Full-Time

Revenue Specialist

Physician Billing

Confirmed live in the last 24 hours

EnableComp

EnableComp

201-500 employees

Maximizes revenue from workers' compensation claims

Data & Analytics
Consulting
Healthcare

Junior, Mid

Remote in USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Accounting
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.

EnableComp focuses on maximizing revenue from complex workers' compensation claims, which are often difficult for healthcare providers like hospitals and clinics to manage. The company simplifies this process by using a combination of clinical expertise, data-driven analytics, managed care, and proprietary technology. Their main product, Enforcer, is a software solution that helps manage claims efficiently. By outsourcing their claims management to EnableComp, healthcare providers can save time and resources while ensuring they receive the maximum reimbursement possible. Unlike competitors, EnableComp specializes in this niche area, providing tailored services that enhance revenue recovery. The goal of EnableComp is to allow healthcare providers to concentrate on their core operations while they handle the complexities of workers' compensation claims.

Company Stage

M&A

Total Funding

$5.3M

Headquarters

Franklin, Texas

Founded

2000

Simplify Jobs

Simplify's Take

What believers are saying

  • EnableComp's #1 ranking in the 2024 Black Book™ Research Survey highlights its industry leadership and excellence in specialty revenue cycle solutions.
  • Strategic investments from entities like Memorial Hermann Health System and WCAS bolster EnableComp's financial stability and growth potential.
  • The addition of experienced executives like Christa Miller as CFO and Jason Wallis as CTO strengthens the company's leadership and operational capabilities.

What critics are saying

  • The niche focus on workers' compensation claims may limit market expansion opportunities compared to broader RCM providers.
  • Frequent changes in executive leadership could lead to strategic misalignments and operational disruptions.

What makes EnableComp unique

  • EnableComp specializes exclusively in complex workers' compensation claims, setting it apart from broader revenue cycle management firms.
  • Their proprietary software, Enforcer, combined with clinical expertise and data-driven analytics, provides a unique, efficient approach to claims management.
  • EnableComp's outsourcing model allows healthcare providers to focus on core operations while ensuring maximum revenue recovery from intricate claims.

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