EnableComp Benefits Overview

Execute core revenue cycle support tasks including retrieving, scanning, uploading, and storing medical documentation and PHI; assist with client reconciliations, prebill work queue resolution, data entry in the E360 platform, and escalate client-impacting issues to the Client Delivery team while following SOPs and KPIs.

Review, evaluate, and appeal denied or underpaid medical claims using proprietary tools. Research and obtain documentation, interpret payer/provider contracts, follow up with payers, and recover correct reimbursements while handling PHI and maintaining client communication.

Serve as the liaison for denied and underpaid claims, reviewing, researching, appealing, and following up with payers to recover payment. Use provider contracts, medical records, and payment documentation to prepare complex underpayment appeals and ensure timely resolution. Maintain PHI confidentiality, meet productivity targets, and support client satisfaction.