Own state arbitration strategy end to end, deciding which states to pursue and in what order.
Build the state filing process from the ground up across ~20 states with real volume.
Lead and grow the State Arbitration team, managing staff and scaling the function.
Pivotal Health is a technology platform that helps healthcare providers get paid fairly in the reimbursement landscape. We are a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.
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.
Manage insurance accounts receivable, follow up on claims, and resolve denials and payment discrepancies.
Post and reconcile insurance payments, investigate variances, and ensure accurate financial records.
Collaborate with cross-functional teams to improve revenue cycle performance and support month-end close activities.
Oshi Health is a virtual digestive health practice on a mission to transform GI care. They combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions.
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.
Receive, analyze, research, and resolve incoming dispute claims and first payment default cases while meeting service-level expectations.
Investigate transaction details, identify root causes, and determine appropriate outcomes using sound judgment.
Communicate professionally with customers, merchants, financial institutions, and internal stakeholders through phone, email, and written correspondence.
Our partner is a growing financial services company focused on operational excellence and dispute resolution. The company fosters a remote, collaborative culture with a focus on reducing financial losses and improving service quality.
Follow up on claim rejections and denials to ensure appropriate reimbursement for clients.
Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
Communicate with insurance companies about the status of outstanding claims and properly notate patient accounts.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. They partner with private practices, hospitals, and health systems to deliver transparent data-driven solutions, and foster a collaborative culture.
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.
Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.
Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.
Manage patient-facing and internal billing questions, including resolving denials and processing insurance verifications.
Work claims end-to-end with cross-functional stakeholders to ensure smooth billing experiences.
Support efforts to streamline existing processes by suggesting automation and maintaining reliable execution.
Nourish is an AI-native digital health system that matches patients with registered dietitians, physicians, and medications for insurance-covered metabolic health care. They have completed millions of appointments, tripled year-over-year, and partner with health plans covering 200M+ Americans, with a culture of high talent density and relentless resilience.
Process and post accounts receivable from assigned payers within turnaround time.
Research payer websites and electronic remittance to balance files with money received.
Identify issues and trends with payers, ensuring aged receivables are handled per procedures.
Labcorp is a global leader in diagnostics, drug development, and healthcare innovation, harnessing data and AI to improve health outcomes. With nearly 70,000 employees serving clients in over 100 countries, Labcorp fosters a culture of discovery and career growth.
Provide effective and timely customer service for members, providers, and insurers regarding health care claims.
Ensure timely follow-up and organize health insurance paperwork and medical records.
Communicate status updates, negotiate with providers, and appeal claim denials on behalf of plan members.
Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone, offering care guidance, advocacy, and personalized virtual and in-person care.
Follow-up with payers to ensure timely resolution of outstanding claims via phone or websites.
Maintain daily productivity/quality standards and utilize workflow systems to collect payments.
Analyze claims issues to reduce denials, initiate appeals, and handle under/over-payments while adhering to HIPAA standards.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. They are a fast-growing company with a supportive, remote-first culture.
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.
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.
Process medical records requests and manage incoming payer mail with timely and accurate turnaround.
Process billing-team refunds, payer reconsiderations, and manual 837 claim pulls and postings.
Collaborate with the Internal Audit & Compliance Associate to support audit-related documentation and identify process inefficiencies.
Ophelia helps people end their opioid use and restore their quality of life by providing evidence-based treatments for opioid use disorder through a telehealth platform. It is a venture-backed healthcare startup operating in 14 states for almost six years, with a team of physicians, scientists, entrepreneurs, researchers, and White House advisors.
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.
Deliver healthcare consulting services independently, ensuring compliance with industry regulations.
Analyze and reconcile financial and operational data, including claims and reimbursements.
Prepare client-ready reports and maintain knowledge of healthcare regulations and payer requirements.
Wipfli provides consulting services including financial and operational analysis and regulatory readiness for healthcare organizations. The firm values flexibility, relationships, and individual growth, fostering a culture where people count.
Identify opportunities to improve workflows, support automation, and scale billing processes.
Collaborate with internal teams and external EAP partners for accurate billing and payment processing.
Rula provides evidence-based mental healthcare, aiming to destigmatize and integrate mental health into overall well-being. They are a remote-first company hiring in most U.S. states, fostering a culture of inclusion and support.
Review patient medical records to determine why claims are denied and prepare compelling appeal arguments using clinical evidence and regulatory guidelines.
Search for supporting evidence and analyze insurance denial trends to provide feedback to hospitals and executive leadership.
Ensure compliance with HIPAA regulations and demonstrate excellent written communication skills in crafting appeal letters and hearing testimony.
PAM Health provides specialty healthcare services through over 70 long-term acute care hospitals, rehabilitation hospitals, wound clinics, and outpatient physical therapy locations in 17 states. With a collaborative culture and a focus on compassionate care, the company employs a dedicated team committed to high-quality patient outcomes and professional growth.
Manage the complete revenue cycle for Wisconsin payors, including claim submission, denial resolution, and follow-up.
Investigate and resolve claim denials and payment discrepancies by collaborating with internal teams and payors.
Prepare weekly AR reports and support departmental KPIs to optimize reimbursement.
LEARN Behavioral is a national organization dedicated to nurturing children with autism and special needs through evidence-based applied behavior analysis. With 20 years of clinical insights, the company focuses on personalized treatment plans and is an Equal Opportunity Employer.