Jobless Developer
EnableComp logo
EnableComp

Posted 1 month ago

Open

Supervisor, Zero Balance Denials (REMOTE)

FranklinRemoteFull-time

AI Summary

Leads and oversees Zero Balance operations to identify and recover hospital claims deemed zero balance and closed by client hospitals, serving as both a people leader and subject matter expert.

About this role

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ 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. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.

Position Summary
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.

Key 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.

    • Requirements and Qualifications

  • 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.

    • Special Considerations and Prerequisites

  • Practices and adheres to EnableComp's Core Values, Vision and Mission.
  • Must demonstrate exceptional interpersonal skills and exhibit an approachable nature to answer questions from Revenue Specialist staff and mentor and train others regularly.
  • Can-do attitude with service-oriented approach and strong sense of urgency with skills to develop and coach team members.
  • Must be a self-starter and able to work independently without direct supervision.
  • Proven written and verbal communication skills.
  • Strong analytical and problem-solving skills.
  • Appropriately handle stress and interact cooperatively with others (at all levels of the organization).
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • General office environment; must be able to sit for long periods of time.

    • Skills

    Appeal Letter PreparationClaims SystemsContractual Reimbursement AnalysisCPT CodingHospital Revenue Cycle ManagementICD-10 CodingInsurance Payer Claims ProcessingMedical Coding ModifiersMedical Records CompilationMicrosoft OfficePayer PortalsZero Balance Recovery

    Explore related jobs

    More jobs at EnableComp

    Similar Appeal Letter Preparation jobs

    Jobs in Franklin

    Browse these categories

    Remote JobsRemote Jobs With No Experience RequiredMicrosoft Office JobsJobs in FranklinJobs in United States

    Market data for this role

    All reports →