Provide strategic direction and leadership to ensure the team meets client expectations.
Improve the business processes for the department through analysis and collaboration.
Manage multiple teams by setting daily, monthly and strategic goals for assigned supervisors/managers.
EnableComp provides specialty revenue cycle management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability. They are among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.
Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools.
Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024.
Acts as a resource for collection issues and ensures patient accounts are accurate.
Monitors patient A/R, sends statements, and posts payments according to standards.
Documents all activity on accounts and prepares data needed for court-related circumstances.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They are a team that delivers outstanding care in one of the most beautiful regions in the country.
Contacts insurance companies for status on outstanding claims.
Processes and follows up on appeals to insurance companies.
Works outstanding accounts receivable from assigned work queues.
US Anesthesia Partners is a company focused on revenue cycle management. They provide equal employment opportunities to all employees and applicants and value diversity based factors.
Responsible for complete, accurate, and timely processing of all designated claims.
Investigates denial sources, resolves and appeals denials, which may include contacting payer representatives.
Works with internal teams and care center staff to ensure optimal revenue cycle functionality.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors. Their platform consists of scalable operations and cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Open insurance claims and serve as the primary liaison with adjusters and carriers.
Request, track, and organize medical records, bills, and police reports.
Ensure treatment progression and awareness of treatment outcomes.
EvenUp uses technology and AI with the mission to close the justice gap. It empowers personal injury lawyers and victims to get the justice they deserve and is backed by top VCs. They are one of the fastest-growing vertical SaaS companies.
Responsible for insurance follow-up and collections, including phone calls and accessing payer websites.
Identify root cause issues for denials and coordinate with clinic and management for process improvements.
Resolve complex inventory, including payment research, and accurately document collection activity.
Anne Arundel Dermatology provides comprehensive medical, surgical, and esthetic skin care services. With over 250 clinicians and 110 locations across 7 states, they are experiencing growth and looking for talented individuals to join their team.
Investigate and resolve insurance claim denials with speed and accuracy.
Partner with payers to resolve issues and secure timely reimbursement.
Provide top-tier phone support to patients, insurance companies, and internal teams.
IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions. We’re transforming the way care is delivered with a focus on patient comfort and convenience and believe the best patient experience starts with a great employee experience.
Develop collaborative relationships with insurance companies/payors to verify benefits and eligibility.
Enter and update patient demographics, guarantor, and insurance information in company systems.
Respond to inquiries from insurance companies and internal team members.
Equip is a virtual, evidence-based eating disorder treatment program ensuring everyone can access treatment. Founded in 2019, Equip has been fully virtual since its inception and is proud of their highly engaged team, with recognition from Time, Linkedin, and Lattice.
Resolve aged claims and appeals via payer portals & outbound phone calls.
Prioritize assigned work queue to ensure timely work is balanced with working the most payable claims.
Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.
CareDx, Inc. is focused on providing healthcare solutions for transplant patients and caregivers. They are the leading provider of genomics-based information for transplant patients.
Responsible for daily billing functions and claim edits.
Reviews insurance claims for accuracy and identifies non-payment issues.
Contacts parties for claim information and works first-level appeals.
Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Their mission is to live God’s love by promoting and restoring health.
Responding to high volume inquiries via email/phone
Assist with triaging case volumes
Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Responsible for insurance follow-up and resolving denials.
Assists with resolving unpaid self-pay accounts.
Completes reports and assists with special projects.
Vail Health is the world’s most advanced mountain healthcare system. It consists of a 520,000-square-foot, 56-bed hospital that provides exceptional care to patients with the most beautiful views in the area in Vail.
Resolve claims rejections and denials in work queues as assigned.
Resolve outstanding claims based on an accounts receivable report.
Submit appeals to payors for non-payment of claims as needed.
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in multiple states. They offer a variety of programs designed to ensure patients receive the highest quality of care by a team they know and trust.
Review claim files to determine potential coverage and develop collection strategies with insurance partners, customers, and other parties.
Effectively negotiate with responsible parties and interpret the facts of loss in conjunction with debtor feedback in order to establish settlement strategy.
Initiate appropriate verbal and written communication for the ultimate recovery and make appropriate internal and external contacts to obtain necessary information.
Enterprise Mobility is building a team to be the world's best and most trusted mobility company. They operate a global network with 80,000 dedicated team members across nearly 100 countries, and more than 2.1 million vehicles taking our customers where they want to go.
Act as a billing liaison between clients and company, resolving queries via phone and email.
Follow up on returned claims and keep clients informed of billing and payment statuses.
Collaborate with internal billing teams and customer success to resolve client cases and troubleshoot issues.
Smartway Energy Ltd provides client support. This is a full-time position and they value collaboration and client-focused individuals who are passionate about assisting clients.
Manage end-to-end case activities throughout the insurance verification and authorization process.
Serve as the single point of contact between the internal/external team, client, provider, payor, facility, and patient.
Provide support across multiple client programs, ensuring effective oversight, operational excellence, and consistent delivery of quality service.
PRO-spectus has created a culture that is supportive, dedicated, and teamwork driven. They celebrate each other’s joys in personal life and professional accomplishments, promoting meaningful relationships and friendships, with humility and compassion at our core.
Submit and manage prior authorization requests for surgical procedures
Review patient charts and ensure medical necessity documentation meets payer requirements
Communicate directly with payers, clinical staff, and other departments to resolve issues
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 60 clinics across 7 states and growing, they're building the future of vein care with compassionate, results-driven care in a modern, patient-first environment.
Guide healthcare providers through the reimbursement process, including prior authorizations and appeals.
Work with insurance companies and third-party administrators to address coverage issues.
Provide education regarding insurance benefits and financial assistance programs.
Amplity is a full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. Amplity transforms how breakthrough treatments reach the people who need them with expert-led teams delivering contract medical, commercial + communications excellence for 40+ years.