Medical Documentation & Claims Support Specialist

EnableComp; United States; On-site; USD 42,000 - 56,000; Full time

Job summary

EnableComp is seeking a Client Support Representative to perform medical documentation retrieval and processing, support inventory reconciliation, and assist with prebill work queues. This role collaborates with the Client Delivery team to communicate operational findings and resolve issues, while ensuring HIPAA-compliant handling of confidential PHI.

No direct client interaction is required; all communication goes through the Client Delivery team.

Qualifications

• High School Diploma or GED required.
• 1+ years of experience in a healthcare operations, revenue cycle, or document management environment preferred.
• Familiarity with medical claims documentation and payer/provider data processes preferred.
• 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).
• Regular and predictable attendance

Responsibilities

• Retrieve and acquire medical documentation from client systems (implant invoices, UB-04, EOBs, medical records).
• Submit document request lists and monitor outstanding requests to ensure documentation is received.
• Scan, upload, and store medical documentation and PHI per data handling standards.
• Assist in compiling client reconciliations by gathering data and preparing reports.
• Assist in researching closed/returned claims, resolving open items, posting adjustments, and rebilling missing claims.
• Support prebill work queue resolution for assigned clients and maintain KPI performance.
• Communicate operational findings with the Client Delivery team and align on inventory/documentation needs.
• Identify and report client system issues and process gaps to leadership for resolution.
• Maintain real-time documentation in the E360 platform; ensure all activity is recorded.
• Use multiple systems for accurate data entry to support workflows.
• Assist in moving work through the department and cooperate with other departments.
• Follow SOPs and provide feedback on process improvements.
• Other duties as assigned

Education

High School Diploma or GED

Tools

MS Office (Word Excel Outlook)

Job description

EnableComp is seeking a Client Support Representative to perform medical documentation retrieval and processing, support inventory reconciliation, and assist with prebill work queues. This role collaborates with the Client Delivery team to communicate operational findings and resolve issues, while ensuring HIPAA-compliant handling of confidential PHI.

No direct client interaction is required; all communication goes through the Client Delivery team.