Conduct regular one-on-ones, performance reviews, and development planning.
Act as the primary escalation point for member issues and complex fertility-related financial and billing issues.
Use your continuous improvement mindset to define and iterate on processes, making positive enhancements to drive efficiency, value, and accountability toward KPIs.
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for everyone. The company has over 2,000 employers and health plans trusting their platform, and they've won multiple awards for their culture and innovation.
Responsible for collections and appeals from various Federal, State, & Third Party (HMO, PPO, IPA, TPA Indemnity) payers.
Optimize payment reimbursements by reviewing accounts for billing accuracy and health plan coverage.
Process an appeal, resubmit/rebill, or forward claims for adjudication as necessary.
BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Forbes recently named them one of America's Best Startup Employers for 2025, and they were awarded Great Place to Work certification in 2024.
Responsible for working insurance A/R and assisting patients with billing or insurance related issues.
Resolves denied claims, handles claims appeals, posts payments, and processes insurance and patient refunds.
Communicates with patients and clinicians regarding billing matters and reviews patient eligibility and benefits.
Blackbird Health is a clinician-founded and operated organization that provides virtual and in-person mental health services for children and young adults in Pennsylvania, Virginia, and New Jersey. They aim to change mental health care for children for the better and foster an inclusive and collaborative work environment.
Responsible for submitting medical billing claims and appealing denied claims.
Obtain referrals and verify healthcare service eligibility.
Follow up on missed payments and resolve financial discrepancies.
CRMS by DocGo leads the proactive healthcare revolution with an innovative care delivery platform. They disrupt the traditional healthcare system by providing high quality, affordable care with a team of over 5,000 certified health professionals.
Responsible for daily accounts receivable collections and billing. Assist with increasing collections, reducing accounts receivable days, and reducing bad debt. Partners with the field to ensure appropriate and timely revenue and collections.
Address the needs of patients with a focus on customer support, coordination of logistics, and problem solving.
Schedule and coordinate the flow of work within or between departments to expedite project efficiencies and resolution to escalations.
Address and resolve assigned inquiries with a sense of urgency; Ensure timely closure of escalation cases using email, phone, or salesforce.com
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.
Conduct timely and accurate eligibility checks and benefit investigations through payer portals and phone outreach to ensure claims are submitted correctly from the start
Enter and monitor DME claims across multiple platforms, troubleshoot billing issues, and proactively follow up to reduce denials and accelerate reimbursement
Analyze explanation of benefits (EOBs) for errors, missing payments, or misapplied patient responsibility, then determine and execute the correct resolution path
Babylist is the leading registry, e-commerce, and content platform for growing families helping parents feel confident, connected, and cared for at every step. It has over $1 billion in annual GMV, and more than $500 million in 2024 revenue and is reshaping the $320 billion baby product industry.
Analyzing invoices and monitoring customer accounts.
Fixing payment discrepancies and reconciling accounts.
Keeping extremely detailed financial records.
ButterflyMX empowers people to open and manage doors & gates from a smartphone, with products installed in over 20,000 properties worldwide. As a distributed, primarily remote workforce, they seek intelligent, passionate, and collaborative individuals driven by excellence and innovation.
Prepare, review, and submit clean medical claims to commercial payers.
Manage denial resolution: research root cause, correct and resubmit, or prepare appeals.
Conduct proactive follow-up on outstanding A/R and aging claims.
Tava Health aims to make mental healthcare accessible and stigma-free. They are a fast-growing team using technology to provide accessible, high-quality mental health care.
Meet with billing teams to train them on billing best practices and assist in their transition over to Prompt.
Assist in teaching submission, posting, invoicing, AR, etc best practices on Prompt.
Understand unique team needs to help configure and develop workflows with their new EMR/PM system
Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. As the fastest growing company in the therapy EMR space and the new standard in healthcare technology, they are looking for someone scrappy, willing to bring new ideas, take on big challenges, and is into doubling down on what works.
The Insurance Reimbursement Specialist maximizes reimbursement by collecting outstanding balances from insurance companies. The Specialist follows up on unresolved claims and escalates claims for reconsiderations. The Specialist works with CareDx Payer Dispute Resolution/Market Access teams ensuring proper reimbursement from payers.
CareDx, Inc. is focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients.
Resolves delinquent payment issues of complex accounts.
Investigates patient account information, medical records and bills, billing and reimbursement regulations.
Analyzes each account to optimize reimbursement and remove barriers to processing claims.
Legacy Health is dedicated to good health for its people, patients, communities, and the world, emphasizing doing the right thing. They foster an inclusive environment where everyone can grow and succeed, committed to equal opportunity.
Discuss insurance coverage with patients and explain financial obligations. Identify and enroll eligible patients in financial aid programs. Coordinate payment arrangements pre- and post-treatment and accurately document communications.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis.
Appeal denied claims through Redetermination, Reconsideration, or Administrative Law Judge processes, following laws.
Proactively investigate patient charts by reading documents and conduct computer-based research.
Solventum is a new healthcare company with a history of tackling major challenges to improve lives and support healthcare professionals. They focus on innovative solutions at the intersection of health, material, and data science and are guided by empathy and clinical intelligence.
Own and manage the member-facing phone line, delivering compassionate, timely, and solutions-oriented support.
Manage expedient and accurate Verifications of Benefits (VOBs) to ensure members can access care without delay.
Collaborate and strategize cross-functionally with our member growth team to streamline onboarding and ensure a seamless member experience.
Amae Health provides outpatient psychiatric and primary care health services through value-based care arrangements. They are a Series B venture-backed Public Benefit Corporation dedicated to becoming the nation's center of excellence for individuals living with severe mental illness.
Perform accurate data entry of accounts payable invoices
Review invoices for completeness, accuracy, and proper approvals
Maintain and update vendor records, including W-9 documentation
Ennoble Care provides mobile primary care, palliative care, and hospice services with clinicians going to the patient's home. They offer continuum of care for those with chronic conditions and limited mobility; they value employees who want to make a difference.
Assists with medical record documentation requests and leverages medical management system to initiate case and/or authorization to support clinical processes.
Conducts fax and telephonic outreach; and written communications to members and/or providers to communicate status of UM/CM processes.
Actively participates in supporting department compliance and performance through administrative activities such as report monitoring/distribution, and other tasks as assigned by leadership.
Capital Blue Cross promises to go the extra mile for their team and community. Employees consistently vote it one of the “Best Places to Work in PA”.
Prepares Refund Request Forms and supporting documentation regarding overpayment calculations.
Performs follow-up on checks that have not cleared the bank, and research’s checks that are returned for insufficient address.
US Anesthesia Partners validates and tracks credits due to insurance companies, patients and other payers. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska and provides equal employment opportunities to all employees and applicants for employment.
Support clinical staff by gathering data to complete the medical necessity review process.
Create and send letters to providers and/or members to communicate information.
Collaborate with care management teams and stakeholders to provide optimal service.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, and they’ve built their reputation on over 80 years’ worth of trust. They are motivated by the well-being of their members, putting them first and committing to sustainability and innovation.