Manage insurance follow-up and accounts receivable resolution for assigned accounts.
Handle patient billing inquiries and review Explanation of Benefits (EOBs) for accurate resolution.
Identify trends and recommend process improvements to reduce denials and improve revenue flow.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. We focus on efficient and fair recruitment processes, leveraging technology to streamline applications while supporting a collaborative and growth-oriented culture.
Follow up on claim rejections and denials to ensure appropriate reimbursement for clients.
Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
Communicate with insurance companies about the status of outstanding claims and properly notate patient accounts.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. They partner with private practices, hospitals, and health systems to deliver transparent data-driven solutions, and foster a collaborative culture.
Lead appeals strategy for denials across commercial and governmental payers nationwide.
Develop evidence-based appeal packages including letters of medical necessity and clinical summaries.
Collaborate with physicians, field teams, and revenue cycle to improve reimbursement outcomes and patient access.
Advanced Oxygen Therapy, Inc. (AOTI) transforms wound care through breakthrough technologies like TWO2 therapy and NEXA NPWT system. The company is backed by a world-class international leadership team and a robust global infrastructure, offering a unique opportunity to make a meaningful impact in healthcare.
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.
Manage insurance accounts receivable to ensure timely reimbursement and reduce aging balances.
Follow up with payers on outstanding claims, denials, and underpayments, resolving discrepancies.
Post payments, reconcile ERAs/EOBs, and support revenue cycle reporting and process improvements.
Oshi Health is a virtual digestive health practice on a mission to transform GI care. They combine compassionate, multidisciplinary care with innovative technology in a remote-first, mission-driven environment.
Verify patient insurance eligibility and benefits prior to services and document findings accurately.
Post insurance and patient payments, research variances, and follow up on outstanding claims.
Perform provider documentation and coding audits to ensure CPT, ICD-10-CM, and modifier accuracy.
Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.
Manage patient account activities to optimize reimbursement and reduce accounts receivable.
Perform billing, follow-up, collections, and denials resolution to improve financial outcomes.
Ensure accuracy of charge, claim, and payment data through reviews and targeted corrections.
The University of Kentucky is a public land-grant university dedicated to advancing education, research, and healthcare. It promotes a supportive culture that values employee well-being and professional growth.
Provide effective and timely customer service for members, providers, and insurers regarding health care claims.
Ensure timely follow-up and organize health insurance paperwork and medical records.
Communicate status updates, negotiate with providers, and appeal claim denials on behalf of plan members.
Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone, offering care guidance, advocacy, and personalized virtual and in-person care.
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.
Manage patient refund and credit workflows, ensuring accurate processing in compliance with policies.
Serve as the primary contact for refund resolution and Salesforce case management.
Reconcile patient accounts, investigate discrepancies, and coordinate with insurance companies as needed.
Privia Health is a technology-driven national physician enablement company that optimizes physician practices and improves patient experiences. The company is led by top industry talent and offers a collaborative culture focused on reducing healthcare costs and improving outcomes.
Perform complete, accurate, and timely processing of reimbursement/payment audits in compliance with policies, payer contracts, and government fee schedules.
Collaborate with operations consultants, RCM AR staff, and management to address Care Center payment performance audits and maximize cash flow.
Identify, monitor, and manage denial management trends, and work closely with Revenue Cycle Teams and payer representatives.
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, focusing on reducing healthcare costs and improving outcomes.
Handle inbound billing calls, escalations, and urgent member requests with professionalism, empathy, and accuracy.
Research and resolve billing concerns related to insurance denials, payment discrepancies, and patient balances.
Partner with Revenue Cycle Management SMEs and billing support teams to resolve nuanced cases and ensure smooth handoffs.
Tia is building a new model for women’s healthcare, integrating primary care, mental health, gynecology, dermatology, and wellness across in-person and virtual settings. They are a Series D, venture-backed company trusted by more than 120,000 women, committed to improving outcomes, lowering costs, and creating a better experience for patients and providers.
Investigate and resolve insurance claim denials to ensure timely reimbursement.
Submit and track insurance appeals and corrected claims to payers.
Maintain accurate billing records and ensure compliance with HIPAA regulations.
Cardiac Study Center is a cardiology care provider that partners with Pulse Heart Institute to deliver outpatient cardiology services. They have been serving the Puget Sound region for over 50 years and foster a collaborative, supportive business office environment focused on accuracy and growth.
Manage government and commercial healthcare insurance receivables to ensure timely collection.
Research unpaid, denied, and underpaid claims and resolve billing discrepancies.
Communicate with insurance carriers and healthcare providers to secure reimbursement.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It operates remotely and focuses on fair, objective recruitment processes.
Initiate and follow up on unpaid or denied claims with payers or patients.
Resolve delinquent accounts and obtain missing claim information for prompt payment.
Research, appeal, and resolve claim rejections or denials.
Herself Health is building a new model of primary care for women 65+, offering patient-centric clinics in the Twin Cities metro. Their mission-driven team is innovating the primary care landscape to provide specialized care for women's later-life needs.
Manage patient billing episodes, prior authorizations, and claim submissions.
Review and resolve claims issues, appeals, and eligibility with payors.
Ensure timely follow-up on outstanding accounts and document activities.
Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) nationwide, serving more than 74,000 patients daily. As the leading provider of medication-assisted treatment in the nation, our team is at the forefront of the battle against the opioid epidemic.
Investigate and analyze Motor Vehicle Accident accounts to coordinate insurance benefits and resolve outstanding balances for clients.
Conduct online medical research, review medical records, and manage claim life cycles using proprietary systems and tools.
Communicate with payers, attorneys, and clients to resolve claims, handle denials, and identify trends for prevention.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its E360 RCM intelligent automation platform. The company is a multi-year recipient of the Top Workplaces award, ranked #1 by Black Book in 2024, and has been on the Inc. 5000 fastest-growing companies list for eleven years, fostering a culture centered on professional growth and employee investment.
Provide initial training on central business office duties to new staff.
Develop into higher-level roles with two years of acceptable performance.
Piedmont Healthcare Corporate is a healthcare organization focused on revenue cycle management and central business office operations. It is a large corporate entity with a culture centered on accuracy and development.
Support patients with payment processing, billing education, insurance verification, and claims-related inquiries.
Accurately process payments, create payment plans, and interpret claim notes and billing outcomes.
Research account history to resolve billing issues and educate patients on insurance concepts.
Five Star Solutions is a staffing company connecting talent with roles in customer service and healthcare. They foster a remote work culture with a focus on compliance, empathy, and professional development.