Lead hospital billing operations across the Presbyterian Delivery System, including Home Health and Hospice.
Oversee denial management, accounts receivable, and cash collections to reduce revenue leakage and accelerate reimbursement.
Drive process improvement, technology optimization, and team development while enhancing the patient financial experience.
Presbyterian Healthcare Services is a not-for-profit healthcare system with nine hospitals, a statewide health plan, and a medical group. Founded in New Mexico in 1908, it is the state's largest private employer with roughly 11,000 employees.
Lead the development and launch of Revecore's DRGV service offering, expanding Billing and Coding Optimization capabilities.
Define operating models, workflows, staffing, productivity metrics, and quality standards to scale the service line.
Partner cross-functionally with Product, Data, AI, and Operations to translate DRGV requirements into scalable technology solutions.
Revecore helps hospitals recover revenue they've earned through specialized expertise and proprietary technology. Trusted by more than 1,300 hospitals across 48 states, the company fosters a supportive, innovative workplace where employees are trusted to do their best work.
Own end-to-end revenue cycle operations including billing, collections, A/R, and payer enrollment.
Drive transformation across denial management, credentialing, and revenue integrity.
Partner with executive leadership to optimize cash flow and build scalable systems.
Blackbird Health is a clinician-founded organization providing virtual and in-person pediatric mental health care across multiple states. The company is expanding rapidly, with a collaborative and innovative team focused on whole-child treatment.
Coordinate denial and appeal follow-up activities to ensure timely resolution of insurance denials and appeals.
Investigate payment issues with insurance carriers, maintain tracking systems, and document follow-up actions.
Analyze performance data and collaborate with revenue integrity teams to improve billing accuracy and recovery.
This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.
Oversee daily operational performance across healthcare client accounts, including A/R days, cash performance, and denial trends.
Serve as senior operational liaison between client stakeholders and internal delivery teams to drive corrective actions and reimbursement optimization.
Mentor operational leaders and staff, ensuring consistent execution standards and strong financial outcomes.
This company specializes in healthcare revenue cycle operations, including billing, collections, and accounts receivable management for hospitals. It fosters a collaborative remote work environment focused on supporting healthcare providers and improving financial and operational outcomes.
Leads enterprise authorization operations with direct impact on revenue protection, patient access, and reimbursement performance.
Manages a team responsible for insurance verification, pre-authorization, and timely processing of assigned services.
Collaborates with billing, registration, revenue cycle, clinical, and administrative teams to reduce preventable payment denials.
The partner company is a healthcare organization focused on revenue protection, patient access, and reimbursement performance. They provide a collaborative and mission-driven environment for teams working across complex healthcare operations.
Own the full revenue cycle function for MSO clients, from coding and claim submission through payment posting and denials management.
Lead a large distributed team of coders and billing staff, overseeing quality, compliance, and payor relationships.
Deliver monthly financial reports to practices, identify revenue leakage, and drive process improvements that impact financial health.
Oasis Health Partners is building healthier communities by advancing primary care, partnering with patients, providers, and plans to deliver personalized, local care for seniors. They are a growing organization focused on value-based care, with a culture that values listening, doing the right thing, and collaborating while having fun.
Own the revenue cycle end-to-end, from enrollment through cash, for Medicaid and managed care payers.
Build AR, denials, metrics, and systems with automation and AI, not headcount.
Lead the RCM team and partner with Finance, Clinical Operations, and Engineering.
Daybreak Health delivers teletherapy to young people and families through schools, funded by health plans. It is a startup with a small RCM team and a culture of ownership, automation, and direct impact.
Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation, independently managing complex queues.
Analyze Explanation of Benefits (EOBs) and remittance advice to identify root causes of denials and payment discrepancies.
Collaborate with team members to optimize workflow, resolve billing issues, and mentor junior staff.
Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally through employer and health plan partnerships. The company has delivered over 15 million sessions of care and fosters a culture focused on innovation, collaboration, and high-quality outcomes.
Lead day-to-day billing and coding operations across multiple markets, payers, and service lines.
Coach and develop Billing and Coding Supervisors to drive performance and accountability.
Own Revenue Cycle KPIs, process improvements, and cross-functional partnerships.
Imagine Pediatrics is a tech-enabled, pediatrician led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.
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.
Lead hospital coding and billing programs, develop performance standards and scalable processes across clients.
Optimize revenue cycle processes by analyzing coding accuracy, denials, billing, and payer requirements.
Serve as a trusted advisor to hospital executives and mentor coding, billing, and revenue cycle teams.
This company provides strategic and operational leadership for hospital coding, billing, and revenue cycle optimization programs. It fosters a culture of collaboration, quality, and continuous improvement in a fully remote work environment.
Review, investigate, and appeal denied hospital insurance claims using clinical documentation and payer policies.
Develop evidence-based appeal letters addressing medical necessity, level-of-care, and charge discrepancies.
Collaborate with nursing, revenue integrity, and financial teams to resolve denials and prevent future rejections.
This partner company is a healthcare system that provides hospital services and focuses on revenue integrity. It supports fully remote work and values clinical expertise, collaboration, and financial sustainability.
Lead and manage the coding team, setting productivity and quality standards for documentation and coding operations.
Oversee pre-encounter review workflows, query auditing, and vendor performance to drive compliance and risk adjustment outcomes.
Collaborate with clinical, operations, compliance, and finance stakeholders on program objectives and process improvements.
WellBe Senior Medical provides healthcare services focused on seniors, with an emphasis on documentation accuracy, coding compliance, and risk adjustment. The company operates in a remote, cross-functional environment and values compliance, quality, and continuous improvement.
Develop and maintain athenaOne Collector curriculum for Care Centers.
Lead pre- and post-live training for new markets and high-profile implementations.
Support RCM workflow optimization and training across all markets.
Privia Health is a national physician platform that provides tailored solutions and population health management programs for physicians and providers. The company fosters an inclusive, innovative environment and partners with health plans, employers, and health systems to improve care quality.
Act as a subject matter expert on coding, coverage, and payment requirements for Medicare and commercial payers.
Educate healthcare providers and facilities on reimbursement resources, processes, and support programs.
Collaborate with field sales and internal teams to resolve access issues and execute strategic market access priorities.
The company is a medical technology organization focused on improving patient access to innovative therapies through comprehensive reimbursement and market access support. It operates in a fast-paced environment with a strong emphasis on cross-functional collaboration and patient-centered outcomes.
Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.
Shape enterprise strategy for provider data quality, governance, and directory accuracy across a nationwide healthcare network.
Lead governance frameworks, auditing programs, and compliance with CMS requirements.
Drive innovation through automation, analytics, and executive stakeholder collaboration.
This role is with a partner company in the healthcare sector, operating a nationwide provider network focused on data quality and governance. The company emphasizes innovation, enterprise-wide transformation, and data-driven decision-making.
Provide day-to-day leadership, technical support, and QA for Revenue Optimization Auditors.
Perform complex coding, billing, and revenue integrity audits and analyze data for opportunities.
Train and mentor new auditors, support process improvement, and escalate compliance concerns.
NAPA is a clinician-led leader in anesthesia and perioperative services, delivering exceptional patient experiences. They cultivate leaders, promote work-life balance, and celebrate diversity in a collegial environment.
Own the expansion into hospitals and health systems, turning open questions into shipped capability.
Quarterback the plan across product, engineering, data, operations, sales, and legal, keeping leadership informed.
Define product requirements and develop arbitration frameworks for facility claims in IDR.
Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. It combines software, data, and service into an AI-driven platform, and is a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.