EnableComp

• Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using EnableComp’s proprietary software, systems and tools. • Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement. • Efficiently review hospital contracts to identify and collect cash payments from insurance companies, ensuring prompt payments of denied and underpaid claims. • Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement. • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate resolution of outstanding receivables. • Ensures smooth operations and improves customer satisfaction. • Other duties as required.

Title: Resolution Analyst, Denials (REMOTE) Location: United States - Remote Department: Denials Job Description: EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the departments revenue. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information. Key Responsibilities - Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using EnableComp’s proprietary software, systems and tools. - Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement. - Efficiently review hospital contracts to identify and collect cash payments from insurance companies, ensuring prompt payments of denied and underpaid claims. - Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement. - Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate resolution of outstanding receivables. - Ensures smooth operations and improves customer satisfaction. - Other duties as required. Requirements and Qualifications - High School Diploma or GED required. Associates or Bachelor’s Degree preferred. - 5+ years’ experience in healthcare field working in billing or collections. - 1+ years’ client facing/customer services experience. - Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements. - Equivalent combination of education and experience will be considered. - Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). - Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology. - Strong understanding of the revenue cycle process. - Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements. - Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims. - Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms. - Demonstrate strong ability to review client/payer contracts to identify complex underpayments. - Regular and predictable attendance. - 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. Special Considerations and Prerequisites - 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. - 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. EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. 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 We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

• Perform all activities involved in the preparation, insurance verification, and retrieval of medical records and documents from various systems. • Contact Employers, Insurers, and other outside entities to verify and obtain information related to Motor Vehicle Accident claims. • Manage both inbound and outbound calls efficiently and effectively. • Assist in obtaining supporting claim documentation and filing insurance claims. • Use several systems to perform accurate and timely data entry. • File and handle confidential documentation and patient health information (PHI).

• Acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. • Responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the department's revenue. • Responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information. • Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims. • Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement. • Efficiently review hospital contracts to identify and collect cash payments from insurance companies. • Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals. • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received. • Ensures smooth operations and improves customer satisfaction.

• Serve as a primary operational point of contact for assigned client accounts. • Develop understanding of client contracts, workflows, and service-line scope. • Support interpretation of operational data and trends. • Lead/client meetings, operational touchpoints, and reviews. • Identify operational risks, emerging issues, and opportunities for improvement. • Monitor operational performance indicators. • Support root cause analysis and contribute to action plans. • Track action items and follow-ups. • Escalate issues to Client Delivery Director. • Prepare monthly operational reviews, reporting packages, and client-facing materials. • Accurately document client interactions in CRM.

• Investigates and analyzes Motor Vehicle Accident accounts to properly identify and coordinate insurance benefits and resolve outstanding balances for clients. • Acts as the liaison between EnableComp clients, patient attorneys, and insurance companies. • Responsible for handling patient health information (PHI) and maintaining extreme privacy and security regarding confidential and proprietary information.

• Independently own operational alignment for assigned client accounts • Develop a deep working knowledge of client contracts, SLAs, service-line scope, workflows, and operational dependencies • Translate operational performance data into meaningful narratives that clearly articulate drivers, risks, and opportunities • Proactively identify trends, risks, and misalignment across the client lifecycle and recommend corrective actions • Partner with clients to align operational expectations with internal capabilities and constraints • Monitor operational performance indicators and inventory health to identify emerging issues or deviations • Lead structured root cause analysis efforts in partnership with Revenue Services and other internal teams • Develop clear, outcome-oriented action plans with defined ownership, sequencing, and follow-up • Track action plan progress and validate effectiveness over time • Exercise sound judgment in determining when and how to escalate issues, providing clear context, analysis, and recommended paths forward • Own preparation and facilitation of monthly operational reviews and recurring client touchpoints • Develop agendas, reporting narratives, and discussion materials tailored to client priorities • Lead client discussions with confidence, professionalism, and consultative presence • Document meeting outcomes, decisions, and action items, ensuring clear follow-through • Serve as a consistent and reliable operational presence for assigned client accounts • Partner closely with Revenue Services leadership and operational teams to understand performance drivers and constraints • Coordinate with Client Success, Implementation, Product, and Technology teams to support alignment across the client lifecycle • Lead internal account reviews and ensure internal stakeholders are aligned on priorities, risks, and commitments • Advocate for client needs while balancing enterprise standards and scalability • Ensure accurate and timely documentation of client interactions, escalations, and decisions in CRM and internal systems • Apply Client Alignment methodologies and standards consistently across assigned accounts • Identify recurring themes, systemic issues, or improvement opportunities across the client portfolio • Contribute to process improvement initiatives, workflow refinement, and documentation updates • Support onboarding and knowledge transfer for new team members as needed • Other duties as assigned

