Review and process medical, supplemental, or dental claims according to benefits, eligibility, and guidelines.
Validate accuracy of medical codes, assess eligibility, and evaluate authorizations in claim submissions.
Meet or exceed quality and productivity goals while working independently in a virtual environment.
The Cigna Group is a health services company dedicated to improving the health and vitality of those they serve. It is a large organization with a focus on innovation and employee well-being.
Provide effective and timely customer service for members, providers, and insurers regarding health care claims.
Ensure timely follow-up and organize health insurance paperwork and medical records.
Communicate status updates, negotiate with providers, and appeal claim denials on behalf of plan members.
Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone, offering care guidance, advocacy, and personalized virtual and in-person care.
Review and process healthcare claims in accordance with payer requirements and established procedures
Verify claim information for accuracy, completeness, and consistency before submission
Work with billing and coding teams to investigate and resolve claim-related issues
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. They foster a remote work environment and value accuracy, teamwork, and continuous improvement.
Review healthcare claims and determine appropriate payment methodologies based on contractual terms and client requirements.
Analyze claim information and system data to ensure accurate repricing while meeting productivity and quality metrics.
Collaborate with internal audit and operational teams to support compliance, quality assurance, and process improvement initiatives.
The company provides healthcare claims review and repricing services. It operates remotely with a focus on compliance, accuracy, and continuous improvement.
Research and follow up on unpaid insurance claims via mail and phone.
Review and appeal underpaid or rejected claims, coordinating with collection agencies as needed.
Respond to customer inquiries, resolve billing discrepancies, and maintain accurate records.
Accendra Health simplifies healthcare by delivering essential products and services beyond traditional settings, with a focus on home-based care. With over 6,000 teammates across 250 locations nationwide under the Apria and Byram Healthcare brands, we are dedicated to personalized care and accessible health solutions.
Handle inbound calls from patients, attorneys, and insurance providers to resolve billing-related issues.
Communicate revenue cycle processes and insurance information clearly to ensure positive customer experiences.
Apply knowledge of healthcare insurance terminology and payer requirements to support accurate responses.
The company is a healthcare services organization that provides patient support and revenue cycle management services. It fosters a patient-focused, remote work culture with an emphasis on empathy and professionalism.
Manage complete and timely processing of claims, including reviewing daily correspondence and resolving issues through SalesForce.
Oversee accounts receivable functions such as worklists, zero pay, and denials to ensure timely resolution.
Serve as an escalation point and subject matter expert on internal sub-teams, driving toward daily and monthly KPIs.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups and health systems to optimize practices and reduce costs. They are a national organization with top industry talent and a focus on high-value care.
Handle First Notice of Loss (FNOL) calls for auto and property insurance customers.
Gather, verify, and document claim information while explaining the claims process.
Provide empathetic, professional customer service in a high-volume remote environment.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The partner company fosters a supportive, collaborative culture with a focus on professional development and flexibility, though employee size is not specified.
Handle basic investigation of auto claims including coverage, liability, and damages.
Identify customer needs and provide excellent customer service using appropriate skills.
Apply understanding of insurance policies and company systems to resolve claims.
National General, a part of The Allstate Corporation, offers home, auto, and accident and health insurance through independent agents and directly to consumers. With Allstate protecting nearly 16 million households, the company fosters an innovative environment where employees can explore ideas and take pride in their work.
Manage homeowner property claims from investigation through resolution, ensuring accurate assessments and fair outcomes.
Apply technical claims expertise and policy knowledge to negotiate settlements and provide exceptional customer service.
Collaborate with claims professionals, vendors, and internal teams in a fully remote environment to resolve complex situations.
The company is an insurance organization providing property claims services. It fosters a supportive culture with accountability, empathy, and continuous improvement, operating in a fully remote environment.
Manage government and commercial healthcare insurance receivables to ensure timely collection.
Research unpaid, denied, and underpaid claims and resolve billing discrepancies.
Communicate with insurance carriers and healthcare providers to secure reimbursement.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It operates remotely and focuses on fair, objective recruitment processes.
Maximize reimbursement by collecting outstanding balances from insurance companies through claim follow-up and appeals.
Resolve aged claims via payer portals and outbound calls, escalating for reconsideration and up to three levels of appeals.
Identify denial trends and collaborate cross-functionally to improve upstream processes and prevent future denials.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company partners with healthcare providers and biopharma organizations to improve patient outcomes through molecular diagnostics and digital health solutions.
Manage patient billing episodes, prior authorizations, and claim submissions.
Review and resolve claims issues, appeals, and eligibility with payors.
Ensure timely follow-up on outstanding accounts and document activities.
Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) nationwide, serving more than 74,000 patients daily. As the leading provider of medication-assisted treatment in the nation, our team is at the forefront of the battle against the opioid epidemic.
Submit and follow up on dental insurance claims, post payments, and verify benefits for multiple dental practices nationwide.
Manage day-to-day client communication and relationships to ensure satisfaction and retention.
Prepare and deliver monthly ROI statistics and quarterly business reviews.
DentalXChange simplifies the business of dentistry by providing revenue cycle management for dental practices across the country. They have a team that values core values like Actively Care, Try Hard, Be Humble, and Feedback is a Gift, fostering a positive culture.
Conducts redetermination reviews in compliance with Medicare rules.
Responds to appeals and writes professional correspondence.
Researches claims issues and submits educational referrals.
Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As a small business focused on government and private sector clients, they foster integrity, collaboration, and excellence.
Provide initial training on central business office duties to new staff.
Develop into higher-level roles with two years of acceptable performance.
Piedmont Healthcare Corporate is a healthcare organization focused on revenue cycle management and central business office operations. It is a large corporate entity with a culture centered on accuracy and development.
Submit dental insurance claims accurately and follow up to resolve issues.
Post insurance payments and reconcile accounts with practice management software.
Monitor accounts receivable and partner with offices and insurers for timely collection.
Wisdom blends industry expertise with advanced technology to make dental practices work better for everyone involved. The company has employees across the US and recently closed a $21M Series A funding round.
Contribute directly to improving Provider experience through timely credentialing and enrollment.
Collaborate with cross-functional teams to support new payer launches and share operational insights.
Help educate credentialing associates as new processes and payers are introduced.
Rula is a remote-first company that makes mental health care more accessible by streamlining provider onboarding. The team values diversity, equity, and inclusion, fostering a culture of belonging.
Prepare mortgage insurance claims on assigned agency or investor-acquired properties.
Complete reconciliation of all advances to be included in the claim.
Validate all necessary supporting documents needed for the claim.
LoanCare is a leading full-service mortgage loan subservicer serving banks and credit unions. Backed by Fortune 500 company Fidelity National Financial, they subservice over 1.8 million loans and have a seasoned team.