Own end-to-end revenue cycle operations across Medicaid (in-network and out-of-network) within behavioral health programs.
Lead and manage performance of third-party billing vendors and/or internal billing staff, driving improvements in A/R days, denial rates, collections, and first-pass claim acceptance.
Ensure accurate charge capture, documentation alignment, and coding integrity in collaboration with clinical and administrative teams.
Own end-to-end billing operations across the full claims lifecycle.
Lead and manage a team of 4+ offshore support staff setting priorities, assigning workstreams, and reviewing output.
Manage a high volume of billing questions and escalations from vendors and internal teams.
Prosper Health aims to improve the lives of autistic and neurodivergent adults by delivering specialized mental health services covered by insurance. The company is experiencing rapid growth with a team of over 400 clinicians and a focus on high-ownership and mission-driven culture.
Own the full AR cycle: payment posting, cash reconciliation, aging management, and payer follow-up across district, health plan, and member inquiries.
Investigate and resolve complex claim denials and rejections, submit corrected claims and appeals, and drive systemic fixes to improve clean claim rates.
Serve as internal subject matter expert on payer requirements, billing regulations, and compliance standards, fielding escalations from clinical and operations teams.
Cartwheel is building a new kind of mental health program for kids that puts schools at the center. Backed by top investors, it has grown to serve more than fifty school districts across six states and is driven by a mission to help millions of students experience joy.
Manage a high volume of patient-facing and internal billing questions.
Work claims end-to-end via our clearinghouse, partnering with stakeholders.
Support efforts to streamline existing RCM processes and ad-hoc RCM projects.
Nourish is on a mission to improve people’s health by making it easy to eat well. They are building an AI-native, patient-friendly healthcare system centered on nutrition. They have 100s of 1000s of patients and 1000s of dietitians on their platform and have raised $115M from top-tier VCs.
Onboard teams to train their entire RCM staff on billing best practices.
Provide reporting training, particularly in the areas of accrual accounting and AR.
Establish and nurture relationships with client stakeholders and billing personnel.
Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, teams, and patients. As the fastest growing company in the therapy EMR space, they are looking to bring on a Senior Billing Success Manager.
Ensures optimum reimbursement and improves day-to-day operations of the revenue cycle.
Processes and follows up on payer issues with various entities for completion.
Researches and resolves straightforward account activity and maintains accuracy of the revenue cycle system.
Athletico empowers people, inspires hope and transforms lives through exceptional, progressive fitness, performance and rehabilitative services. They are a people-focused company with a strong culture built on core values like one team, recognition, and trust and integrity.
Assist team on a smooth end-to-end billing process
Investigate, document, and follow up on denials and underpayments
Complete recurring work queues on a monthly basis
Omada Health is reverse engineering healthcare delivery, focusing on the space between doctor visits. They offer virtual-first models with human-led care teams, connected devices, and AI to support chronic conditions and have served over two million members across 2,000+ organizations.
Conducting collection activity on appealed claims by contacting government agencies and third party payers.
Requesting additional information from Patients, Medical Records, and others as needed.
Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
Sutherland helps strengthen brands by improving customer experiences. They're a global company with nearly 40,000 employees across over 100 countries, focusing on customer care and delivering extraordinary service.
Provide cross-functional support across the entire revenue cycle, including authorizations, VOB, credentialing, claims posting, and AR.
Adapt to shifting priorities and cover various RCM functions as business needs evolve.
Leverage strong payer follow-up and problem-solving skills to ensure timely reimbursement and compliance with multi-state regulations.
Sunrise ABA is a growing healthcare organization specializing in Applied Behavior Analysis (ABA) therapy. The company values adaptability and attention to detail in a fast-paced remote environment.
Serve as the primary financial and billing contact for caregivers during the onboarding process into behavioral health services.
Explain insurance benefits, coverage details, and estimated out-of-pocket costs in a clear and compassionate manner.
Respond to initial billing, insurance, and payment-related questions, escalating complex inquiries to appropriate insurance providers or internal teams.
Jobgether helps partner companies find candidates for their open positions. They use an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.
Provides clinical oversight and medical necessity reviews for home health, DME, and related services using evidence-based guidelines.
Conducts peer to peer consultations and adverse determinations when clinical criteria are not met to support quality outcomes.
Collaborates with health plan leadership, participates in committees, and achieves SLA metrics for client performance guarantees.
CareCentrix provides clinical oversight and utilization management for home health, DME, home infusion therapy, and sleep medicine services. The company has an award-winning culture that values care, integrity, excellence, and innovation, operating with a drug-free workplace and equal opportunity commitment.
Review patient documentation for accuracy and qualification.
Create claim and/or invoice by confirming sales order.
Monitor Patient billing module and update information as needed.
Cala Health is dedicated to freeing people from the burden of chronic disease by creating non-invasive prescription therapies. They currently have thousands of employees and strive to empower people to get back to their lives with confidence and ease.
Build on and formalize existing VOB processes, including SOPs, training materials, QA workflows, and escalation paths for complex benefit scenarios.
Jump into claims work when the team needs coverage including payer follow-up, and root-cause analysis.
Work directly with the Product team to embed RCM logic across the full patient funnel.
Happy Health is a one-stop comprehensive sleep medicine platform. In just 5 days, patients can get an FDA-cleared sleep test, see a Sleep Medicine provider, and begin personalized care – all from the comfort of their own home.