Service Champion - Day Time - Urgently Hiring

Director, Out of State Medicaid (REMOTE)

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 Director, OSM is a key leader within the Out-of-State Medicaid function responsible for driving performance, operational execution, and client outcomes across multiple teams. This role oversees Managers, Supervisors, and Revenue Specialists, ensuring alignment of day-to-day operations with departmental strategy, revenue targets, and client expectations. The Director is accountable for setting priorities, optimizing resource allocation, and delivering consistent, high-quality results through effective leadership, performance management, and cross-functional collaboration. In partnership with senior leadership, this role identifies opportunities for continuous improvement, enhances operational efficiency, and develops leadership capability within their span of control to support sustained performance and growth. JOB RESPONSIBILITIES • Ensure the processes and inventory are in place to hit monthly, quarterly, and annual revenue expectations for the company. • Lead multiple teams through Managers and Supervisors by establishing daily, monthly, and strategic goals, ensuring alignment to revenue targets and operational priorities. • Oversee hiring, onboarding, and performance management across assigned teams, ensuring strong leadership capability and team effectiveness. • Oversee performance management processes, including goal setting, performance reviews, and accountability frameworks across Managers and Supervisors. • Oversee workload distribution and capacity planning across teams to ensure efficient execution and alignment with business priorities. • Perform regular audits and client reviews ensuring EC is delivering all requirements to the satisfaction of the client. • Measures and monitors key performance metrics and delivers concise performance reporting to stakeholders with corrective action plans for variances when appropriate. • Assists in setting the strategic direction of the Out-of-State Medicaid team and identifies areas of continuous improvement in conjunction with the leadership team. • Maintain a strong knowledge of insurance billing and reimbursement procedures and regulations. • Researches and analyzes collections systems processes in Enforcer, including process improvement and SOP enhancement recommendations. • Coordinate cross-functional resources to execute action plans for assigned accounts and resolve operational challenges impacting performance. • Oversee the implementation and adherence to quality and productivity standards across teams, ensuring consistency and accountability. • Set and adjust priorities across teams to ensure optimal resource allocation and focus on the most impactful and profitable work. • Ensure compliance with HIPAA and related regulatory requirements through oversight of processes, policies, and team adherence. • Hold Managers and Supervisors accountable for team performance, including productivity, quality, and adherence to workflows and service level expectations. • Develop and strengthen leadership capability by coaching Managers and Supervisors, building a pipeline of future leaders. • Provide guidance and oversight on complex performance management matters, ensuring consistent application of expectations and company policies. • Support operational and business transformation initiatives, ensuring adoption and execution across teams. • Maximize efficiency and productivity through extensive process analysis and interdepartmental collaboration. • Assist with audits and client reviews ensuring EC is delivering all requirements to the satisfaction of the client. • Other duties as required REQUIREMENTS AND QUALIFICATIONS • Bachelor's degree in business or healthcare administration preferred. High School Diploma or GED required. • 7-10 years' experience in management or supervisory experience with team size of 10+. • 6+ years' experience in healthcare setting, information technology company or managed care industry, preferably in the area of Finance/Collections, Business Operations or Revenue Recovery. • Experience working with internal teams while serving in a client facing or client support role. • Knowledge and understanding of financials, HMO's, hospital revenue cycle process, ancillary and provider contract language and familiarity with healthcare and provider data sets. • Extensive level of understanding of insurance payer/provider claim processing and subsequent data requirements. • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • Timely and regular attendance. • 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 & PREREQUISITES • Practices and adheres to EnableComp's Core Values, Vision and Mission • Strong and professional written and oral communications skills. • Has worked in a production environment and can meet deadlines. • Excellent people skills to interface with multiple internal stakeholders. • Demonstrated ability to successfully work collaboratively within a team and cross-functionally. • Proven success in obtaining quantifiable results from and setting priorities for direct reports. • Organized and can handle multiple projects simultaneously. • Ability to set and manage multiple priorities among several teams. • Experience communicating obstacles & challenges and developing action plans to present to management. 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

Director, Client Success - Revenue Cycle - (REMOTE)

