Submit medical documentation and billing data to insurance providers
Research and appeal denied or rejected claims, and follow up on unpaid claims
Review insurance payments for accuracy and completeness using billing software
Cardinal Health is a global distributor of pharmaceuticals and medical products, providing performance and data solutions for healthcare facilities. With over 50 years of experience, the company supports an inclusive workplace that values diversity and delivers end-to-end solutions to improve healthcare.
Ensures accurate and timely billing of all services.
Identifies, researches, and resolves billing issues with cross-functional teams.
Analyzes billing trends and implements process improvements to enhance revenue cycle performance.
Natera is a global leader in cell-free DNA testing for oncology, women's health, and organ health. The team consists of dedicated professionals from world-class institutions who are deeply committed to their work and each other.
Manage patient billing inquiries, resolve denials, and process insurance verifications.
Work claims end-to-end via clearinghouse and collaborate with cross-functional partners.
Optimize RCM processes, develop SOPs, and support ad-hoc projects including AI tool testing.
Nourish is an AI-native digital health system matching patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised a $100M Series C, bringing total funding to $215M.
Prepare and resubmit corrected claims to insurance companies following specific payer guidelines.
Analyze first pass rejected claims to ensure clean resubmissions and minimize reimbursement delays.
Evaluate customer accounts and recommend adjustments or write-offs based on collectability.
Prompt RCM builds software for outpatient rehab organizations to improve patient care and reduce environmental waste. The company fosters a talented and healthy work culture with a focus on smart work and positive impact.
Analyze collections and resolve non-payables for complex billing issues.
Follow up on insurance payer claims to ensure appropriate reimbursement.
Write appeals using established guidelines and communicate with insurance companies.
Ventra is a business solutions provider for facility-based physicians, specializing in Revenue Cycle Management. The company fosters a collaborative and fast-paced environment.
Generate, review, and transmit claims for hospital-based services to third-party payors.
Collaborate across Revenue Cycle departments to resolve billing edits and other up-front issues efficiently.
Report to the Manager of Hospital Billing and support daily billing operations.
Piedmont Healthcare is a healthcare organization providing hospital-based services in Georgia. The company operates a corporate revenue cycle team focused on billing and claims management.
Protera Health is a health-tech startup transforming the delivery of musculoskeletal (MSK) care through a multidisciplinary approach and patient tracking technology. Founded by orthopedic surgeons and value-based care experts, it is a growing team that emphasizes collaboration, innovation, and a patient-first culture.
Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.
Conduct quality reviews and audit revenue cycle claims and workflows against established SOPs.
Develop, collect, and analyze quality improvement initiatives to support RCM operational functions.
Identify process deficiencies via analysis and trends, and deliver assessment results to leadership.
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, and consists of scalable operations and end-to-end, cloud-based technology.
Complete medical billing uploads in EHR systems and cross-reference member information across platforms.
Maintain high data integrity through meticulous documentation and error-free data entry.
Review provider documentation to verify coding accuracy and identify discrepancies.
This company specializes in connecting talent with healthcare billing opportunities. It is a partner organization that values accuracy, collaboration, and flexibility in a remote, part-time contract environment.
Perform follow-up status requests through telephone, internet, and fax requests.
Process incoming and outgoing mail, scanning, and document consolidation and indexing.
Maintain a working knowledge of internal policies and client systems and credentials.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.
Own claims adjudication, denials management, and EDI workflows to ensure accurate payment and compliance.
Build reporting dashboards and KPIs to track claims performance and drive process improvements.
Collaborate with prior auth, finance, and client teams to close the loop between authorization and payment.
OneImaging is a concierge radiology service that connects patients with a network of over 5,000 vetted providers across 48 states, reducing imaging costs by 60-80%. We are a high-growth company building the infrastructure for fair and transparent medical imaging, with a focus on employer and payer ROI.
Respond to high-volume inquiries via email and phone, assisting with triaging case volumes and providing resolution guidance on complex claims and billing inquiries.
Critically analyze situations, escalate issues to appropriate teams, and identify recurring issues to provide feedback to management.
Act as a subject matter expert, updating team on resources, supporting team chat, and remaining flexible to take on other duties as assigned.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems to optimize practices and improve patient experiences. They are led by top industry talent and physician leadership, focusing on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.
Conduct comprehensive forensic examinations of medical records and billing to identify inaccuracies or fraud.
Serve as an expert witness in legal proceedings, providing testimony on medical coding and billing.
Stay updated on regulations and collaborate with legal and compliance teams.
J.S. Held is a global consulting firm that combines technical, scientific, financial, and strategic expertise to advise clients. The firm offers a dynamic, high-energy, collaborative environment that rewards hard work.
Contact insurance companies to collect outstanding accounts receivable and follow up on appeals.
Process and refile claims, audit adjustments, and resolve manual tasks assigned for follow-up.
Maintain an accuracy rating of 97% or greater and identify trends to leadership.
US Anesthesia Partners is a healthcare organization that provides anesthesia services and manages related billing and accounts receivable. The company emphasizes professionalism, accuracy, and teamwork in a remote work environment.
Research unapplied payments, overpayments and credits
Post remits electronically and manually for daily deposits
Reconcile daily and monthly reports to avoid variance
LEARN Behavioral provides behavioral health services. The company is an equal opportunity employer with a focus on revenue cycle management and billing operations.
Review and analyze Medicare claims sampled by the Department of Justice to determine correct coding and payment based on coverage and utilization.
Conduct in-depth claims analysis to detect fraudulent or abusive billing practices using ICD-10, CPT-4, and CMS guidelines.
Complete summary reports and communicate findings internally while maintaining confidentiality and compliance with DOJ and CMS regulations.
Empower AI provides AI-powered solutions for federal government agencies, helping them transform their workforce and operations. Headquartered in Reston, Va., the company has three decades of experience in Health, Defense, and Civilian missions and is recognized as a 2024 Military Friendly Employer.