Senior Director, Denials Management (Revenue Cycle)

Enablecomp • Franklin, TN

251d • 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 of 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.

Requirements

• Bachelor's Degree preferred.
• Highschool diploma or GED required.
• Provide strategic direction and leadership to ensure the team meets client expectations.
• 10+ years' experience in management or supervisory experience.
• 8+ years' experience in healthcare field working.
• 7+ years' of client facing/customer services experience.
• Comfortable understanding of insurance payer/provider claims processing.
• Equivalent combination of education and experience will be considered.

Responsibilities

• Acts as a subject matter expert in EnableComp Denials related products.
• Conduct product opportunity research to determine efficacy and profitability based on cost models.
• Research and development of innovative products enabling EC to advance within the industry, increase profitability, and grow as a company.
• Act as a key resource during the implementation of the new products.
• Identify, research, and develop new business opportunities within the scope of the department.
• Assist with department's business strategy alongside the Vice President, Complex Claims.
• Create and manage training materials and presentations to support departmental growth, best practices, and increased revenue.
• Participate and lead aspects of product implementations while identifying improvements and opportunities.
• Develop or enhance operational processes within the Denials Department to drive efficiency with focus on quality.
• Assist with the creation, communication, and training of new department products, process changes, and operational best practices.
• Create, define, and modify processes for general client denials inventory and performance management, communication, reconciliation processes, and client/executive denials reporting.
• Manage a team of CC Project Coordinators, responsible for hiring and staffing of this department as business needs dictate.
• Work closely with Analytics team to analyze incoming files for data integrity, revenue opportunity, and client feedback.
• Assist Implementation team with implementation/client onboarding, team member access related issues, and new client or product related projects.
• Communicate with EC team members to identify and define denial project related requirements and scope.
• Responsible for organizing and tracking escalated issues, including communicating action plans for resolution with senior management stakeholders and senior leadership at EnableComp.
• Act as liaison between Client and department for special projects, issue resolution, and any other client or department needs.
• Manage a portfolio of Client Project Dashboards, issue resolution, action plans and related processes.
• Lead Client performance reviews, quarterly business reviews, and related performance-based meetings via teleconference and/or onsite directly with decisionmaker-level executives.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Professional, Scientific, and Technical Services
• Education Level: Bachelor's degree