Validation Specialist

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 Validation Representative, Motor Vehicle Accident performs all activities involved in the preparation, insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of Motor Vehicle Accident claims by the Revenue Specialists. Primarily interacts by phone with outside parties.

Key Responsibilities

• Contacting Employers, Insurers and other outside entities via outbound calls, email or fax to verify/obtain information, receipt of Insurance Claim and Bill Review packages related to Motor Vehicle Accident claims.
• Manage both inbound and outbound calls efficiently and effectively.
• Assist in obtaining supporting claim documentation, appropriately compiling billing packets, and filing insurance claims.
• Assist in efficiently moving work through the department, working as part of a team.
• Assist with research and support teams within organization as needed.
• Use several systems to perform accurate and timely data entry.
• File and handle confidential documentation and patient health information (PHI); able to adhere and follow all HIPAA mandated guidelines.
• Other duties as required.

Requirements and Qualifications

• High School Diploma preferred.
• Equivalent combination of education and experience will be considered.
• 1 year of medical bill processing experience desired.
• Strong phone and verbal communication skills.
• Experience with electronic document management in a healthcare setting desired.
• 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

• Ability to professionally and confidently represent EnableComp to outside parties via phone, email and fax.
• Ability to handle large volumes of work while maintaining attention to detail.
• Ability to work in a fast-paced environment.
• Demonstrated experience in working under limited supervision, manage multiple tasks and prioritize assignments with limited time constraints.
• Effectively communicate issues/problems and results that impact timelines for project completion.
• Ability to interact professionally at multiple levels within a client-oriented organization.
• Competent in MS Office Suite and Windows applications.
• General office environment; must be able to sit for long periods of time.

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