Serves as the primary source of knowledge for revenue cycle functions and drives performance improvement.
Analyzes trends, identifies opportunities, and ensures appropriate system configurations.
Manages denial trend research and translates policies into action plans.
Natera is a global leader in cell-free DNA testing dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Supervise centralized managed care activities including eligibility verification, preauthorization, and patient estimates.
Lead a team of 18-23 staff through recruiting, training, mentoring, and managing work queues and performance.
Serve as first-line communication with practices/departments to troubleshoot issues and improve workflows.
OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training future healthcare professionals. As Portland's largest employer, it offers opportunities across a system of hospitals and clinics, fostering an anti-racist, multicultural environment.
Manage accounts receivable including analysis of aged AR, denial management, and claim resolution.
Collaborate with internal teams and care center staff, support large care center go-lives with occasional overnight travel.
Drive toward department KPIs using Trizetto platform, Google Sheets, and Athena EHR.
Privia Health is a national physician platform transforming the healthcare delivery experience by providing tailored solutions for physicians and providers. It operates high-performance physician groups, accountable care organizations, and population health management programs, partnering with health plans, health systems, and employers to align reimbursements with quality and outcomes.
Preparing billing and registration worksheets while collecting and verifying demographic information.
Contacting insurance companies as needed and submitting daily and monthly statistics.
Providing administrative support to physicians, the Medical Director, and the Corporate Office.
Pediatrix Medical Group is a physician-led provider of highly specialized health care for women, babies and children. It is one of the nation's largest multi-specialty medical groups, with a team-oriented culture focused on clinical excellence.
Process and submit claims to health plans accurately and on time, maintaining momentum through the billing cycle.
Investigate denied and rejected claims, identify root causes, correct, and resubmit; flag recurring patterns to fix issues at the source.
Monitor claim status, follow up on reimbursement, support reporting and month-end close, and partner with finance, product, and engineering teams.
Foodsmart is a leading Foodcare platform that delivers personalized nutrition care and food benefits to improve health outcomes while lowering healthcare costs. With over 3 million members and backed by a $200 million investment, the company is mission-driven to make nutritious food accessible and affordable for everyone.
Conduct detailed audits of medical claims, billing records, coding, and clinical documentation.
Partner with healthcare system clients to resolve billing discrepancies and improve reimbursement.
Serve as a subject matter expert on Medicare, Medicaid, and commercial payer billing requirements.
Jaan Health is an AI-based care management company serving healthcare providers with its Phamily platform to deliver proactive care. It is a fast-growing, early-stage company built on five principles: care, curiosity, clarity, co-creation, and craftsmanship.
Develop and maintain athenaOne Collector curriculum for Care Centers.
Lead pre- and post-live training for new markets and high-profile implementations.
Support RCM workflow optimization and training across all markets.
Privia Health is a national physician platform that provides tailored solutions and population health management programs for physicians and providers. The company fosters an inclusive, innovative environment and partners with health plans, employers, and health systems to improve care quality.
Process billing data entry with 10-key skills and compare data with source documents.
Research and update billing demographic data to ensure prompt payment from insurance.
Communicate via phone with clients and patients to resolve billing defects and verify insurance information.
Labcorp is a global leader in laboratory services, providing diagnostic testing and drug development solutions that help healthcare providers, researchers, and patients make informed decisions. With nearly 70,000 employees serving clients in more than 100 countries, Labcorp fosters a collaborative culture focused on improving health and improving lives.
Track medical records and billing requests throughout the personal injury case lifecycle, ensuring outstanding items are followed up promptly.
Request and upload medical documentation, verify billing accuracy, and coordinate with providers, insurers, clients, and attorneys.
Maintain organized case files in Filevine and provide consistent status updates to support case preparation.
The company is a remote legal support team dedicated to helping personal injury cases progress efficiently through accurate medical records and billing management. The culture emphasizes a fully remote work environment with collaborative team support and opportunities for professional development and long-term career growth.
Audit medical claims for government payers, applying medical review guidelines and documenting findings.
Generate letters articulating audit findings and support them during the appeals process.
Collaborate with the audit team and clients to improve medical policies and minimize appeals.
Machinify is a healthcare intelligence company providing AI-powered payment solutions for health plans. It serves over 85 health plans and more than 270 million lives, with a culture focused on innovation and reducing healthcare costs.
Manage full-cycle psychiatric billing and revenue cycle for a Texas mental health practice.
Utilize eClinicalWorks for claims, payment posting, denials, and accounts receivable follow-up.
Communicate with patients and insurance representatives to resolve billing inquiries.
20four7VA connects independent contractors with global clients, focusing on developed markets like the US, UK, Canada, and Australia. They offer a vibrant community, constant support, free training, and upskilling for their contractors.
Contact insurance companies to check claim status and appeal submissions via payer portals and phone calls.
Manage administrative tasks such as gathering medical records, processing mail, and maintaining filing systems.
Build foundational knowledge of healthcare claims, ERISA regulations, and Commercial and Managed Care insurance policies.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, helping hospitals and health systems optimize their revenue cycles. We are a growing, mission-driven team focused on professional development, inclusion, and improving healthcare outcomes.
Coordinate denial and appeal follow-up activities to ensure timely resolution of insurance denials and appeals.
Investigate payment issues with insurance carriers, maintain tracking systems, and document follow-up actions.
Analyze performance data and collaborate with revenue integrity teams to improve billing accuracy and recovery.
This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.
Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.
Coordinate and complete payer audits per program requirements and deadlines.
Review claims for accuracy, identify discrepancies, investigate root causes, and report findings.
Maintain up-to-date knowledge of billing regulations and support training and process improvements.
CarepathRx provides healthcare pharmacy services with a focus on home infusion and revenue cycle operations. The company emphasizes operational excellence, accuracy, and a remote work culture supporting employee success.
Manage AR portfolios, denial analysis, and aging accounts.
Develop dashboards and reports to identify performance gaps.
Collaborate with teams to drive revenue cycle improvements.
They help healthcare organizations improve financial performance and revenue cycle operations through data-driven analysis and automation. They foster a collaborative culture focused on innovation, professional growth, and continuous improvement.
Oversee billing, AR, AP, and financial operations for ABA Therapy Partners.
Drive process improvement, automation, and scalable revenue cycle workflows.
Report directly to the CEO and support month-end close, forecasting, and cash management.
ABA Therapy Partners provides applied behavior analysis therapy and manages billing and financial operations for California funders. The team is a growing, fast-paced organization that values process improvement, collaboration, and building scalable infrastructure.