Top 2859 Refund representative Jobs

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Client Support Representative

EnableComp -
Remote

Quick Apply

Job Details

Full-time

Qualifications

Microsoft Outlook
Word embeddings
High school diploma or GED

Full Job Description

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 Client Support Representative is an operational support role within the Client Support team, responsible for executing core tasks that enable EnableComp’s revenue cycle operations. This role focuses primarily on medical documentation retrieval and processing, assisting with inventory reconciliation compilation, and supporting prebill work queue resolution. The Client Support Representative partners with the Client Delivery team to communicate operational findings and escalate client-impacting issues, ensuring seamless coordination across functions. This role does not have direct client interaction; all client communication is facilitated through the Client Delivery team.

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

High School Diploma or GED required
1+ years of experience in a healthcare operations, revenue cycle, or document management environment preferred
Familiarity with medical claims documentation and payer/provider data processes 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)
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.
Regular and predictable attendance

Special Considerations and Prerequisites

Practices and adheres to EnableComp’s Core Values, Vision and Mission

Ability to handle large volumes of work while paying close attention to detail
Ability to work in a fast-paced environment with a strong sense of urgency
Demonstrated ability to work under limited supervision, manage multiple tasks, and prioritize assignments within time constraints
Effectively communicate issues, problems, and results that impact timelines for task completion
Ability to interact professionally at multiple levels within the organization
Strong organizational skills and attention to detail
Willingness to learn and adapt in a dynamic, evolving operational environment

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

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.

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