Reconcile daily payment batches in Candid against bank deposits and resolve unapplied items.
Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.
Validate reimbursement amounts against contracted fee schedules and expected payments.
Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services. Since 2019, we have served thousands of clients and are a fast-growing, fully remote team dedicated to parent-focused intervention and improving outcomes.
Own the program's analytics pipeline including claims records, eligibility files, and MAO-004 reconciliation across all clients.
Lead care-gap identification and closure reconciliation, ensuring accuracy for billing and client audits.
Deliver practice-level performance analysis and build funnel instrumentation to identify value leakage.
Covera Health combines clinical expertise, advanced AI, and radiology quality data to improve diagnostic accuracy. Backed by Insight Partners, the company supports nearly 6 million people across major employers and health plans, with a culture focused on meaningful work and saving lives.
Drive top-line revenue growth by advancing payment accuracy sales opportunities with sales and account management teams.
Serve as a technical and domain SME during sales engagements, focusing on claims and payment integrity workflows.
Deliver compelling presentations and demos of Availity payment accuracy solutions to prospective and current customers.
Availity delivers revenue cycle and related business solutions for health care professionals. With over 2 million providers connected and 12 billion transactions annually, they foster an energetic, forward-thinking culture focused on innovation.
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.
Review, evaluate, appeal, and follow up on denied and underpaid claims using proprietary software.
Use payment documentation and contract information to ensure correct reimbursement.
Research and submit complex underpayment appeals to payers for timely claim resolution.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using proprietary automation. The company has been recognized as a top workplace and among the fastest-growing private companies in the US for eleven years.
Lead deep-dive analyses of clinical and technical denials to uncover root causes affecting hospital reimbursement and operational efficiency.
Partner with hospital leadership and revenue cycle teams to present findings and support operational transformation initiatives.
Design and deliver training and documentation to improve denial prevention practices across teams and departments.
Our partner is a healthcare services organization operating in revenue cycle management and analytics. It is a growing company with strong client relationships and a focus on operational transformation.
Support quality assurance and audit planning for the WTC Health Program
Analyze claims data to identify trends and recommend improvements
Maintain health plan codebook and ensure accurate medical coding standards
Advanced Technologies & Laboratories International, Inc. (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit activities for the WTC Health Program. The company offers a competitive total compensation package and invests in professional growth through tuition reimbursement and certification programs.
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.
Evaluate fraud concerns and collect documentation to clear false positive exceptions and mitigate risk.
Prepare daily and monthly bank reconciliation reports and identify remedies for exception items.
Act as point of contact between internal/external customers and banking partners for questions related to delayed funds.
SRS Acquiom delivers a platform and services to help manage complex M&A and loan agency transactions. With offices across the US, London, and Amsterdam, the company has supported over 11,500 transactions globally and offers a culture of entrepreneurial energy, growth, and innovation.
Prepare and submit mortgage insurance and agency claims in accordance with applicable guidelines.
Conduct monthly audits and review exception reports to ensure data integrity and identify trends.
Support resolution of escalated issues, maintain process documentation, and assist training efforts.
Jobgether uses AI-powered matching to connect candidates with hiring companies. They process applications based on legitimate interest and offer remote work flexibility.
Communicate with external vendors and partners to resolve payment issues and ensure accurate records.
Support special projects and process improvements in a high-volume, collaborative remote environment.
Jobgether is a hiring platform using AI matching to connect candidates with employers. It operates with a distributed team across multiple countries, offering fully remote positions.
Coordinates data collection from multiple sources to audit and monitor compliance with regulations.
Investigates and resolves compliance matters and monitors corrective action plans.
Develops training materials and publications to educate organization stakeholders.
UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It is recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging and support for its team members.
Audits claims, customer service inquiries, member and group enrollment activities to validate Plan performance.
Supports internal audit and special investigations as needed.
Analyzes performance guarantee accounts and participates in external client audit requests.
Capital Blue Cross is a health insurance company providing coverage and services. They have been voted one of the 'Best Places to Work in PA' and foster a flexible, supportive culture with emphasis on employee well-being.
You process patient payments and manage payment plans with accuracy and empathy.
You handle insurance verification, claims support, and billing education for patients.
You research account issues and resolve billing discrepancies while maintaining professionalism.
Privia provides healthcare billing and payment solutions, helping patients with insurance claims and financial responsibilities. They operate with a remote team and emphasize compassionate, compliant service.
Review claim files to determine coverage and develop collection strategies with insurance partners and customers.
Negotiate with responsible parties and interpret facts of loss to establish settlement strategies.
Maintain accurate account records, update system notes, and make decisions for settlement strategy.
Enterprise Mobility is a family-owned portfolio of brands and leading provider of mobility solutions worldwide. Founded over 60 years ago, it operates a global network with 80,000 dedicated team members across nearly 100 countries.
Process medical claims by reviewing, validating, and entering data accurately and in compliance with policies.
Identify discrepancies, flag unusual cases, and escalate issues while maintaining productivity and quality standards.
Collaborate with peers, participate in training, and uphold confidentiality and regulatory requirements like HIPAA.
Sidecar Health is redefining health insurance by making excellent healthcare affordable and accessible for everyone. The passionate team, with backgrounds as tech leaders, policy makers, and healthcare professionals, is driven to fix a broken system and create a more personalized, affordable, and transparent experience.
Investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis and interviews.
Analyze information, report findings, and recommend settlements or denials while supporting legal proceedings.
Conduct training on fraud detection and maintain knowledge of relevant laws and regulations.
Cotiviti is a healthcare analytics company that helps clients reduce costs and improve outcomes through data-driven insights. As a global leader in payment accuracy and network performance, Cotiviti fosters a collaborative and inclusive culture.
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.
Own HIPAA-compliant source-of-truth artifacts governing Medicare claims business rules.
Validate changes internally and communicate updates to external CMS stakeholders.
Bridge product and engineering by translating policy needs into clear requirements.
Nava is a consultancy and public benefit corporation working to make government services simple and effective. Since 2015, they have helped federal, state, and local agencies solve technology modernization challenges, and they are a remote-first team with a collaborative culture.
Prepare and submit mortgage insurance claims according to regulatory requirements.
Conduct audits, resolve escalations, and collaborate with cross-functional teams.
Assist in training and process improvements to ensure data integrity.
The partner company specializes in mortgage servicing operations. It is an organization that values accuracy, quality, and efficiency in claims-related processes.