Key Responsibilities

• Retrieve and acquire medical documentation from client systems, including but not limited to implant invoices, UB-04 documents, Explanations of Benefits, and medical record components
• Submit document request lists and monitor outstanding requests on a regular cadence to ensure EnableComp receives necessary claim documentation for processing
• Scan, upload, and store medical documentation and confidential patient health information (PHI) in accordance with EnableComp’s data handling standards
• Assist in compiling client reconciliations by gathering and organizing data from client systems and EnableComp platforms to prepare reconciliation reports for review and resolution
• Assist in working client reconciliations by researching closed and returned claims, resolving open items, posting adjustments, entering refund and payment research requests, and reviewing or rebilling missing claims
• Support prebill work queue resolution for assigned clients, maintaining performance within established KPI standards
• Partner with Client Delivery team members to communicate operational findings, escalate client-impacting issues, and ensure alignment on inventory and documentation needs
• Identify and report client system issues, workflow barriers, and process gaps to the Client Support People Leader for resolution or escalation
• Identify and escalate recurrent process gaps that contribute to claims appearing on reconciliations to the Client Support People Leader, supporting upstream resolution by Revenue Services
• Maintain accurate and consistent documentation within the E360 platform in real time as actions are completed, ensuring all account activity is properly recorded
• Use multiple systems to perform accurate and timely data entry in support of operational workflows
• Assist in efficiently moving work through the department and cooperate with other departments as needed
• Follow established standard operating procedures (SOPs) and contribute feedback on process improvement opportunities
• Other duties as assigned

Requirements and Qualifications

Special Considerations and Prerequisites

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.