Resolution Analyst – Denials

EnableComp

Resolution Analyst acting as a liaison for denials and underpayment appeals in healthcare revenue cycle management. Facilitates payment recovery efforts for denied accounts at EnableComp.

Posted 7/6/2026full-timeRemote • Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

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.
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.
The company offers a culture centered around fostering the professional growth and development of our people.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Healthcare BillingClaims ProcessingRevenue Cycle ManagementICD CodingHCPCS CodingCPT CodingEOB UnderstandingHospital Billing FormsManaged Care ContractsData Requirements

Soft Skills

Strong CommunicationAttention to DetailProblem Solving