Investigate billing concerns, working closely with patients and insurance providers.
Improve the patient experience while strengthening billing processes.
Resolve complex billing issues to ensure timely, accurate resolutions.
Rula is dedicated to treating the whole person and aims to create a world where mental health is no longer stigmatized. They are a remote-first company that strives to be a force for positive change in the field of mental healthcare.
Partner with Support and Optimization teams to ensure the best client experience.
Provide consultative guidance to clients throughout their life cycle, understanding Experian Health product capabilities.
Evaluate customer use of Contract Manager and Claim Scrubber products to recommend best practices.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries.
Document solutions in reusable articles to support future issue resolution
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries, with corporate headquarters in Dublin, Ireland.
Review clinical documentation and assign accurate ICD-10-CM, HCPCS, and CPT codes to encounters
Ensure compliance with CMS, payer, and risk adjustment coding guidelines
Collaborate with clinicians and billing staff to clarify documentation or coding discrepancies
Main Street Health is the nation's largest provider of value-based care exclusively serving rural America. They partner with rural primary care doctors and reinforce the importance of trust and relationship-driven care in rural communities.
Own end-to-end revenue cycle performance across claims submission, denial management, and A/R follow-up
Manage and hold external billing vendors accountable to defined KPIs and service expectations
Monitor first-pass resolution rates, denial trends, and aging buckets to proactively mitigate revenue risk
Thirty Madison is a healthcare company that builds specialized healthcare brands that focuses on specific ongoing conditions, and thoughtfully designed to support the unique needs of its community with personalized treatments and care. They have built a number of brands and are continuing to grow rapidly.
Design, build, test, validate, maintain and provide ongoing support of Epic Hospital Billing systems.
Work across interdisciplinary workgroups to accomplish set goals as a team.
Establish, foster and maintain positive business relationships with Emory co-workers, interdisciplinary workgroups and Epic partners.
Emory Healthcare is a healthcare system that provides comprehensive medical services and research. They are committed to providing reasonable accommodations to qualified individuals with disabilities upon request.
Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system.
Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
Collects, posts, and manages patient account payments.
US Anesthesia Partners provides comprehensive anesthesia care. They are committed to clinical excellence and outstanding patient experience.
Follow VitalCaring billing Standard Operating Procedures and regulatory billing guidelines
Collaborate with your supervisor and the billing team to address payor and billing concerns
Ensure documentation accuracy and submit claims in accordance with Medicare and other payor requirements
VitalCaring is a leading provider of home health and hospice services. Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 65 locations across the country. They foster a culture of support, growth, and excellence.
Performs claims processing, insurance and charge verification, payment posting, account resolution, customer service and follow up.
Educates staff and physicians on CPT/HCPCS/ICD-10 codes and appropriate documentation requirements to reduce errors and remain compliant.
Works directly with staff when needed for insurance authorization assistance, IPA guidance and insurance optimization.
Community is committed to providing the highest standard of care. They value their diverse team members and offer various opportunities for growth and development.
Independently own aligning operations for client accounts.
Translate performance data into narratives that clearly articulate drivers, risks, and opportunities.
Partner with clients to align operational expectations with internal capabilities.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability. It is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list.
Reviewing and resolving missed or miscoded charges.
Ensuring coding and billing practices comply with guidelines.
Following Medicare/Medicaid and other payer requirements.
Marshfield Clinic Health System enriches lives through accessible, affordable, and compassionate healthcare, prioritizing patients' needs. They value connection with colleagues and community recognition, offering affordable living and leisure opportunities.
Perform in-depth medical claim reviews using UB-04 and itemized statements.
Verify itemized charge accuracy based on policy and industry standards.
Validate system denials and suggest system enhancements for efficiency.
Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. They bring together an AI-powered platform, are deployed by over 85 health plans, and represent more than 270 million lives.
Responsible for maintaining the integrity, accuracy, and compliance of the hospital’s charge description master (CDM).
Ensures that all clinical services, supplies, and procedures are correctly coded and mapped for appropriate billing and revenue reporting.
Works closely with Clinical, Finance, Revenue Cycle, and IT Teams to analyze and implement new service request, coding updates, price changes, and regulatory modifications.
Ingalls Memorial Hospital is a world-class academic healthcare system. A skilled Medical Staff and talented employees dedicated to prevention, diagnosis, treatment and rehabilitation of illness and injury provide a firm foundation for our reputation for quality.
Responsible for coding procedures and entering charges to comply with regulations and internal policies.
Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present.
Participate in audits to evaluate if all selected codes are accurate and develop methodologies to improved coding issues.
Northside Hospital is an award-winning and state-of-the-art hospital that is continually growing. They are expanding the quality and reach of their care to patients and communities which creates more opportunity for healthcare professionals in Atlanta and beyond.
Troubleshoot and resolve issues Clients and Therapists raise via Phone and Live Chat.
Assist and educate customers on the Grow Therapy platform, providing great customer service to our Clients and Therapists.
Serve as the customer's go-to resource and passionate advocate, ensuring both Clients and Therapists feel heard and supported throughout their journey with Grow Therapy.
Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care. As a three-sided marketplace, Grow Therapy empowers providers, augments insurance payors, and serves patients, consisting of a team of entrepreneurs and mission-driven go-getters.
Responsible for managing and overseeing activities for multiple value streams within the revenue cycle.
Provide ongoing input in the strategic planning of business requirements and corporate objectives for the Revenue Cycle.
Ensure compliance with all federal, state, and local statutes and regulations, as well as all third-party payer policies.
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.
Lead Epic application build, configuration, testing, and optimization efforts.
Analyze workflows and recommend system improvements.
Collaborate with cross-functional teams including clinical, operational, and IT stakeholders.
The Wilshire Group specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets within healthcare. With a track record of aiding over 100 healthcare systems, they value professionalism, efficiency, and adaptability, creating a dynamic and inclusive workplace.
Champion continued incremental innovation and improvement to our product based on the product vision and roadmap.
Collaborate with Product Managers and cross-functional teams to manage (development, QA, UX/UI teams) and report on the impact of product releases.
Maintain and prioritize the product backlog based on business and customer value.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries and corporate headquarters are in Dublin, Ireland.
Manage opportunities within current business accounts, calling on customers about new products.
Increase Experian revenue by managing and closing deals with existing customers.
Consult with C-level decision makers to understand needs and develop complex solutions.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 22,500 people across 32 countries.
Perform monthly billing operations including claims reconciliation and revenue review.
Contribute to the revenue cycle process, including claims submission and payment posting.
Collaborate with Sales, Product, Data, and Client Success teams on issue resolution.
Vida Health is a virtual, personalized obesity care provider. Vida's team of Obesity Medicine-Certified Physicians helps people lose weight, reduce stress and improve their overall health, and is trusted by Fortune 100 companies.