EnableComp, LLC
  • Revenue Services
  • 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 Account Manager, Medicaid is a critical support role that has direct interaction with EnableComp's external clients. This role supports the overall success of our client's accounts by managing and responding to client inquiries, engaging document management processes for the purpose of processing Out of State Medicaid claims as well as payment research, invoice/billing inquiries, file delays, system access, and other relevant items.

Key Responsibilities

  • Manage internal coordination, communication, and messaging for external client requests and reported issues
  • Manage submission and receipt of documentation requests to assigned external client group ensuring EnableComp receives necessary medical claim documentation needed to process claim inventory with insurance companies.
  • Submit document request lists to external clients and monitor those requests on a weekly basis.
  • Serve as primary EnableComp contact with clients, managing day-to-day interaction.
  • Document process changes and message updates for the Medicaid team as needed.
  • Create, review, and maintain external-facing reports.
  • Provide daily updates to the Client Engagement People Leader; escalate issues and other items as often as necessary internally.
  • Facilitate internal and external meetings to achieve necessary goals, resolve client issues, and/or resolve internal issues.
  • Call employers, payers, and other entities as needed to resolve and ensure proper payment on Medicaid claims
  • Work to support the overall production process of assigned team(s), provide additional management support with the Supervisor(s) of assigned teams
  • Respond and communicate with external clients regarding topics such as: remote system access, document requests, payment research requests, coordination of end-user training, and others.
  • Other duties as required.

Requirements and Qualifications

  • High School Diploma or GED required. Associates or Bachelor's preferred.
  • 2+ years' experience successfully functioning in a business-to-business environment, with direct client communication.
  • Prior Account Management experience a plus!
  • 1 year of billing office experience in a healthcare setting preferred.
  • Limited travel (less than 10%) to client sites.
  • 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.

Special Considerations and Prerequisites

  • Regular and predictable attendance.
  • Passion for client service and creating raving fans!!!
  • Can-do attitude with service-oriented approach and strong sense of urgency.
  • Ability to handle large volumes of work while paying close attention to detail.
  • Ability to work in a fast-paced environment.
  • Exceptional written, verbal and phone skills.
  • 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.
  • Interact professionally at multiple levels within a client-oriented organization.
  • Must be able to remain in stationary position 50% of the time.
  • Occasionally moves about inside the office to access office equipment, etc.
  • Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.
  • Frequently communicates with clients, payers, co-workers and management. Must be able to exchange accurate information in these situations.

EnableComp, LLC
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