Responsibilities
- Analyze, assess, and manage denied, underpaid, and unresolved claims using internal software and tools.
- Interpret payer documentation and provider contracts to verify appropriate payment amounts.
- Examine healthcare provider agreements to identify missed payments and recover outstanding balances promptly.
- Gather medical records and supporting materials needed to file detailed underpayment appeals with insurers.
- Follow up via phone with insurance companies to confirm receipt of documentation and advance claim resolution.
- Support efficient workflows and contribute to higher client satisfaction through consistent performance.
- Perform additional tasks as assigned.
Don’t just take our word for it! Hear what our people are saying
- “I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” – Revenue Specialist
- “I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” – Supervisor, Operations
Other
- Must be able to remain in stationary position 50% of the time.
- Occasionally moves about inside the office to access office equipment, etc.
- Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.
- Practices and adheres to 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.
