Process and maintain Medicare Advantage member enrollment and disenrollment requests with accuracy and timeliness.
Investigate and resolve enrollment system rejections, billing discrepancies, and CMS compliance issues.
Reconcile membership reports, monitor SLAs/KPIs, and mentor junior team members to support operational quality.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through an objective review process. It uses AI to identify top-fitting applicants and shares them directly with employers, while final hiring decisions are made by humans.
Prepare and review investment and debt journal entries and account reconciliations.
Support monthly, quarterly, and annual close processes and compliance reporting.
Assess technical accounting standards, assist with audits, and communicate financial results.
The company focuses on financial reporting, analysis, and strategic decision-making within a complex organization. It provides a collaborative, fully remote environment with opportunities for professional growth and meaningful financial projects.
Analyze hospital claims to identify discrepancies between expected and actual insurance reimbursements.
Investigate underpayments and payment variances by examining coding errors, billing discrepancies, and payer policies.
Collaborate with insurance carriers and internal stakeholders to resolve billing issues and improve revenue recovery outcomes.
This partner company specializes in healthcare revenue integrity, helping hospitals recover appropriate reimbursement for services. The team fosters a collaborative, inclusive culture focused on continuous improvement and professional development.
Provide financial counseling to patients on payment options, Medicaid eligibility, assistance programs, and self-pay responsibilities.
Analyze patient accounts and develop action plans to resolve outstanding financial obligations with empathy and professionalism.
Support patient inquiries through a financial services call center and collaborate effectively with a remote team.
This company provides patient financial counseling and support services for healthcare organizations. It fosters a patient-centered culture with a focus on empathy, collaboration, and professional development, offering a fully remote work environment.
Coordinate hospice room and board invoice processing, validate billing information, and ensure accurate reimbursement and timely payments.
Collaborate with healthcare facilities and cross-functional teams to resolve billing discrepancies and maintain reliable financial records.
Track outstanding items, analyze reporting data, and identify opportunities to improve workflows in a remote healthcare setting.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. The company focuses on fair and objective application review and partners with hiring companies to streamline recruitment.
Perform billable consulting work to drive performance improvement for healthcare systems.
Lead data analysis, interpretation, and development of client deliverables and recommendations.
Collaborate with engagement teams, oversee analysts, and support practice development.
Premier, Inc. is a leading technology-driven healthcare improvement company that unites providers, suppliers, and payers to transform American healthcare. Serving two-thirds of U.S. healthcare providers, it offers a collaborative culture and is recognized as a Best Company to Work For.
Generate accurate premium invoices and process payments while ensuring adherence to underwriting guidelines.
Reconcile premium payments, investigate discrepancies, and follow up on overdue accounts.
Support internal and external audits by providing documentation and reconciliations for premium accounting activities.
Ryan Specialty is a specialty insurance firm providing innovative solutions for insurance brokers, agents, and carriers. It is a multi-time winner of Newsweek's Most Loved Workplaces and Insurance Business's Top Insurance Employers, home to some of the brightest talent in the insurance industry.
Write and optimize complex SQL queries against large relational claims databases.
Partner with data visualization specialists to populate dashboards with accurate data.
Present findings and tailored data products to audiences of varying data literacy.
HCCI is an independent, non-profit research institute that uses data and analytics to improve the US health care system. Its multidisciplinary team produces policy-relevant reports in an academic, fast-paced environment.
Track MSSP performance metrics including attribution, cost, utilization, and quality.
Build actionable analytics and HCC risk models to identify spend anomalies and performance gaps.
Collaborate with ACO leaders and IT to translate data insights into strategic decisions.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health plans to improve patient care and practice performance. Led by industry talent and physician leadership, it focuses on reducing healthcare costs and advancing value-based care.
Lead external customer audits and utilization management oversight activities as a subject matter expert.
Analyze complex UM data, investigate findings, and prepare evidence-based responses for regulators and accreditation organizations.
Collaborate with operational, technical, and client-facing teams to drive compliance and process improvements.
This company is a healthcare organization specializing in utilization management and regulatory compliance. It operates with a remote team across the United States, fostering a collaborative and improvement-driven culture.
Manage respiratory product catalog and insurance coverage criteria rules engine on Parachute platform.
