Mellow Mushroom - Assistant Manager

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

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

Server

Southall Farm & Inn · Franklin, TN

Description: Southall is a premier destination bringing nature, produce and people together in a powerful and unique way. The Server will be responsible for leading the guest experience while providing 5-star dining service in our signature outlets: Sojourner, Dottie's and / or our Michelin Green Star restaurant, January. Responsibilities • Provide an immersive well-curated dining experience to our guests by highlighting our seed to table operation • Communicate guest orders including any special needs or requests to the kitchen and bar using the hotel's point-of-sales system, coordinate food and beverage timings • Anticipate guest needs • Attend bar and wine service training • Properly and accurately close guest checks; process cash and credit card payments; room charges, properly settle voided checks or complimentary meals • Maintain an active understanding of front of house and back of house procedures • Coordinate with culinary team's daily and weekly changes and requests • Perform new staff mentoring, training, providing insight and direction • Complete all restocking and cleaning duties by performing opening and closing side work as instructed • Memorize menu items, recipes, and daily specials in order to answer questions and make recommendations to customers • Attend all pre-meal and departmental meetings in person in order to enhance communications and knowledge of products, service and facility • Remain attentive to the customers throughout the entire dining experience, adhering to or exceeding service standards as established by the property at all times • Present a clean and professional appearance at all times • Maintain a friendly, cheerful and courteous demeanor at all times • Work harmoniously and professionally with co-workers and supervisors • Perform additional duties and projects as assigned by Southall Leadership Requirements: • Restaurant hospitality experience; fine dining service experience preferred • Strong team leadership and organizational skills • Food, wine, and liquor knowledge • Comprehension of the reservation process • Excellent communication skills • Attention to detail • Strong problem-solving skills • High School Diploma • Must be able to push, pull and lift 50 lbs. • Available to work weekends, evenings and/or holidays • Must be able to walk and stand for prolonged periods as needed and able to work in all weather conditions Our Benefits • Competitive compensation package • Medical, dental, vision, short and long-term disability, company-provided life insurance • Generous paid time off accruals • 9 paid holidays annually • Weekly pay • 401k and company match • Education reimbursement • Best-in-class Employee Assistance Program • Free weekly outdoor activities and wellness classes • 30% internal discounts • Fresh and free daily meal • Bountiful internal growth opportunities Our Team Assembled intentionally with dynamic expertise, the Southall team is offered the unique opportunity to learn humbly with, and from, each other. We invest in a growth mindset and take it upon ourselves to strengthen our knowledge and grit daily. We honor the cycles of nature, get our hands dirty and taste the earth's bounty in an effort to connect with the land. We plan with purpose, seeing past the present day and seeking to consider the planet with each step. We embrace a blend of ancient techniques and modern technologies in our practice of sustainability. We celebrate ingenuity and resourcefulness and approach our roles through the eyes of an entrepreneur, looking beyond our respective corners to the big picture. Acting with intention, we approach each day with gratitude for the opportunity to serve our guests and each other. A humble holder of our Michelin Key, our team strives to provide a level of luxury that feels effortless and sincere, infusing wellness at every turn. The Southall team cares for our visitors with the same caliber of kindness and respect as we care for the humans that work alongside us. Southall Farm and Inn is committed to a diverse and inclusive workplace. Southall provides equal employment opportunities to applicants and employees and does not discriminate on the basis of age, race, color, ancestry, religion, sex, sexual orientation, gender identity or expression, transgender, national origin, status as a protected veteran, disability or any other classification protected by law. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. PI88d33d38c9ee-31181-41192250

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