Provides accurate payment posting to accounts and analyzes accounts.
Identifies issues with payments and reconciles accounts for credits.
Monitors accounts receivable and communicates payment denials.
Gen4 is committed to providing an incredible patient experience. They foster a doctor-centric organization with a focus on culture, high performance, and growth, and seek individuals excited to be part of their growing company.
CommonSpirit Health has 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services, making them accessible to nearly one out of every four U.S. residents. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Prepares and submits clean claims to various insurance companies.
Identifies and resolves patient billing complaints.
Performs various collection actions including contacting patients by phone.
SelectQuote provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience.
Responsible for submitting medical billing claims and appealing denied claims.
Obtain referrals and verify healthcare service eligibility.
Follow up on missed payments and resolve financial discrepancies.
CRMS by DocGo leads the proactive healthcare revolution with an innovative care delivery platform. They disrupt the traditional healthcare system by providing high quality, affordable care with a team of over 5,000 certified health professionals.
Researches overdue account balances and follows up on delinquent payments.
Reviews unpaid and underpaid claims, resubmitting or appealing as necessary.
Responds to customer inquiries, resolves discrepancies, and prepares adjustments.
Accendra Health helps deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. They have a presence in communities nationwide through their Apria and Byram Healthcare brands.
Prepare and submit credentialing and enrollment packets.
Maintain accurate provider files and track expirations.
Provide assistance to the billing team during staff absences.
Modena Health and Modena Allergy & Asthma are leading medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. They are physician-led and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Reconcile student payments and maintain accurate payment histories.
Assist the AP/AR Manager with posting cash receipts.
Provide top-tier customer service during billing and collections processes.
Jobgether is a company that helps candidates get hired, using AI to match applications to roles. They ensure applications are reviewed quickly and fairly, and the hiring company makes the final decision.
Analyzing invoices and monitoring customer accounts.
Fixing payment discrepancies and reconciling accounts.
Keeping extremely detailed financial records.
ButterflyMX empowers people to open and manage doors & gates from a smartphone, with products installed in over 20,000 properties worldwide. As a distributed, primarily remote workforce, they seek intelligent, passionate, and collaborative individuals driven by excellence and innovation.
Perform accurate data entry into the client’s medical billing system.
Post all insurance payments, invoices, and billing adjustments for assigned accounts.
Conduct audits and coding reviews to ensure accuracy and compliance.
20four7VA connects offshore independent contractors with clients worldwide, focusing on developed markets. They aim to improve business efficiency by providing high-quality, task-specific services through qualified contractors.
Obtains authorizations from Insurance companies for scheduled tests/procedures.
Interprets patient medical records and reviews cases with the insurance nurse reviewer.
Accurately enters information into multiple computer programs and insurance websites.
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. With six hospitals, 5 ERs, and over 80 clinics, CoxHealth has earned honors for workplace excellence and employs over 14,000 employees.
Auditing incoming applications to ensure all required information is documented.
Handling multiple applications simultaneously with using BPM, Cactus, CAQH, and Facets.
Communicating effectively with providers and internal teams to resolve any issues and ensure smooth operations.
BlueCross BlueShield of Tennessee has been helping Tennesseans find their own unique paths to good health since 1945. At BCBST, they empower their employees to thrive both independently and collaboratively, creating a collective impact on the lives of their members.
Create and send statements, track payments, and record expenses.
Conduct data entry, including preparing lead lists and meeting minutes.
Synthesize data into cohesive reports and presentations.
Jobgether is a company that uses AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against role's core requirements. They identify the top-fitting candidates and share this shortlist directly with the hiring company; the final decision is managed by their internal team.
Resolves delinquent payment issues of complex accounts.
Investigates patient account information, medical records and bills, billing and reimbursement regulations.
Analyzes each account to optimize reimbursement and remove barriers to processing claims.
Legacy Health is dedicated to good health for its people, patients, communities, and the world, emphasizing doing the right thing. They foster an inclusive environment where everyone can grow and succeed, committed to equal opportunity.
Execute payer enrollment applications from credentialing approval through payer confirmation.
Coordinate CAQH profile maintenance and attestations in alignment with Medallion workflows and payer requirements.
Track enrollment status, follow up with payers, and escalate delays or issues to the Payer Enrollment Manager.
Spring Health aims to eliminate barriers to mental health by delivering the right care at the right time through their clinically validated technology, Precision Mental Healthcare. They partner with over 450 companies and are valued at $3.3 billion.
Meet with billing teams to train them on billing best practices and assist in their transition over to Prompt.
Assist in teaching submission, posting, invoicing, AR, etc best practices on Prompt.
Understand unique team needs to help configure and develop workflows with their new EMR/PM system
Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. As the fastest growing company in the therapy EMR space and the new standard in healthcare technology, they are looking for someone scrappy, willing to bring new ideas, take on big challenges, and is into doubling down on what works.
Support clinical staff by gathering data to complete the medical necessity review process.
Create and send letters to providers and/or members to communicate information.
Collaborate with care management teams and stakeholders to provide optimal service.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, and they’ve built their reputation on over 80 years’ worth of trust. They are motivated by the well-being of their members, putting them first and committing to sustainability and innovation.
Utilizing healthcare experience to perform audit recovery procedures.
Identifying and validating incorrect claim payments.
Researching reimbursement regulations for claim payment compliance reviews and documentation to support current audit findings.
Cotiviti Healthcare is the payment accuracy expert, working with healthcare organizations to recover money, improve processes, strengthen relationships, and maximize their value. They are a well-established company with competitive pay, opportunities to develop professionally, and excellent benefits.
Support current Claim Source Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectiveness
Document and communicate complex solutions to internal and external clients promptly
Assess project complexity and estimate development and implementation timeframe
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.
Source, interpret, and scope new payment integrity policies.
Prioritize policy updates based on savings potential and client impact.
Quantify and communicate policy value through data-driven analysis.
Rialtic, Inc. focuses on healthcare payment expertise, client strategy, and product innovation. They seem to have a culture that values collaboration and impact, although the job post doesn't specify size/employees.