Translate complex insurance coverage criteria into flowcharts for product eligibility determination.
Collaborate cross-functionally to optimize catalog content and support business growth strategies.
Parachute Health is the leading digital ordering platform for medical equipment and supplies, connecting health systems, plans, and suppliers to deliver life-saving products to patients at home. The company has connected 300,000+ clinicians and 3,000+ supplier locations across all 50 states, helping 15M+ patients, and maintains a remote-first culture.
Process sponsor invoices and maintain compliance with GAAP and Uniform Guidance (2 CFR 200) for federal awards.
Audit complex financial records, resolve discrepancies, and prepare Federal Financial Reports (SF-425) and other sponsor reports.
Support award closeout, monitor accounts receivable, and perform collections while driving continuous process improvement.
Denver Health is an integrated academic healthcare system and Colorado's primary safety-net provider, offering emergency, acute, and community-based care. It is a large, mission-driven organization focused on respect, belonging, and accountability.
Support day-to-day ACO REACH & LEAD processes, including Zendesk communications and Monday.com solutions.
Generate actionable reports from Medicare data and build decks for performance meetings using Tableau and Snowflake.
Act as a thought partner and advisor for special projects and cross-functional CMMI initiatives.
Aledade PBC empowers independent primary care practices to thrive in value-based care via technology and contracts. Founded in 2014, it is the largest independent primary care network in the US, with a collaborative, inclusive, remote-first culture.
Manage the full revenue cycle from patient registration through claims resolution.
Accurately submit and track medical claims to various insurance payers.
Perform accounts receivable follow-up, identifying and resolving denied, underpaid, or unpaid claims.
Allara is a comprehensive women's health provider that offers expert, longitudinal care for hormonal, metabolic, and reproductive conditions. It is one of the fastest-growing women's health platforms in the U.S., trusted by thousands of women nationwide.
Provide accurate and timely service for investment operations, transactions, and stakeholder inquiries.
Analyze operational data to identify trends, resolve issues, and recommend process improvements.
Support regulatory compliance and contribute to operational initiatives in a structured remote environment.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through objective application review. It supports remote and diverse roles while maintaining an inclusive and equitable recruitment process.
Serve as the first point of contact for patients in person and by phone, delivering excellent customer service.
Process new orders, verify insurance, obtain authorizations, and gather documentation for accurate billing.
Perform data entry, collect payments, and make outbound satisfaction calls to patients and referrals.
Accendra Health makes essential healthcare products and services accessible outside traditional settings. With over 6,000 teammates in 250+ locations under Apria and Byram Healthcare, it offers meaningful work focused on personalized, long-term care.
Responsible for monthly revenue recognition, including analysis of patient billing trends and reserve calculations.
Prepares general ledger entries and reconciliations for patient accounts receivable and revenue.
Produces business intelligence reports and assists with audits, budgets, and process improvements.
Emerus is the leader in small-format hospitals, partnering with health systems to provide care patients need in their neighborhoods. The company fosters a teamwork-focused culture that celebrates diversity and promotes equity and opportunity for all employees.
Perform billing and collection accounting, including account reconciliation, invoicing, and letters of credit.
Interact with internal departments, attorneys, and customers to resolve disputes and collect outstanding balances.
Analyze account activity and identify cash flow opportunities while providing prompt, professional service.
Liberty Mutual is a global insurance company offering a wide range of insurance products and services. The company values inclusion, employee well-being, and professional development, fostering a supportive culture for its workforce.
Review and verify credentialing documents, licenses, and background reports against client-specific standards.
Collaborate with onboarding teams to ensure files are accurate, complete, and ready for approval.
Monitor document trends and support continuous improvement to reduce errors and enhance efficiency.
This company provides healthcare staffing services with a focus on clinician credentialing and onboarding. While the company size is not specified, it fosters a collaborative, service-oriented culture emphasizing accuracy and compliance.
Manage AR portfolios, denial analysis, and aging accounts.
Develop dashboards and reports to identify performance gaps.
Collaborate with teams to drive revenue cycle improvements.
They help healthcare organizations improve financial performance and revenue cycle operations through data-driven analysis and automation. They foster a collaborative culture focused on innovation, professional growth, and continuous improvement.