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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.

The Senior Payer Accounts Receivable Specialist drives payer reimbursement performance and ensures timely, accurate claim resolution. This individual will oversee the payer accounts receivable process across multiple states. This role requires knowledge of healthcare payer operations, denial management, and reimbursement trends.

knownwell is a weight-inclusive healthcare company offering metabolic health services, primary care, nutrition counseling and health coaching services.

• 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.

Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services. Maintain adequate documentation on the client software to send the necessary documentation to insurance companies. Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms.

You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides.

• Provides support in the functional areas of the Revenue Cycle, including Billing, Reimbursement, and Insurance Recovery.
• Ensures adherence to company policies, procedures, and related government regulations.
• Prepares and submits claims to various insurance companies electronically or on paper.

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being.

• Provide strategic leadership and expert oversight for payer relations and contracting.
• Manage a team responsible for negotiating and monitoring contracts with payers.
• Analyze contract terms and financial performance to influence strategic pricing strategies.

CommonSpirit Health is building a healthier future for all through its integrated health services as one of the nation’s largest nonprofit Catholic healthcare organizations.

• Responsible for accurate and timely processing of designated claims.
• Resolve claim issues, answer incoming SalesForce cases and management of issues that escalate to the RCM team.
• Management of accounts receivable, including analysis of aged AR, and investigating denial sources.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems.

The Payment Corrections Coordinator will research, process, and resolve payment discrepancies, ensuring smooth billing workflows. You will collaborate closely with accounts receivable teams and managers, assist with special projects, and perform compliance audits. This position provides the opportunity to contribute to process improvements, reduce errors, and help optimize financial operations.

Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching.

• Oversee the end-to-end billing process.
• Maintain comprehensive billing records, monitor and report key performance indicators related to claims submission, denial resolution, and payment posting.
• Serve as the primary point of contact for internal teams and external payers.

Apollo Behavior is the premier provider of ABA therapy in metro Atlanta, and the largest ABA provider based in Georgia.

• Ensure timely and accurate payment of medical claims, following health plan policies and procedures.
• Maintain accurate and up-to-date notes of all claims processed.
• Process appeals and disputes by gathering and verifying claim information and communicating outcomes.

Sana Benefits aims to create an easy healthcare experience. They focus on providing seamless care and affordable benefits to small businesses.

• Analyze claims data and develop cost-of-care projections for existing customer renewals and new business opportunities.
• Responsible for cost pricing, including evaluating data, building underwriting, and evaluating profitability.
• Manage team of pricing and reporting analysts.

Magellan Health, Inc. is committed to making a difference in the health care industry and in the communities where they work and live. They value professional growth and development, total health and wellness, rewards and recognition as well as employee unity.

• Support patients through the denial and appeal process.
• Coordinate with healthcare providers and insurance companies.
• Ensure seamless access to our innovative DME device.

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Their team is dedicated to delivering prescription-grade therapy with an outstanding user experience and has pioneered the world’s first drug-free wearable therapy.