he will spearhead the company’s growth and innovation strategy.Forte Bio/BackgroundForte has a strong track record of success in the healthcare industry. He most recently served as CEO of AnatomyIT, a leading provider of cybersecurity and IT solutions for healthcare organizations. Prior to AnatomyIT, Forte held executive leadership positions at Cloudmed, where he played a key role in scaling the company’s platform and leading up to its acquisition by R1. His extensive experience also includes executive roles at various healthcare services and technology companies, including Emerson Electric Corporation.“I am excited to serve as the EnableComp CEO and continue to build on our track record of innovation and client financial outcomes to support providers as they face increasing payer friction alongside growing reimbursement and denials challenges,’’ said Forte

PR Newswire
Dec 4th, 2024
Enablecomp Welcomes Frank Forte As Chief Executive Officer

Former Cloudmed executive to lead the company and its proprietary RCM platform through next phase of growthFRANKLIN, Tenn., Dec. 4, 2024 /PRNewswire/ -- EnableComp, a leading provider of technology-driven solutions to improve complex revenue cycle performance, has announced the appointment of Frank Forte as CEO. Forte will spearhead the company's growth and drive the next generation of specialized solutions for EnableComp's E360 RCM™ intelligent automation platform, helping healthcare providers successfully navigate the increasingly complex revenue cycle landscape. Forte takes over from Randy Dobbs, who will transition to the role of Executive Chairman of the Board after his successful three-year tenure as CEO

Watauga Democrat
Dec 4th, 2024
EnableComp Welcomes Frank Forte as Chief Executive Officer

EnableComp welcomes Frank Forte as Chief executive Officer.

PR Newswire
Aug 1st, 2024
Enablecomp Acquires Ani Healthcare Solutions, Expanding Its Denial Management Solutions Within Its Award-Winning Specialty Rcm Platform

FRANKLIN, Tenn., Aug. 1, 2024 /PRNewswire/ -- EnableComp, a market-leader in specialty revenue cycle solutions for healthcare, announced that it has acquired ANI Healthcare Solutions, LLC (ANI), a San Francisco-based denial management company. With this acquisition, EnableComp adds ANI's denial management expertise to its comprehensive solution suite and further expands the proficiency of the E360 RCM™ intelligent automation platform.EnableComp and ANI Logos"Denial management challenges are becoming increasingly expensive and time consuming for hospitals and health systems," said Randy Dobbs, CEO of EnableComp. "By combining ANI's specialized knowledge and innovative practices alongside EnableComp's unique technology and 24 years of expertise, we are able to offer our clients a more complete solution for capturing the revenue that they rely on to care for their communities.""EnableComp's E360 RCM™ platform is one of a kind, which makes the opportunity to create this partnership even more exciting," said Adele Frias, founder and managing director of ANI Healthcare Solutions. "At a time when labor costs are increasingly high, being able to provide our clients with the chance to outsource and automate more areas of their RCM needs is important to us. Through our shared commitment to excellence and innovation, I am looking forward to delivering even greater value to our combined clientele."The combination of ANI's team of seasoned professionals with EnableComp's industry-leading technology, expert teams, and specialized revenue recovery services will accelerate revenue capture for clients, including identifying and preventing denials and successfully reworking even the most complex claims.EnableComp and Welsh, Carson, Anderson & Stowe (WCAS) partnered with Greenberg Advisors, LLC, as their exclusive M&A advisor for this acquisition.About EnableCompEnableComp provides Specialty Revenue Cycle Management solutions for healthcare providers and health systems nationwide

PR Newswire
May 8th, 2024
Enablecomp Earns #1 Ranking In 2024 Black Book™ Research Survey For Specialty Revenue Cycle Solutions

