Review medical records to identify clinical information and flag missing documentation.
Coordinate medical record requests and track case pipelines to ensure timely receipt.
Support provider and patient outreach and contribute to operational improvement projects.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Review and process patients’ enrollment forms for the Patient Assistance Program.
Assist patients on the phone with PAP program enrollment by verifying pre-screening and qualifying tasks.
Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process.
CareTria aims to help patients access coverage for their prescribed medications. We provide telephone support and administrative functions. The company offers comprehensive benefits and is an Equal Opportunity Employer, indicating a commitment to a positive and inclusive work environment.
Improve key performance metrics for the focused area within the revenue cycle.
Conduct audits of all revenue cycle processes, vendors, and technology.
Determine root cause of issue and appropriateness of actions taken, assist in corrective action plan development.
ATI Physical Therapy partners with business leaders to improve healthcare. They focus on positive change throughout the revenue cycle and offer competitive benefits.
Ensure accurate and timely billing and reimbursement by submitting clean claims to primary and secondary payers
Review, correct, and resubmit rejected or denied claims, track accounts receivable, and maintain detailed AR status reporting
Communicate regularly with insurance companies, providers, and internal teams to resolve billing issues and verify insurance eligibility
LUX Infusion reimagines infusion care to be more human, supportive, and connected, guiding patients through complex therapies. As a clinician-led U.S. organization, they foster an inclusive culture where every team member feels valued and empowered.
Ensures optimum reimbursement and improves day-to-day operations of the revenue cycle.
Processes and follows up on payer issues with various entities for completion.
Researches and resolves straightforward account activity and maintains accuracy of the revenue cycle system.
Athletico empowers people, inspires hope and transforms lives through exceptional, progressive fitness, performance and rehabilitative services. They are a people-focused company with a strong culture built on core values like one team, recognition, and trust and integrity.
Handle inbound and outbound calls to ensure patient satisfaction, troubleshoot concerns, and explain insurance coverage.
Obtain and process authorizations for reorders, resolve patient issues, and ensure accurate reorder processing via phone and document processing.
Maintain patient documentation, insurance requirements, and company procedures with high confidentiality.
CCS is a strategic partner addressing America's healthcare challenges through intelligent chronic care management, focusing on diabetes and chronic conditions. Recognized as a Great Place to Work®, they support over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals.
Maintains practice management systems, processes insurance claims, and reconciles patient accounts.
Investigates rejected claims, corrects denials, and facilitates payment through collections and billing reminders.
Ensures HIPAA compliance, resolves patient billing issues, and provides professional customer service.
US Anesthesia Partners provides anesthesia services and revenue cycle management. It is a large US-based healthcare organization focused on billing and insurance operations, emphasizing accuracy and compliance.
Serve as primary point of contact for specialty pharmacy patients from enrollment through therapy adherence, handling benefits verification and prior authorization.
Manage a caseload independently, perform outbound calls, and coordinate with pharmacy partners to ensure accurate therapy and shipment status.
Maintain strict patient confidentiality per HIPAA, recognize and report adverse events, and follow program-specific protocols.
Caretria provides patient support services for specialty pharmacy patients, focusing on enrollment, benefits verification, and care coordination. The company values empathy, urgency, and accuracy, and offers a comprehensive benefits package to its employees.
Identify and resolve financial discrepancies to recover missed or lost income.
Analyze billing errors, payment disputes, and account adjustments across complex systems.
Collaborate with operational leaders and billing teams to implement corrective actions.
OHSU is Oregon's only public academic health center, providing patient care, leading research, and training healthcare professionals. As Portland's largest employer, we operate hospitals and clinics across Oregon and Southwest Washington, valuing diversity and striving to build an anti-racist institution.
Process referrals to MTM team and schedule appointments for patients.
Provide phone support and document patient information in electronic health records.
Assist with prior authorizations and billing to help patients access affordable medications.
UnityPoint Health is a healthcare system providing medical services. It is recognized as a Top 150 Place to Work in Healthcare and offers a supportive culture for team members.
