EnableComp, LLC
  • Veteran's Administration
  • Franklin, TN, USA
  • Full Time

Comprehensive Benefits package including 401k!


Our Mission                                                                                                                                  

We partner with healthcare providers to maximize reimbursement from complex claims payers by having the best people, processes, products and performance.

 

Our Vision                                                                                                                                  

We enable healthcare providers to do what they do best.

 

Position Summary

The Validation Representative performs all activities involved in the preparation, insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of Veteran's Administration claims by the Revenue Specialists. Primarily interacts by phone with outside parties.

 

Key Responsibilities

  • Contacting Employers, Insurers and other outside entities via outbound calls, email or fax to verify/obtain information, receipt of Insurance Claim and Bill Review packages.
  • Manage both inbound and outbound calls efficiently and effectively.
  • Assist in obtaining supporting claim documentation, appropriately compiling billing packets, and filing insurance claims.
  • Assist in efficiently moving work through the department, working as part of a team.
  • Assist with research and support teams within organization as needed.
  • Use several systems to perform accurate and timely data entry.
  • File and handle confidential documentation and patient health information (PHI); able to adhere and follow all HIPAA mandated guidelines.
  • Other duties as required.

 

Requirements and Qualifications

  • High School Diploma preferred.
  • Equivalent combination of education and experience will be considered.
  • 1 year of medical bill processing experience desired.
  • Strong phone and verbal communication skills.
  • Experience with electronic document management in a healthcare setting desired.
  • 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.

 

Special Considerations and Prerequisites

  • Timely and regular attendance.
  • Ability to professionally and confidently represent EnableComp to outside parties via phone, email and fax.
  • Ability to handle large volumes of work while maintaining 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 for long periods of time.
EnableComp, LLC
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