EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCMTM 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.

Requirements

  • Acts as a subject matter expert in EnableComp Revenue Integrity related products, including DRG & DRGV, and Medical Necessity Denials & ED Downgrades)
  • Define and establish departmental goals, financial targets, and key performance indicators that align with company objectives.
  • Assists in setting the strategic direction of the Revenue Recovery and identifies areas of continuous improvement in conjunction with the senior leadership team.
  • Oversee the development of quality and productivity metrics and benchmarks for Revenue Recovery functions based on industry standards and internal benchmarks.
  • Acts as a key resource with the creation, communication, and training of process changes, and operational best practices within Revenue Recovery.
  • Ensure the processes and inventory are in place to hit monthly, quarterly, and annual revenue expectations for the company.
  • Responsible for hiring, staff training, and oversight, including annual goal planning, performance reviews, workload distribution, and regular monitoring of team performance.
  • Coordinate resources throughout the organization to address action plans for assigned clients and projects.
  • Collaborate cross-functionally with other senior leaders to guide corporate planning, resource allocation, and strategic partnerships.
  • Responsible for setting daily priorities to ensure the most impactful work is prioritized and appropriately staffed.
  • Measures and monitors key performance metrics and delivers concise performance reporting to stakeholders with corrective action plans for variances when appropriate.
  • Take the lead in explaining variances to management on a regular basis regarding DRG reviews, billing activity, and revenue metrics.
  • Researches and analyzes operational processes and systems to identify process improvement opportunities and SOP enhancements.
  • Participate in high-level client relationships and ensure client satisfaction through regular performance updates, collaboration, and resolution of escalated concerns.
  • Oversee the development of training materials and evaluates trends to support onboarding, ongoing education, and quality improvement.
  • Develops a high-performing team through effective leadership, coaching, and accountability to build a high-performing, scalable organizational structure.
  • Maintain a current working knowledge of all related regulatory and compliance requirements (including HIPAA and coding guidelines) and ensures staff adherence through training, process updates, and policy alignment.
  • Maintain a strong knowledge of DRG coding, clinical documentation, and reimbursement methodologies.

Benefits

  • Health, Dental, and Vision insurance
  • 401k matching
  • Paid Time Off
  • Tuition Reimbursement
  • Professional Development Opportunities
  • Diversity, Equity, and Inclusion Commitment
  • Flexible Work Arrangements
  • Wellness Programs
  • Recognition and Rewards Program
  • Employee Assistance Program