Own the full AR cycle: payment posting, cash reconciliation, aging management, and payer follow-up across district, health plan, and member inquiries.
Investigate and resolve complex claim denials and rejections, submit corrected claims and appeals, and drive systemic fixes to improve clean claim rates.
Serve as internal subject matter expert on payer requirements, billing regulations, and compliance standards, fielding escalations from clinical and operations teams.
Conducting collection activity on appealed claims by contacting government agencies and third party payers.
Requesting additional information from Patients, Medical Records, and others as needed.
Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
Sutherland helps strengthen brands by improving customer experiences. They're a global company with nearly 40,000 employees across over 100 countries, focusing on customer care and delivering extraordinary service.
Review patient documentation for accuracy and qualification.
Create claim and/or invoice by confirming sales order.
Monitor Patient billing module and update information as needed.
Cala Health is dedicated to freeing people from the burden of chronic disease by creating non-invasive prescription therapies. They currently have thousands of employees and strive to empower people to get back to their lives with confidence and ease.
Assist team on a smooth end-to-end billing process
Investigate, document, and follow up on denials and underpayments
Complete recurring work queues on a monthly basis
Omada Health is reverse engineering healthcare delivery, focusing on the space between doctor visits. They offer virtual-first models with human-led care teams, connected devices, and AI to support chronic conditions and have served over two million members across 2,000+ organizations.
Onboard teams to train their entire RCM staff on billing best practices.
Provide reporting training, particularly in the areas of accrual accounting and AR.
Establish and nurture relationships with client stakeholders and billing personnel.
Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, teams, and patients. As the fastest growing company in the therapy EMR space, they are looking to bring on a Senior Billing Success Manager.
Manage a high volume of patient-facing and internal billing questions.
Work claims end-to-end via our clearinghouse, partnering with stakeholders.
Support efforts to streamline existing RCM processes and ad-hoc RCM projects.
Nourish is on a mission to improve people’s health by making it easy to eat well. They are building an AI-native, patient-friendly healthcare system centered on nutrition. They have 100s of 1000s of patients and 1000s of dietitians on their platform and have raised $115M from top-tier VCs.
Resolve aged claims and appeals via payer portals & outbound phone calls.
Identify non-payment trends and escalate groups of claims to the Dispute Resolution teams.
Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee.
CareDx, Inc. is a precision medicine solutions company focused on healthcare solutions for transplant patients. They offer products, testing services, and digital healthcare solutions. They are the leading provider of genomics-based information for transplant patients.
Own end-to-end billing operations across the full claims lifecycle.
Lead and manage a team of 4+ offshore support staff setting priorities, assigning workstreams, and reviewing output.
Manage a high volume of billing questions and escalations from vendors and internal teams.
Prosper Health aims to improve the lives of autistic and neurodivergent adults by delivering specialized mental health services covered by insurance. The company is experiencing rapid growth with a team of over 400 clinicians and a focus on high-ownership and mission-driven culture.
Complete billing tasks daily; ensure minimal write off of reimbursement dollars.
Submit clean claims timely and appropriately to various insurance companies; complete submissions electronically or by paper according to payor guidelines.
Research, correct, and resubmit rejected and denied claims.
Enhabit Home Health & Hospice provides in-home healthcare services. They are an equal opportunity employer committed to a collaborative and respectful work environment that supports, encourages, and motivates all individuals.
Conduct structured analysis of denial and rejection data to identify root causes, payer patterns, and filing limit exposure.
Build and maintain operational dashboards that give RCM leadership real-time visibility into denial volume, payer performance, and AR trends.
Translate billing logic, payer-specific rules, and denial patterns into written, maintainable SOPs.
Cartwheel is building a new kind of mental health program for kids that puts schools at the center. They are an early-stage company backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and looking for mission-driven teammates to join their team.
Review and analyze insurance denials using EOBs, payer correspondence, and claims data to determine appropriate resolution strategies.
Differentiate between clinical and technical denials and identify required next steps for appeals or reprocessing.
Prepare and submit appeals using supporting documentation such as medical records, appeal letters, and clinical justification when necessary.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use automated technology to review applications and share top-fitting candidates directly with employers, ensuring a fair and efficient hiring process.
Investigate and resolve insurance claim denials, handling 50 to 100 denials daily with speed and accuracy.
Partner with payers to secure timely reimbursement and interpret LCD/NCD requirements for CPT/HCPCS-related denials.
Provide top-tier phone support to patients, insurance companies, and internal teams while using payer portals and clearinghouses.
IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn’s disease, and multiple sclerosis. We foster a culture of respect, empowerment, and shared purpose, with a team committed to patient-centered outcomes and values such as Be Kind and Do What’s Right.