Post charges and claims accurately using clinical documentation and customer PM systems.
Verify coding, modifiers, and medical necessity before submission to prevent denials.
Track claims through posting and adjudication, resolving payment discrepancies and denials.
Amperos is healthcare's first AI-native denial management and revenue recovery platform, using agentic AI to resolve claims end-to-end. We are a small, early-stage startup backed by a $16M Series A, focused on tackling a $260B+ problem with a collaborative culture.
Post payments from patients and third-party payers and adjust accounts accordingly.
Evaluate and verify Explanation of Benefit statements and process incoming payments.
Verify write-offs, scan documents, confirm refunds, and identify payer issues.
DocGo is a mobile health and transportation company disrupting the traditional four-wall healthcare system by providing high-quality, affordable care at home or workplace. With over 5,000 certified health professionals, DocGo combines telehealth, AI-powered logistics, and ambulance services to bridge physical and virtual care.
Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.
Analyze, research, and resolve issues related to the creation and submission of paper and electronic claims.
Monitor claim errors, identify opportunities for new edits, and collaborate with the Business Systems Department to implement clearinghouse edits.
Validate daily imports, balance hash totals, and report system issues to IS to ensure timely resolution.
Pediatrix Medical Group is one of the nation’s largest providers of prenatal, neonatal and pediatric services, led by physicians. They offer a diverse range of opportunities, competitive salaries, and a commitment to clinical excellence, focusing on a team approach to improve patient lives.
Work with insurance companies on behalf of patients to obtain payments for Banner Imaging teams
Research and hold payers accountable to pay expected rates according to contracts within allowed timeframes
Expand knowledge in appeals, follow up on denials, send medical records, verify eligibility and authorization, and negotiate with insurers
Banner Health is one of the largest nonprofit health care systems in the country, providing hospital services and care across multiple states. The organization is nationally recognized, earned Great Place To Work Certification, and offers diverse career opportunities with a strong focus on workplace excellence.
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.
Coordinates patient, client, and insurance billings for a medical facility, ensuring accurate and complete financial records.
Processes insurance payments, obtains prior authorizations, and investigates denials to maximize reimbursement.
Communicates with providers and patients to resolve billing inquiries and maintain compliant billing operations.
HNL Lab Medicine is a medical laboratory providing testing and related services to physician offices, hospitals, long-term care facilities, employers, and industrial accounts. With more than 2,000 professionals, including board-certified pathologists and certified laboratory scientists, the company emphasizes patient-focused care and operational excellence.
Process credit account balances from patients and insurances, determining root causes and resolving overpayments.
Coordinate with insurance companies and the customer service team to communicate with patients about refunds.
Perform account adjustments, write-offs, and rebilling to maintain accurate claims and patient statements.
Trinity Health is a not-for-profit, faith-based health care system providing compassionate, person-centered care across 27 states. With 121,000 colleagues and nearly 36,500 physicians and clinicians, it is one of the largest health systems in the nation, investing $1.5 billion in communities through charity care in FY2023.
Monitor clearinghouse portals and resolve rejected medical claims daily.
Investigate rejection causes including coding errors and eligibility issues.
Correct claim information and resubmit to insurance payers for reimbursement.
Our partner is a healthcare revenue cycle management company focused on optimizing medical claims processing for providers. They offer a collaborative, inclusive work culture with opportunities for professional growth in a remote environment.
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.
Monitor and manage post payment queues, conducting outreach and negotiation calls to providers.
Communicate with providers to verify understanding of NSA claims payments and regulations.
Maintain HIPAA compliance and document all conversations, payment rates, and counter offers.
Reliant Health Partners is an innovative medical claims repricing service provider that helps employers achieve maximum health plan savings. The company tailors services to each client’s needs and values a diverse, inclusive workplace.
Serve as the first point of contact, greeting patients and handling inbound calls.
Verify insurance, update demographics, and register patients in EMR (EPIC).
Document patient concerns, triage messages, and escalate emergent issues promptly.
U.S. Urology Partners provides urology and specialty services, including surgery and cancer treatment. It has over 50 offices across the East Coast and Midwest, with values of compassion, collaboration, respect, and accountability.
Process patient payments and manage payment plans with accuracy and compliance.
Educate patients on billing, insurance verification, and claims-related inquiries.
Resolve billing issues by researching account history and coordinating with internal teams.
Five Star Solutions is a customer service and healthcare billing solutions provider, supporting patient payment and insurance processes. The company fosters a remote work culture with a focus on empathy, accuracy, and compliance.