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 Director, Client Success, is responsible for managing and growing client relationships through hands on partnership and collaboration with both EnableComp operations and sales leadership. This role focuses on delivering exceptional service, aligning client expectations with internal capabilities, and driving satisfaction and retention through consistent, proactive communication. The Director acts as an extension of the client, translating needs into actionable plans, resolving challenges, and identifying opportunities to enhance performance and expand market share through consistent service that exceeds client expectations. Key Responsibilities • Participate in entirety of Client Lifecycle. Sales process, Implementations, Project Go Lives, Business Reviews, and identify additional Cross Sell opportunities • Will oversee Client Success activities for designated clients. • Communicate and coordinate with EnableComp Leadership to ensure all job duties as assigned are executed professionally and timely in accordance with EnableComp standard. • Acts as an "ambassador" for a fast-paced, detail oriented supportive team by facilitating friendly, courteous, efficient, and well-presented service to assigned clients. • Manages KPI metrics including, but not limited to, customer surveys, scoring and client retention goals. • Reviews, understands and tracks assigned client's performance goals and meets regularly with assigned clients to review their status and progress with an emphasis on highlighting EnableComp's value proposition and ROI across product lines. • Generates EnableComp's monthly and quarterly reporting packages, delivers to assigned clients timely, and ensures they consistently reflect the pertinent EnableComp metrics and benchmarks. • Collaborates with internal teams to develop and implement client specific strategies and action plans for communication, resolution of open internal/external items and maximization of current and future revenue, including the identification of cross-sell opportunities. • Works closely with IT and Product Support teams regularly on file corrections, updates, and automation. • Schedules and attends regular meetings or conference calls with assigned clients to discuss status and reports and ensures the necessary EnableComp team members contribute appropriately. • Develops agendas and other presentation materials, create meeting summaries and generate meeting deliverables. • Assists Implementation with the roll-out of any process update/rollout initiatives and manage client deliverables post-implementation. • Manages and controls client obligations, maintaining a high level of customer satisfaction at all levels of the organization. • Participates in internal client account review meetings (sales forecast, at risk, etc.). • Use of independent judgement and discretion as it relates to responsibilities detailed above. • Other duties as required. Requirements & Qualifications • Bachelor's Degree in Business, Sales/Marketing or other related field of study • Must have 7-10 years demonstrated experience in account management in the healthcare technology industry, specifically engaging hospital revenue cycle management. • Equivalent combination of education and experience will be considered. • Experience with claims billing and IT/EDI systems preferred. • Experience with CRM software (e.g. Salesforce.com) • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • 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. Key Considerations & Prerequisites • Effective polished professional presentation skills for developing/communicating analytics, results and ROI to all stakeholders. • Strong passion for serving the needs and expectations of the client. • Must be a self-starter and able to work independently as well as partner and collaborate with internal departments and leaders. • Excellent written and oral communication skills to communicate with internal stakeholders and external clients. • Demonstrated experience managing stressful situations effectively through difficult conversations, communicating obstacles, challenges and developing action plans to present to management. • Demonstrates a consultative relationship style both internally and externally; is a team player and has a positive-can-do attitude. • Strong analysis and problem-solving skills. • Must be able to manage conflicting priorities, while being extremely adaptable and flexible. • Up to 30% travel required. 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 an

DRG Auditor (REMOTE)

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 DRG Auditor is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize their technical expertise in ICD-10 coding to analyze medical records, determine coding accuracy, and make recommendations that optimize hospital reimbursement. This role requires certification as a Certified Coding Specialist (CCS) and a deep understanding of medical record documentation, clinical coding guidelines, and DRG reimbursement methodology. 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 inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy. • Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and procedure codes. • Conduct detailed medical record reviews post-bill to determine if submitted diagnosis and procedure codes are accurate and complete. • Navigate medical records efficiently, targeting specific sections (e.g., discharge summary, operative reports) based on system edits and flagged items. • Match clinical documentation in the medical record to corresponding ICD-10 codes, ensuring DRG accuracy. • Identify and correct errors such as under coded or misclassified diagnoses and procedures. • Utilize Health ROI system edits to detect specific high-value opportunities (e.g., dialysis, occlusion, embolization, catheterization). • Make reimbursement improvement recommendations and submit findings for client review and approval. • Collaborate with leadership on case prioritization and workflow management. • Stay informed on coding updates, payer guidelines, and DRG changes to support accurate recommendations. • Analyze client reporting. • Identify new revenue opportunities related to all inpatient DRG related components. • Other duties as required. Requirements and Qualifications • Associate's or bachelor's degree in health information management or related field required. (RHIT or RHIA credentialed individuals encouraged). • Certified Coding Specialist (CCS) certification required. • 2-3 years' experience in DRG validation, inpatient medical coding, or related coding review. • Strong understanding of ICD-10-CM/PCS coding guidelines, DRG reimbursement methodology, and hospital billing processes. • Proficient in reading and interpreting clinical documentation across multiple departments (e.g., nursing, operative, radiology, pharmacy). • Experience working in a post-bill coding environment and familiarity with DRG grouping software and billing databases. • Analytical thinker with a focus on financial impact and reimbursement accuracy. • Comfortable navigating multiple digital platforms, EMRs, and data systems. • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • 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 • This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work. • Must be comfortable working independently in a detail-oriented, data-driven environment. • Excellent communication and documentation skills to support client reporting and recommendations. • High integrity and professionalism in handling PHI and confidential information. • Strong collaboration and responsiveness to feedback from leadership and client partners. • Ability to review and analyze large volumes of medical and billing data. • Strong focus and attention to detail in identifying discrepancies and ensuring compliance. • Ability to manage high volumes of case processing with accuracy and efficiency. • Ability to meet deadlines and handle time-sensitive workloads in a high-volume environment. • Proven written and verbal communication skills. • Strong analytical and problem-solving skills. • Ability to prioritize and manage multiple competing priorities and projects concurrently. • Proven experience working with external clients; strong customer service skills and business acumen. • Timely and regular attendance. 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

