Client Operations Specialist

Enablecomp•Franklin, TN

5d•Remote

About The Position

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. Position Summary The Client Operations Specialist performs all activities involved in the preparation and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of claims by the Revenue Specialists as well as assisting the Client Operation Analysts by engaging the document management process for the purpose of processing claims. The Client Operations Specialist also helps support the Client Operations Analysts with client recons and work queues.

Requirements

High School Diploma required.
1 year of document control experience desired.
Experience with electronic document management in a healthcare setting desired.
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.
Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
Regular and predictable attendance.

Nice To Haves

Ability to handle large volumes of work while paying close 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 and/or stand for long periods of time.

Responsibilities

Assist with document retrieval process for including but not limited to implant invoices, UB-04 documents, Explanations of Benefits, medical record components.
Scan and upload documents received from client.
Manual reporting to clients for records requested and received in support of recovery team.
Manual updating of information in electronic HIS systems to support production processes and Account Management teams.
Manual review and reconciliation of ATB reports to locate accounts missing between both systems used to generate bills to EC.
Locate, acquire, and store medical records from within client system.
Assist in efficiently moving work through the department.
Assist in compiling and working client recons, including but not limited to, posting adjustments, entering refund and payment research requests, and reviewing or rebilling missing claims.
Assist in managing client work queues.
Assist and cooperate with other departments.
Use several systems to perform accurate and timely data entry.
File and handle confidential documentation and patient health information (PHI).
Other duties as required.