Zero Balance Supervisor, Denials

EnableComp • Franklin, TN

4d

About The Position

The Zero Balance Supervisor is responsible for leading and overseeing Zero Balance. Reviews operations focused on identifying and recovering hospital claims that have been deemed “zero balance” and closed by client hospitals. This role requires deep knowledge of hospital reimbursement, coding, and payer behavior, as well as the ability to identify recovery opportunities across large, complex claim inventories. The Supervisor serves as both a people leader and a subject matter expert, ensuring operational excellence, client satisfaction, and measurable financial results.

Requirements

• High School Diploma or GED required. Associates or Bachelor’s Degree a plus.
• 5+ years’ experience in healthcare field working in zero balance line of business.
• 5+ years’ client facing/customer services experience.
• 2-5 years supervisory experience.
• 5+ years’ experience with commercial/government billing and collections.
• Proven experience in hospital revenue cycle operations, with a strong focus on zero balance or underpayment recovery.
• Demonstrated ability to identify recovery opportunities within large claim inventories.
• Experience working with payer portals, claims systems, and healthcare revenue cycle technology platforms.
• Expert level understanding of insurance payer/provider claims processing and subsequent data requirements.
• Experience supporting outsourced zero balance or contingency-based recovery programs.
• Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
• 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.
• Regular and predictable attendance.

Responsibilities

• Provide daily supervision, coaching, and support to assigned Zero Balance team members.
• Manage the full employee lifecycle, including hiring, onboarding, training, performance management, and corrective action.
• Prepare and deliver performance evaluations and account reviews in partnership with Department Leadership.
• Train and mentor staff, including new hires, with a focus on accuracy, payer strategy, and zero balance recovery best practices.
• Perform quality control reviews to ensure due diligence, compliance, and workflow adherence.
• Identify and pursue recovery opportunities within large inventories of zero balance hospital claims.
• Analyze and evaluate claim payments using EnableComp proprietary systems, tools, and payer documentation to determine compliance with contractual reimbursement.
• Prepare and submit initial bill packets and appeal letters using EnableComp systems and tools.
• Conduct timely and thorough follow-up with insurance companies to drive correct reimbursement.
• Research, request, and compile medical records, implant invoices, and other supporting documentation required for claim resolution.
• Apply coding knowledge (CPT, ICD-10, modifiers) to support claim accuracy, appeal success, and recovery strategy.
• Serve as the primary escalation point for team members issues related to access and roadblocks impacting claim resolution.
• Manage internal coordination, communication, and messaging related to external client requests and reported issues.
• Facilitate internal meetings to address client concerns, process improvements, and operational challenges.
• Communicate directly with clients regarding system access, documentation requests, payment research, training coordination, and related topics.
• Partner with Managers to prioritize daily work and ensure alignment with operational goals.
• Collaborate with Data Analytics to research and resolve claim, payment, and data import issues.
• Work closely with Data and Product teams to investigate calculation issues and support special projects.
• Support departmental and enterprise operational initiatives through cross-team collaboration.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees