The Revenue Specialist, Denials acts as the liaison between key client contacts and our denials appeal process to the appropriate payer. The Revenue Specialist, Denials is responsible for the initial denial audit and activities to resolve outstanding claims. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and secu

The Senior Business Analyst is responsible for making EnableComp systems more efficient, helping our staff work smarter not harder. This role will also help our team work faster through automation, leading us to higher revenue through process efficiencies and enhanced technology solutions. Key Responsibilities Work collaboratively with individuals from every facet of the

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 clinical judgement to negotiate with payers. Key Responsibilities Applies clinical expertise and judgment to analyze, research

The Coding Denials Auditor provides analysis of coded medical services, reports, records, and billed charges, etc. to determine appropriateness of the medical coding utilized, delivery of care and treatment plans. The Coding Denials Auditor will use their expertise and coding expertise to communicate internally and externally. Key Responsibilities Conducts coding audits o

Negotiate and close contracts and sales deals while implementing programs to increase growth and ROI. Create pricing models, library of RFP responses, follow up protocols and all finalist presentations. Develop innovative sales and service strategy solutions to enhance brand recognition in the healthcare marketplace. Maintain operational efficiency with proactive oversigh

The Provider Enrollment Specialist, Medicaid, has primary responsibility for oversight and maintenance of the professional and facility enrollment process. This will include submission of both online and paper applications. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential

The Director, Coding Audits and Appeals is responsible for providing strategic and daily operational management of a team of Coding Denials Auditors. This individual will establish and maintain standards of professional competence, monitoring, and ensuring productivity and quality benchmarks are within acceptable guidelines. The Director, Coding Audits and Appeals combine