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In this position, you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved, disputed, or sent to Legal. Conduct collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online. Communicate with insurance plans and researching health plans for benefits and types of coverage.

Sutherland is a digital transformation company helping customers globally achieve greater agility and transform automated customer experiences for over 35 years.

• Provides support in the functional areas of the Revenue Cycle, including Billing, Reimbursement, and Insurance Recovery.
• Ensures adherence to company policies, procedures, and related government regulations.
• Prepares and submits claims to various insurance companies electronically or on paper.

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being.

Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services. Maintain adequate documentation on the client software to send the necessary documentation to insurance companies. Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms.

You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides.

The Insurance Reimbursement Specialist maximizes reimbursement by collecting outstanding balances from insurance companies. The Specialist follows up on unresolved claims and escalates claims for reconsiderations. The Specialist works with CareDx Payer Dispute Resolution/Market Access teams ensuring proper reimbursement from payers.

CareDx, Inc. is focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients.

Responsible for daily accounts receivable collections and billing. Assist with increasing collections, reducing accounts receivable days, and reducing bad debt. Partners with the field to ensure appropriate and timely revenue and collections.

• Oversee the end-to-end billing process.
• Maintain comprehensive billing records, monitor and report key performance indicators related to claims submission, denial resolution, and payment posting.
• Serve as the primary point of contact for internal teams and external payers.

Apollo Behavior is the premier provider of ABA therapy in metro Atlanta, and the largest ABA provider based in Georgia.

• Responsible for accurate and timely processing of designated claims.
• Resolve claim issues, answer incoming SalesForce cases and management of issues that escalate to the RCM team.
• Management of accounts receivable, including analysis of aged AR, and investigating denial sources.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems.

The Medicare Collections & Recoupment Specialist manages Medicare accounts receivable, focusing on payment takebacks, recoupments, and demand letters issued by Medicare. This role ensures timely response to Medicare payment adjustments and appeal determinations related to wound care services. The specialist works closely with billing, coding, clinical, and compliance teams to protect revenue while maintaining compliance with CMS and MAC requirements.

Skilled Wound Care is dedicated to delivering exceptional wound care services with compassion and expertise, ensuring optimal healing outcomes for our patients.

• Support patients through the denial and appeal process.
• Coordinate with healthcare providers and insurance companies.
• Ensure seamless access to our innovative DME device.

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Their team is dedicated to delivering prescription-grade therapy with an outstanding user experience and has pioneered the world’s first drug-free wearable therapy.

• Perform detailed analysis of remittances, explanations of benefits (EOBs),payer correspondence, and account detail to identify underpayments or incorrect claim adjudications.
• Prepare and submit detailed appeals with appropriate documentation and contract references to secure accurate reimbursement.
• Identify and document systemic payer issues and trends affecting reimbursement.

TREND Health Partners is a tech-enabled payment integrity company. They facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. Joining TREND Health Partners means becoming part of a dynamic, growing organization that promotes a collaborative and innovative work environment.

The Senior Payer Accounts Receivable Specialist drives payer reimbursement performance and ensures timely, accurate claim resolution. This individual will oversee the payer accounts receivable process across multiple states. This role requires knowledge of healthcare payer operations, denial management, and reimbursement trends.

knownwell is a weight-inclusive healthcare company offering metabolic health services, primary care, nutrition counseling and health coaching services.

• Multi-task position covering main functions of the Central Business Office.
• Accurately handle at least one unit function of the Central Business Office.
• Monitor billing errors and claim/line item rejections.

Piedmont Healthcare is a company in the healthcare sector, though further details are not given in the job description.