EnableComp provides specialty revenue cycle management solutions for healthcare organizations, helping hospitals, health systems, and ambulatory surgery centers improve financial sustainability through automation and expert claims support.
The Revenue Specialist serves as a liaison between key client contacts and insurance companies, with a focus on workers' compensation claims. This role handles protected health information (PHI) and supports accurate reimbursement by reviewing claim payments, gathering supporting documentation, and following up with payers to ensure proper claims processing.
Key responsibilities include:
- Analyze workers' compensation claim payments using proprietary software and tools.
- Determine whether providers were reimbursed according to applicable state fee schedules and/or PPO contracts.
- Request and collect medical records, implant invoices, and other supporting documentation.
- Submit claims and documentation to insurance companies to support prompt reimbursement.
- Conduct phone follow-up with payers to confirm receipt of documentation and resolve claims issues.
- Prepare initial bill packets or appeal letters for workers' compensation claims.
- Perform other related duties as assigned.
Requirements & Qualifications
Qualifications
- High school diploma or GED required; associate's or bachelor's degree preferred.
- 1-2+ years of experience in healthcare billing or collections.
- 1+ years of client-facing or customer service experience.
- 1+ years of workers' compensation billing and collections experience preferred.
- Intermediate understanding of insurance payer/provider claims processing and related data requirements.
- Strong computer proficiency, including Microsoft Word, Excel, and Outlook.
- Equivalent combination of education and experience may be considered.
Additional expectations
- Proven ability to meet productivity targets and goals.
- Strong written and verbal communication skills.
- Strong analytical and problem-solving skills.
- Ability to work independently and manage multiple priorities.
- Comfortable working under pressure while maintaining professional relationships.
- Regular and predictable attendance required.
Benefits & Perks
Workplace highlights
- Remote work opportunity.
- Full-time employment.
- Opportunity to work with a healthcare-focused organization in a growing revenue cycle environment.
- Professional growth and development support.
- Company culture focused on teamwork, mentorship, and advancement.
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago