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.
Respond to patient inquiries through chat, email, and internal messaging with clarity, warmth, and professionalism.
Break down complex topics (billing, CPT codes, coverage, device returns) into simple, patient-friendly explanations.
Document all interactions clearly and accurately, ensuring consistent follow-up until issues are fully resolved.
Salvo Health takes a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions. Backed by leading health care investors, Salvo's team includes board-certified physicians, dietitians, nurses, and therapists who provide evidence-based, continuous care.
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.
Greet patients professionally in person and over the telephone, setting a positive tone for their visit.
Obtain and verify all required patient and insurance information, entering it accurately into the registration system.
Schedule patient appointments, including return visits, referrals, and diagnostic procedures.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals serving over half a million residents across 29 counties. They emphasize a culture of excellence, teamwork, positivity, and creativity, with a focus on exceptional patient experiences.
Generate, review, and transmit claims for hospital-based services to third-party payors.
Collaborate across Revenue Cycle departments to resolve billing edits and other up-front issues efficiently.
Report to the Manager of Hospital Billing and support daily billing operations.
Piedmont Healthcare is a healthcare organization providing hospital-based services in Georgia. The company operates a corporate revenue cycle team focused on billing and claims management.
Coordinate day-to-day business office functions, including patient billing, credit and collections, and claims processing.
Follow up on third-party approvals, outstanding claims, overdue accounts, and billing issues.
Support business office personnel while maintaining efficient workflows and quality standards.
They support healthcare providers by managing critical business office and revenue cycle activities. The team focuses on accuracy, flexibility, and collaboration to ensure smooth billing and collections processes.
Serve as the first point of contact for patients, scheduling appointments and coordinating referrals.
Verify insurance and demographic information, ensuring accuracy and compliance.
Document interactions in electronic medical records and escalate complex issues appropriately.
This role is posted on behalf of a partner company, and managed through Jobgether's AI-powered matching process. The company is a healthcare support provider that values compassion and efficiency in patient access services.
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.
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.
Manage patient accounts, post payments, and resolve outstanding balances accurately.
Handle high-volume inbound and outbound calls to address patient financial concerns and insurance questions.
Maintain confidentiality, update records, and explain financial responsibilities clearly to patients.
This company provides ophthalmology services in a growing healthcare environment. It emphasizes teamwork, professional development, and a supportive remote culture while delivering patient-centered care.
Handle phone, chat, and email inquiries from insurance agents, processing policy servicing and billing requests.
Create new and renewal insurance invoices, maintain documentation, and issue cancellation notices per state rules.
Resolve discrepancies, cross-train with teams, and contribute to process improvements in a remote setting.
The hiring company is an insurance services organization that provides sales operations and policy support to insurance agents. The culture emphasizes collaboration, accuracy, and service excellence in a remote environment.
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.
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.
Serve as the first point of contact, greeting patients and handling inbound calls.
Verify insurance, update demographics, and register patients in EMR (EPIC).
Document patient concerns, triage messages, and escalate emergent issues promptly.
U.S. Urology Partners provides urology and specialty services, including surgery and cancer treatment. It has over 50 offices across the East Coast and Midwest, with values of compassion, collaboration, respect, and accountability.
Provide financial counseling to patients on payment options, Medicaid eligibility, assistance programs, and self-pay responsibilities.
Analyze patient accounts and develop action plans to resolve outstanding financial obligations with empathy and professionalism.
Support patient inquiries through a financial services call center and collaborate effectively with a remote team.
This company provides patient financial counseling and support services for healthcare organizations. It fosters a patient-centered culture with a focus on empathy, collaboration, and professional development, offering a fully remote work environment.
Resolve patient and insurance issues by taking phone calls, answering voicemails, and working with walk-in patients.
Verify account balances, process payments and refunds, and fully document account activity in the patient accounting system.
Collaborate with team members for account resolution and handle 95% of calls in the Customer Service Call Center queue.
Vail Health is a mountain healthcare system in Vail, Colorado, with a state-of-the-art 56-bed hospital. It focuses on exceptional patient care and offers a supportive culture with comprehensive benefits.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.
Manage referral and clinical documentation workflows to ensure patient records are complete and available for coordinated care.
Obtain and review clinical documentation from network providers, resolve missing records, and maintain accurate recordkeeping.
Collaborate with clinicians, Military Treatment Facilities, and internal teams to support efficient referral and documentation processes.
International SOS Government Medical Services supports healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, the company operates in more than 90 countries and delivers healthcare, medical assistance, emergency response, and workforce support services worldwide.
Conduct outbound calls to members to schedule Annual Wellness Visits, preventive screenings, and primary care consultations.
Educate members about available healthcare benefits and the importance of completing recommended visits.
Coordinate with provider offices and internal teams to secure appointment availability and maintain accurate documentation.
This company provides population health and care coordination programs, helping members access preventive and primary care services. The team operates as a remote, performance-driven call-center environment focused on member outreach and appointment scheduling.
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.