• Responsible for managing and growing client relationships through hands on partnership and collaboration with both EnableComp operations and sales leadership. • Focus on delivering exceptional service, aligning client expectations with internal capabilities, and driving satisfaction and retention through consistent, proactive communication. • Acts as an extension of the client, translating needs into actionable plans, resolving challenges, and identifying opportunities to enhance performance and expand market share.

Role Description We are seeking a forward-thinking and deeply technical AI Security Architect to lead our efforts in securely harnessing the power of Artificial Intelligence. As the AI Security Architect, you will be responsible for designing, implementing, and managing the security posture for all AI and Machine Learning initiatives across the organization. This is a pivotal role designed for an expert who is passionate about building secure AI frameworks from the ground up. You will be the go-to authority for all matters related to AI security, working across departments to embed security into our AI strategy and operations. Key Responsibilities - Collaborate directly with the IT & Development teams to design and integrate advanced AI security tooling at the application level. - Take a leading role in enhancing the security capabilities of our flagship in-house application, "Enforcer," by leveraging cutting-edge AI technologies. - Partner with our Development teams to establish a secure AI development lifecycle. - Assist in the evaluation, selection, and secure configuration of AI/ML tools, libraries, and platforms to empower our developers while maintaining a robust security posture. - Act as the central point of contact for vetting and suggesting secure AI solutions for business units across the entire organization. - Develop and maintain a curated portfolio of approved AI tools and services that align with our security standards and business objectives. - Stay at the forefront of the rapidly evolving AI landscape, including new technologies, emerging threats, and changing regulatory requirements (e.g., GDPR, CCPA as they relate to AI). - Provide regular updates and strategic recommendations to leadership on AI-related security matters. - Manage and optimize our TPRM platform. - Leverage the platform to establish and streamline a comprehensive AI vendor assessment process, creating clear requirements for onboarding new AI partners and solutions. - Contribute to the daily operations and strategic initiatives of the broader Information Security team. - Assist in incident response, threat modeling, and security architecture reviews as needed. Qualifications - Bachelor’s degree in computer science, Information Security, or a related field. - 5-7+ years of experience in a senior information security role. - Demonstrable experience working within the Microsoft Azure ecosystem, including securing data services like Azure Data Lake Storage, Azure Databricks, and Azure Machine Learning. - Deep understanding of the security challenges and controls for Large Language Models (LLMs), including prompt injection, data poisoning, and model theft. - Proven experience working in a dynamic business environment, particularly within a company undergoing a significant technological transformation. - Strong understanding of secure software development lifecycle (SDLC) principles. Requirements - Practices and adheres to EnableComp’s Core Values, Vision and Mission. - Engineer, implement and monitor security measures for the protection of computer systems, networks and information. - Identify and define system security requirements. - Experience managing servers, particularly virtualized environments. - Ability to work well with team members to produce results. - Excellent communication skills, utilized to collaborate both within IT and across all functions of the company to drive IT security initiatives. - Excellent mentoring and coaching skills to assist in training staff on security directives. - Design computer security architecture and develop detailed cyber security designs. - Prepare and document standard operating procedures and protocols. - Problem solving skills and ability to work under pressure. - Advises senior management by identifying critical security issues; recommending risk-reduction solutions. - Solid understanding of HIPAA and applicable compliance frameworks (SOC2, HITRUST). - Strong project management and technical troubleshooting ability. - Strong writing/documentation skills necessary. - Ability to articulate security-related concepts to a broad range of technical and non-technical staff. - Ability to work on larger projects as well as balance day to day requirements. Benefits - EnableComp is an Equal Opportunity Employer M/F/D/V. - All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. - We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. - EnableComp recruits, develops and retains the industry's top talent. - We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here.

• Oversee and drive process integration for clients into the product suite. • Manage activities associated with new client implementations and internal initiatives. • Plan, execute and coordinate the activities for on-boarding clients into the service suite. • Manage the timeline, deliverables, client expectations, communicate regularly, and elevate critical issues.