Revenue Specialist, Denials
Enablecomp · Franklin, TN
Job description(tap to read)
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 Revenue Specialist, Denials acts as the liaison between key client contacts and our denials appeal process to the appropriate payer. The Revenue Specialist, Denials is responsible for the initial denial audit and activities to resolve outstanding claims. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information. Key Responsibilities • Review and evaluate Denied and other assigned claims using EnableComp's proprietary software, systems and tools. Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement. • Research, request and acquire all pertinent medical records and any other supporting documentation necessary and then submit with hospital claims to the appropriate payer to ensure prompt correct claims reimbursement. • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement. • Other duties as required. Requirements and Qualifications • High School Diploma or GED required. Associates or Bachelor's Degree preferred. • 5+ years' experience in healthcare field working in billing or collections. • 1+ years' client facing/customer services experience. • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements. • Equivalent combination of education and experience will be considered. • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology. • Strong understanding of the revenue cycle process. • Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements. • Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims. • Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms. • Demonstrate strong ability to review client/payer contracts to identify complex underpayments. • Regular and predictable attendance. • 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 • Practices and adheres to EnableComp's Core Values, Vision and Mission. • Proven ability to meet and/or exceed productivity targets and goals. • Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders. • 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. • Proven experience working with external clients; strong customer service skills and business acumen. • Ability to prioritize and manage multiple competing priorities and projects concurrently. • 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. EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. Don't just take our word for it! Hear what our people are saying: "I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist "I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations
Regional Dry Van Truck Driving Job in Franklin, TN
Epes Transport System Inc · Franklin, TN
Regional Dry Van Truck Driving Job - Franklin, TennesseeRegionalCDL-A Regional Company Truck Driver Jobs Earn .60 CPM + up to .09 CPM Performance Pay95 Years Strong. Still Investing in Our Drivers.Looking for a raise? Our drivers are getting 2.New Pay Raise Effective August 2$0.63 CPM Base + up to $0.09 CPM Performance PayAnother Pay Raise Effective October 4$0.65 CPM Base + up to $0.09 CPM Performance PayAt EPES Transport, we're hiring experienced CDL-A drivers for regional routes that keep you moving and get you home on a schedule you can count on. If you're ready for consistent freight, competitive pay, and weekends at home, this is where it comes together.With over 90 years of proven success as North Carolina's largest private trucking company, EPES delivers the stability and support drivers can rely on—mile after mile.What You Can Expect as an EPES Regional Driver • Earn Avg $1350 - $1500 • NEW PAY RAISE – .60 CPM • Monthly utilization bonus (up to .09 CPM) • Home Most Weekends • North East Optional (+0.25 CPM for NE Routes) • Per diem pay- Optional • 75% drop & hook / 99% no-touch customer freight • Late-model equipment with inverters & idle solutions • Assigned driver manager + 24/7 support • Paid orientation (2 days) Benefits That Start Working for You Fast • Medical, dental & vision – start in 30 days • 401(k) with company match after 90 days • Paid vacation + 7 paid holidays (eligible from hire) • Breakdown, HazMat & additional pay opportunities • Referral bonus program • Pet policy -upon approval of pet • Wellness coach support Built Around Your Life Off the Road • Home parking is available if you live outside a 30-mile radius of a terminal • Consistent routes that help you plan your time—not guess at it Requirements: • Valid CDL-A and at least 21 years old • 1 year of verifiable experience within the last 3 years OR 2 years within the last 5 years • Stable work history Drive Regional. Be Home Weekends. Keep Moving Forward.If you're an experienced driver looking for a regional role that delivers steady miles, strong pay, and real home time, EPES is ready when you are.Experienced CDL-A drivers can enjoy steady regional miles, strong pay ($63K–$90K+), and reliable weekend home time with EPES Transport. With consistent freight, mostly no-touch loads, modern equipment, and full benefits starting quickly, this role offers the stability and support of a trusted carrier while helping you maintain a better work-life balance.Franklin, Tennessee Regional Dry Van Truck Driver JobEpes Transport Regional Dry Van Truck Driving Job in Franklin, TN
