PRN Caregiver Positions Available Williamson County TN

Resolution Analyst, Denials

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 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

OPTICIAN ABOUT The Spectacle Shoppe is a private optometry practice located just south of downtown Franklin. Our mission is to provide our patients with an exceptional experience using the latest technology, high quality products, and personalized care. We are looking to add a team member to our consistently growing practice to assist in the care of our patients. EXPECTED CANDIDATE QUALITIES At least 3 years of prior optical experience is required. Interested candidates must understand the concept of being part of a team, be committed to a high standard of customer service and to the continued growth of our successful practice. Candidates should be friendly, have strong verbal and written communication skills with patients and teammates, always maintain a high level of integrity and respect in the office, be detail-oriented and an active problem solver. Strong computer skills are required. JOB RESPONSIBILITIES • Provide a high-quality patient experience • Assist men, women, and children in frame selection • Recommend lens and treatment options and review with patients to best fit the patient's lifestyle/needs • Understand and accurately convey insurance benefits to patients and appropriately file these to their respective plans with a detailed eye • Input and track optical orders, ensure accuracy upon arrival, and effectively communicate to patients on turnaround time • Dispense eyewear and be proficient in eyewear measurements, adjustments, and frame repairs • Manage frame inventory and understand working within the parameters of a budget • Develop and maintain vendor relationships • Maintain general appearance of optical • Answer phones and schedule appointments as needed • Checking patients in/out for appointments as needed • Assist in ordering contact lenses for patients in our practice management system and vendor platforms as needed • Assist in chart preparation and verify/authorize insurance benefits as needed OFFER INCLUDES • Full-time position • Monday-Friday weekday hours • Quarterly Production Bonuses • Paid-time off • Health Reimbursement Arrangement (HRA) • Paid Holidays • Eyewear Benefits/Discounts Employment Type: Full Time Years Experience: 3 - 5 years Salary: $20 - $25 Hourly Bonus/Commission: Yes

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

Coding Denials Auditor

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 Coding Denials Auditor provides analysis of coded medical services, reports, records, and billed charges, etc. to determine appropriateness of the medical coding utilized, delivery of care and treatment plans. The Coding Denials Auditor will use their expertise and coding expertise to communicate internally and externally. Key Responsibilities • Conducts coding audits of submitted claims to determine appropriateness of procedure and diagnosis codes billed based on documentation provided for both outpatient facility and professional claims. • Reviews Billing for accuracy to ensure compliance of proper billing and coding procedures of third-party carriers and to ensure complete and accurate reimbursement. • Coordinates with revenue cycle teams to investigate rejected or denied claims to determine denial accuracy and work in an inter-departmental collaboration process to assist in claim corrections/appeals • Effectively utilizes computer and appropriate software (Microsoft Office Suite) to produce correspondence, charts, spreadsheets and/or other information applicable to the position assignment, including a basic to intermediate level of competency in Excel which is required • Maintains knowledge regarding medical coding and/or healthcare market changes. • Gather and analyze claims and medical records information pertinent to documentation findings and outcomes; use this information to make educated decisions. • Draft appeals to payors using nationally sourced coding guidelines such as CPT Assistant, specialty societies, state fee schedule language, AAPC/AHIMA articles etc. • Other duties as required. Requirements and Qualifications • Associates or Bachelor's Degree • Current certification in one of the following: Certified Professional Coder (CPC) or related certification by AAPC, Certified Coding Associate (CCA) by AHIMA, Certified Coding Specialist (CCS) by AHIMA, Registered Health Information Technician (RHIT) by AHIMA. • The applicant must have a strong background in orthopedics and surgery billing/coding. The ideal candidate has 5+ years of experience in orthopedic surgery billing, a solid background in coding and medical billing, with special emphasis on AR, EOB's, and overall account management, including coding denials. • Must be able to gather and analyze claims and medical records information pertinent to documentation findings and outcomes; use this information to make educated decisions. • Must have strong written communication skills. This position requires the ability to draft grammatically correct well written appeals to payors using nationally sourced coding guidelines such as CPT Assistant, specialty societies, state fee schedule language, AAPC/AHIMA articles etc. • Sound time management skills with the ability to manage workload independently • Strong analytical, problem solving and research skills with the ability to utilize creative thinking • Must be comfortable with CAC/Encoder audits and be able to identify appropriate code selection from audit findings. • Equivalent combination of education and experience will be considered. • Ability and skill set to work remotely. • 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 • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • Regular and predictable attendance. Special Considerations and Prerequisites • Familiarity with healthcare documentation systems. • Experience with multiple fee schedule concepts such as DRGs, APCs, and NCCI. • Strong verbal, written and interpersonal communication and customer service skills. • Ability to communicate audit outcomes and testing results with other staff within the company who are both medically and non-medically oriented. • Ability to interpret policies and procedures and communicate complex topics to others. • Ability to think critically and make decisions within individual role and responsibility. • Complex Claims medical billing and coding experience strongly preferred. 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