Manage end-to-end billing relationships for supplemental products, including new business, renewals, and audits.
Collaborate with clients and partners to resolve billing issues and improve processes.
Drive collection of outstanding premiums and ensure accurate financial controls.
The Cigna Group is dedicated to improving the health and vitality of those they serve through their divisions Cigna Healthcare and Evernorth Health Services. As a large global company, they offer a comprehensive benefits package starting on day one and emphasize a culture of support and whole health.
Review and process audit worksheets to ensure compliance with business rules and regulatory guidelines.
Proactively communicate audit results to insureds and agents via email and coordinate billing transitions.
Contribute to process improvements by documenting best practices and providing feedback.
Pie Insurance leverages technology to make commercial insurance affordable and easy for small businesses. They are a diverse team of builders and entrepreneurs driven by core values.
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.
Ensure data accuracy and input on the computer billing system, updating patient and insurance information.
Handle patient inquiries regarding insurance, credit, and billing issues; review and mail statements; file electronic claims.
Follow up on litigation cases, scan documents into electronic medical records, and coordinate with physicians for documentation.
Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents. They prioritize a culture of excellence, teamness, and creativity, committed to exceptional experiences for patients and teammates.
Perform complete, accurate, and timely processing of reimbursement/payment audits in compliance with policies, payer contracts, and government fee schedules.
Collaborate with operations consultants, RCM AR staff, and management to address Care Center payment performance audits and maximize cash flow.
Identify, monitor, and manage denial management trends, and work closely with Revenue Cycle Teams and payer representatives.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and exceptional physician leadership, focusing on reducing healthcare costs and improving outcomes.
Own the data work behind accurate client billing, reconciling across systems and building durable checks.
Partner with the Client Group to support timely billing and answer pressing data questions.
Develop reporting and dashboards that surface billing trends, risks, and anomalies.
Virta Health is transforming type 2 diabetes and weight-loss care through technology, personalized nutrition, and virtual care. They have raised over $350 million from top-tier investors and partner with health plans, employers, and government organizations.
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.
Reconcile and validate client billing data across multiple systems, investigating discrepancies.
Build data-quality checks and reporting to highlight trends, risks, and anomalies.
Partner with Client Operations and Engineering to improve data flows and automation.
This company is a partner of Jobgether, specializing in healthcare data analytics. They foster a collaborative, transparent, and evidence-based culture that values ownership and initiative.
Perform daily audits of RCM accounts to ensure accuracy and compliance with policies.
Review documentation, billing records, and account activity to identify errors and process gaps.
Communicate quality issues and provide constructive feedback to staff and department leaders.
Our partner focuses on revenue cycle management services for healthcare organizations. They foster a remote culture centered on accuracy, accountability, and continuous improvement, with a team dedicated to quality and compliance.
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.
Manage patient account activities to optimize reimbursement and reduce accounts receivable.
Perform billing, follow-up, collections, and denials resolution to improve financial outcomes.
Ensure accuracy of charge, claim, and payment data through reviews and targeted corrections.
The University of Kentucky is a public land-grant university dedicated to advancing education, research, and healthcare. It promotes a supportive culture that values employee well-being and professional growth.
Reviewing time-sheets for accuracy and reconciling discrepancies.
Validating data accuracy through periodic audits.
Resolving inconsistencies by contacting the source for clarification.
We are a national organization dedicated to nurturing children with autism and special needs through applied behavior analysis. With 20 years of clinical insights, we have a caring team focused on personalized treatment plans.
Manage daily workflow functions for Periscope requests and assessments
Serve as the primary point of contact for health plans and therapists
Maintain strict patient confidentiality in compliance with HIPAA
Founded in 1997, The Periscope Group is a privately held consulting company providing accurate, timely, and objective reports that help medical management teams serve vulnerable populations. Our services now reach all demographics and lines of business across 46 states.
Enter and update information in company systems and review records for accuracy.
Organize digital files and documentation, flagging missing or incorrect information.
Maintain accurate databases and follow established record-keeping procedures.
Bilgewater Group is an organization focused on maintaining accurate company records and data systems. The postng does not provide details on company size or culture.
Investigate and resolve consumer and commercial billing issues, analyzing account discrepancies and negotiating settlements.
Communicate professionally with customers and provide timely updates on billing outcomes.
Document all investigations and collaborate with internal teams to improve billing processes.
They support healthcare organizations by ensuring accurate, timely, and effective resolution of complex billing matters. Their team is collaborative, remote, and focused on operational excellence with a supportive culture.
Analyze and interpret alphabetic, numeric, scanned, and database records from UCC filings and other digital sources.
Enter data accurately and efficiently into internal systems following established formatting and classification standards.
Review records for completeness, accuracy, and consistency, and identify and correct omissions and formatting issues.
SkillerszoneLLC is a leader in data-driven solutions for the trucking, agriculture, and construction industries. We’re passionate about valuing our associates for their unique skills, ideas, and backgrounds, and we’re committed to building an inclusive, innovative workplace where everyone can thrive.
Reconcile benefit deductions, upload vendor bills, and perform monthly benefit audits to ensure accuracy.
Assist with HSA, COBRA, STD pay processes, employee inquiries, and updating Benefits webpages.
Consistently look for ways to improve system efficiencies and support Wellness Program communications.
GuidePoint Security provides trusted cybersecurity expertise, solutions and services that help organizations make better decisions and minimize risk. Since 2011, the company has grown to over 1,200 employees, built strategic partnerships, and serves as a trusted advisor to more than 6,200 customers with a strong culture and collaborative environment.
Process and balance incoming contracts and payments in the administrative system with attention to detail.
Assist customers and dealers with cancellations, contract inquiries, and portal navigation.
Collaborate with teams to ensure accurate contract corrections, claims, and year-end audits.
Protective helps protect customers against life's uncertainties, providing insurance and peace of mind. They are a large company with a focus on employee wellbeing, offering comprehensive benefits and emphasizing a diverse and inclusive workforce.
Reconcile utility expense against recovered income across water, sewer, stormwater, trash, cable, electric, and gas for every community in the portfolio.
Own recapture targets of 90% on utilities and 100% on trash, investigating and resolving shortfalls such as rate setup errors, missing charges, and read-date mismatches.
Maintain the utility rate notice compliance tracker and serve as the first point of research on state-specific pass-through rules.
Havenpark Communities acquires, improves, and operates manufactured home communities across the U.S., with a portfolio of over 100 communities and more than 30,000 homesites. Their culture is fun, rewarding, and inclusive, guided by five core values: Respect, Grit, Collaboration, Stewardship, and Boldness.
Serve as subject matter expert for the professional services automation (PSA) platform, ensuring accurate program setup and billing.
Review and translate Statements of Work into the PSA system, resolving ambiguities in scope or billing terms.
Analyze invoices, investigate billing discrepancies, and recommend corrective action to ensure accurate revenue recognition.
BlueRidge Life Sciences is a growing family of companies providing comprehensive life sciences services, spanning toxicology, regulatory science, risk assessment, and more. They collaborate to deliver science-driven solutions for industries including pharmaceuticals, biotechnology, medical devices, and consumer products.