Manage patient billing inquiries, resolve denials, and process insurance verifications.
Work claims end-to-end via clearinghouse and collaborate with cross-functional partners.
Optimize RCM processes, develop SOPs, and support ad-hoc projects including AI tool testing.
Nourish is an AI-native digital health system matching patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised a $100M Series C, bringing total funding to $215M.
Own and scale the RCM engine across payer contracting, billing, denials, collections, and reconciliation.
Lead the RevOps team and act as the go-to expert on revenue cycle performance.
Drive root-cause resolution of denials and build process improvements for audit-ready scale.
Clarity Pediatrics is redefining pediatric chronic care by uniting virtual multi-specialty care for kids with ADHD, allergies, asthma, and obesity. It has raised $25M from top VCs and is scaling after a substantial Series A.
Drive strategic pricing, financial modeling, and hybrid billing structures to maximize revenue and growth.
Collaborate with the tech team to optimize the RCM tech stack and ensure seamless data integrity.
Lead operational quality, denial management, and cross-functional project management for billing workflows.
Pomelo Care is the leading virtual medical practice for women and children, providing proactive, 24/7 clinical care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.
Own RCM end to end for Medicaid and Medicare, from eligibility through claims, denials, and collections.
Lead strategy, team building, KPI reporting, and cross-functional collaboration with operations, product, and engineering.
Analyze claims data to improve collection rate, manage payer relationships, and ensure billing compliance.
Pair Team is an AI-enabled medical group for Medicaid and Medicare, delivering whole-person care through community-based organizations. It is California's largest complex care provider and is building an AI platform to scale across the safety net.
Lead and scale a high-performing Revenue Cycle Management team, managing workflows and driving operational excellence.
Oversee day-to-day RCM operations with a patient-first approach, optimizing collections and efficiency.
Collaborate cross-functionally with Engineering, Credentialing, Customer Experience, and external vendors to support growth.
Nourish is an AI-native digital health system that connects patients with registered dietitians, physicians, medications, lab testing, and AI agents for insurance-covered care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partners with health plans covering 200M+ Americans.
Oversee day-to-day operations across billing, coding, claims, and accounts receivable functions.
Coordinate workloads and monitor performance metrics to ensure client requirements are met.
Resolve escalated operational issues and improve workflows to maintain service quality.
Raventra Health is a medical services company that provides outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company emphasizes operational excellence and client service, with a focus on accuracy and efficiency.
Oversee daily billing operations for assigned provider and hospital accounts.
Lead and support billing team members, including workload coordination and performance management.
Monitor claim submission volume, billing accuracy, and turnaround times to improve efficiency.
Raventra Health provides outsourced medical billing, coding, and claims processing solutions for provider groups and hospitals. It is an equal opportunity employer that values diversity and inclusion.
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.
Submit medical documentation and billing data to insurance providers
Research and appeal denied or rejected claims, and follow up on unpaid claims
Review insurance payments for accuracy and completeness using billing software
Cardinal Health is a global distributor of pharmaceuticals and medical products, providing performance and data solutions for healthcare facilities. With over 50 years of experience, the company supports an inclusive workplace that values diversity and delivers end-to-end solutions to improve healthcare.
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.
Protera Health is a health-tech startup transforming the delivery of musculoskeletal (MSK) care through a multidisciplinary approach and patient tracking technology. Founded by orthopedic surgeons and value-based care experts, it is a growing team that emphasizes collaboration, innovation, and a patient-first culture.
Assess complex denial processes, identify root causes, and develop strategies to improve financial performance and prevent revenue loss.
Lead denials-related projects from planning through implementation, coordinating with operational and executive stakeholders.
Analyze denial trends, perform root-cause analysis, and develop actionable recommendations to reduce denials and optimize revenue cycle performance.
This partner company is a healthcare organization seeking a consultant for revenue cycle denials management. The company size and culture are not specified.
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.
Coordinate daily workloads and priorities across the medical billing team
Monitor billing productivity, accuracy, claim submission, and turnaround-time metrics
Support team members with complex billing issues, payer requirements, and claim corrections
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. They are an equal opportunity employer that prioritizes accuracy and efficiency in medical billing services.
Assess current denials processes and analyze denial trends to identify root causes and financial risks.
Develop and implement strategies to reduce preventable denials and improve revenue cycle performance.
Lead denials-related projects from planning through implementation, coordinating with stakeholders and tracking KPIs.
The Wilshire Group is a boutique healthcare consulting firm specializing in revenue cycle, Epic, and healthcare technology solutions. We are a small team of experienced professionals dedicated to improving financial performance for healthcare organizations.
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.
Manage day-to-day billing activities across the revenue cycle, including claims processing, denial management, follow-ups, collections, and account documentation.
Analyze EOBs and ERAs to identify non-payment and denial reasons, investigate root causes, and take appropriate action.
Communicate professionally with insurance companies, clients, patients, and provider offices to facilitate resolution.
The partner company specializes in U.S. medical billing and Revenue Cycle Management (RCM) operations. They are seeking an experienced Medical Billing Specialist to join their remote team, focusing on high-volume billing and denial management.