About the CompanyEnableComp 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 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 SummaryThe Reimbursement Analyst (RA) serves as a Fee Schedule Subject Matter Expert FS SME and is a key contributor within the Reimbursement Services Department. This position is responsible for the research, analysis, documentation, implementation, maintenance, and continuous improvement of complex fee schedule calculation systems that support the Enforcer business product. Success in this role requires advanced knowledge of jurisdiction-specific healthcare fee schedule methodologies, medical coding standards, and strong technical proficiency. The Reimbursement Analyst executes table data loads, state rules updates, develops structured functional and technical business documentation, and collaborates cross-functionally with teams such as IT, Data Analytics, Implementation, Product Support, Operations, and Training.Key ResponsibilitiesCollaborate with individuals from every facet of the organization, identify and analyze jurisdictional fee schedule guidelines, draft effective FS SME Logic documents, summarize said rules for end-user comprehension, and coordinate User Acceptance Testing UAT in the development DEV environment to ensure reimbursement requirements are executed accurately prior to deployment to production PROD.Identify, investigate, and resolve reimbursement-related issues for jurisdiction-specific and hospital inpatient, outpatient and professional fee schedules.Partner directly with IT development to define and translate business requirements for timely and precise fee schedule coding, testing, troubleshooting, and deployment.Track and access ongoing updates to published and upcoming new fee schedules, conducting periodic reviews to ensure rule accuracy and compliance.Monitor system reminders, alerts, error logs, data integrity reports, and anomalies within PROD data to maintain operational reliability.Update fee schedule state rules and load associated data tables promptly and accurately.Support communication, training, and documentation efforts related to fee schedule updates.Exercise independent judgment and discretion in executing responsibilities outlined above.Perform additional duties as assigned.Requirements and QualificationsBachelor’s degree requiredMinimum of 3 years of experience in healthcare reimbursement analysisProficiency in medical coding, billing, claims processing, and IT systems.Expertise in MS Office, especially Word, Excel, and Outlook.Strong understanding of hospital and professional coding and reimbursement methodologies is mandatory.Experience in working with IT and system development is a plus.A combination of equivalent education and experience will be considered.Must be able to perform all essential job functions effectively; reasonable accommodation will be provided for qualified individuals with disabilities.Consistent and reliable attendance is required.Special Considerations and PrerequisitesExperienced in drafting business requirement specifications for hospital and professional reimbursement fee schedules.Thrives in a role that requires autonomy, accountability, and self-direction in a remote setting.Familiarity with Medicare and Military (Veterans Admin, Tricare) reimbursement methodologies is highly preferred.Excels in a dynamic, fast-paced environment while independently managing multiple projects and competing priorities without the need for continuous oversight.Exceptionally organized, detail-oriented, and equipped with strong communication skills.Superior analytical and problem-solving capabilities.Closing / Equal OpportunityEnableComp 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.AI DisclaimerWe may use artificial intelligence AI tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. 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.How to ApplyApply for this job
