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EnableComp logo
EnableComp

We partner with over 1,000 healthcare providers to maximize their complex claims reimbursements.

Supervisor, Denials

Financial Planning and AnalysisFinancial Planning and AnalysisOtherRemoteTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

109 days ago

Salary

0

No structured requirement data.

Job Description

Supervisor, Denials

EnableComp

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description - Responsible for the daily supervision of assigned Revenue Services teams. - Serves as the primary escalation point to work with clients to resolve roadblocks that may hinder the claims resolution process. - Provides direction to Account Managers and Revenue Specialists to resolve existing claims/client issues. - Partners with Managers to disseminate priority of daily tasks to assigned team. - Prepares performance evaluations and account reviews. - Analyzes and evaluates claim payments using EnableComp’s proprietary software, systems, and tools. - Researches, requests, and acquires all pertinent medical records and supporting documentation necessary for claims reimbursement. - Manages internal coordination, communication, and messaging for external client requests and reported issues. - Creates, reviews, and maintains external-facing client reports. - Facilitates internal and external meetings to discuss process improvements and resolve client/internal issues. - Responds and communicates with external clients regarding various topics such as remote system access and document requests. - Conducts timely and thorough telephone follow-up with insurance companies to ensure proper reimbursement. - Prepares correct initial bill packet or appeal letter using EnableComp systems tools. - Works with Data Analytics team to research issues with claim and payment imports. - Trains and mentors staff as needed, including new hires. - Works with Data Quality team to research issues with calculations and other projects. - Works with Document Management team to remove roadblocks around document acquisition. - Performs Quality Control tasks on behalf of management regarding account flow and due diligence. - Responsible for the full employee life cycle including hiring decisions, training, performance management, and corrective action. - Handles patient health information (PHI) and maintains extreme privacy and security. - Supports operational initiatives through team collaboration. - Other duties as required. Qualifications - High School Diploma or GED required; Associates or Bachelor’s Degree a plus. - 5 years’ experience in healthcare field working in billing or collections. - 5 years’ client facing/customer services experience. - 1-2 years supervisory or team lead experience. - 3-5 years’ experience with commercial/government billing and collections preferred. - Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements. - Strong computer proficiency and understanding of basic office applications, including MS Office (Word, Excel, and Outlook). - Equivalent combination of education and experience will be considered. - Regular and predictable attendance. Requirements - 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. - Practices and adheres to EnableComp's Core Values, Vision, and Mission. - Must demonstrate exceptional interpersonal skills and exhibit an approachable nature. - Can-do attitude with service-oriented approach and strong sense of urgency. - 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. - Ability to appropriately handle stress and interact cooperatively with others. - Proven experience working with external clients; strong customer service skills and business acumen. - Ability to prioritize and manage multiple competing priorities and projects concurrently. - General office environment; must be able to sit for long periods of time. 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. - Commitment to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. - Continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. - Investment in employees as the key to success.

Job Requirements

  • High School Diploma or GED required; Associates or Bachelor’s Degree a plus.
  • 5 years’ experience in healthcare field working in billing or collections.
  • 5 years’ client facing/customer services experience.
  • 1-2 years supervisory or team lead experience.
  • 3-5 years’ experience with commercial/government billing and collections preferred.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Strong computer proficiency and understanding of basic office applications, including MS Office (Word, Excel, and Outlook).
  • Equivalent combination of education and experience will be considered.
  • Regular and predictable attendance.
  • 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.
  • Practices and adheres to EnableComp's Core Values, Vision, and Mission.
  • Must demonstrate exceptional interpersonal skills and exhibit an approachable nature.
  • Can-do attitude with service-oriented approach and strong sense of urgency.
  • 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.
  • Ability to appropriately handle stress and interact cooperatively with others.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • General office environment; must be able to sit for long periods of time.

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.
  • Commitment to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
  • Continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.
  • Investment in employees as the key to success.

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Crinetics Pharmaceuticals logo

Associate Director, Commercial FP&A

Crinetics Pharmaceuticals

Discovering drugs for endocrine diseases and endocrine-related tumors. #acromegaly #crinetics #CarcinoidSyndrome

OtherRemoteTeam 201-500Since 2015H1B No Sponsor

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$154K - $193K / year
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Destination Knot logo

Online Hotel Reservationist

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OtherRemoteTeam 11-50

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