Analyze and define medical group contracts for various payers including Medicare, Medicaid, and Commercial.
Interpret payer contracts and reimbursement provisions for accurate system configuration.
Validate claim valuations and troubleshoot discrepancies to ensure proper reimbursement.
Experian is a global data and technology company that powers opportunities for people and businesses worldwide. With over 25,200 employees across 32 countries, we foster a people-first, inclusive culture.
Review and resolve healthcare credit balance accounts through detailed analysis and accurate actions including refunds or adjustments.
Manage accounts receivable and communicate effectively with internal teams and providers to resolve overpayments.
Maintain high accuracy in a fast-paced, performance-driven environment while identifying and escalating complex issues.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve healthcare access. It is a dynamic, growing organization that promotes a collaborative and innovative work environment.
Analyze revenue cycle processes and performance data to identify trends and improvement opportunities.
Collaborate with revenue cycle teams to implement process enhancements and monitor KPIs.
Support root cause analysis of denials and inefficiencies to improve financial outcomes.
Beyond Blue Corporation is a nonprofit affiliated with the University of Kentucky, supporting the university's growth through strategic business separation. It fosters a diverse, inclusive, and purpose-driven culture focused on advancing Kentucky's economy and health.
Own the full payor revenue engine, from contract negotiation to billing, collections, and cash reconciliation.
Lead a team of managers and set strategy for payor access, contracting, and revenue cycle operations.
Drive KPIs, cash forecasting, and data-driven payor negotiations to maximize revenue.
Lingraphica provides speech-generating devices to help improve communication for people with communication impairments. The company fosters a fast-paced, goal-oriented environment and is committed to helping individuals on their communication journey.
Serves as the primary analytical resource for the Unresponded team, tracking post-appeal payer response activity.
Monitors key performance metrics including backlog aging, SLA adherence, and resolution trends.
Partners with the Manager to translate operational findings into actionable workflow recommendations.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Manage claim submission and resolution for governmental and commercial insurance accounts.
Analyze and correct accounts receivable problems, post payments, and resolve credit balances.
Research denials, initiate appeals, and maintain documentation for maximum reimbursement.
CCS is a healthcare company specializing in chronic care management, using AI-powered models to improve patient adherence and outcomes. It supports over 200,000 patients nationwide and is recognized as a Great Place to Work.
Independently manage Medicare, Medicaid, and TriCare cost reports and coordinate audits.
Lead the annual cost report peer-review process and manage provider appeals.
Collaborate with internal stakeholders and external reimbursement organizations to ensure compliance.
They are a large health system providing patient-focused healthcare services. The organization is collaborative and mission-driven, with a focus on financial sustainability.
Manage the workflow and activities related to recovery and revenue cycle management for complex claims.
Supervise team tasks, monitor performance, and investigate escalated issues.
Analyze reports on aging, accounts receivable, and ensure service level standards.
Centene connects people to the care they need to live healthier lives. It is a large healthcare company with a diverse workforce and a culture focused on improving lives, offering competitive benefits and remote flexibility.
Manage an assigned book of insurance accounts receivable, working claims from submission through final resolution to keep aging balances down.
Follow up with payers on outstanding claims, underpayments, and payment discrepancies, and drive them to close.
Investigate and resolve claim denials and rejections — corrected claims, appeals, and reconsiderations with the documentation payers require.
SimpliFed gives parents the tools they need to navigate baby feeding questions, concerns, and obstacles, starting in pregnancy and through the feeding journey. We're a Series A company growing fast, and our operational and revenue infrastructure needs to grow with us.
Partners with business stakeholders to gather, document, and prioritize requirements, translating them into user stories and enhancement requests.
Serves as a liaison between IT teams, vendors, and business units to ensure solution alignment and successful delivery.
Supports testing, change management, and application optimization to maintain system stability and improve operational efficiency.
