Revenue Specialist, Denials

Key Responsibilities:

• Review and evaluate denied claims using EnableComp's proprietary software, systems, and tools.
• Research, request, and acquire all pertinent medical records and supporting documentation to submit with hospital claims.
• Conduct timely telephone follow-up with payers to facilitate prompt reimbursement.

Requirements and Qualifications:

• High School Diploma or GED required; Associate or Bachelor's degree preferred.
• 5+ years' experience in healthcare billing or collections, plus 1+ years' client-facing experience.
• Intermediate knowledge of ICD, HCPCS/CPT coding, medical terminology, and revenue cycle process.

Special Considerations:

• Must be a self-starter able to work independently without direct supervision.
• Strong analytical, problem-solving, and communication skills.
• Ability to prioritize and manage multiple competing priorities.