Opportunities

Join our team of high-caliber individuals! EnableComp recruits, develops and retains the industry’s top talent.  No matter what you do at EnableComp, you’ll play a part in shaping the future of Workers’ Compensation services.

You can apply by emailing your attached resume to resume@enablecomp.com.  We will review your qualifications and if your background and experience is aligned with the position requirements we will contact you to continue the recruitment process.  This is where we get to learn more about your experience, tell you more about the company and anaswer any questions you might have.  We often utilize email to communicate with our candidates.  Therefore, it’s important that you frequently check your email (and “spam” folder) to ensure that you’re not missing any important messages.  Please know that some opportunities with EnableComp get a very high volume of applicants so the selection process may take some time.  

Learn more about our challenging and rewarding opportunities by viewing the openings below.

Current Openings:

 

 

Revenue Specialist (Franklin, TN)

If you have experience working in the healthcare field in billing and/or collections we want to hear from you!!!  We are looking for candidates with superior client facing skills who have experience processing claims for payment, physician billing and workers compensation experience is a huge plus!  

 

The Revenue Specialist acts as the liaison between key client contacts and insurance companies.  This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.

Responsibilities

  • Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state worker’s compensation fee schedule and/or PPO contract.
  • Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
  • Conduct timely and thorough telephone follow-up with workers' compensation insurance companies to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
  • Prepare correct workers’ Ccmp initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies.
  • Other duties as required.

Qualifications & Skills

  • High School Diploma or GED required.  Associates or Bachelor’s Degree preferred.
  • 1-2+ years’ experience in healthcare field working in billing or collections.
  • 1+ years’ client facing/customer services experience.
  • 1+ years’ experience with workers' compensation billing and collections a preferred.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Equivalent combination of education and experience will be considered.
  • Timely and regular attendance.
  • 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.
  • General office environment; must be able to sit for long periods of time.
  • 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.

Submit your resume

 

 

 

Nurse Review Auditor (Franklin, TN)

Do you have experience as a Professional Nurse Consultant or Nurse Review Auditor?  Are you interested in a part-time, contract position that will require about 15-20 hours per month?  Look no further!  The ideal candidate will have clinical and auditing experience, especially on the hospital/facility side.  

 

The Nurse Review Auditor provides analysis of medical services, reports, records and billed charges, etc. to determine appropriateness of these charges, delivery of care and treatment plans.  The Nurse Review Auditor will use his/her expertise and judgment to negotiate with payers. 

 

Responsibilities

  • Applies clinical expertise and judgment to analyze, research and interpret medical services, bills, etc. and determines appropriateness of charges, delivery of care and treatment plans.
  • Identify the necessity of the review process and communicate specific issues of concern to the Revenue Services team, client or member of management.
  • Document work and final conclusions in designated company software.
  • Documents persuasive clinical documentation to maximize provider client reimbursement. 
  • Negotiates directly with payer/bill review contacts to ensure maximum reimbursement on workers' compensation bills.
  • Provides assistance to Corporate Trainer on training staff on medical terminology and anatomy.
  • Maintains knowledge regarding legislative and/or market changes.
  • Other duties as required.

 

Qualifications & Skills

  • Associates or Bachelor’s Degree in Nursing.
  • 5 years’ of clinical experience on the hospital/facility side (e.g. O.R., I.C.U., C.C.U., E.R. or Orthopedics)
  • Experience reviewing and interpreting hospital bills, medical notes and other supporting documentation.
  • Coding knowledge and certification a plus.
  • Knowledge of worker’s compensation claims.
  • Equivalent combination of education and experience will be considered.
  • 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.
  • Proven knowledge of medical and surgical procedures and other healthcare practices and trends.
  • General computer skills (including use of Microsoft Office, specifically Excel and Outlook, internet search).
  • Familiarity with health care documentation systems.
  • Strong verbal, written and interpersonal communication and customer service skills.
  • Ability to communicate audit outcomes and testing results with other staff within the company who are both medically and non-medically oriented.
  • Ability to interpret policies and procedures and communicate complex topics to others.
  • Strong organizational and time management skills with the ability to manage workload independently.
  • Ability to think critically and make decisions within individual role and responsibility.
  • Proven ability in developing and following an audit program.
  • Demonstrated competency in claim review and experience in using billing and claims forms (UB, CMS, and HCFA).

Submit your resume

 

 

Client Account Specialist (Memphis,TN)

The Client Account Specialist is a critical client-facing role based in Memphis, TN at one of EnableComp’s top clients.  This important role interacts directly with key client contacts and EnableComp management to provide account support during the revenue collection process by analyzing and evaluating worker’s compensation claim payments.  Great care must be taken in protecting and safeguarding patient health information (PHI) and adhering to required privacy and security standards.

The ideal candidate is a self-starter who can work well under pressure and balance competing priorities in a results-oriented work environment. If you have a passion for delivering measurable results and client service, we want to hear from you. 