Online Grocery Pick-Up Clerk
Kroger · Franklin, TN
Select and gather products for customers' on-line orders in the most efficient manner with attention to freshness and quality. Assemble customers' on-line orders, process coupons and payment, and deliver and load orders to cars when customers arrive at store for pick up. Provide a positive customer service experience that makes customers want to return to on-line shopping. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion, and safety. RESPONSIBILITIES *Essential Job Functions:* · Online Grocery Pick-Up Clerk working as In-Store Grocery Shopper is responsible for selecting and gathering products for customers' on-line orders in the most efficient manner with attention to freshness and quality. · In-Store Grocery Shopper initiates and completes selection process for customers' on-line orders. · Online Grocery Pick-Up team is responsible for assembling customers' on-line orders, process coupons and payment, and deliver and load orders to cars when customers arrive at store for pick up. · In-Store Grocery Shopper will scan and bag orders on the go while following all bagging standards. · E-Commerce team including Online Grocery Pick- Up associate communicates any substitutions or exceptions to customer's order at time of pick-up. · Meet/exceed customer expectations for ease of shopping, variety, freshness, and cleanliness. · Adhere to local, state, and federal laws, food safety procedures, and company guidelines. · Receive customers' orders from Order Selector according to guidelines, store products in optimal temperature zones. · Read and follow directions given in the note section · Ensure quality and freshness of all items chosen · Communicate with customers via a portable phone and respond to calls in a professional and timely manner · Retrieve each customer's order from all staging locations and ensure order accuracy, load order into customers' cars · Pick-Up Clerk should provide a positive customer service experience that makes customers want to return to on-line shopping. · Process the orders through the point of sale (POS) system · Follow policies and procedures to determine appropriate substitutions in the event of an out-of-stock · Maintain organization and cleanliness of staging areas and equipment · Report pricing, scanning, and item location discrepancies and invalid temperature types to the store e-Commerce supervisor · Inspect equipment and notify store Pick-Up supervisor or other store management of items in need of repair · Perform required opening and closing procedures · Assist in training new e-Commerce team members · Meet/exceed productivity standards · Ability to work cooperatively in high paced and sometimes stressful environment. · Ability to manage conflict in a reasonable, nonconfrontational and cooperative manner. · Ability to act with honesty and integrity regarding customer and business information. · Ability to follow directions and seek assistance when necessary to resolve customer and business issues. · Provide sup QUALIFICATIONS *Minimum Position Qualifications:* * Ability to work without supervision * Ability to read shelf tags * Basic math skills (i.e., counting, addition, and subtraction) * Excellent oral/written communication skills * * *Desired Previous Experience:* * Any experience as a personal shopper or in a production oriented or warehouse environment, stocking shelves, or experience as a cashier
Revenue Specialist, OSM
Enablecomp · Franklin, TN
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 Revenue Specialist, Medicaid ensures proper submission and adjudication of all claims submitted to Medicaid carriers while working within the deadlines and protocols of the assignments. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information. Key Responsibilities • Verify patient eligibility when needed. • Analyze and evaluate Medicaid claim payments using the company's systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state fee schedule. • Research, request and acquire all pertinent medical records and any other supporting documentation necessary and then submit with hospital claims to ensure prompt correct claims reimbursement. • Review technical billing (UB 04) components provided by Client Hospital for accuracy. Make necessary changes as required in accordance with billing laws. • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement. • Prepare correct Medicaid initial bill packet using EnableComp systems' tools and submit with all necessary supporting documentation to insurance companies • Analyze all assigned account delinquencies and account activity to ensure timely and accurate payments from appropriate payers. • Work with insurers and outside entities through various avenues to verify/request authorizations and assist in concurrent review activities to obtain authorization as needed. • File and handle confidential documentation and patient health information (PHI); adhere and follow all HIPAA mandated guidelines. • Manage both inbound and outbound calls efficiently and effectively. • Assist in efficiently moving work through the department, working as part of a team. • Appeal claim denials and/or underpayments as