Serve as the single accountable owner for full client setup and ongoing RCM performance across all sites.
Actively monitor AR aging, denials, authorization timeliness, claim submission lag, payer trends, utilization, and workflow metrics.
Own performance reporting and visibility across accounts and build and maintain dashboards.
Prompt Therapy Solutions is building software for rehab therapists, helping outpatient rehab organizations treat more patients and deliver better care with less environmental waste. They are a talented team of individuals who have built software to turn a paper-heavy industry digital.
Auditing to ensure new provider and care center information is accurate.
Conducting Care Center audits based on the number of providers.
Identifying, monitoring, and managing denial management trends.
Privia Health is a technology-driven, national physician enablement company. They collaborate with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. Their platform is led by industry talent and cloud-based technology.
Reviewing and resolving missed or miscoded charges.
Ensuring coding and billing practices comply with guidelines.
Following Medicare/Medicaid and other payer requirements.
Marshfield Clinic Health System enriches lives through accessible, affordable, and compassionate healthcare, prioritizing patients' needs. They value connection with colleagues and community recognition, offering affordable living and leisure opportunities.
Responsible for timely responses to internal and external customers.
Works as part of a multi-departmental team to provide answers to billing inquiries.
Provides a variety of revenue cycle support services in connection to day-to-day operations.
Athletico empowers people, inspires hope, and transforms lives. They accomplish this by providing exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care. They have a unique culture built on teamwork, understanding, recognition, people-focus, accountability, innovation, trust, and integrity.
The Hospital Contract Definition Analyst plays a critical role in the implementation and maintenance of hospital payer contracts within Experian Health's Contract Manager system.
You will ensure accurate modeling of reimbursement methodologies to support valuation of hospital claims and patient estimates and collaborate with senior team members to process new client implementations.
Independently manages routine maintenance cases, ensuring compliance with enterprise standards and client expectations.
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 where their corporate headquarters are in Dublin, Ireland.
Lead and operationalize the end-to-end revenue cycle across a multi-state behavioral health organization.
Manage a team of 3–4 billing specialists and take full ownership of billing operations.
Strengthen billing infrastructure, improve collections performance, and accelerate cash flow.
Backpack Medical Group is dedicated to providing mission-driven care by focusing on behavioral health services. They aim to support underserved Medicaid populations with a strong emphasis on diversity and employee wellbeing within their team.
Coordinate day-to-day virtual Business Office workflow for revenue cycle operations.
Maintain documentation and organized records for survey review.
Verify insurance eligibility, confirm authorizations, and document financial clearance processes.
Signet Health provides management and consulting services for hospitals and health systems. They focus on improving financial, operational, and clinical performance. The company emphasizes a collaborative and supportive work environment.
Document requirements in business requirement documentation standard format.
Recommend technology to solve complex business problems.
UChicago Medicine has been at the forefront of medicine since 1899. They provide superior healthcare with compassion, mindful that each patient is a person, an individual. UChicago Medicine is growing and is an equal opportunity employer.
Responsible for complete, accurate and timely processing of all designated claims.
Investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
Drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership.
Responsible for the design, build, testing, training, and support of the Electronic Health Record (EHR) systems Hospital Billing (HB) application.
Play a pivotal role in the optimization and configuration of EHR system and collaborates with cross-functional teams.
Independently prioritize work assignments, meet deadlines and manage multiple projects and/or priorities.
Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians and is headquartered in Ontario, California.
Researches and analyzes data to answer questions and find trends.
Reviews carrier websites, regulations, and policies related to coding and reimbursement.
Prepares and presents quality reports, reviews, and analysis.
OSU Physicians provides exceptional patient care while fostering a collaborative work environment. They include more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders.
Primarily processes and documents transactions on insurance accounts and interacts with insurance companies and agencies.
Communicates professionally with OHSU staff and third-party customers to ensure timely and accurate processing of account transactions.
Prioritizes assigned accounts to maximize aged AR resolution and promote and implement LEAN processes.
Oregon Health & Science University values a diverse and culturally competent workforce. They are an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.
Process medical claims, resolve issues, and provide billing assistance.
Respond to inquiries promptly and coach physicians on OHIP billing.
Work individually and as a team to deliver a positive experience.
RBCx empowers tech trailblazers to compete harder and grow faster by leveraging RBC's experience, network, and capital. With four pillars – Banking, Capital, Platform, and Ventures – they aim to be the go-to backer of Canadian innovation and were named one of the 100 Best Workplaces for Innovators by Fast Company in 2020.
Contacts insurance companies to determine pre-certification requirements.
Obtains pre-authorization prior to the scheduled complex service.
Liaisons with physicians to obtain additional information.
Piedmont Healthcare is a company focused on healthcare services. They appear to be a large corporate entity, offering a range of opportunities within the revenue cycle and healthcare sectors.
Develop operational processes that align with revenue cycle management best practices aiming to maximize reimbursement
Lead a team of managers and individual contributors that will own various claim edit, general follow-up, and denial management tasks with various payers
Identify trends in payer behavior and surface them for leadership review
BetterHelp's mission is to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, they are the world’s largest online therapy service with over 30,000 licensed therapists.
Demonstrates knowledge of basic audit skills and adheres to Internal Audit Standards and UPH Internal Audit policies and methodologies.
UnityPoint Health is committed to their team members and has been recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row. They champion a culture of belonging where everyone feels valued and respected, and believe in equipping you with support and development opportunities to deliver an exceptional employment experience.
Manage end-to-end provider contracting and credentialing processes.
Maintain accurate and up-to-date provider records and documentation.
Assist with billing setup for newly credentialed providers.
Understood Care helps older adults by providing them with Medicare-covered patient advocacy services. They pair each person with a dedicated advocate who helps them navigate care, reduce costs, and make confident healthcare decisions.
Perform comprehensive review and oversight of medical records for Risk Adjustment compliance keeping with CMS and departmental guidelines with a 95%+ accuracy rate
Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture.
Reviews medical records and billing history to determine if specific disease conditions were correctly billed and documented.
Capital Blue Cross promises to go the extra mile for their team and community. Employees consistently vote them one of the “Best Places to Work in PA” and they recognize that work is a part of life, not separate from it, and foster a flexible environment.
Partners with Revenue Cycle stakeholders to define KPIs and translate needs into analytics requirements.
Develops scalable analytics content using Power BI and Microsoft Fabric ecosystem.
Translates data into clear insights and manages multiple initiatives independently.
Emory Healthcare fuels their employees' professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs, and a supportive environment. They enable their employees to reach new heights in their careers and be what they want to be.
Plays a vital role in supporting the financial integrity of hospice operations.
Ensures accurate and timely billing in compliance with regulations.
Supports clinical and operational teams by safeguarding revenue.
VitalCaring is a leading provider of home health and hospice services. With over 100 locations across the country, they are committed to fostering a culture of support, growth, and excellence for their team, ensuring exceptional patient care.