Senior Client Enablement Specialist

Position Summary

As a Field-Based Client Enablement Billing Specialist, you will play a critical frontline role in reducing bad debt and improving cash collections by partnering directly with the Sales team and high-revenue clients. Your focus will be on identifying and resolving client-side issues that drive insurance denials—such as missing diagnosis codes, absent medical records, or lack of prior authorization.

Responsibilities

• Collaborate with Sales, Client Services, and Revenue Cycle teams to assess and improve client billing readiness and reduce denial risks.
• Conduct root-cause analysis of client-triggered denials (e.g., incorrect or missing ICD-10 codes, incomplete documentation, or failure to obtain prior authorization).
• Work directly with high-revenue clients to educate staff on payer requirements, documentation protocols, and billing workflows.
• Serve as a subject matter expert on billing-related denials and the financial impact of non-compliant order submissions.
• Provide onboarding support for new clients to ensure correct documentation practices from day one.
• Develop and deliver training sessions and resources (live or virtual) to improve client compliance with billing and documentation requirements.
• Partner with internal teams to build out process guides, client-specific SOPs, and corrective action plans.
• Escalate persistent denial trends or systemic client behavior to internal leadership for strategic intervention.
• Track metrics such as denial rate reduction, documentation compliance, and contribution to cash acceleration.

Experience & Required Qualifications

• Associates degree or equivalent experience required
• 3-5 years of experience in medical billing, revenue cycle, or client setup (preferably in laboratory or diagnostic services)
• Travel required 20-40% (some overnight travel required)
• Strong understanding of healthcare billing processes, insurance plans, and payer requirements
• Experience with denial management and claim appeals
• High attention to detail and strong organizational skills
• Proficiency with billing software, EHR/EMR systems, and Microsoft Excel
• Excellent communication and collaboration skills
• Exceptional customer service skills
• Knowledgeable about billing practices. This may include knowledge of Test pricing and CPT coding, reimbursement processes; commercial billing accounts receivables, and follow up analysis
• Proficiency in utilizing MS Word, Excel, PowerPoint, Microsoft Access and Webinars
• Able to communicate appropriately with different audiences
• Able to write reports, business correspondence, and other documentation materials
• Able to think analytically, conceptually and systemically
• Able to collect and research data, draw valid conclusions and make appropriate decisions