Sobre este puesto de Vice President, Denials & Revenue Recovery en Enablecomp
Enablecomp · Remoto · Franklin, TN
WHO WE ARE
EnableComp earned its reputation in the toughest corners of the revenue cycle by solving the complex claims no one else could. We developed Complex Revenue Intelligence™ (CRI), a smarter approach to predict and prevent revenue loss. Powered by the e360 RCM® AI-driven platform and the most expansive complex revenue cycle data set, today EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and revenue recovery. By cutting through complexity, we help hospitals thrive, resulting in recognition as Black Book’s #1 Specialty RCM provider for complex claims and revenue integrity in 2024 and 2025, a multi-year Top Workplaces honoree, and a SOC 2 Type II and HITRUST e1-certified platform.Our Vision is to empower healthcare providers to focus on patient care, not revenue cycle complexity. Our Mission is to uncover what others miss—turning every client dollar recovered into insight that helps prevent future loss. We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members by operating with trust, accountability, and a “we before me” mindset. We pursue Innovation and Profitable Growth through continuous improvement and thoughtful problem-solving, and we believe work should include Fun—celebrating success, recognizing our people, and maintaining healthy work-life balance.
EnableComp earned its reputation in the toughest corners of the revenue cycle by solving the complex claims no one else could. We developed Complex Revenue Intelligence™ (CRI), a smarter approach to predict and prevent revenue loss. Powered by the e360 RCM® AI-driven platform and the most expansive complex revenue cycle data set, today EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and revenue recovery. By cutting through complexity, we help hospitals thrive, resulting in recognition as Black Book’s #1 Specialty RCM provider for complex claims and revenue integrity in 2024 and 2025, a multi-year Top Workplaces honoree, and a SOC 2 Type II and HITRUST e1-certified platform.Our Vision is to empower healthcare providers to focus on patient care, not revenue cycle complexity. Our Mission is to uncover what others miss—turning every client dollar recovered into insight that helps prevent future loss. We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members by operating with trust, accountability, and a “we before me” mindset. We pursue Innovation and Profitable Growth through continuous improvement and thoughtful problem-solving, and we believe work should include Fun—celebrating success, recognizing our people, and maintaining healthy work-life balance.
POSITION SUMMARY
The Vice President, Denials & Revenue Recovery is responsible for the strategic leadership, financial performance, operational execution, and growth of EnableComp’s Revenue Recovery and Denials business. Zero Balance Recovery is a core component of this role, along with Denials, Appeals, and other revenue recovery solutions.
This leader will partner with executive leadership, Product, Technology, Finance, Sales, Client Success, and Operations to develop and execute strategies that maximize client recoveries, drive revenue and profitability, improve operational performance, and scale the business.
JOB RESPONSIBILITIES
- Establish strategic priorities aligned with revenue, margin, client value, and company growth objectives.
- Identify opportunities to expand and improve revenue recovery capabilities, products, services, and client outcomes.
- Serve as a senior subject matter expert and executive resource for Revenue Recovery and Denials.
- Own the strategy, financial performance, and operational execution of Zero Balance Recovery.
- Establish recovery, revenue, productivity, and profitability targets and ensure performance against those goals.
- Continuously improve inventory identification, claim prioritization, workflows, payer strategies, staffing, and technology.
- Partner with Product and Technology to expand automation, AI, analytics, and scalable Zero Balance capabilities.
- Ensure inventory, staffing, processes, and technology are aligned to achieve monthly, quarterly, and annual financial objectives.
- Lead variance analysis and corrective action planning with executive leadership and operational teams.
- Partner with Finance on budgeting, forecasting, financial modeling, and business planning.
- Ensure new products, technology, and processes are scalable and effectively implemented across the organization.
- Serve as an executive-level resource for key clients and strategic accounts.
- Partner with Sales and Client Success to support client retention, expansion, executive relationships, and new business opportunities.
- Lead resolution of significant client issues and coordinate cross-functional resources to drive outcomes.
- Build and lead a high-performing Revenue Recovery and Denials organization through strong managers and leaders.
- Establish organizational structure, workforce plans, performance expectations, and succession strategies.
- Recruit, develop, coach, and retain high-performing leaders while fostering accountability and continuous improvement.
- Lead organizational change, transformation, integration, and growth initiatives.
- Maintain strong knowledge of HIPAA, healthcare revenue cycle operations, insurance billing, reimbursement, payer regulations, and provider contract language.
- Ensure appropriate compliance, policies, procedures, training, and operational standards are maintained.
- Represent Revenue Recovery and Denials in executive leadership and cross-functional initiatives.
- Support strategic planning, acquisitions, integrations, and other corporate initiatives.
- Perform other duties as required to support EnableComp’s strategic objectives.
REQUIREMENTS & QUALIFICATIONS
- Bachelor’s degree in Healthcare Administration, Business, Finance, Revenue Cycle Management, or related field; advanced degree preferred.
- 10+ years of progressive healthcare revenue cycle, revenue recovery, denials, collections, hospital finance, managed care, or related experience.
- 5+ years of senior leadership experience managing multiple teams, functions, products, or business lines.
- Demonstrated experience leading revenue recovery, denials, appeals, collections, Zero Balance, or related healthcare financial operations.
- Proven experience with financial ownership, including revenue forecasting, budgeting, profitability, and margin management.
- Demonstrated ability to develop and execute strategies that drive measurable revenue, recovery, and profitability improvements.
- Experience leading large, complex organizations through managers and senior leaders.
- Experience partnering cross-functionally with Product, Technology, Finance, Sales, Client Success, and Operations.
- Strong understanding of hospital revenue cycle, payer behavior, reimbursement methodologies, healthcare financials, and provider contract language.
- Strong analytical, strategic, communication, problem-solving, and executive leadership skills.
- Strong computer proficiency, including Microsoft Office.
- Travel: 0–20%, as business needs require.
- Equivalent combination of education and experience will be considered.
- Regular and predictable attendance required.
- 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.
SPECIAL CONSIDERATIONS & PREREQUISITES
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
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