US Anesthesia Partners provides anesthesia services and manages revenue cycle processes for healthcare facilities. As a large organization, they emphasize collaboration, continuous improvement, and data-driven decision-making.
Support internal teams with system configurations, documentation updates, and testing for symplr products.
Collaborate with Product, Engineering, and Support teams to ensure successful implementations and resolve issues.
Drive continuous improvement initiatives and product adoption while engaging with US healthcare clients during night shifts.
Symplr is a leader in healthcare operations solutions, helping organizations integrate critical business operations for better outcomes. They are a remote-first company with employees across the US, India, and the Netherlands, focusing on teamwork, customer success, and integrity.
Perform follow-up status requests through telephone, internet, and fax requests.
Process incoming and outgoing mail, scanning, and document consolidation and indexing.
Maintain a working knowledge of internal policies and client systems and credentials.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.
Analyze healthcare and revenue cycle data from billing, claims, payment, and accounts receivable systems
Monitor key performance indicators such as collections, denial rates, claim volumes, and AR aging
Build and maintain analytical reports and dashboards for internal and client-facing teams
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. They operate remotely and focus on improving financial and operational outcomes for healthcare providers.
Manage partner accounts, drive growth, and serve as the primary bridge between sales, operations, and clinical teams.
Own program metrics, performance analytics, and identify optimization opportunities to ensure program health.
Lead end-to-end implementation of new partnerships and resolve escalations proactively.
Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations. It is a fast-growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot.
Supports the review of contract proposals, language and rate sheets to ensure accuracy and compliance with standards.
Assists leadership with project plans, meeting minutes, and action items related to national payer renewals.
Coordinates with team members to ensure contract documents are signed and stored according to policies.
Dignity Health, part of CommonSpirit Health, is a nonprofit Catholic healthcare organization providing integrated health services. It has over 157,000 employees and 45,000 nurses, delivering more than 20 million patient encounters annually.
Manage billing, collections, and accounts receivable for healthcare clients, ensuring timely claim submission and payment resolution.
Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements.
Serve as primary client contact, providing ongoing communication, status updates, and revenue cycle support.
Wipfli is a professional services firm providing accounting, tax, and consulting services. They emphasize flexibility, relationships, and employee well-being, with a focus on creating exceptional impact.
Maximize reimbursement by collecting outstanding balances from insurance companies through claim follow-up and appeals.
Resolve aged claims via payer portals and outbound calls, escalating for reconsideration and up to three levels of appeals.
Identify denial trends and collaborate cross-functionally to improve upstream processes and prevent future denials.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company partners with healthcare providers and biopharma organizations to improve patient outcomes through molecular diagnostics and digital health solutions.
Own the central analytics function, defining metric logic and quality standards across claims and operational data.
Build standard reporting packages and executive dashboards, track contract performance, and establish the clinical analytics surface.
Make business units self-sufficient by setting standards and documentation, ensuring consistent definitions across the company.
Chamber is rebuilding the cardiology system by partnering with independent cardiologists, using technology and data to improve patient outcomes. It is a fast-paced startup with a culture of empathy, ownership, and grit.
Utilize Press Ganey and client data assets to consult with healthcare stakeholders on experience improvement and growth.
Partner with health plans and medical groups to conduct data analysis, interpretation, and process design to solve business problems.
Manage client relationships, prepare deliverables including data analyses, training, and presentations, and coordinate project activities.
Press Ganey is a leading experience measurement, data analytics, and insights provider for complex industries, helping organizations improve the human experiences at the heart of their business. The company has world-class talent, a collaborative work ethic, and a passion for the work, earning trusted advisor status among the world's most recognized brands.
Maximize client satisfaction by analyzing data and implementing improvement plans.
Develop strategies for client retention, engagement, and expansion.
Build relationships with client partners to identify upselling opportunities.
Experian is a global data and technology company powering opportunities for people and businesses worldwide. They have 25,200 employees across 32 countries and foster a people-first, inclusive culture.