Manage complete and timely processing of claims, including reviewing daily correspondence and resolving issues through SalesForce.
Oversee accounts receivable functions such as worklists, zero pay, and denials to ensure timely resolution.
Serve as an escalation point and subject matter expert on internal sub-teams, driving toward daily and monthly KPIs.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups and health systems to optimize practices and reduce costs. They are a national organization with top industry talent and a focus on high-value care.
Respond to patient billing and insurance inquiries via Zendesk, resolve financial questions, and manage payment arrangements with empathy.
Work Athena claim hold and denial queues, research claims in payer portals, and coordinate with clinical teams to resolve documentation gaps.
Serve as billing and insurance subject matter expert for the Patient Experience team, identify root causes of denials, and support process improvements.
Midi Health is a comprehensive virtual care clinic for women in midlife, focusing on perimenopause, menopause, and midlife health challenges. It is a fast-growing telehealth company with a collaborative, remote-first culture.
Own RCM end to end for Medicaid and Medicare, from eligibility through claims, denials, and collections.
Lead strategy, team building, KPI reporting, and cross-functional collaboration with operations, product, and engineering.
Analyze claims data to improve collection rate, manage payer relationships, and ensure billing compliance.
Pair Team is an AI-enabled medical group for Medicaid and Medicare, delivering whole-person care through community-based organizations. It is California's largest complex care provider and is building an AI platform to scale across the safety net.
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.
Serve as a Clinical Informatics subject matter expert supporting athenaOne applications and resolving complex issues.
Lead medium to large projects, manage stakeholder relationships, and support data collection for system configuration.
Train employees and providers on EHR functionality while maintaining platform standards and documentation.
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 physician leadership, with scalable operations and cloud-based technology that reduces healthcare costs and improves outcomes.
Lead and oversee the configuration and setup of new client billing accounts, ensuring full operational readiness and accuracy.
Oversee and manage Data and Charge Entry contractors and FTEs supporting team direction and deliverables.
Serve as a subject matter expert for front-end RCM processes and system integrations.
Virta Health is on a mission to reverse metabolic disease in one billion people. They have raised over $350 million from top-tier investors and partner with the largest health plans, employers, and government organizations.
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.
Facilitate and provide detailed analysis, reporting, training, and support for providers and care teams to promote accurate clinical documentation.
Develop and implement targeted training curriculums and lead educational sessions for providers.
Conduct regular chart audits to identify patterns and opportunities for improved documentation.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. They are a large healthcare organization committed to building healthy communities and advocating for the poor and vulnerable.
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.
Lead and mentor Revenue Cycle Informatics staff, overseeing daily support and project coordination for EHR-related initiatives.
Collaborate with departments to implement process improvements, training, and system enhancements for revenue cycle and electronic health record.
Provide end-user support and education, manage service tickets, and ensure efficient use of EHR applications.
UnityPoint Health is a healthcare system providing services across Iowa, Illinois, and Wisconsin. They are recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging and employee support.
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.
Lead and scale a high-performing Revenue Cycle Management team, managing workflows and driving operational excellence.
Oversee day-to-day RCM operations with a patient-first approach, optimizing collections and efficiency.
Collaborate cross-functionally with Engineering, Credentialing, Customer Experience, and external vendors to support growth.
Nourish is an AI-native digital health system that connects patients with registered dietitians, physicians, medications, lab testing, and AI agents for insurance-covered care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partners with health plans covering 200M+ Americans.
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.
Develop and deliver live and digital training for client RN and MD reviewer teams on queue management workflows.
Coordinate client onboarding training and build scalable training toolkits and LMS content.
Collaborate with internal teams to translate workflow changes into effective training materials and iterate based on user feedback.
Cohere Health delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration and cost containment. The company works with over 660,000 providers and handles over 12 million prior authorization requests annually, fostering a culture of empathy, candor, and continuous growth among its team.
Maximize client satisfaction by analyzing data and implementing improvement plans.
Develop strategies for client retention, engagement, and expansion.
Build relationships with client partners to identify upselling opportunities.
Experian is a global data and technology company powering opportunities for people and businesses worldwide. They have 25,200 employees across 32 countries and foster a people-first, inclusive culture.
Support the Chief Compliance Officer in developing and monitoring the Compliance Work Plan, including auditing and monitoring activities.
Manage intake, tracking, review, and response to governmental revenue cycle investigations and serve as the compliance resource for revenue cycle and operational leaders.
Develop and deliver role-based compliance training, translate regulatory changes into actionable policies, and monitor audit results to create corrective action plans.
UnityPoint Health is a healthcare organization providing comprehensive services across multiple states. Recognized as a Top 150 Place to Work in Healthcare, they are committed to team members and foster a culture of belonging.
Manage complex pre-bill functions and investigate claim rejections to ensure accurate resolution.
Partner with cross-functional teams to analyze trends and optimize revenue cycle workflows.
Provide guidance to offshore teams and monitor automated processes for operational efficiency.
Rula is a mental health company dedicated to treating the whole person and eliminating stigma. They are a remote-first organization with a growing team that values diversity, equity, and inclusion.
Lead and develop a team of Collections Specialists while managing a portion of the Tier 3 AR portfolio.
Serve as escalation point for complex denials and payer disputes, tracking team-level AR aging and denial trends.
Ensure operational consistency through productivity scorecards, standardized follow-up templates, and auditable documentation practices.
Virta Health is on a mission to reverse metabolic disease in one billion people. They have raised over $350 million from top-tier investors and are a remote-first company with office hubs in Denver and San Francisco.
Lead day-to-day accounts receivable activities for direct-billed employer clients, including cash application and account review.
Monitor direct-bill AR aging, investigate discrepancies, and support collections activity.
Research and respond to billing inquiries related to invoice amounts, member counts, and payment application.
Virta Health is on a mission to reverse metabolic disease in one billion people using technology, personalized nutrition, and virtual care. They have raised over $350 million from top-tier investors and partner with large health plans, employers, and government organizations.