Investigate and resolve health plan denials for coding-related issues, including rejections, down codes, bundling, modifiers, and level of service.
Generate appeals based on dispute reasons and contract terms specific to payors, including online reconsiderations and following payer guidelines.
Maintain working knowledge of workflows, systems, and tools used in the department, adhering to production and quality standards.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. The company partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver data-driven solutions.
Own denials, rejections, and outstanding AR for our customers: Work the full recovery lifecycle from root cause diagnosis to resolution.
Pair deep RCM judgment with AI-native tooling: Use Joyful Health's platform to resolve claims at speed and scale, applying expertise where human judgment matters most.
Collaborate with Revenue Cycle Success Managers, RCM Center of Excellence, and Engineering teams to sharpen recovery work and feed product improvements.
Joyful Health is building the AI-powered financial operating system for healthcare practices, aiming to simplify financial operations so providers can focus on patient care. They just announced a $22M Series A led by CRV and investors including founders of MongoDB & KAYAK, and are a small, ambitious team with big goals.
Handle inbound calls regarding STAT medical record requests.
Ensure prompt and courteous responses within performance standards.
Maintain accurate records and escalate issues as needed.
This organization manages the release of medical records in urgent timeframes. It maintains a remote workforce focused on customer service and compliance.
Contact patients for payments on outstanding balances.
Process account adjustments and establish payment plans.
Maintain confidentiality and adhere to HIPAA regulations.
AnewHealth is a leading pharmacy care management company specializing in complex, chronic needs care. With over 1,400 team members, they care for more than 100,000 people across all 50 states.
Focuses on ensuring accuracy, compliance, and integrity of medical coding across healthcare records.
Conducts detailed audits, reviews clinical documentation, and identifies discrepancies impacting billing and compliance.
Collaborates with clinicians, revenue cycle teams, and leadership to improve documentation quality and coding consistency.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They process applications and share shortlists with employers, focusing on objective and fair review.
Responsible for processing insurance claims accurately and efficiently.
Analyze claim data to identify trends, errors, and potential irregularities.
Serve as a liaison between departments to support seamless claims resolution and continuous process improvement.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults. They are a fast-growing company serving over 200,000 seniors in 1,500+ communities across 32 states.
Serve as the primary contact for CM/UM programs and operational questions related to the MyCare Platform.
Build relationships with provider offices through outreach and timely follow-up, resolving issues within defined turnaround times.
Educate providers on submission requirements, documentation, timelines, and available CM/UM resources.
Personify Health created a personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while improving health outcomes.
Consistently practices Patients First philosophy, responding to questions, forwarding issues, and maintaining patient confidentiality per HIPAA.
Collects patient demographic information, schedules appointments, performs medical necessity checks, and provides out-of-pocket cost estimations.
Utilizes online systems for order retrieval, insurance verification, and accurate documentation in Epic; proactively analyzes account activity and suggests process improvements.
Northwestern Medicine is a leader in the healthcare industry, putting patients first in every interaction. It offers competitive benefits including tuition reimbursement, loan forgiveness, and 401(k) matching, and fosters a collaborative workplace.
Review and audit clinical documentation for accuracy, timeliness, and regulatory compliance.
Ensure documentation meets Medicare Conditions of Participation, state regulations, and accreditation standards.
Lead and support Quality Assurance and Performance Improvement initiatives, tracking key clinical and operational indicators.
They are fixing US healthcare by building an AI-native physical care platform, starting with home health. The company is automating administrative work with AI to create a fundamentally different cost structure than incumbents, enabling them to serve more patients.
Responsible for the review and processing of claims within the claims transactional system, according to plan benefits and contractual reimbursement terms.
Follows established policies and procedures to pay, pend for additional information, or deny claims.
Accountable to meet and maintain established department production and quality standards.
Evry Health is on a mission to bring humanity to health insurance by expanding benefits, increasing access and transparency, and featuring a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL) with more than 3,000 corporate employees and 15,000 agents.