Healthcare Denials & Payment Resolution Specialist

EnableComp LLC; United States; Presencial; USD 55.000 - 75.000; Jornada completa

Descripción de la vacante

EnableComp LLC, a leader in Specialty Revenue Cycle Management, seeks a Resolution Analyst to bridge client contacts and our denials and underpayment appeal workflow. You will drive review and recovery for denied and underpaid claims while handling PHI with strict privacy.

You will use EnableComp’s tools to determine correct reimbursements, follow up with payers, and support fast, accurate cash flow for hospitals, health systems, and ambulatory centers nationwide.

Formación

• 5+ years in healthcare billing or collections.
• Strong understanding of the revenue cycle process.
• Familiarity with payer/provider contracts and EOBs.

Responsabilidades

• Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using proprietary software and tools.
• Use payer documentation and contract information to determine correct reimbursements.
• Identify and collect cash payments from insurance companies by reviewing hospital contracts and denials.
• Research and assemble records to submit complex underpayment appeals to payers.
• Conduct timely follow-up with payers to ensure documentation is received and issues resolved.

Conocimientos

Billing & Collections

Client facing

MS Office

ICD/HCPCS knowledge

Communication skills

Analytical mindset

Educación

Associate or Bachelor's Degree preferred

High School Diploma or GED

Herramientas

MS Office (Word, Excel, Outlook)

Descripción del empleo

EnableComp LLC, a leader in Specialty Revenue Cycle Management, seeks a Resolution Analyst to bridge client contacts and our denials and underpayment appeal workflow. You will drive review and recovery for denied and underpaid claims while handling PHI with strict privacy.

You will use EnableComp’s tools to determine correct reimbursements, follow up with payers, and support fast, accurate cash flow for hospitals, health systems, and ambulatory centers nationwide.