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.
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.
Perform monthly billing operations including claims reconciliation and revenue review.
Contribute to the revenue cycle process, including claims submission and payment posting.
Collaborate with Sales, Product, Data, and Client Success teams on issue resolution.
Vida Health is a virtual, personalized obesity care provider. Vida's team of Obesity Medicine-Certified Physicians helps people lose weight, reduce stress and improve their overall health, and is trusted by Fortune 100 companies.
Responsible for the accurate and timely resolution of patient accounts.
Work assigned accounts through the collections system, analyzing them for appropriate action.
Follow all third-party payer guidelines and procedures for collection; keep current on policy changes.
UChicago Medicine has been at the forefront of medicine since 1899. They provide superior healthcare, mindful that each patient is an individual, advancing medical innovation, serving the health needs of the community, and moving collective knowledge forward.
Analyzes new and revised hospital contracts, determines necessary actions, documents requirements, and establishes customer accounts.
Effectively communicates with external and internal customers throughout the contract process to ensure timely information reception.
Identifies opportunities and initiates process improvements, including written documentation in a process manual.
Pediatrix Medical Group is a physician-led organization and one of the nation’s largest providers of prenatal, neonatal, and pediatric services. They are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere.
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 dedicated to providing high-quality anesthesia services. They offer equal employment opportunities to all employees and applicants.
Process high-volume vendor invoices accurately and efficiently which includes, downloading and coding into accounting system
Conduct collection follow-up on low risk and routine customer accounts and perform courtesy reminder calls and email follow-ups on overdue balances
Prepare month-end analysis for high impact P&L line items, researching the vendor invoices and identify cost movements
Teleflora reunites the tradition of sending flowers with the benefits of today's florist networks. Teleflora is part of The Wonderful Company, a fast-growing privately held $6 billion company with 10,000 employees that focuses on improving the social determinants of a healthy society.
Supporting collections efforts to optimize cash flow.
Carrot is a global fertility and family care platform that supports members and their families through life's moments. They are trusted by multinational employers, health plans, and health systems, offering localized support in over 170 countries and 25 languages.
Effectively collect past due AR using a variety of collection methods, techniques, and legal claims.
Focus on root causes of non-payment while bringing past due accounts to a current status.
Regularly review AR and set priorities for effective collection.
J.S. Held is a global consulting firm that combines technical, scientific, financial, and strategic expertise to advise clients seeking to realize value and mitigate risk. The firm provides a comprehensive suite of services, products, and data that enables clients to navigate complex, contentious, and often catastrophic situations.
Responds to telephone inquiries promptly, professionally, and efficiently to provide resolution.
Analyzes provider questions to determine best use of resources to resolve the situation.
Empower AI provides federal agency leaders with tools to elevate their workforce's potential for transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.
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.
Manage the customer invoicing process, ensuring timely and accurate invoicing while identifying opportunities to improve workflow efficiency.
Ascend Healthcare is committed to providing fully integrated, quality psychiatric and behavioral health services. They work with external partners to provide services to patients across the country through integrated psychiatric medication management, substance use disorder treatment, counseling services, peer support and care coordination for seamless patient care.
Be the primary point of contact for customers and internal stakeholders to resolve billing operations case issues and escalations.
Proactively manage case counts to ensure resolution is achieved in a timely manner.
Identify and suggest process improvements to enhance efficiency, optimize workflows, and maximize resources.
Flock Safety is the leading safety technology platform, helping communities thrive by taking a proactive approach to crime prevention and security. With nearly $700M in venture funding and a $7.5B valuation, they’re scaling intentionally and seeking top talent to help build the impossible.
Actively contribute to work projects in areas like regulatory research and cost report preparation.
Conduct customer engagements, within the designated time period.
Identify, analyze and resolve data challenges that impact operations or financial processes.
Kodiak Solutions transforms the healthcare industry through technology-driven solutions. They specialize in healthcare finance, unclaimed property, risk management, and revenue cycle management, helping healthcare organizations streamline complex financial operations.
Perform daily reconciliations of financial statements.
Identify and resolve discrepancies in financial data.
Prepare accurate documentation of reconciliation activities.
LiveSAFE Solutions specializes in safe execution of power and delivery work across utility infrastructure. They build safer, more efficient job sites using modern management systems, on-site expertise, and effective training.
Oversee day-to-day accounting activities and monitor the company's general ledger to ensure accurate and timely month-end close.
Lead the ASC 606 revenue determinations and accounting treatments, collaborating across teams to review revenue recognition policies.
Assist with the development, review, and updating of accounting policies, procedures, checklists, and related documentation.
Care Access is dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow. They focus on bringing world-class research and health services directly to communities. Care Access maintains an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to their mission.
The Medical Receptionist is the first point of service for our patients.
Responsible for greeting, registering and scheduling patient appointments.
Responsible for verifying insurance eligibility and benefits.
Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider. They offer inpatient and outpatient services. They extend a strong sense of family, security, and belonging.
Audits client data and generates high quality recoverable claims for the benefit of Cotiviti and our clients.
Conduct advanced, strategic analysis of paid claims, uncovering critical audit insights that drive process improvements and enhance organizational knowledge.
Make determinations based on prior knowledge and experience of client contract terms with the likelihood of recovery acceptance.
Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. They are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth.