Resolve unpaid, denied, or short-paid claims using company billing systems.
Review EOBs and payer correspondence; follow up via portal, phone, email, or fax.
Manage complex denials, appeals, and account resolution with clear documentation.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products. With 160 years of clinical excellence, it operates the largest O&P patient care clinic network nationwide, helping people achieve new levels of mobility.
Review and prioritize follow-up activities requiring claim edits or general payer follow-up.
Research claim denial issues and resolve them in a timely manner to release claims to payers.
Contact insurance companies to understand delays in processing claims or sending payments and identify next steps to resolve them.
BetterHelp is on a mission to remove traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, BetterHelp is now the world's largest online therapy service with a network of over 30,000 licensed therapists, helping millions of people.
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.
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.
Review appeals of adverse benefit determinations within federal and state regulatory timeframes.
Apply medical policy, coding guidelines, and contractual requirements to assess coverage decisions.
Collaborate with medical divisions and respond to state insurance department inquiries regarding benefit complaints.
Arkansas Blue Cross and Blue Shield is a health insurance provider serving Arkansas. It is consistently ranked as one of the best places to work in Central Arkansas, with an inclusive culture and an average employee tenure of 10 years.
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.
Support the execution of local network strategy and provider outreach to drive membership growth.
Meet defined metrics and SLAs including provider outreach and contract completion.
Support contract negotiations and document provider feedback to improve processes.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving members. The company started in 2012 to create a health insurance experience that behaves like a doctor in the family.
Analyze collections and resolve non-payables for complex billing issues.
Follow up on insurance payer claims to ensure appropriate reimbursement.
Write appeals using established guidelines and communicate with insurance companies.
Ventra is a business solutions provider for facility-based physicians, specializing in Revenue Cycle Management. The company fosters a collaborative and fast-paced environment.
Accurately post insurance and patient payments, adjustments, and other financial transactions to appropriate accounts.
Reconcile daily payment batches and deposits, researching and resolving discrepancies.
Monitor work queues and aging reports while ensuring HIPAA compliance and supporting audits.
Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontic, and oral surgery practices across the country. They focus on empowering care teams with technology, resources, and support while fostering a collaborative, people-first culture.
Own relationships with commercial and government health plans, serving as primary escalation contact.
Support contract negotiations and renewals with financial analysis, tracking deadlines and rate changes.
Partner with revenue cycle to resolve denials and underpayments, and report payer performance to leadership.
Adaptive Home Health is fixing US healthcare with an AI-native physical care platform, starting with home health. It pairs one of the best AI teams in the world with healthcare veterans, valuing innovation and problem-solving in a fast-growing environment.
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.
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.
Manage end-to-end credentialing and payer enrollment for behavioral health providers and facilities.
Serve as subject matter expert on credentialing requirements, ensuring timely and compliant files.
Coordinate with HR, Talent Acquisition, and leadership to facilitate provider onboarding and resolve issues.
We are a leading provider of immediate-access behavioral health crisis care. We are physician-led and data-driven, with over 15 years of crisis care expertise, recognized as a national best practice.
Contact insurance companies to collect outstanding accounts receivable and follow up on appeals.
Process and refile claims, audit adjustments, and resolve manual tasks assigned for follow-up.
Maintain an accuracy rating of 97% or greater and identify trends to leadership.
US Anesthesia Partners is a healthcare organization that provides anesthesia services and manages related billing and accounts receivable. The company emphasizes professionalism, accuracy, and teamwork in a remote work environment.
Handle inbound calls, chats, emails, and faxes from healthcare providers, resolving questions on authorizations, claims, and provider services.
Document each interaction, research issues, and ensure accurate, timely follow-up with providers.
Guide providers through processes like checking authorization status, submitting claims, and navigating the provider portal.
Curana Health is a national leader in value-based care, offering senior living and skilled nursing facilities solutions such as on-site primary care, ACOs, and Medicare Advantage plans. Founded in 2021, it serves 200,000+ seniors in 1,500+ communities across 32 states with 1,000+ clinicians.
Perform claim scrubs, input data into insurance portals, and conduct insurance verifications.
Investigate claim denials, follow up with insurance companies, and manage accounts receivable.
Run monthly reports and communicate efficiently with team members to support client partners.
Hanger, Inc. provides orthotic and prosthetic services and products, operating the largest network of O&P patient care clinics nationwide. With 160 years of clinical innovation, its employees help thousands of people achieve mobility and freedom every day.
Prepare and resubmit corrected claims to insurance companies following specific payer guidelines.
Analyze first pass rejected claims to ensure clean resubmissions and minimize reimbursement delays.
Evaluate customer accounts and recommend adjustments or write-offs based on collectability.
Prompt RCM builds software for outpatient rehab organizations to improve patient care and reduce environmental waste. The company fosters a talented and healthy work culture with a focus on smart work and positive impact.
Manage multiple channel interactions professionally and efficiently.
Address provider inquiries with accuracy and focus on first call resolution.
Maintain positive relationships and exceed quality and productivity goals.
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association focused on improving the health and well-being of its members and communities. It has been consistently voted one of the Best Places to Work in PA and fosters a flexible, supportive culture with emphasis on professional growth and community involvement.
Counsel patients on healthcare payment responsibilities, insurance benefits, and financial assistance options.
Contact insurers, resolve registration, billing, authorization, and claims issues to advocate for patients.
Maintain accurate documentation and provide compassionate, clear communication on sensitive financial matters.
A healthcare organization helping patients navigate medical costs, insurance benefits, and financial assistance. It operates as a large, patient-centered environment focused on caregiver well-being and professional development.
Prepare and manage provider credentialing and payer enrollment applications for commercial, Medicare, Medicaid, and other health plans.
Maintain accurate provider files including CAQH profiles, NPI information, state licenses, and other required documentation.
Monitor credentialing statuses through payer portals and communicate updates to leadership and providers.
Modena Health is a physician-led, hospitality-focused medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. The company values collaboration, positivity, and growth, aiming to hire great people and help them find meaning in its mission.