Ensure correct insurance information for claim submission.
Communicate with patients about balance, billing concerns, and insurance.
Work in computer systems to obtain and organize billing information.
CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. In February 2024, they partnered with WindRose Health Investors as well as top physician services and payor executives to grow their team and invest in their next phase of growth.
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.
Prepare, review, and submit clean medical claims to commercial payers.
Manage denial resolution: research root cause, correct and resubmit, or prepare appeals.
Conduct proactive follow-up on outstanding A/R and aging claims.
Tava Health aims to make mental healthcare accessible and stigma-free. They are a fast-growing team using technology to provide accessible, high-quality mental health care.
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.
Conduct timely and accurate eligibility checks and benefit investigations through payer portals and phone outreach to ensure claims are submitted correctly from the start
Enter and monitor DME claims across multiple platforms, troubleshoot billing issues, and proactively follow up to reduce denials and accelerate reimbursement
Analyze explanation of benefits (EOBs) for errors, missing payments, or misapplied patient responsibility, then determine and execute the correct resolution path
Babylist is the leading registry, e-commerce, and content platform for growing families helping parents feel confident, connected, and cared for at every step. It has over $1 billion in annual GMV, and more than $500 million in 2024 revenue and is reshaping the $320 billion baby product industry.
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.
Responsible for collections and appeals from various Federal, State, & Third Party (HMO, PPO, IPA, TPA Indemnity) payers.
Optimize payment reimbursements by reviewing accounts for billing accuracy and health plan coverage.
Process an appeal, resubmit/rebill, or forward claims for adjudication as necessary.
BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Forbes recently named them one of America's Best Startup Employers for 2025, and they were awarded Great Place to Work certification in 2024.
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.
Provide support across our full customer base via various channels, addressing complex product and technical inquiries with accuracy and efficiency.
Guide customers on best practices for revenue cycle management, claims submission, payment processing, collections, and denial management within our platform.
Meet or exceed established performance metrics, including customer satisfaction, resolution time, and quality benchmarks; handle a high volume of inbound calls daily, ensuring timely and accurate responses to customer inquiries.
Tebra is the digital backbone for practice well-being, formed by the merging of Kareo and PatientPop. They aim to unlock better healthcare by helping independent practices bring modernized care to patients everywhere, serving over 100,000 providers.
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.
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.
Appeal denied claims through Redetermination, Reconsideration, or Administrative Law Judge processes, following laws.
Proactively investigate patient charts by reading documents and conduct computer-based research.
Solventum is a new healthcare company with a history of tackling major challenges to improve lives and support healthcare professionals. They focus on innovative solutions at the intersection of health, material, and data science and are guided by empathy and clinical intelligence.
Address the needs of patients with a focus on customer support, coordination of logistics, and problem solving.
Schedule and coordinate the flow of work within or between departments to expedite project efficiencies and resolution to escalations.
Address and resolve assigned inquiries with a sense of urgency; Ensure timely closure of escalation cases using email, phone, or salesforce.com
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.
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.
Navigate the Medicare system for patients and caregivers.
Manage care coordination and logistics, including specialist visits.
Advocate for patients by identifying billing errors and cost-saving programs.
Carewell is dedicated to providing a trusted retail source for caregiving products, offering expert-vetted items like incontinence supplies and mobility aids. They are recognized as one of the fastest-growing companies in the US, committed to improving teams, partnerships, and solutions.
Accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP, Charity programs, or payment arrangements.
Verify coverage and authorization for all scheduled procedures through scheduling and registration information.
Act as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit is accessible to nearly one out of every four U.S. residents. With our combined resources CommonSpirit is 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.
Own and manage the member-facing phone line, delivering compassionate, timely, and solutions-oriented support.
Manage expedient and accurate Verifications of Benefits (VOBs) to ensure members can access care without delay.
Collaborate and strategize cross-functionally with our member growth team to streamline onboarding and ensure a seamless member experience.
Amae Health provides outpatient psychiatric and primary care health services through value-based care arrangements. They are a Series B venture-backed Public Benefit Corporation dedicated to becoming the nation's center of excellence for individuals living with severe mental illness.
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.
Manage a caseload of in-progress applications through the underwriting process
Coordinate and follow up on medical exam bookings with vendors and clients
Handle inbound calls and respond to client emails
PolicyMe is Canada’s leading digital insurance solution, offering straightforward and affordable financial protection for families. They operate with a remote-first culture and have sold over $10 billion in insurance coverage since 2018.