Process patient payments and manage payment plans with accuracy and compliance.
Educate patients on billing, insurance verification, and claims-related inquiries.
Resolve billing issues by researching account history and coordinating with internal teams.
Five Star Solutions is a customer service and healthcare billing solutions provider, supporting patient payment and insurance processes. The company fosters a remote work culture with a focus on empathy, accuracy, and compliance.
Analyze hospital claims to identify discrepancies between expected and actual insurance reimbursements.
Investigate underpayments and payment variances by examining coding errors, billing discrepancies, and payer policies.
Collaborate with insurance carriers and internal stakeholders to resolve billing issues and improve revenue recovery outcomes.
This partner company specializes in healthcare revenue integrity, helping hospitals recover appropriate reimbursement for services. The team fosters a collaborative, inclusive culture focused on continuous improvement and professional development.
Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.
Own the weekly fee-refund cycle, matching remit amounts and escalating discrepancies to Finance.
Field refund inquiries from Client Success and track missing or delayed refunds.
Maintain Payor Compliance SOPs and flag systemic payment issues to engineering.
Pivotal Health is a technology platform that helps healthcare providers get paid fairly in a complex reimbursement landscape. It is a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.
Process fraud alerts, manage chargebacks, and issue refunds.
Handle billing tasks in CRM and verify suspicious customers.
Analyze refund and chargeback trends to improve operations.
We're Boosta, a holding tech company that creates and invests in digital businesses. Our business Edlight builds AI products and expert services, and we collaborate with over 800 specialists worldwide.
Perform billing and collection accounting, including account reconciliation, invoicing, and letters of credit.
Interact with internal departments, attorneys, and customers to resolve disputes and collect outstanding balances.
Analyze account activity and identify cash flow opportunities while providing prompt, professional service.
Liberty Mutual is a global insurance company offering a wide range of insurance products and services. The company values inclusion, employee well-being, and professional development, fostering a supportive culture for its workforce.
Manage accident-related accounts from intake to resolution, coordinating no-fault and liability benefits.
Submit claims to carriers, maintain accurate records in AcciClaim, and monitor insurance portals.
Work independently, set priorities, and communicate professionally with patients and adjusters.
Revecore helps hospitals recover revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, the company combines specialized expertise with proprietary technology and fosters a supportive, innovative workplace.
Prepare and submit state-level reimbursement disputes through state portals, agencies, and arbitration entities.
Track deadlines, fees, and payments while keeping accurate case records from filing through resolution.
Monitor state requirements, flag rule changes, and collaborate with analytics teams to keep case data clean.
Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in a complex reimbursement landscape. We are a collaborative, low-ego team building AI-driven solutions to simplify reimbursement workflows.
Manage day-to-day credentialing workflows and lead data analysis projects for payer enrollment.
Conduct routine audits of task boards and triage inquiries to improve process efficiency.
Develop and distribute reporting on credentialing status for cross-functional stakeholders.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company comprises highly dedicated professionals from world-class institutions, who care deeply for their work and each other, fostering a culture that values hard work and growth.
Verify insurance eligibility, benefits, and patient liability to ensure accurate financial clearance.
Collaborate with providers, authorization teams, and payers to resolve coverage questions.
Maintain accurate records and communicate financial expectations to patients.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. They partner with companies to manage applications and provide a collaborative hiring process.
Coordinate denial and appeal follow-up activities to ensure timely resolution of insurance denials and appeals.
Investigate payment issues with insurance carriers, maintain tracking systems, and document follow-up actions.
Analyze performance data and collaborate with revenue integrity teams to improve billing accuracy and recovery.
This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.
Process credit card payments and document call details, account inquiries, and actions taken.
Deliver friendly, professional service while handling sensitive billing questions.
Five Star Solutions provides customer service and medical billing support, helping patients navigate their billing questions with care. The company values diversity and is committed to a professional, diverse workforce, offering equal opportunity employment.
Provide professional and timely service to internal and external customers regarding benefit administration.
Resolve benefit service issues with internal staff and outside vendors.
Perform monthly reconciliation of Carrier invoices to report to customers.
OneSource Virtual (OSV) works exclusively with Workday customers to automate payroll, taxes, earned wage access, accounts payable, and benefits. With over 1,500 customers and 92% retention, OSV offers a values-based culture and professional development.
Work with insurance companies on behalf of patients to obtain payments for Banner Imaging teams
Research and hold payers accountable to pay expected rates according to contracts within allowed timeframes
Expand knowledge in appeals, follow up on denials, send medical records, verify eligibility and authorization, and negotiate with insurers
Banner Health is one of the largest nonprofit health care systems in the country, providing hospital services and care across multiple states. The organization is nationally recognized, earned Great Place To Work Certification, and offers diverse career opportunities with a strong focus on workplace excellence.
Handle high-volume inbound and outbound calls to support patients with financial responsibilities, insurance coverage, and payment options.
Verify insurance eligibility, register patients, and coordinate pre-authorizations while maintaining accurate records.
Collaborate with clinical and administrative teams to ensure a seamless patient experience and meet productivity standards.
Our partner is a healthcare organization focused on improving patient access to financial and administrative support. They foster a compassionate, patient-centered culture and operate a fast-paced call center environment with a collaborative team.
Monitor clearinghouse portals and resolve rejected medical claims daily.
Investigate rejection causes including coding errors and eligibility issues.
Correct claim information and resubmit to insurance payers for reimbursement.
Our partner is a healthcare revenue cycle management company focused on optimizing medical claims processing for providers. They offer a collaborative, inclusive work culture with opportunities for professional growth in a remote environment.
Respond to patient inquiries through chat, email, and internal messaging with clarity, warmth, and professionalism.
Break down complex topics (billing, CPT codes, coverage, device returns) into simple, patient-friendly explanations.
Document all interactions clearly and accurately, ensuring consistent follow-up until issues are fully resolved.
Salvo Health takes a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions. Backed by leading health care investors, Salvo's team includes board-certified physicians, dietitians, nurses, and therapists who provide evidence-based, continuous care.
Provide administrative and collection support for the Regional Credit Manager and assigned portfolio.
Partner with sales and administrative teams to meet cash flow targets and mitigate delinquent receivables.
Resolve open invoices, review unapplied payments, and respond to credit hold requests in a timely manner.
QXO is North America's largest distributor and installer of insulation and a leading distributor of roofing, lumber, and waterproofing products. It is a fast-growing, tech-enabled leader in the building products distribution industry with plans to reach $50 billion in annual revenue within the next decade.
Process billing data entry with 10-key skills and compare data with source documents.
Research and update billing demographic data to ensure prompt payment from insurance.
Communicate via phone with clients and patients to resolve billing defects and verify insurance information.
Labcorp is a global leader in laboratory services, providing diagnostic testing and drug development solutions that help healthcare providers, researchers, and patients make informed decisions. With nearly 70,000 employees serving clients in more than 100 countries, Labcorp fosters a collaborative culture focused on improving health and improving lives.