Resolve aged claims and appeals via payer portals & outbound phone calls.
Identify non-payment trends and escalate groups of claims to the Dispute Resolution teams.
Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee.
CareDx, Inc. is a precision medicine solutions company focused on healthcare solutions for transplant patients. They offer products, testing services, and digital healthcare solutions. They are the leading provider of genomics-based information for transplant patients.
Performs advanced level work related to denial management.
Processes and follows up on all appeal types, at an expert level, to all payers.
Takes actionable steps to resolve open claims, including refiling or appealing claims, or resolving manual tasks.
US Anesthesia Partners is a company that provides anesthesia services. They provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, or disability.
Conducting collection activity on appealed claims by contacting government agencies and third party payers.
Requesting additional information from Patients, Medical Records, and others as needed.
Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
Sutherland helps strengthen brands by improving customer experiences. They're a global company with nearly 40,000 employees across over 100 countries, focusing on customer care and delivering extraordinary service.
Complete billing tasks daily; ensure minimal write off of reimbursement dollars.
Submit clean claims timely and appropriately to various insurance companies; complete submissions electronically or by paper according to payor guidelines.
Research, correct, and resubmit rejected and denied claims.
Enhabit Home Health & Hospice provides in-home healthcare services. They are an equal opportunity employer committed to a collaborative and respectful work environment that supports, encourages, and motivates all individuals.
Lead the resolution of complex financial and benefits billing escalations to ensure accurate member financial tracking.
Perform root-cause analysis on multi-system issues, coordinate corrective actions, and reconcile claims data across platforms.
Act as the primary bridge between internal and external teams to clarify issues and expedite resolutions while communicating clearly with members.
Maven Clinic is the world's largest virtual clinic for women and families, providing clinical, emotional, and financial support through its digital platform across fertility, maternity, parenting, and menopause care. It is an award-winning, mission-driven company trusted by over 2,000 employers and health plans, with a culture recognized for innovation and as a great place to work.
Review patient documentation for accuracy and qualification.
Create claim and/or invoice by confirming sales order.
Monitor Patient billing module and update information as needed.
Cala Health is dedicated to freeing people from the burden of chronic disease by creating non-invasive prescription therapies. They currently have thousands of employees and strive to empower people to get back to their lives with confidence and ease.
Accurately process patient payments and maintain payment plans.
Interpret claim notes and update insurance information.
Educate patients on billing concepts and resolve issues.
They support patients with payment processing, billing education, insurance verification, and claims-related inquiries. They are hiring empathetic, accurate, and compliant service providers while navigating healthcare billing systems and policies.
Input and update data accurately on computer billing systems to ensure proper processing.
Handle patient inquiries regarding insurance, credit, and billing issues, while reviewing and mailing monthly statements.
File electronic claims, follow up on litigation cases, and manage accounts receivable by billing insurance and making collection calls.
Munson Healthcare is northern Michigan's largest healthcare system, providing award-winning community hospital services across 29 counties. The organization fosters a culture of excellence, teamwork, positivity, and creativity, with a strong commitment to creating exceptional experiences for both patients and employees.
Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
Review provider documentation and assign accurate codes per ICD-10-CM, CPT, and HEDIS/quality reporting guidelines.
Maintain and contribute to the internal billing rules matrix (payer, state, provider type, modifiers).
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care. They enhance existing care teams with compassion, creativity, and an unwavering commitment to children with medical complexity.
Performs customer service activities handling various self-pay and insurance billing and collection inquiries.
Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints.
Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate systems.
Trinity Health is a large not-for-profit, faith-based healthcare system. They have 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states, with a focus on compassionate, person-centered care.
Prepare and submit insurance claims for home infusion services.
Verify prescription reimbursement data and ensure documentation aligns with billed services.
Address billing inquiries, resolve discrepancies, and stay current on billing regulations.
LUX Infusion reimagines infusion care with a human-centric approach. They are a clinician-led, U.S.-based organization committed to inclusion, diversity, equity, and advancement.
Assist team on a smooth end-to-end billing process
Investigate, document, and follow up on denials and underpayments
Complete recurring work queues on a monthly basis
Omada Health is reverse engineering healthcare delivery, focusing on the space between doctor visits. They offer virtual-first models with human-led care teams, connected devices, and AI to support chronic conditions and have served over two million members across 2,000+ organizations.
Monitor customer accounts daily and contact customers to secure timely payments for aged receivables.
Handle inbound AR-related calls, billing inquiries, and research/resolve service and parts billing issues.
Maintain accurate records and reports while responding to internal and external inquiries within service-level timelines.
Lithia & Driveway is the largest automotive retailer in North America, operating hundreds of store locations while providing vehicle purchase, financing, and online sales services. As a Fortune 500 company listed on the NYSE, they emphasize entrepreneurial leadership and a customer-centric culture focused on delivering 'Auto Done Easy' experiences.
Research and document new payment integrity concepts by analyzing medical policies, billing regulations, and reimbursement logic.
Translate complex billing rules into precise technical specifications for automated claim auditing algorithms.
Conduct hands-on data analysis using Microsoft Excel to explore datasets and quantify savings potential for clients.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. They work with over 660,000 providers and handle over 12 million prior authorization requests annually. The Coherenauts who succeed here are empathetic teammates who are candid, kind, caring, and embody their core values and principles.
Onboard teams to train their entire RCM staff on billing best practices.
Provide reporting training, particularly in the areas of accrual accounting and AR.
Establish and nurture relationships with client stakeholders and billing personnel.
Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, teams, and patients. As the fastest growing company in the therapy EMR space, they are looking to bring on a Senior Billing Success Manager.
Personally engage customers to resolve issues impacting account growth or retention.
Respond to customer inquiries via phone, email, and web with courtesy.
Contact patients and physicians to explain costs and obtain missing billing information.
BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. With over 700 employees, they were named one of America's Best Startup Employers for 2025 and are Great Place to Work certified.
Collect information, assemble, and create accurate monthly client invoices, verifying data in the accounting system.
Research and resolve billing errors, issue debit/credit memos, and follow up with customers to collect revenue.
Process vendor invoices, manage 1099 vendor onboarding and compliance, and provide general administrative support to the accounting team.
Concentric is a risk consultancy specializing in delivering strategic security and intelligence services for private clients and corporations globally. The organization, powered by professionals from military, government, and intelligence backgrounds, fosters a culture of integrity, collaboration, and excellence.
Serve as the primary financial and billing contact for caregivers during the onboarding process into behavioral health services.
Explain insurance benefits, coverage details, and estimated out-of-pocket costs in a clear and compassionate manner.
Respond to initial billing, insurance, and payment-related questions, escalating complex inquiries to appropriate insurance providers or internal teams.
Jobgether helps partner companies find candidates for their open positions. They use an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.