Manage high-value medical claims, denials, and appeals to ensure accurate and timely reimbursement.
Analyze unpaid/underpaid claims, investigate billing errors, and communicate with insurance payors via portals, phone, and email.
Maintain detailed documentation, process updates, and collaborate with internal teams to resolve complex accounts receivable issues.
Our partner operates within the healthcare revenue cycle, ensuring accurate reimbursement for medical services. They are a collaborative team focused on improving financial outcomes and maintaining compliance with healthcare regulations.
Analyze and process complex medical claims in accordance with program policies and procedures.
Apply critical thinking to adjudicate claims and resolve issues through collaboration with internal departments.
Maintain confidentiality of patient records and ensure thorough record-keeping in compliance with HIPAA regulations.
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business providing expert program management, technology, and consulting solutions. As a small business, they emphasize integrity, collaboration, and excellence in serving government and private sector clients.
Investigate and resolve denied, underpaid, or aging insurance claims using payer portals and billing systems.
Submit timely appeals and manage aging reports to reduce revenue delays.
Collaborate with billing, coding, and operational teams to resolve claim issues and maintain accuracy.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 70 clinics across 8 states and a Net Promoter Score of 93, we deliver compassionate, results-driven care in a modern, patient-first environment.
Responsible for initiating ERA and EFT setup with clearinghouses and payers.
Assist in vendor support for daily cash reconciliation and understand RCM Payment Posting Processing.
Maintain payer portal admin and employee registration; resolve unidentified payments.
Advantia Health provides unparalleled healthcare services to customers. The company employs highly qualified individuals and is an equal opportunity employer committed to diversity.
Process and resolve insurance claims, denials, and appeals accurately and timely using Epic and other systems.
Verify patient insurance eligibility, update demographics, and communicate with payors to ensure proper coverage.
Analyze and correct claim issues, perform write-offs, and contribute to workflow improvements for optimal AR outcomes.
Exact Sciences helps change how the world prevents, detects and guides treatment for cancer. The company offers an inclusive culture, purpose-driven careers, and robust benefits.
Prepares and submits hospital, physician, and clinic claims to third-party insurance carriers electronically or by hard copy.
Follows up with insurance carriers on unpaid claims and secures needed medical documentation.
Processes rejections by correcting billing errors and resubmitting claims to insurance carriers.
TruBridge provides innovative solutions that support the financial and clinical sides of healthcare delivery, connecting providers, patients, and communities. They foster a remote team culture that encourages pushing boundaries and thinking differently.
Conduct benefit investigations, insurance verification, and prior authorizations to secure timely patient access to therapies.
Manage patient case files, coordinate product ordering and shipment with pharmacies and prescribers.
Handle inbound inquiries, report adverse events, and educate stakeholders on program requirements.
Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, objective candidate screening and share top-fitting shortlists with employers.
Manages full cycle accounts receivable including invoicing, payment posting, and reconciliation.
Communicates with patients, insurance carriers, and internal teams to resolve billing discrepancies.
Processes insurance claim denials, resubmits claims, and maintains timely follow-up on outstanding balances.
Oral Surgery Partners is a dental and oral surgery practice providing surgical care. The company offers a supportive team environment with benefits and opportunities for full-time employees.
Manage the complete revenue cycle for Wisconsin payors, including claim submission, denial resolution, and follow-up.
Investigate and resolve claim denials and payment discrepancies by collaborating with internal teams and payors.
Prepare weekly AR reports and support departmental KPIs to optimize reimbursement.
LEARN Behavioral is a national organization dedicated to nurturing children with autism and special needs through evidence-based applied behavior analysis. With 20 years of clinical insights, the company focuses on personalized treatment plans and is an Equal Opportunity Employer.
Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.
CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.
Manage insurance accounts receivable, follow up on claims, and resolve denials and payment discrepancies.
Post and reconcile insurance payments, investigate variances, and ensure accurate financial records.
Collaborate with cross-functional teams to improve revenue cycle performance and support month-end close activities.
Oshi Health is a virtual digestive health practice on a mission to transform GI care. They combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions.
Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.
Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.
Complete billing tasks daily and monitor assigned accounts to minimize write offs.
Submit clean claims to insurance companies electronically or by paper according to guidelines.
Research, correct, and resubmit rejected and denied claims, and prepare appeals.
Enhabit Home Health & Hospice provides home health and hospice services. It is a large corporate agency with a focus on employee growth and competitive benefits.
Ensures accuracy and timeliness of patient financial records, including payment posting, insurance follow-up, and revenue integrity.
Monitors work queues, resolves payer discrepancies, and supports provider enrollment and revalidation activities.
Assists with charge review and correction using Epic workflows to improve reimbursement accuracy and cash flow.
This position is listed on behalf of a partner company that manages all applications and next steps for a healthcare revenue cycle environment. The role supports multiple Patient Financial Services functions within a large, process-driven healthcare organization.
Handle incoming calls in a fast-paced call center environment, assisting members with benefits, eligibility, and claims inquiries.
Maintain composure and positivity while de-escalating challenging situations and managing relationships with members.
Apply standard operating procedures and recommend process improvements for a better member experience.
Blue Cross and Blue Shield of Minnesota is a nonprofit health insurance company committed to transforming healthcare. It is one of the most recognized healthcare brands in Minnesota with a large network of doctors and a culture based on collaboration and integrity.
Verify and process daily billing charges, including insurance verification and pre-certification.
Complete billing and pre-arrival duties such as input, tracking, and verification of transactions.
Maintain communication with providers, insurance companies, and respond to inquiries.
Washington University in St. Louis is a research university dedicated to advancing knowledge through research, teaching, and patient care. It is a large institution with a diverse community of staff, faculty, and trainees committed to collaboration and innovation.
Review and manage aging reports and outstanding claims to ensure timely collections.
Investigate claim discrepancies and payment variances with insurance carriers.
Work with clinics and internal teams to resolve billing issues and improve reimbursement outcomes.
Medical Billing Center specializes in proactive revenue cycle management for outpatient physical therapy practices. Supported by more than 25 years of U.S.-based therapy billing expertise, they offer a supportive, close-knit team environment with opportunities for growth.
Deliver high-quality customer service in a healthcare environment, handling inbound and outbound calls to resolve claims, benefits, and coverage inquiries.
Research and document member and provider issues, escalate complex cases, and ensure timely follow-up across systems.
Maintain strict confidentiality of sensitive information while adapting communication for diverse audiences including members, clinics, and vendors.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies efficiently. It operates as a partner recruiting organization, facilitating applications and next steps for roles like this one.
Conducts administrative and clinical intake of calls for clinical review.
Provides quality customer service and telephonic support to providers and office staff.
Maintains high confidentiality and documentation standards while performing data entry.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With 66,000+ employees across 13 countries, they combine deep domain expertise with AI platforms to drive business resilience and sustainable outcomes.
Support patients across outpatient, inpatient, and surgical care settings by explaining insurance coverage and financial responsibilities.
Assess patient financial situations and determine eligibility for assistance programs like Medicaid and charity care.
Collaborate with clinical teams and administrative leadership to support discharge planning when financial concerns arise.
The company provides patient financial counseling services to healthcare organizations, helping patients navigate insurance and financial barriers. Its size and culture are not specified in the posting.