necessary. • Other duties as required Requirements and Qualifications • High School Diploma or GED required. Associates or Bachelor's Degree preferred. • 1-2+ years' experience in healthcare field working in billing or collections. • 1+ years' client facing/customer services experience. • 1+ years' experience with UB-04 billing and collections required. CMS-1500 billing and other complex claims experience a plus. • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements. • Intermediate level understanding of Medicaid payers preferred. • Equivalent combination of education and experience will be considered. • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • Regular and predictable attendance. • 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 • Practices and adheres to EnableComp's Core Values, Vision and Mission. • Proven ability to meet and/or exceed productivity targets and goals. • Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders. • 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. • Proven experience working with external clients; strong customer service skills and business acumen. • Ability to prioritize and manage multiple competing priorities and projects concurrently. • 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. EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. Don't just take our word for it! Hear what our people are saying: "I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist "I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations
Senior Commercial Healthcare Relationship Manager
WesBanco Bank · Franklin, TN
SUMMARY: The Senior Commercial Healthcare Relationship Manageris responsible for sourcing, structuring, and managing banking relationships with clients in the healthcare industry. This includes operators and owners of skilled nursing facilities, senior living communities, continuing care retirement communities, behavioral health centers, medical groups, and hospitals.The Senior Commercial Healthcare Relationship Manager serves as a strategic advisor and primary point of contact for clients, delivering tailored credit, deposit, and treasury solutions that meet the complex and regulated needs of healthcare businesses. CUSTOMER SERVICE SKILLS: Willingness to provide a level of service which will clearly differentiate us from our competitors. INTERPERSONAL SKILLS: Professional demeanor in appearance, interpersonal relations, work ethic and attitude. Possess clear, concise, effective written and oral communication skills to effectively express thoughts, ideas and concepts to management, bank employees and bank customers in a collaborative and solutions oriented manner. ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Identifies and prospects healthcare operators, management companies, and real estate investors. Builds referral relationships with brokers, attorneys, consultants, and industry professionals. Manages a calling program to consistently generate qualified pipeline opportunities. Develops new client relationships and expands existing ones across credit and non-credit solutions. Serves as the client's primary contact for all banking needs, including loan requests, treasury services, and strategic advice. Conducts regular client reviews to understand evolving needs and uncover cross-sell opportunities. Collaborates with Treasury, Credit, and Operations to deliver comprehensive solutions and proactive service. Structures and negotiates term loans, lines of credit, bridge loans, and owner-occupied or investor real estate deals. Understands industry-specific underwriting elements including going concern value, reimbursement risk, occupancy trends, and regulatory matters (e.g., CON licenses). Partners with underwriting and credit risk teams to prepare and present credit packages. Monitors portfolio for covenant compliance, renewals, and early signs of risk. Stays current on healthcare industry trends, regulatory changes (CMS, Medicare/Medicaid), and Merger & Acquisition activity. Represents the bank at industry events and networking functions. Provides market and client insights to help shape healthcare vertical strategy and credit appetite. OTHER REQUIREMENTS: Banking is a highly regulated industry and you will be expected to acquire and maintain a proficiency in the Bank's policies and procedures, and adhere to all laws, rules and regulations that are applicable to your conduct and the work you will be performing. You will also be expected to complete all assigned compliance training in a timely manner. Strong understanding of credit structures and risk management, including CRE, C&I, and enterprise value lending. Proven ability to originate and grow client relationships in a consultative sales environment. Organized, self-driven, and comfortable navigating internal systems and cross-functional collaboration. Ability to utilize Microsoft Office software. Ability to learn commercial banking software.Bachelor's Degree preferred. Minimum of five years in commercial banking or middle market lending; 3+ years with healthcare clients preferred. Familiarity with operational models and financial drivers in post-acute, behavioral health, physician/dental, or other healthcare subsectors.