 

Responsibilities

  • Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement. e.g. UB-04 documents, Explanation of Benefits (EOB), etc.
  • Interact with client via face-to-face as well as via email and/or phone daily.
  • Forward client updates to the Revenue Services team as needed.
  • Create and maintain inventory reports.
  • Provide daily updates to Operations Account Manager.
  • Scan and upload documents received from the client.
  • Facilitate internal and external meetings.
  • Partner with client regarding topics including but not limited to: remote system access, document requests and payment search requests.
  • Evaluate and communicate opportunities, challenges and action plans to EnableComp management and key hospital client contacts.
  • Other duties as required.

 

Qualifications & Skills

  • High School Diploma or GED required.  Associates or Bachelor’s preferred.
  • 3+ years experience in a healthcare setting working in billing or collections. 
  • 1+ years experience with workers’ compensation billing and collections.
  • 1+ years experience in client-facing role and/or customer support/service experience required.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Equivalent combination of education and experience will be considered.
  • 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.
  • Timely and regular attendance.
  • Ability to handle large volumes of work while paying close attention to detail.
  • Effectively communicate issues/problems and results that impact timelines for project completion.
  • 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.
  • Competent in MS Office Suite and Windows applications.
  • Hospital office environment; must be able to sit for long periods of time.
  • Occasional travel to corporate office in Franklin, TN.

Submit your resume

 

Validation Representative (Franklin, TN)

 

As a result of our growth, we have immediate openings for qualified individuals to join our expanding operations teams as a Validation Representative.  Our ideal candidate would be a detail oriented self-starter with experience in healthcare claims, billing or document management, a customer service orientation and must have the ability to work in a fast-paced, team environment.  

 

The Validation Representative performs all activities involved in the preparation, insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of workers compensation claims by the Revenue Specialists.

 

Responsibilities

  • Contacting Employers, Insurers and other outside entities to verify/obtain information, receipt of Insurance Claim and Bill Review packages.
  • Assist in obtaining supporting claim documentation, appropriately compiling billing packets, and filing insurance claims.
  • Assist in efficiently moving work through the department, working as part of a team.
  • Assist with research and support teams within organization as needed.
  • Use several systems to perform accurate and timely data entry.
  • File and handle confidential documentation and patient health information (PHI); able to adhere and follow all HIPAA mandated guidelines.
  • Other duties as required.  

Qualifications & Skills

  • High School Diploma preferred. 
  • Equivalent combination of education and experience will be considered.
  • 1 year of medical bill processing experience desired. 
  • Experience with electronic document management in a healthcare setting desired.
  • 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.
  • Timely and regular attendance.
  • Ability to handle large volumes of work while maintaining attention to detail.
  • Ability to work in a fast-paced environment.
  • Demonstrated experience in working under limited supervision, manage multiple tasks and prioritize assignments with limited time constraints.
  • Effectively communicate issues/problems and results that impact timelines for project completion.
  • Ability to interact professionally at multiple levels within a client-oriented organization.
  • Competent in MS Office Suite and Windows applications.
  • General office environment; must be able to sit for long periods of time.

Submit your resume

 

Reimbursement Analyst (Franklin, TN)

The Reimbursement Analyst is responsible for contract and fee schedule analysis. This person is responsible for ensuring quality by continually testing rules, analyzing fee schedules, and producing summary documentation, training guides for end users.

 

The ideal candidate is a team-oriented individual who has experience with worker’s compensation fee schedules, managed care agreements, healthcare reporting and analysis.  The ability to read, interpret and communicate essential components of fee schedules and agreements to business stakeholders is essential. 

 

Responsibilities

  • Work collaboratively with individuals from every facet of the operation, identifying and analyzing state fee schedule guides, documenting effective BRDs summarizing said rules and coordinating testing to ensure requirements executed as documented.
  • Identify and research reimbursement issues for individual state fee schedules and/or managed care agreements; hospital and professional fee schedules.
  • Interact with project team to identify and translate business requirements that will improve the functionality and usability of the rules and training guides.
  • Monitor on-going changes for newly published fee schedule updates, as well as conduct periodic reviews to validate rules accuracy.
  • Monitors and tracks anomalies in production data.
  • Other duties as required.

 

Qualifications & Skills

  • Bachelor’s degree in healthcare administration, business or other analytic discipline required.
  • 3 years’ experience with healthcare reimbursement analysis.
  • Familiar with medical billing, claims and IT systems; proficient in Excel including pivot tables and v-lookup functions.
  • Knowledge of hospital and professional coding and reimbursement methodologies required.
  • Exposure to business logic creation and/or system programming a plus.
  • Equivalent combination of education and experience will be considered.
  • 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.
  • Proven experience writing business requirements and/or creating business rule specifications for hospital and professional reimbursement fee schedules, understanding of Medicare reimbursement methodology highly desired.
  • Ability to thrive in a fast-paced environment while managing multiple projects with competing priorities successfully.
  • Highly organized and possesses excellent communication skills.
  • Superior analytical and problem solving skills.
  • General office environment; must be able to sit for long periods of time.

Submit your resume

 

*Notice to third party recruiters, agencies and firms:  These positions listed above are not currently open to outside vendors for candidate submission.  Please do not inquire or submit unsolicited candidate profiles.