*Who We Are* We're Dealer Tire, a family-owned, international distributor of tires and parts established in 1918 in Cleveland, OH. We're laser focused on helping the world's largest and most trusted auto manufacturers grow their tire business—in fact, we've sold more than 60 million tires to date. We're a thriving company, and we're looking for driven individuals to join our team. That's where you come in! *Base Pay Range:* $28.34 - $30.85*Targeted Annual Commission:* $14,040 Turn Your Customer-Facing Sales Experience into a Higher-Earning, Work-Life Balanced Career Are you a top-performing sales professional in a customer-facing, goal-driven environment like wireless, big-box electronics, or membership sales? If you know how to build rapport, uncover needs, and close, Dealer Tire offers a unique opportunity to take your sales skills into a role with: * Stronger earning potential * A consistent 40-hour schedule * Real career growth We are an industry-leading, family-owned company supporting premium automotive brands nationwide, and we're hiring driven, relationship-focused professionals to join us as Tire Sales Specialist. You'll join a team of 550+ high-performing sales professionals who thrive on service, results, and career growth. Why This Role Stands Out You already succeed at: * Connecting with customers quickly * Recommending the right product with confidence * Closing sales and hitting goals * Managing multiple customer interactions efficiently This role allows you to use those same skills in a more stable, higher-earning environment—without the unpredictable retail hours. Compensation & Benefits That Stand Out * Base pay: $28.34 – $30.85/hour * Target annual commission: $13,200 * Guaranteed commission during onboarding (up to 2 months) * Medical, Dental, Vision * 50% 401(k) match up to 7% * PTO eligibility after 30 days (up to 19 days annually) * Consistent 5-day, 40-hour work week What You'll Do You'll work inside a premium automotive dealership, acting as the tire sales expert customer's trust. After a fully paid training program, you will: * Engage customers and sell tires on the service drive * Perform quick visual inspections * Identify needs and confidently recommend solutions * Provide pricing and close sales * Build relationships with customers and dealership teams * Support store operations (inventory, reporting, etc.) What We're Looking For * 2+ years of sales experience in a goal-driven, customer-facing environment. Automotive experience preferred. * Proven ability to hit or exceed sales targets * Strong communication and relationship-building skills * Comfortable working in a fast-paced, high-volume environment * Basic computer skills (order systems, CRM tools) Career Growth You Can Count On Dealer Tire promoted an average of 114 team members per year in our Tire Store program. Your performance here doesn't go unnoticed—it drives your career forward. Ready for a Sales Role with earning potential that provides work-life balance? If you're currently in product-based or membership sales and want a role with: * Better income potential * A predictable schedule * Long-term career growth Apply today and level up your sales career with Dealer Tire. *Why Dealer Tire:* An amazing opportunity to join a growing organization, built on the efforts of hard working, innovative, and team-oriented people. The compensation offered for this position will depend on qualifications, experience, and geographic location. The total compensation package may also include commission, bonus or profit sharing. Sign on bonus is subject to state and local laws, terms and conditions, including employment status and length-of-service requirements. We offer a competitive & comprehensive benefit package including: paid time off, medical, dental, vision, and 401k match (50% on the dollar up to 7% of employee contribution). For more information on our benefit offerings, please visit our Dealer Tire Family of Companies [Benefits Highlights Booklet]( *EOE Statement: *Dealer Tire is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status or disability (in compliance with the Americans with Disabilities Act*), or any other legally protected status, with respect to employment opportunities. *ADA Disclosure: Any candidate who feels that they may need an accommodation to complete this application, or any portions of same, based on the impact of a disability should contact Dealer Tire's Human Resources Department to discuss your specific needs. Please feel free to contact us at 1-800-933-2537 x6550.