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• 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.

• Manage and develop a team of Billing Specialists responsible for end-to-end claims processing.
• Monitor workflows and systems to ensure timely, accurate submission of claims.
• Analyze and address rejection trends, leading root cause resolution and implementing scalable solutions.

Spring Health aims to eliminate every barrier to mental health by providing the right care at the right time through their technology, Precision Mental Healthcare. They partner with over 450 companies and serve 10 million people, with a valuation of $3.3 billion.

• Serve as the primary point of contact for assigned clients, building strong relationships and addressing inquiries.
• Oversee the entire billing process, ensuring accurate and timely claim submission and denial resolution.
• Monitor claim submissions, payment posting, and aging AR to ensure targets are met and identify remediation efforts.

Motivity provides revenue cycle management services. They focus on helping ABA providers improve their financial success with billing and claims management. The company culture emphasizes strong partnerships, trust, and transparency.

• Conduct audits of payer processed claims to verify accurate reimbursement.
• Conduct post-implementation Care Center audits following the audit policy.
• Assist the Manager, RI, in leading initiatives that drive efficiency.

Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. Their platform consists of scalable operations and cloud-based technology to reduce healthcare costs and improve patient outcomes.

• Responsible for working insurance A/R and assisting patients with billing or insurance related issues.
• Resolves denied claims, handles claims appeals, posts payments, and processes insurance and patient refunds.
• Communicates with patients and clinicians regarding billing matters and reviews patient eligibility and benefits.

Blackbird Health is a clinician-founded and operated organization that provides virtual and in-person mental health services for children and young adults in Pennsylvania, Virginia, and New Jersey. They aim to change mental health care for children for the better and foster an inclusive and collaborative work environment.

• 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.

• Investigate and resolve insurance claim denials with speed and accuracy.
• Partner with payers to resolve issues and secure timely reimbursement.
• Provide top-tier phone support to patients, insurance companies, and internal teams.

IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn’s disease, and multiple sclerosis. They foster a culture of respect, empowerment, and shared purpose, living out their values every day.

• Provides billing support for the Sandstone Care billing team.
• Responsible for verification of benefits, billing data, claims submission, claim corrections, claim re-submissions, claim follow up and appeals.
• Generates revenue by making payment arrangements, collecting accounts, monitoring and pursuing delinquent accounts.

Sandstone Care is committed to providing accessible, affordable, and high-quality mental health and addiction treatment services. They strive to create a diverse and inclusive workplace where all employees feel valued, respected, and empowered.

• Manage medical claims for telehealth services, ensuring compliance with coding guidelines.
• Support patients in understanding financial responsibility and payment options.
• Communicate with payers and vendors to resolve billing issues and appeal denials.

Midi Health provides virtual healthcare for women 40+, focusing on perimenopause, menopause, and other common health needs. They are a pioneering company aiming to bring compassionate, high-quality healthcare to women in midlife, though the company size is not specified in this job posting.

• Preparing billing and registration worksheet
• Collecting and verifying current demographic information
• Contacting insurance companies when needed

Pediatrix Medical Group is a leading provider of specialized healthcare for women, babies, and children. Since 1979, they've grown into a national, multispecialty medical group committed to coordinated, compassionate, and clinically excellent services across the continuum of care.

• Lead and manage a team of revenue cycle and/or eligibility specialists.
• Serve as the primary subject matter expert for insurance eligibility verification and billing requirements.
• Oversee day-to-day revenue cycle operations, including patient billing support and claim resolution.

Midi Health is focused on scaling billing operations. They have a fast-paced, growth-focused environment that supports teamwork and continuous improvement.

• Oversee and execute patient collection initiatives.
• Monitor outbound patient outreach campaigns to resolve outstanding balances.
• Collaborate across billing, AR, and customer support teams to resolve discrepancies.

Spring Health aims to revolutionize mental healthcare by removing barriers to access. They partner with over 450 companies and serve 10 million people, offering tailored care and generating positive ROI for employers.

• Provide support to the Utilization Management Nurse and RN Appeals Writer.
• Help prevent clinical denials related to lack of clinical authorization and untimely notifications.
• Investigate root cause of clinical denials and document them in Epic and follow-up of appeal outcome.

Piedmont Healthcare provides healthcare services. They value diverse teams, a shared purpose, and schedule flexibility.

• Manage the insurance claims process and provide customer service to clients.
• Analyze and approve claims and determine coverage based on medical necessity.
• Resolve discrepancies, secure proper reimbursement, and follow regulations and guidelines.

CommuniCare Family of Companies delivers person-centered care as a national leader in post-acute care. They operate over 150 facilities, employing more than 19,000 employees across six states, and are dedicated to improving the lives of seniors.

• Assess and Analyze daily charge activity for assigned area.
• Works with the Revenue Integrity Manager on quality assurance and auditing of charge activity within IHIS.
• Anesthesia Reconciliation; analysis of charge sessions for submission to Central Coding Department for revenue capture.

Ohio State University Physicians (OSUP) provides exceptional patient care while fostering a collaborative work environment through over 100 outpatient center locations. OSUP fosters a culture grounded in the values of inclusion, empathy, sincerity, and determination, with a team including more than 1,800 employees.

• Manage the full lifecycle of billing, collections, and eligibility verification to ensure accuracy and timely claims processing.
• Monitor denial trends and underpayments to identify root causes; collaborate with the team to implement sophisticated, long-term solutions.
• Update and own Standard Operating Procedures (SOPs) in partnership with the team to ensure our workflows remain efficient and scalable.

Ophelia is a healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. They are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.

• Review EMRs to resolve patient inquiries and conduct insurance verification.
• Handle a high volume of patient telephone calls and provide excellent customer service.
• Document calls, resolve patient inquiries, and perform other assigned duties.

Stony Brook CPMP provides comprehensive healthcare services. While the employee count is not mentioned, they focus on delivering high-quality patient care and maintaining a supportive work environment.

• 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's mission is to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, they are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients.

• Maintain the AthenaIDX practice management system.
• Translate business needs into system updates.
• Troubleshoot errors and support third-party vendors.

Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

• Review list of completed services/cycles to ensure completion.
• Maintain financial records for proper billing
• Reconcile all commercial insurance claims for cycles and single services

Spring Fertility is composed of physicians and scientists who trained at research hospitals and fertility centers. They are building the fastest-growing fertility group grounded in clinical excellence and innovation, delivering deeply patient-centric and compassionate care. They value collaboration, positivity, and enjoyment.