Verify patient eligibility and analyze Medicaid claim payments to ensure proper reimbursement.
Review UB-04 billing components and prepare initial Medicaid bill packets with supporting documentation.
Conduct timely follow-up with payers, manage authorizations, and appeal denials as needed.
EnableComp provides specialty revenue cycle management solutions for healthcare organizations, using intelligent automation to improve financial sustainability for hospitals and health systems. Recognized as a Top Workplaces recipient and among the Inc. 5000 fastest-growing private companies for eleven years, the company fosters a family-oriented culture focused on employee growth.
Enroll practitioners in health plans accurately and timely, monitoring progress and ensuring completion.
Validate and maintain provider enrollment forms, applications, and tracking systems.
Communicate with internal teams to meet enrollment goals and target start dates.
Pediatrix Medical Group is one of the nation's largest providers of prenatal, neonatal and pediatric services. With a focus on team approach, the company is home to a diverse group of business professionals dedicated to improving patient lives.
Act as liaison between client contacts and the VA, handling patient health information with extreme privacy.
Analyze VA claim payments using proprietary software to ensure compliance with state fee schedules.
Research, request, and submit medical records with claims to the VA or TriWest for correct reimbursement.
EnableComp provides specialty revenue cycle management solutions for healthcare organizations, leveraging over 24 years of expertise and an intelligent automation platform. The company has been a multi-year recipient of the Top Workplaces award and is among the top one percent of companies on the Inc. 5000 list for eleven years.
Prepare and submit provider enrollment applications and gather supporting documentation.
Track application status, follow up with payers, and resolve enrollment discrepancies.
Maintain accurate provider records in internal systems and coordinate with billing and credentialing teams.
We are a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. Our team is fully remote and we value collaboration and attention to detail.
Review and evaluate denied claims using proprietary software to determine correct reimbursement.
Research and acquire medical records and supporting documentation for submission to payers.
Conduct telephone follow-up with payers to ensure prompt reimbursement.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using an intelligent automation platform. The company has over 24 years of industry expertise, is a multi-year Top Workplaces award recipient, and has been on the Inc. 5000 list for eleven years.
Manage billing and receivables for home safety assessments and modifications.
Submit invoices to payers, track payments, and manage denials and disputes.
Ensure documentation compliance with payer policies and accurate billing codes.
Rosarium Health provides home safety assessments and home modifications performed by physical or occupational therapists. The company is a small, collaborative team focused on compliance and detail-oriented billing.
Manage end-to-end credentialing and payer enrollment activities with minimal supervision.
Ensure provider readiness, accurate records, and compliant documentation across multiple systems.
Serve as a knowledgeable resource for less experienced team members and support cross-functional processes.
Our partner is a healthcare organization focused on credentialing and provider network management. They offer a mission-driven, inclusive environment with a focus on collaboration and continuous learning.
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.
Serve as the primary financial contact for caregivers during onboarding, explaining insurance benefits and estimated costs.
Collaborate with care coordination and clinical teams to ensure a seamless onboarding experience.
Maintain accurate documentation of all caregiver interactions while upholding HIPAA and privacy standards.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has a collaborative culture focused on delivering transformative care through technology.
Perform follow-up status requests through telephone, internet, and fax requests.
Process incoming and outgoing mail, scanning, and document consolidation and indexing.
Maintain a working knowledge of internal policies and client systems and credentials.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.
Manage provider credentialing, licensing, and payer enrollment activities from application through completion.
Research and resolve non-routine credentialing and provider data discrepancies, ensuring compliance.
Maintain accurate provider records, monitor deadlines, and communicate with stakeholders to prevent delays.
The company is a partner organization that manages hiring for healthcare credentialing roles. They operate remotely and foster a collaborative, deadline-driven culture focused on compliance and operational excellence.
Act as main contact for communicating and collaborating with assigned accounts.
Review and verify FMLA and Disability forms for validity and compliance with HIPAA.
Provide world-class customer service while handling high call volumes and maintaining patient privacy.
MRO Clinics manages the release of protected health information for multiple healthcare facilities. They are a remote-first company focused on compliance and customer service.
Maintain payer setup and readiness including fee schedules, EFT/ERA configuration, and portal access.
Interpret payer contracts and manuals to support clean claim submission and compliance.
Collaborate cross-functionally on special projects to improve payer compliance and documentation systems.
Expressable is a virtual speech therapy practice that transforms care delivery and expands access to high-quality services. The company is fast-growing and fully remote, serving thousands of clients since 2019 with a culture that values people and collaboration.
Work one-on-one with MassHealth members to complete applications and renewals, gather documents, and resolve eligibility issues.
Own patient cases from start to finish, supporting renewal campaigns and helping patients understand notices.
Spot patterns in patient issues and bring insights to the product team to improve our technology.
BridgeHealthAI builds technology for the healthcare safety net, working with community health centers to help patients maintain health coverage. We are a small, fast-moving team founded out of Harvard and MIT, backed by Pear VC and Flare Capital, focused on healthcare, AI, and health equity.
Manage provider credentialing, recredentialing, and enrollment processes including application review and verification.
Maintain credentialing files, databases, and tracking systems for license renewals, certifications, and DEA registrations.
Apply for provider participation with insurance networks, Medicare, Medicaid, and other payer panels, monitoring application status.
Wellpath provides healthcare to underserved and vulnerable populations, including those in correctional facilities. With a large team and a people-first culture, they emphasize compassion, collaboration, and innovation in their mission to heal the world.
Manage patient billing episodes, prior authorizations, and claim submissions.
Review and resolve claims issues, appeals, and eligibility with payors.
Ensure timely follow-up on outstanding accounts and document activities.
Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) nationwide, serving more than 74,000 patients daily. As the leading provider of medication-assisted treatment in the nation, our team is at the forefront of the battle against the opioid epidemic.
Responsible for daily billing functions including claim edits, insurance review, and follow-up on unpaid claims.
Must display knowledge retention through scheduled competency assessments and work independently or collaboratively.
Requires high school diploma or equivalent, with Microsoft Office experience; preferred patient billing and Epic experience.
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, with a commitment to safety and integrated healthcare.
Manage end-to-end credentialing and recredentialing processes for healthcare providers.
Coordinate payer enrollment applications and ensure timely processing across commercial and government payers.
Maintain accurate credentialing files in compliance with regulatory standards and support cross-functional teams.
Knownwell is a weight-inclusive healthcare provider offering obesity care, primary care, nutrition counseling, and health coaching. Backed by $50M in funding from investors like CVS Health Ventures and a16z, they are scaling fast to expand access to evidence-based obesity care nationwide.
Contacting employers, insurers, and other entities via outbound calls, email, or fax to verify information for Motor Vehicle Accident claims.
Managing inbound and outbound calls, assisting in obtaining claim documentation, and filing insurance claims.
Performing accurate data entry, handling confidential documentation, and adhering to HIPAA guidelines.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise. The company is a multi-year recipient of the Top Workplaces award and has been recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024.
Resolve disputed medical claims and investigate billing discrepancies.
Work with medical staff, payers, and external agencies to resolve claim issues.
Maintain accurate billing records and ensure compliance with Medicare, Medicaid, and third-party payer requirements.
The company is a healthcare organization seeking a Biller to handle medical billing and claims resolution. The culture emphasizes accuracy, professionalism, and organization in a remote setting.