Prepare and maintain external financial statements, regulatory filings, and lender reports with audit-ready documentation.
Drive monthly, quarterly, and annual reporting deliverables across Accounting, Finance, and Operations.
Build scalable reporting infrastructure by improving automation, controls, and repeatable processes.
WelbeHealth serves vulnerable seniors through shared intention, pioneering spirit, and courage. The organization is rapidly expanding and prioritizes team member well-being with competitive benefits and work/life balance.
Provide on-site and on-demand education on reimbursement challenges and support services for physician offices.
Educate on benefit investigation, prior authorization, Medicare and Commercial coverage, and patient communication streams.
Collaborate with internal hub support and case managers to ensure customer needs are met and track activities in CRM.
McKesson is a Fortune 10 healthcare company that delivers insights, products, and services to make quality care more accessible and affordable. It fosters a culture where employees can grow, make an impact, and thrive as they shape the future of health.
Manage claim submission and resolution for governmental and commercial insurance accounts.
Analyze and correct accounts receivable problems, post payments, and resolve credit balances.
Research denials, initiate appeals, and maintain documentation for maximum reimbursement.
CCS is a healthcare company specializing in chronic care management, using AI-powered models to improve patient adherence and outcomes. It supports over 200,000 patients nationwide and is recognized as a Great Place to Work.
Manage billing, collections, and accounts receivable for healthcare clients, ensuring timely claim submission and payment resolution.
Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements.
Serve as primary client contact, providing ongoing communication, status updates, and revenue cycle support.
Wipfli is a professional services firm providing accounting, tax, and consulting services. They emphasize flexibility, relationships, and employee well-being, with a focus on creating exceptional impact.
Respond to member and provider inquiries about Medicare benefits, claims, and enrollment via phone and email.
Analyze issues, document outcomes, and maintain accurate records in internal systems.
Collaborate across departments to resolve service issues and support contact center documentation.
Curana Health provides value-based primary care services for the senior living industry, including skilled nursing facilities and assisted living communities. With over 1,000 clinicians serving more than 1,500 communities across 34 states, the company has experienced rapid growth since 2021 and participates in innovative CMS programs.
Manage billing, receivables auditing, and collections for services provided to patients in assigned facilities.
Achieve monthly cash collection goals and minimize the impact of bad debt.
Interact with insurance companies via telephone and written correspondence to resolve unpaid claims.
CommuniCare Family of Companies is a national leader in post-acute care, providing person-centered services for individuals with chronic or complex conditions. With over 19,000 employees across six states, the family-owned company is dedicated to serving with pride and fostering an environment where employees thrive.
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.
Manage the workflow and activities related to recovery and revenue cycle management for complex claims.
Supervise team tasks, monitor performance, and investigate escalated issues.
Analyze reports on aging, accounts receivable, and ensure service level standards.
Centene connects people to the care they need to live healthier lives. It is a large healthcare company with a diverse workforce and a culture focused on improving lives, offering competitive benefits and remote flexibility.
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.
Conduct complex medical review of Medicare claims for Inpatient Rehabilitation Facility services.
Perform pre-claim review determinations and evaluate Additional Documentation Request responses.
Communicate determinations to providers and meet production-driven turnaround requirements.
Broadway Ventures is a small business that provides program management, technology, and consulting solutions to government and private sector clients. As a Service-Disabled Veteran-Owned Small Business, they emphasize integrity, collaboration, and excellence.
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.
You will review and manage pre-billing filters to ensure claims are submitted cleanly and in accordance with payor guidelines.
You will submit high volumes of claims with strong attention to detail, accuracy, and speed.
You will monitor and respond to a high volume of emails professionally and in a timely manner.
Proud Moments ABA is a behavioral health organization providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. It is a fast-growing company that offers a supportive culture with competitive pay, generous PTO, and advancement opportunities.
Lead portions of regulatory assessments, external audits, and accreditation processes for Commercial, Medicare, Medicaid, and Marketplace departments.
Act as primary point of contact for internal and external partners on regulatory activity, quality efforts, SOP development, and client delegation agreements.
Maintain regulatory gap status reporting, track work streams, and lead change management related to regulatory requirements.
Prime Therapeutics is a pharmacy benefit manager (PBM) with a purpose beyond profits, reimagining pharmacy solutions to connect care for those they serve. The company is a large, purpose-driven organization focused on simplifying healthcare and fostering a collaborative culture.
Review and resolve healthcare credit balance accounts through detailed analysis and accurate actions including refunds or adjustments.
Manage accounts receivable and communicate effectively with internal teams and providers to resolve overpayments.
Maintain high accuracy in a fast-paced, performance-driven environment while identifying and escalating complex issues.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve healthcare access. It is a dynamic, growing organization that promotes a collaborative and innovative work environment.
Provide direct support to customers navigating healthcare reimbursement, claims, and insurance processes.
Assist with verifying benefits, reviewing claims documentation, and maintaining compliant records.
Collaborate with internal teams to resolve complex reimbursement issues and improve workflows.
This partner company provides customer reimbursement coordination services for healthcare. They operate remotely and offer a collaborative environment with opportunities for professional development.
Serve as subject-matter expert on coding, coverage, and payment for Medicare and commercial payers.
Build provider relationships and minimize reimbursement barriers across multiple sites of service.
Provide billing, coding, and audit education while aligning with sales and internal teams.
Inspire Medical Systems develops a first-of-its-kind FDA-approved device to treat obstructive sleep apnea and enhance patient lives. They are a fast-growing, people-first company that values diverse voices, offers strong benefits, and promotes professional growth.
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.
Maximize reimbursement by collecting outstanding balances from insurance companies through claim follow-up and appeals.
Resolve aged claims via payer portals and outbound calls, escalating for reconsideration and up to three levels of appeals.
Identify denial trends and collaborate cross-functionally to improve upstream processes and prevent future denials.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company partners with healthcare providers and biopharma organizations to improve patient outcomes through molecular diagnostics and digital health solutions.
Develop and maintain risk-adjusted provider group performance models using CMS-HCC methodology.
Analyze large healthcare datasets, including Medicare claims (CCLF and BCDA), to monitor financial performance.
Create executive dashboards and present findings to leadership and clinical stakeholders.
Ennoble Care is a mobile primary care, palliative care, and hospice service provider serving patients across multiple US states. They provide in-home care for chronic conditions and limited mobility, with a culture driven by the motto 'To Care is an Honor.'
Review, analyze, and complete pre- and post-payment claim audits and appeals in accordance with client policies, CMS guidelines, and healthcare industry standards.
Apply clinical judgment to evaluate documentation and determine the appropriateness and accuracy of claims.
Analyze healthcare claims, reimbursement information, and supporting documentation to identify discrepancies and potential payment issues.
Our partner company focuses on ensuring healthcare claims are reviewed accurately, consistently, and in accordance with applicable policies and industry standards. It is a collaborative, fast-paced, and evolving environment with opportunities for professional development and career advancement.