- Location
- Franklin, TN · United States - Remote
- Workplace
- Remote
- Type
- Full-time
- Department
- Denials
- Experience
- 24+ years
- Education
- High School
- Source
- Lever
Description
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.
POSITION SUMMARY
The Follow-Up Specialist, Clinical Denials is responsible for managing clinical appeals by engaging with insurance companies, submitting disputes, and ensuring timely resolution. This role involves investigating denial reasons, communicating with payers, and providing supporting documentation to facilitate reconsideration. The specialist works closely with the operations team to escalate appeal denials while independently handling administrative disputes. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.
Skills
Excel
