Lead the resolution of complex financial and benefits billing escalations to ensure accurate member financial tracking.
Perform root-cause analysis on multi-system issues, coordinate corrective actions, and reconcile claims data across platforms.
Act as the primary bridge between internal and external teams to clarify issues and expedite resolutions while communicating clearly with members.
Maven Clinic is the world's largest virtual clinic for women and families, providing clinical, emotional, and financial support through its digital platform across fertility, maternity, parenting, and menopause care. It is an award-winning, mission-driven company trusted by over 2,000 employers and health plans, with a culture recognized for innovation and as a great place to work.
Serve as the primary financial and billing contact for caregivers during the onboarding process into behavioral health services.
Explain insurance benefits, coverage details, and estimated out-of-pocket costs in a clear and compassionate manner.
Respond to initial billing, insurance, and payment-related questions, escalating complex inquiries to appropriate insurance providers or internal teams.
Jobgether helps partner companies find candidates for their open positions. They use an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.
Performs customer service activities handling various self-pay and insurance billing and collection inquiries.
Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints.
Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate systems.
Trinity Health is a large not-for-profit, faith-based healthcare system. They have 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states, with a focus on compassionate, person-centered care.
Personally engage customers to resolve issues impacting account growth or retention.
Respond to customer inquiries via phone, email, and web with courtesy.
Contact patients and physicians to explain costs and obtain missing billing information.
BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. With over 700 employees, they were named one of America's Best Startup Employers for 2025 and are Great Place to Work certified.
Resolve aged claims and appeals via payer portals & outbound phone calls.
Identify non-payment trends and escalate groups of claims to the Dispute Resolution teams.
Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee.
CareDx, Inc. is a precision medicine solutions company focused on healthcare solutions for transplant patients. They offer products, testing services, and digital healthcare solutions. They are the leading provider of genomics-based information for transplant patients.
Input and update data accurately on computer billing systems to ensure proper processing.
Handle patient inquiries regarding insurance, credit, and billing issues, while reviewing and mailing monthly statements.
File electronic claims, follow up on litigation cases, and manage accounts receivable by billing insurance and making collection calls.
Munson Healthcare is northern Michigan's largest healthcare system, providing award-winning community hospital services across 29 counties. The organization fosters a culture of excellence, teamwork, positivity, and creativity, with a strong commitment to creating exceptional experiences for both patients and employees.
Answer inbound patient calls and support patients through phone, email, and text.
Schedule and reschedule appointments accurately within the EMR system and verify insurance.
Respond to patient questions related to appointments, billing, insurance, and clinic processes.
Metro Vein Centers specializes in state-of-the-art vein treatments, aiming to improve patients' quality of life. They have over 60 clinics across 7 states and maintain a high patient satisfaction score, fostering a compassionate and patient-first environment.
Responsible for financial clearance activities for patients before their appointments.
Confirms patient registration, verifies insurance eligibility, and obtains necessary authorizations.
Communicates patient financial responsibility with clarity and transparency.
VCU Health is dedicated to providing excellent care and improving the quality of life through discovery. They have a comprehensive system of care and pioneer health with over 800 physicians in 200 specialties.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Accurately answer calls from patients and schedule appointments.
Prioritize patients’ health problems according to their urgency and escalate when necessary.
Provide excellent customer service with enthusiasm and compassion.
Gastro Health is one of the largest gastroenterology multi-specialty groups in the United States. Our team consists of gastroenterologists, surgeons, and health professionals who strive to provide outstanding medical care and an exceptional healthcare experience.
Research and document new payment integrity concepts by analyzing medical policies, billing regulations, and reimbursement logic.
Translate complex billing rules into precise technical specifications for automated claim auditing algorithms.
Conduct hands-on data analysis using Microsoft Excel to explore datasets and quantify savings potential for clients.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. They work with over 660,000 providers and handle over 12 million prior authorization requests annually. The Coherenauts who succeed here are empathetic teammates who are candid, kind, caring, and embody their core values and principles.
Onboard teams to train their entire RCM staff on billing best practices.
Provide reporting training, particularly in the areas of accrual accounting and AR.
Establish and nurture relationships with client stakeholders and billing personnel.
Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, teams, and patients. As the fastest growing company in the therapy EMR space, they are looking to bring on a Senior Billing Success Manager.
Prepare and submit insurance claims for home infusion services.
Verify prescription reimbursement data and ensure documentation aligns with billed services.
Address billing inquiries, resolve discrepancies, and stay current on billing regulations.
LUX Infusion reimagines infusion care with a human-centric approach. They are a clinician-led, U.S.-based organization committed to inclusion, diversity, equity, and advancement.
Conducting collection activity on appealed claims by contacting government agencies and third party payers.
Requesting additional information from Patients, Medical Records, and others as needed.
Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
Sutherland helps strengthen brands by improving customer experiences. They're a global company with nearly 40,000 employees across over 100 countries, focusing on customer care and delivering extraordinary service.
Monitors and verifies insurance information for patient visits.
Communicates with patients about co-pays, benefits, coverage, and care authorization.
Aviary is an organization in the healthcare sector. We value employees who are rigorous analytical thinkers and problem solvers with a strong work ethic.
Take inbound calls from patients, providers and members.
Support members with their insurance needs, questions or concerns.
Provide 24/7 Triage Support and assign priority for a Registered Nurse to provide health advice.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. The company interacts with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Performs advanced level work related to denial management.
Processes and follows up on all appeal types, at an expert level, to all payers.
Takes actionable steps to resolve open claims, including refiling or appealing claims, or resolving manual tasks.
US Anesthesia Partners is a company that provides anesthesia services. They provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, or disability.
Interfaces with customers via telephone, written correspondence, fax, web, and/or electronic mail.
Research customer information utilizing appropriate systems, policies, regulations, procedures and other reference materials to effectively respond to and resolve customer issues.
Accountable to remain current on knowledge of diverse products and proactively recommend items needed by customers to increase customer satisfaction and improve transaction profitability.
Blue Cross and Blue Shield of Nebraska champions the health and well-being of their members and communities. They have over 80 years of experience and continuously innovate to drive health care forward while meeting the needs of our members and state.