Responsible for managing and overseeing activities for multiple value streams within the revenue cycle.
Provide ongoing input in the strategic planning of business requirements and corporate objectives for the Revenue Cycle.
Ensure compliance with all federal, state, and local statutes and regulations, as well as all third-party payer policies.
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.
Own end-to-end revenue cycle performance across claims submission, denial management, and A/R follow-up
Manage and hold external billing vendors accountable to defined KPIs and service expectations
Monitor first-pass resolution rates, denial trends, and aging buckets to proactively mitigate revenue risk
Thirty Madison is a healthcare company that builds specialized healthcare brands that focuses on specific ongoing conditions, and thoughtfully designed to support the unique needs of its community with personalized treatments and care. They have built a number of brands and are continuing to grow rapidly.
Serve as a subject matter expert for front-end revenue cycle functions.
Investigate and resolve complex billing issues that prevent claims from being successfully accepted by payers.
Conduct root cause analysis on recurring front-end issues and implement process improvements to reduce claim errors and rework
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions.
Responsible for coding procedures and entering charges to comply with regulations and internal policies.
Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present.
Participate in audits to evaluate if all selected codes are accurate and develop methodologies to improved coding issues.
Northside Hospital is an award-winning and state-of-the-art hospital that is continually growing. They are expanding the quality and reach of their care to patients and communities which creates more opportunity for healthcare professionals in Atlanta and beyond.
Develop and implement Freenome’s enterprise-wide revenue cycle strategy.
Build, coach, and develop a high-performing team and foster a culture of accountability.
Establish and oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management.
Freenome is an equal-opportunity employer that values diversity. They are committed to building a career with their company and offer future opportunities via email alerts.
Performs claims processing, insurance and charge verification, payment posting, account resolution, customer service and follow up.
Educates staff and physicians on CPT/HCPCS/ICD-10 codes and appropriate documentation requirements to reduce errors and remain compliant.
Works directly with staff when needed for insurance authorization assistance, IPA guidance and insurance optimization.
Community is committed to providing the highest standard of care. They value their diverse team members and offer various opportunities for growth and development.
Ensure coordination of provider invoice activities to support timely reimbursement.
Research and resolve claim denials that fail payer edits, preparing corrections and appeals.
Verify patient eligibility, benefits, and health‑plan information using payer databases.
CareCentrix supports value-based care by providing care management and transition of care services. They focus on improving patient outcomes and managing healthcare costs through a range of programs and services. The company values caring, doing the right things and striving for excellence.
Own the full revenue cycle end-to-end: charge capture, claim submission, denial management, payment posting, and patient collections.
Drive RCM internalization — evaluate current vendor relationships, build the business case for what to bring in-house, and execute the transition without disrupting cash flow.
Partner with the contracting team to translate newly negotiated payor terms into billing workflows.
Dreem Health is America’s leading digital sleep clinic, powered by Sunrise’s technology. They make sleep care simple by replacing long waits and in-lab sleep studies with home-based testing, expert telehealth visits, and personalized treatment plans. They have 100+ clinicians, engineers, and operators across the U.S. and Europe.
Ensuring accurate and timely entry of professional services billings into the IDX billing system.
Managing all components of the billing process, including charge entry into the IDX system.
Verifying provider numbers, capturing professional activity, completing encounter forms, and ensuring proper patient registration.
Lucile Packard Children’s Hospital Stanford combines advanced technologies and breakthrough discoveries with family-centered care. They provide caregivers with continuing education and state-of-the-art facilities and are committed to healing humanity, one child and family at a time.
Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts
Abstracts key data elements required for billing
Interacts with providers for clarification of documentation/education
UChicago Medicine has been at the forefront of medicine since 1899 and provides superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, they need employees with passion, talent and commitment… with patients and with each other.
Provide clinical leadership and subject-matter expertise to support the analysis, configuration, and administration of complex medical policy content within claims processing systems.
Ensure the accurate implementation of medical policies, review criteria, and authorization requirements, while maintaining the integrity of system infrastructure and serving as a key liaison between business and technical teams.
Research and analyze system and business issues, develop high-level requirements, test and implement solutions, and audit and document outcomes.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust and motivated by member well-being, not profits. They are committed to providing best-in-class service, sustainability, and innovation.
Oversee financial analysis, reporting, and compliance related to governmental reimbursements.
Lead financial reporting, analysis and regulatory compliance related to Medicare, Medicaid and other governmental reimbursement programs.
Ensure accurate and timely revenue recognition and reimbursement estimation.
Emory Healthcare is dedicated to fueling professional journeys with benefits, resources, mentorship, and leadership programs. They foster a supportive environment. They have many employees and promote growth.
Assist Revenue Cycle Consultant and Technical Consultant teams in the implementation of Experian's Claim Source revenue cycle management system.
Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectiveness.
Document complex solutions to internal and external clients.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. They operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments, with corporate headquarters in Dublin, Ireland, and a team of 23,300 people across 32 countries.
Ensuring the accuracy, integrity, and quality of coding practices within the HIM department.
Conducting thorough reviews of clinical documentation, coding, and billing processes to ensure compliance.
Educating and training coding staff on best practices and updates in coding guidelines.
Cooper University Health Care is committed to providing extraordinary health care. They focus on clinical innovations and access to facilities, equipment, technologies and research protocols, and offer competitive rates, compensation programs, benefits, and career growth.
Audit patient medical records using clinical, coding, and payer guidelines to ensure accurate reimbursement.
Provide clear, evidence-based rationale for code recommendations or reconsiderations to providers or payers.
Collaborate with team leaders to ensure thorough review of DRG denials.
Machinify is a healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. They deploy a configurable, AI-powered platform and best-in-class expertise, serving over 85 health plans representing more than 270 million lives.
Submitting clean claims efficiently and accurately for your assigned clinics
Following up on denials and rejections with urgency and clarity
Posting payments, reconciling accounts, and communicating proactively with clinics
Jane is a founder-led, high-growth SaaS company. They build products and tools that thousands of clinics rely on every day to run their businesses, care for their patients, and grow their communities, with over 700 employees working remotely across Canada, the US, and the UK.
Submit bills compliant with all appropriate regulations and managed care contracts.
Collect money due by contacting third parties and providing explanations of charges.
Analyze accounts to determine coordination of benefits, refunds, and denials.
They are Oregon's only public academic health center, involved in patient care, research, and training healthcare professionals. As Portland's largest employer, they offer opportunities for learning and advancement in hospitals and clinics across Oregon and Southwest Washington.
Demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts.
Supports Revenue Cycle goals for timely billing.
Coding experience of 3-5 years required.
Cooper University Health Care is committed to providing extraordinary health care, with a team of extraordinary professionals dedicated to clinical innovations and enhanced access to facilities, equipment, technologies and research protocols. They offer competitive rates, comprehensive benefits, attractive working conditions, and opportunities for career growth.
Handle Revenue Cycle department interactions via phone, email, voicemail, faxes, and patient portal.
Communicate with offices and patients to ensure current information.
Answer patient questions, inquiries, and concerns regarding their accounts and/or about centers.
LifeStance Health strives to help individuals, families, and communities with their mental health needs. They are the fastest growing mental health practice group in the country.
Manage home infusion billing and reimbursement workflows
Handle accounts receivable and payor collections
Resolve complex claims and denials
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