Serve as the authoritative SME on technical CARC/RARC codes, mapping, and workflows.
Define product requirements for auto-scrub, intelligent resubmission, documentation-request automation, and worklist prioritization for soft denials.
Design root-cause prevention logic that feeds denial patterns upstream to SmarterPrebill, SmarterUM, and Patient Access.
Smarter Technologies is a healthcare technology company focused on transforming how healthcare services are delivered, managed, and reimbursed. They bring together Access Healthcare, SmarterDx, Thoughtful AI, and Pieces, combining deep healthcare services expertise with advanced data, automation, and AI capabilities.
Review, analyze, and estimate reimbursement across clinical, technical, and DRG‑related denials.
Conduct daily client transaction reviews and calculate expected payments and Corro reimbursement.
Identify payer and referral trends, monitor denial patterns, and support appeal strategies.
CorroHealth aims to help clients exceed their financial health goals by providing scalable solutions and clinical expertise across the reimbursement cycle. They enable their teams with leading technology and believe in investing in their employees' professional development and personal growth.
Serve as the single accountable owner for full client setup and ongoing RCM performance across all sites.
Actively monitor AR aging, denials, authorization timeliness, claim submission lag, payer trends, utilization, and workflow metrics.
Own performance reporting and visibility across accounts and build and maintain dashboards.
Prompt Therapy Solutions is building software for rehab therapists, helping outpatient rehab organizations treat more patients and deliver better care with less environmental waste. They are a talented team of individuals who have built software to turn a paper-heavy industry digital.
Serve as the primary point of contact for participants and site coordinators via phone, email, and support channels.
Map and document our support processes end-to-end — own the workflows, find the gaps, fix them.
Spot patterns in support issues and work cross-functionally to address root causes, not just symptoms.
Mural Health is a fast-growing clinical technology start-up that makes clinical trials easier for participants. Their mission is to eliminate any barriers participants or caregivers experience while being part of a clinical trial.
Analyze complex healthcare datasets, evaluate program performance, and develop predictive models.
Build advanced predictive analytics to support value-based care strategies and improve patient health.
Develop analytical datasets using SQL and Python and build Power BI dashboards to communicate insights.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults. As a national leader in value-based care, they offer solutions to senior living communities and skilled nursing facilities, serving 200,000+ seniors in 1,500+ communities across 32 states.
Manage project scope, schedule, resources, project documentation and reporting
Schedule client meetings and project planning activities and coordinate internal resource support
Identify and escalate project risk/roadblocks and develop risk mitigation/resolution plans
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, employing a team of 23,300 people across 32 countries with corporate headquarters in Dublin, Ireland. Experian focuses on investing in people and new advanced technologies to unlock the power of data and to innovate.
Proactively review trends in outstanding A/R, denials, and various payment issues.
Pull and join multiple data sources together, including the use of SQL and API calls.
Communicate findings and recommendations with department and cross functional leadership.
BetterHelp aims to remove barriers to therapy and make mental healthcare accessible. They are the world's largest online therapy service with over 30,000 licensed therapists, focused on employee well-being and professional development.
Serve as the vendor’s lead clinical subject matter expert on clinical denials management and prevention.
Partner with provider clients to design and implement best practices for denial prevention and appeal workflows.
Conduct complex clinical case reviews for DRG validation, identifying and defending clinically appropriate DRG assignments.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations. They leverage over 24 years of expertise and their E360 RCM ™ platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers. EnableComp is a multi-year recipient of the Top Workplaces award recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024.
Accurately review denied claims to identify root causes.
Communicate directly with insurance representatives to negotiate settlements.
Monitor denial trends and provide actionable feedback to billing and clinical teams.
Mindoula is a healthcare organization. They are seeking an Account Receivable Representative and value candidates with strong communication and problem-solving skills.
Support Rula’s Revenue Cycle and payer expansion initiatives.
Own post-launch performance monitoring and optimization.
Diagnose issues, improve workflows, and build scalable systems.
Rula is dedicated to treating the whole person and aims to create a world where mental health is no longer stigmatized or marginalized. They are passionate about making a positive impact on the lives of those struggling with mental health issues.
Lead, mentor, and grow a team of analysts at multiple career levels.
Define the technical roadmap for data transformations and the analytics layer.
Partner with Product and Engineering to support enterprise partner integrations.
Bestow is a leading vertical technology platform serving some of the largest and most innovative life insurers. They build the infrastructure that helps an entire industry move faster, reach more people, and deliver on its promise. According to the text, Bestow is backed by leading investors and trusted by major carriers, Bestow is powered by a team that moves with precision, purpose, and heart.
Contribute to cross-CXS programs and standardization efforts.
Lead AI roadmap and transformation execution in his vertical.
Drive operational cadence of weekly, monthly and quarterly business reviews.
Granicus is a technology company transforming the Govtech industry by connecting governments and constituents. With 5,500 federal, state, and local government agency clients and over 300 million citizen subscribers, they offer cloud-based solutions for communications, website design, and more.
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 and maintain a clear audit trail for future reference.
Record after-call actions and perform post-call analysis for the claim follow-up.
TruBridge connects providers, patients, and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. They are a remote team that encourages their employees to push boundaries and look at things differently.
Partner with Sales on strategic opportunities involving quality measurement and Star Ratings solutions.
Lead product demonstrations showcasing HEDIS performance analytics, care gap identification, and quality improvement capabilities.
Articulate how Cotiviti's solutions address NCQA HEDIS certification requirements.
Cotiviti is a healthcare analytics company. They focus on improving healthcare outcomes and reducing costs through data-driven solutions, serving health plans and providers. Cotiviti values diversity and inclusivity, and they are an equal opportunity employer.
Be responsible for the monitoring and management of the end to end data flow of data submissions to vendors and government agencies to mitigate data leakage and submission errors.
Own the claim and supplemental submission workflow for CMS EDS submissions.
Develop data pipeline tracking reports and analyze, research, and resolve encounter data errors.
Clover Health is reinventing health insurance by combining data with human empathy to keep members healthier. They've created custom software and analytics to empower their clinical staff to intervene and provide personalized care to the people who need it most. They are passionate and mission-driven individuals with diverse areas of expertise. From Clover’s inception, Diversity & Inclusion have always been key to their success.
Work with health systems to demonstrate the applied clinical, financial and operational feasibility of Ion.
Provide consultation to health systems providers and physicians on strategies for optimizing robotics programs.
Increase patient access to Intuitive technology by removing access, belief and coordination constraints.
Intuitive is a global leader in robotic-assisted surgery and minimally invasive care. Our technologies like the da Vinci surgical system and Ion have transformed how care is delivered for millions of patients worldwide. We’re a team of engineers, clinicians, and innovators united by one purpose: to make surgery smarter, safer, and more human.
Auditing to ensure new provider and care center information is accurate.
Conducting Care Center audits based on the number of providers.
Identifying, monitoring, and managing denial management trends.
Privia Health is a technology-driven, national physician enablement company. They collaborate with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. Their platform is led by industry talent and cloud-based technology.
Act as a "scouter" for the executive team, taking high-level goals and executing them from start to finish.
Personally design, configure, and deploy AI agents and automated workflows using systems such as Microsoft Copilot Studio or Power Automate.
Train staff on the tools you build and iterate based on their direct feedback.
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in multiple states. They provide continuum of care for those with chronic conditions and limited mobility, striving to provide the highest quality of care by a team patients know and trust.