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.
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.
Lead and manage a team of revenue cycle and/or eligibility specialists.
Serve as the primary subject matter expert for insurance eligibility verification and billing requirements.
Oversee day-to-day revenue cycle operations, including patient billing support and claim resolution.
Midi Health is focused on scaling billing operations. They have a fast-paced, growth-focused environment that supports teamwork and continuous improvement.
Manage medical claims for telehealth services, ensuring compliance with coding guidelines.
Support patients in understanding financial responsibility and payment options.
Communicate with payers and vendors to resolve billing issues and appeal denials.
Midi Health provides virtual healthcare for women 40+, focusing on perimenopause, menopause, and other common health needs. They are a pioneering company aiming to bring compassionate, high-quality healthcare to women in midlife, though the company size is not specified in this job posting.
Participate in end-to-end implementation activities.
Develop an understanding of Experian Health's product suite and apply best‑practice workflows.
Facilitate requirements gathering, workflow mapping, configuration reviews, and user acceptance testing.
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, they have a team of 23,300 people across 32 countries and corporate headquarters in Dublin, Ireland.
Manage and develop a team of Billing Specialists responsible for end-to-end claims processing.
Monitor workflows and systems to ensure timely, accurate submission of claims.
Analyze and address rejection trends, leading root cause resolution and implementing scalable solutions.
Spring Health aims to eliminate every barrier to mental health by providing the right care at the right time through their technology, Precision Mental Healthcare. They partner with over 450 companies and serve 10 million people, with a valuation of $3.3 billion.
Manages the entire lifecycle of payer enrollment, credentialing, and re-enrollment of healthcare providers and facilities.
Maintains provider databases, ensuring accurate, timely submission of documentation to secure billing privileges and network participation.
Resolves claim denials, verifying insurance and performing billing related tasks to ensure timely and accurate reimbursement.
Plumas District Hospital (PDH) provides compassionate care with exceptional customer service. They are located in Quincy, California with a team that puts community first.
Hire and lead high-performing teams for revenue cycle operations.
Drive RCM KPIs by addressing claim-level issues alongside billing teams.
Build and scale the department using playbooks and data management frameworks.
Candid Health helps clients with revenue cycle operations. They appear to be a mid-sized company that values growth, excellence, and close collaboration through valuing equity in their compensation package.
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles
Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers
Expressable is a virtual speech therapy practice with a mission to transform care delivery and expand access to high-quality services. They are passionate advocates of parent-focused intervention, serving thousands of clients since their inception in late 2019.
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.
Lead and manage daily prior authorization operations across all locations.
Oversee workload distribution and productivity; Track and mitigate revenue at risk.
Hire, train, coach, and develop authorization supervisors and authorization staff.
Metro Vein Centers specializes in state-of-the-art vein treatments. With over 60 clinics across 7 states, they deliver compassionate, results-driven care in a modern, patient-first environment.
Support implementation teams with deployment of Experian's ClaimSource revenue cycle management system.
Analyze internal processes and recommend improvements to enhance efficiency, automation, and effectiveness.
Build strong relationships with clients and implementation/service teams; participate in regular client calls.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. We operate across a range of markets and have a team of 23,300 people across 32 countries, investing in people and new advanced technologies to unlock the power of data and to innovate.
Manage the full lifecycle of billing, collections, and eligibility verification to ensure accuracy and timely claims processing.
Monitor denial trends and underpayments to identify root causes; collaborate with the team to implement sophisticated, long-term solutions.
Update and own Standard Operating Procedures (SOPs) in partnership with the team to ensure our workflows remain efficient and scalable.
Ophelia is a healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. They are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.
Own end-to-end provider credentialing and enrollment across Medicaid, Medicare, Medicare Advantage.
Ensure credentialing policies and documentation meet payer and regulatory requirements.
Build and continuously improve credentialing infrastructure, including SOPs and policies/procedures.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. They partner with health plans, providers, and community organizations to deliver culturally competent care; they are scaling rapidly across states and populations.
Perform accurate data entry into the client’s medical billing system.
Post all insurance payments, invoices, and billing adjustments for assigned accounts.
Conduct audits and coding reviews to ensure accuracy and compliance.
20four7VA connects offshore independent contractors with clients worldwide, focusing on developed markets. They aim to improve business efficiency by providing high-quality, task-specific services through qualified contractors.
Exercises a high degree of control over confidential medical information.
Keeps current with changing billing requirements and shares pertinent information with billing team members.
Analyzes and initiates corrective action for patient claims.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They value excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for patients and each other.
Promptly and accurately record all provider information.
Monitor status of payer applications to ensure completion.
Initiate and follow through on all aspects of provider credentialing.
UnityPoint Health is committed to team members and is recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare. They champion a culture of belonging where everyone feels valued and respected, and provide employees with support and development opportunities.
Manage the insurance claims process and provide customer service to clients.
Analyze and approve claims and determine coverage based on medical necessity.
Resolve discrepancies, secure proper reimbursement, and follow regulations and guidelines.
CommuniCare Family of Companies delivers person-centered care as a national leader in post-acute care. They operate over 150 facilities, employing more than 19,000 employees across six states, and are dedicated to improving the lives of seniors.
Collecting and verifying current demographic information
Contacting insurance companies when needed
Pediatrix Medical Group is a leading provider of specialized healthcare for women, babies, and children. Since 1979, they've grown into a national, multispecialty medical group committed to coordinated, compassionate, and clinically excellent services across the continuum of care.