Resolution Analyst, 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 Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the departments revenue. 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, evaluate, appeal, and follow up on outstanding, denied, underpaid, 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. • Efficiently review hospital contracts to identify and collect cash payments from insurance companies, ensuring prompt payments of denied and underpaid claims. • Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement. • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate resolution of outstanding receivables. • Ensures smooth operations and improves customer satisfaction. • 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
Service Truck Mechanic
Nashville Ready Mix · Franklin, TN
Service Truck Mechanic needed for Nashville Ready Mix. Candidates must have experience working on Cat, Cummins and Detroit. Must also have electronic knowledge along with troubleshooting abilities. We offer good competitive pay and benefits. Immediate positions available to start right away. Benefits include competitive hourly pay, paid health/vision/ dental insurance after 90 days, paid vacation time after 6 months, holiday pay after 90 days, company uniforms and more. Our operations throughout Middle Tennessee supply quality ready mix concrete to the construction industry. Nashville Ready Mix operates 13 fully automated plants and a fleet of over 150+ front discharge ready mix trucks. Our products are manufactured and distributed using only the highest industry standards, quality, service and integrity. Nashville Ready Mix will continue to be a dedicated leader using the latest equipment, technology, research and development available within the industry. Integrity, superior quality and exceptional service will always be the foundation of our future. recblid wp03tw6i5x0pttggn8whpfzsaj93l6
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
VP of Sales Closer - REMOTE
Wesley Group · Franklin, TN
VP of Sales Closer | Remote | Warm Appointments, No Cold Calling Remote position: Must live in AL, CO, FL, GA, KS, KY, LA, MO, NC, PA, or TX Warning: You'll want to click “APPLY” before you finish reading. This is for closers. Period. Chuck McDowell's Wesley Financial Group, the leader in timeshare cancellation, is looking for top-tier sales talent with the drive and skill to earn serious money, feel good about the work they do, and never cold call or prospect again. Picture this: • Warm, pre-qualified appointments placed directly on your calendar • Work from home with a four-day schedule • Base pay + uncapped commission + monthly bonuses, all paid weekly • 401(k) match and comprehensive health benefits • A culture that invests in its salespeople with coaching, support, and real room to grow • No cold calling. No prospecting. Ever. Sound too good to be true? It isn't. We're looking for the top 5%, people who hate average. Last year, our top 20% earned $259,209–$286,060, and our average rep still brought in $232,192. If you're driven, organized, and refuse to be average, keep reading. If not, this isn't the job for you. The Role You'll call pre-scheduled appointments with timeshare owners who have asked for help canceling their timeshare, then onboard them as Wesley clients. That means pricing our services, sending and reviewing the client agreement, and getting each client set up for onboarding. Every appointment is pre-qualified by our Qualification Specialists before it reaches your calendar, and our fully staffed marketing team generates more than 3,000 leads per week to keep that calendar full. This is a closing role only. What You'll Do • Call scheduled appointments promptly and efficiently • Ask the right questions to understand each prospect's timeshare situation • Explain the value of Wesley's services and walk clients through the process • Close and onboard new clients • Enter and maintain client information in Salesforce What You Bring • 2–3 years of sales experience (timeshare or phone sales preferred) • A proven track record of hitting sales targets • Strong organization, high motivation, and a positive attitude • Excellent verbal and written communication skills • Ability to work independently in a fast-paced, remote environment • A quiet, dedicated home workspace and reliable high-speed internet • Computer proficiency (Google Workspace or Microsoft Office preferred) • Salesforce experience is a plus Compensation • Base pay, paid weekly • Uncapped commission, paid weekly • Monthly bonuses Benefits • 401(k) match • Medical, dental, and vision plans • Employer-funded HSA • Company-paid short-term disability and life insurance • Parental leave Schedule & Location Friday through Monday, 9am–7pm (four 10-hour days), fully remote. Open only to candidates living in AL, CO, FL, GA, KS, KY, LA, MO, NC, PA, or TX. Why Wesley? Wesley Financial Group has been in business for over 15 years. We're a 200+ employee company with a platinum rating from Dun & Bradstreet, and we were ranked No. 203 on the 2020 Inc. 500 list of the fastest-growing private companies in the U.S. We've earned more than 75 business awards since 2020, including: • Great Place to Work Certified (2023, 2024) • Business Intelligence Group, Excellence in Sales & Marketing (2023) • Inc. 5000 Fastest-Growing Companies (2022) • Gold Stevie Award, Fastest-Growing Company (2021) • Fortune, Best Workplaces for Women (2021) • Nashville Business Journal, Best Places to Work (2021) • CEO Views, Top 50 Best Companies of the Year (2021) • Inc. 500 Fastest-Growing Companies (2020–21) • Fortune, Best Workplaces for Millennials (2020) • Business Intelligence Group, Best Places to Work (2020) Beyond the awards, Wesley is deeply committed to giving back. Through donations and volunteer work, we strive to help others, both through our services and in our communities. More Perks of Being a Wesley Employee • Leadership training and advancement opportunities • Robust employee recognition programs • Company-wide community outreach programs • Generous PTO, plus 9 paid holidays and 2 floating holidays • Outstanding work/life balance • Monthly town hall meetings and open communication • A spirited team that lives our core values of teamwork and integrity • A welcome box of Wesley swag Wesley Financial Group is an Equal Opportunity Employer. We verify employment eligibility for all new hires using E-Verify. Schedule & Location Friday through Monday, 9am–7pm (four 10-hour days), fully remote. Open only to candidates living in AL, CO, FL, GA, KS, KY, LA, MO, NC, PA, or TX. Compensation details: 259209-286060 Yearly Salary PI644ed61c7780-31181-41939162
$10.50–$17.50/hr
Restaurant Staff - $10.50-$17.50/hr - Spring Hill - Urgently Hiring (37064)
Taco Bell · Franklin, TN
Taco Bell - Port Royal is looking for a full time or part time Restaurant Staff team member to join our team in Spring Hill, TN. The Restaurant Staff team member is responsible for customer service and commitment to excellence through meeting or exceeding hospitality and service standards.Restaurant Staff responsibilities include:-Effectively communicate with management in a timely manner regarding scheduling issues, customer service problems, and equipment malfunctions.-Follow all safety procedures and guidelines including personal safety, equipment use, and food handling and storage.-Ensure all products are stocked, maintained, and prepared according to company quality standards.-Maintain a clean, safe working environment.-Clean the customer service areas by following the proper procedures as directed by the manager on duty, including outside landscaping, building entrances, dining room tables and condiment stations, restrooms, and food production and storage units.-Demonstrate fiscal responsibility with all company assets by following company cash handling policies.-Demonstrate ability to be a "team player" by contributing to the team's success and communicating effectively with other Customer Service Representatives.-Assume additional responsibilities as assigned.-Maintain or exceed standards of appearance, cleanliness, hygiene, and health standards.-Frequent washing of hands.A qualified candidate will have:-A high school diploma or equivalent or higher preferred but not required-Strong work ethic and willingness to learn-Demonstrated ability to work in a team environment.We look forward to seeing you for an interview for our full time or part time Restaurant Staff role at Taco Bell - Port Royal soon!