Improve key performance metrics for the focused area within the revenue cycle.
Conduct audits of all revenue cycle processes, vendors, and technology.
Determine root cause of issue and appropriateness of actions taken, assist in corrective action plan development.
ATI Physical Therapy partners with business leaders to improve healthcare. They focus on positive change throughout the revenue cycle and offer competitive benefits.
Supervise day-to-day operations of assigned Utilization Management staff.
Provide full people management for assigned Utilization Management teams, including hiring and performance management.
Drive team performance against key metrics, including engagement, productivity, and quality scores.
Personify Health has created a personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Their data-driven solutions aim to reduce costs while improving health outcomes, empowering people to lead healthier lives.
Supervise daily operations to achieve financial and operational goals.
Oversee hiring, training, counseling, and mentoring of property staff.
Review property administrative, accounting, and maintenance compliance.
Highmark Residential values every position and hires people who want to be the best. They provide an empowered, challenging, fulfilling, and financially rewarding workplace.
Supervise call center staff and provide day-to-day supervision to communicators, implementing performance standards.
Monitor inbound/outbound customer service calls to ensure script adherence, call integrity, compliance, and proper phone technique.
Analyze call metric and productivity reports, share analysis with leadership, and offer recommendations based on analysis.
Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. We have a passionate, global workforce of over 7,000 experts in more than 20 countries and an exceptional, collaborative 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.
Supervise daily activities of QA specialists across multiple operational areas.
Review completed audits for accuracy and consistency.
Conduct calibration sessions to ensure scoring alignment.
Machinify is a leading healthcare intelligence company delivering unmatched value, transparency, and efficiency to health plan clients. They are deployed by over 85 health plans and are reimagining what’s possible in the industry to maximize financial outcomes and drive down healthcare costs.
Consistently craft clear, concise, and compelling content across audiences and channels.
Supervise and provide guidance to a team of copywriters and freelancers.
Contribute creative and strategic solutions that help drive brand growth and client success.
RevHealth is an independent pharmaceutical healthcare marketing and advertising agency. They empower their people to produce career-defining work and champion both personal growth and cutting-edge client solutions, fostering a dynamic and positive team environment.
Directly lead and manage a team of Patient Support Associates to ensure medication adherence or timely prior authorization.
Proactively manage support in assigned hospitals and/or clinics to ensure patients receive medications on-time.
Provide front-line supervision and ongoing coaching and performance management to Patient Support team.
Shields Health Solutions is a specialty pharmacy management service provider. They are a fast-growing company that values motivated self-starters with a positive outlook and a focus on high-quality work.
Oversee prior authorization technicians and administrative PA functions.
Analyze data and provide staffing, workflow, and system enhancement recommendations.
Investigate/resolve escalated issues from clients and providers.
Judi Health is an enterprise health technology company providing a suite of solutions for employers and health plans. They have a comprehensive Enterprise Health Platform that consolidates all claim administration-related workflows in one scalable, secure platform.
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.
Performs advanced level work related to denial management.
Processes and follows up on all appeal types, at an expert level, to all payers.
Takes actionable steps to resolve open claims, including refiling or appealing claims, or resolving manual tasks.
US Anesthesia Partners is a company that provides anesthesia services. They provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, or disability.
Provides leadership and supervision to Revenue Recovery products under the Denials umbrella.
Leads dedicated product and service teams across Revenue Integrity to deliver best-in-class results to clients.
Develops and supports leadership within the department, while driving operational performance and client satisfaction.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability. The company has been recognized as a top workplace and is among the top one percent of companies to make the Inc. 5000 list for the last eleven years.
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.
Answer calls and resolve questions, routing to appropriate departments.
Complete documentation in EMR and marketing systems, including initial prescreening.
Schedule new and returning patients and complete follow-up duties.
Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.
Reviews accounts in assigned queue to determine next course of action required to resolve the delinquent account.
Utilize various skip tracing techniques and collection strategies to locate right parties
Negotiate payment terms and methods, often requiring probing questions of the consumer in order to better understand potential objections to payment.
Velera is the nation’s premier payments credit union service organization (CUSO) and an integrated fintech solutions provider. The company serves more than 4,000 financial institutions throughout North America, operating with velocity to help our clients keep pace with the rapid momentum of change and fuel growth in the new era of financial services.
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.
Manage collections process for customer accounts, including proactive outreach on past-due balances.
Monitor aging reports and work to reduce outstanding accounts receivable through timely follow-up and account analysis.
Partner with Billing, Sales, Customer Success, and Finance teams to resolve customer concerns and billing discrepancies.
WorkWave provides innovative software and fintech solutions for service professionals. With over 8,000 customers globally, their platform supports various business operations from customer acquisition to payments.
Lead and manage a team of late-stage collections team members focused on minimal skip-tracing.
Handle escalated customer loan issues and provide guidance on resolution of escalated matters.
Provide training to new hire staff ensuring appropriate knowledge of systems and adherence to company procedures and policies.
Lendbuzz believes financial opportunity should be more personalized and fair, developing innovative technologies for underserved borrowers. They are a diverse company with a culture valuing independent and critical thinking.
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.
Assist the day-to-day supervision of Processors and Junior Processors.
Provide service and quality processing of loan files.
Ensure compliance with LBF’s policies and secondary market requirements.
Longbridge is passionate about helping seniors unlock their home equity. As a leading provider of home equity solutions, they're committed to helping older homeowners make the most of what they’ve worked hard to build. Longbridge has earned a reputation for making it easy to access home equity.