Manage billing and collections to support timely reimbursement.
Investigate claim denials and implement solutions.
Collaborate with payers and internal teams to resolve discrepancies.
Evernorth is a health services company specializing in home infusion and specialty pharmacy. They foster a collaborative, performance-driven culture focused on continuous improvement.
Process and transmit electronic and paper claims to insurance companies, patients, and other responsible parties.
Follow up on unpaid claims, review rejections, and resolve payment questions with insurance providers.
Verify insurance benefits, analyze charges and payments, and support coordination of benefits for patient accounts.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals across 29 counties. The organization values excellence, teamness, positivity, and creativity, and is committed to creating exceptional experiences for patients and staff.
Investigate claim denials, navigate evolving payer requirements, and ensure complex claims are prioritized and resolved accurately.
Partner with cross-functional teams to identify operational and denial trends, optimizing workflows and claim outcomes.
Act as the pod’s go-to expert for payer workflows, claim resolutions, and best practices, supporting new-hire onboarding and team performance.
Rula is a mental healthcare company dedicated to providing quality, evidence-based care and reducing stigma around mental health. It is a remote-first company with a focus on inclusion, employee well-being, and making mental healthcare work for everyone.
Follow up on submitted insurance claims to ensure accurate and timely reimbursement
Manage assigned payer accounts and work outstanding balances through resolution
Investigate denied, underpaid, and unpaid claims to determine appropriate next steps
LUX Infusion reimagines infusion care to be more human, supportive, and connected, guiding patients and providers with clarity and compassion. It is a clinician-led, U.S.-based organization with a culture centered on inclusion, diversity, equity, and advancement (IDEA).
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.
Contact insurance companies to check claim status and appeal submissions via payer portals and phone calls.
Manage administrative tasks such as gathering medical records, processing mail, and maintaining filing systems.
Build foundational knowledge of healthcare claims, ERISA regulations, and Commercial and Managed Care insurance policies.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, helping hospitals and health systems optimize their revenue cycles. We are a growing, mission-driven team focused on professional development, inclusion, and improving healthcare outcomes.
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.
Manage a high-volume portfolio of past-due accounts by monitoring aging reports and prioritizing collection activities.
Engage clients by phone and email to secure payments, negotiate arrangements, and resolve billing disputes.
Collaborate with internal teams to reconcile payments, escalate complex issues, and support month-end closing.
This position is listed on behalf of a partner company via Jobgether, an AI-powered job matching platform. The hiring firm is a collaborative, people-focused professional services environment that values accuracy, accountability, and client relationships.
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.
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.
Review referred accounts to validate underpayments and analyze reimbursement variance reports.
Request additional payment from insurance companies and perform timely follow-up on all assigned accounts.
Escalate unresolved appeals, prepare monthly denial logs, and collaborate to recover underpayments.
Lucile Packard Children's Hospital Stanford provides world-renowned pediatric care, combining advanced technologies and breakthrough discoveries with family-centered care. We support our caregivers with continuing education and state-of-the-art facilities, fostering a caring and committed team culture.
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.
Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.
Proactively contact business customers by email, phone, or video call to follow up on overdue invoices and secure payments.
Build professional customer relationships and resolve billing or payment issues with internal accounting and operations teams.
Manage purchase orders, navigate customer invoicing portals, and maintain accurate documentation of collection activities.
This partner company is an international technology business with a strong social mission, donating more than 60% of its profits to charitable causes. It offers a collaborative, supportive, remote-first culture that emphasizes trust, accountability, and healthy work-life balance.
Manage charge entry, coding, claim submission, and ensure accurate and timely processing of claims.
Post payments, reconcile billing transactions, work denials, and handle insurance follow-ups.
Support patient billing, resolve account concerns, and contribute to the revenue cycle process.
Wing is redefining the future of work by providing companies with a one-stop shop for building world-class teams and automating operations. It offers an inclusive, supportive culture with opportunities for career growth and upskilling.
Manage end-to-end denials and appeals to maximize reimbursement recovery.
Analyze payer policies and medical documentation to develop appeal strategies.
Collaborate with clinical and financial teams to improve revenue cycle performance.
Our partner organization focuses on improving patient outcomes and supporting cancer care. They are a collaborative remote team blending clinical, financial, and administrative expertise.
Process medical claims and appeals accurately and timely, following health plan policies and procedures.
Maintain detailed notes, research claim issues, and communicate outcomes with claimants and teams.
Support customer success teams, escalate operational issues, and help improve claims processes.
Sana is a health plan solution built for small and midsize businesses, with integrated primary care services to make healthcare easy. Founded in 2017, the company is remote-first with a fully distributed team across the U.S., and values curiosity, ownership, and speed.
Resolves medical claims that are not automatically adjudicated, ensuring timely and accurate processing.
Investigates and communicates to obtain needed information, and interprets contract benefits.
Works from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota.
Arkansas Blue Cross and Blue Shield is a health insurance provider that resolves medical claims and supports member health and wellness. The company is consistently ranked as a best place to work in Central Arkansas, with an average tenure of 10 years and an inclusive culture.
Serve as first point of contact for patient and customer inquiries, resolve issues.
Schedule appointments, verify insurance, and maintain records.
Coordinate with clinical teams, route urgent calls, and support navigation.
A patient-focused healthcare organization dedicated to simplifying access to care. The team provides comprehensive training and development in a supportive, fast-paced culture.