Leveraging the E360 RCM™ intelligent automation platform powered by 24 years of expertise and 10M+ processed claims, EnableComp is recognized for specialty revenue cycle delivery excellence.FRANKLIN, Tenn., May 8, 2024 /PRNewswire/ -- EnableComp — a Welsh, Carson, Anderson & Stowe (WCAS) portfolio company and a market-leader in specialty revenue cycle solutions for healthcare — announced that it has earned the #1 rankings in 12 of the 18 key performance indicators for Specialty RCM including best-of-breed technology and process improvement by Black Book™ Market Research. EnableComp earned the distinction over 20 competitors.Black Book 2024 Logo"Currently, providers are actively seeking assurance that they can rely on their specialty RCM partner to streamline and enhance their intricate claims reimbursement procedures, surpassing the results achieved by previous vendors or internal processes in recovering funds," said Doug Brown, President of Black Book Research. "Clients who may have experienced issues with their previous specialty RCM partners, such as high continued denial rates, delayed payments, and unresolved or inaccurate billing, are switching to new partners that have a track record of better performance and results.""For over 20 years, we've been committed to helping healthcare organizations get paid for the care they provide," said Randy Dobbs, CEO of EnableComp. "As providers increasingly seek out vendor partners to handle their most difficult RCM challenges, we exceed expectations with our intelligent automation platform, E360 RCM, the most powerful provider-based workflow engine designed for specialty RCM, alongside our industry-leading thought leadership, expertise, and committed employees. Congratulations to our 1,000+ employees across the country for their excellence in bringing advanced solutions to revenue cycle leaders in healthcare. We are truly grateful to our clients for this honor."Details of the EnableComp Specialty Revenue Cycle Solution platform will be highlighted at the 2024 HFMA Annual Conference in Booth #701, beginning June 24, 2024, at Mandalay Bay Resort & Casino, Las Vegas, NV.About EnableCompEnableComp provides Specialty Revenue Cycle Management solutions for healthcare providers and health systems nationwide

PR Newswire
May 31st, 2023
Christa Miller Joins Enablecomp As New Chief Financial Officer

FRANKLIN, Tenn., May 31, 2023 /PRNewswire/ -- EnableComp announced today that Christa Miller has joined the company as the new Chief Financial Officer. Miller brings extensive experience in healthcare and finance to the organization including her most recent role as Chief Financial Officer at Norstella, a prominent international pharma solutions provider focused on improving patient access to life-saving therapies. Over the course of her career, she also served as CFO for CapTrust, Jones & Frank, and Ali Group North America.Miller will succeed Terry Pefanis as EnableComp's CFO.Christa Miller - CFO, EnableComp"Christa's leadership experience and strategic financial and operational knowledge will allow us to continue delivering excellence to both our customers and in achieving our company objectives," said Randy Dobbs, CEO at EnableComp. "Her understanding of the opportunities and challenges in the market will be vital to our organizational expansion as we continue on the path towards exceptional growth.""I am excited to join EnableComp, a best-in-class complex claims company with a unique technology and a client-first culture focused on operational excellence and financial health," said Christa Miller. "I look forward to supporting the EnableComp team in delivering exceptional support to our clients."Miller graduated from Wake Forest University with a Bachelor of Science in Accounting and currently resides in Raleigh, North Carolina.About EnableCompEnableComp partners with over 1000 healthcare providers to manage Veterans Administration, Workers' Compensation, Motor Vehicle Accident/TPL, Out of State Medicaid and Denials. Related services cover day 1 outsourcing, A/R management, and zero balance recovery

Colorful Dreams
May 31st, 2023
Blog and NewsLetter

EnableComp announced today that Christa Miller has joined the company as the new Chief Financial Officer.

PR Newswire
Mar 6th, 2023
Deborah Lafer Scher Joins EnableComp's Board of Directors

EnableComp announced today the appointment of Deborah Lafer Scher to its Board of Directors.

PR Newswire
Jul 11th, 2022
Memorial Hermann Health System Invests in EnableComp, an Industry-Leading Specialty Revenue Cycle Management Solution

/PRNewswire/ -- Today EnableComp has announced that Memorial Hermann Health System – a non-profit, community-focused, award-winning health system committed to...

PR Newswire
Jul 11th, 2022
Memorial Hermann Health System Invests In Enablecomp, An Industry-Leading Specialty Revenue Cycle Management Solution

HOUSTON, July 11, 2022 /PRNewswire/ -- Today EnableComp has announced that Memorial Hermann Health System – a non-profit, community-focused, award-winning health system committed to creating healthier communities, now and for generations to come in the Houston area – has made a strategic investment in the company alongside Welsh, Carson, Anderson & Stowe (WCAS). Based in Franklin, Tennessee, EnableComp leverages its proprietary software embedded with advanced AI+RPA capability, Enforcer360, to increase revenue yield and accelerate collections for healthcare providers on Veterans Administration, Workers' Compensation, Motor Vehicle Accident/Third-Party Liability, and Out-of-State Medicaid claims. EnableComp also offers comprehensive Denial Resolution, ensuring providers maximize cash collections and revenue recovery from underpayments and/or zero-balance accounts. Today, the company serves more than 1,000 healthcare providers across all 50 states

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