Responsible for submitting medical billing claims and appealing denied claims.
Obtain referrals and verify healthcare service eligibility.
Follow up on missed payments and resolve financial discrepancies.
CRMS by DocGo leads the proactive healthcare revolution with an innovative care delivery platform. They disrupt the traditional healthcare system by providing high quality, affordable care with a team of over 5,000 certified health professionals.
Provide high-level customer service to patients and fellow employees.
Review and update billing, codes, and account information.
Ensure accurate billing for all services provided, adhering to compliance.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products. With 160 years of clinical excellence, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.
Conduct timely and accurate eligibility checks and benefit investigations through payer portals and phone outreach to ensure claims are submitted correctly from the start
Enter and monitor DME claims across multiple platforms, troubleshoot billing issues, and proactively follow up to reduce denials and accelerate reimbursement
Analyze explanation of benefits (EOBs) for errors, missing payments, or misapplied patient responsibility, then determine and execute the correct resolution path
Babylist is the leading registry, e-commerce, and content platform for growing families helping parents feel confident, connected, and cared for at every step. It has over $1 billion in annual GMV, and more than $500 million in 2024 revenue and is reshaping the $320 billion baby product industry.
Prepares and submits clean claims to various insurance companies.
Identifies and resolves patient billing complaints.
Performs various collection actions including contacting patients by phone.
SelectQuote provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience.
CommonSpirit Health has 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services, making them accessible to nearly one out of every four U.S. residents. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Manage prior authorizations and related administrative paperwork.
Input patient information, medical records (CPT, ICD-10, HCPCS), and billing data into EMR/EHR systems.
Assist with processing insurance claims, verifying patient insurance information, and handling billing inquiries, concerns, and documentation.
Wing is redefining the future of work for companies worldwide. They aim to be a one-stop shop for companies looking to build world-class teams and place their operations on autopilot.
Prepare and submit credentialing and enrollment packets.
Maintain accurate provider files and track expirations.
Provide assistance to the billing team during staff absences.
Modena Health and Modena Allergy & Asthma are leading medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. They are physician-led and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Ensures payments for pharmacy partners are retrieved and posted accurately and timely.
Resolves missing remittance files and any unmatched/unreconciled remittance detail.
Contributes to the month-end reporting process by retrieving necessary reporting related to payment activity.
Shields Health Solutions partners with hospitals to build and manage specialty pharmacies. They focus on improving medication access, adherence, and outcomes for patients with chronic illnesses. The company is fast-growing in the Healthcare Services sector and values teamwork and high-quality work.
Prepares Refund Request Forms and supporting documentation regarding overpayment calculations.
Performs follow-up on checks that have not cleared the bank, and research’s checks that are returned for insufficient address.
US Anesthesia Partners validates and tracks credits due to insurance companies, patients and other payers. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska and provides equal employment opportunities to all employees and applicants for employment.
Contact and communicate with providers to obtain required medical record documentation.
Respond to telephone inquiries promptly, professionally, and efficiently to provide resolution.
Analyze provider questions to determine the best use of resources to resolve the situation.
Empower AI provides federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.
Assess and Analyze daily charge activity for assigned area.
Works with the Revenue Integrity Manager on quality assurance and auditing of charge activity within IHIS.
Anesthesia Reconciliation; analysis of charge sessions for submission to Central Coding Department for revenue capture.
Ohio State University Physicians (OSUP) provides exceptional patient care while fostering a collaborative work environment through over 100 outpatient center locations. OSUP fosters a culture grounded in the values of inclusion, empathy, sincerity, and determination, with a team including more than 1,800 employees.
Serve as the primary point of contact for assigned clients, building strong relationships and addressing inquiries.
Oversee the entire billing process, ensuring accurate and timely claim submission and denial resolution.
Monitor claim submissions, payment posting, and aging AR to ensure targets are met and identify remediation efforts.
Motivity provides revenue cycle management services. They focus on helping ABA providers improve their financial success with billing and claims management. The company culture emphasizes strong partnerships, trust, and transparency.
Create a welcoming experience by authentically engaging every caller, every time.
Thoroughly and accurately answer questions about customers’ healthcare accounts.
Thoughtfully listen to callers’ needs and provide appropriate solutions.
Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. They research the most effective cost containment strategies and are driving down the cost of plans with innovative solutions.