Manage the full cycle of Salesforce cases, ensuring all RCM inquiries are documented and resolved within established Service Level Agreements.
Apply deep expertise in billing, AR follow-up, and denial management to promote one-touch resolution of escalated cases.
Collaborate with internal teams and care center staff to streamline workflows and resolve complex, multi-layered claim issues.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient care. The company operates a scalable platform led by industry talent and physician leadership, focusing on reducing healthcare costs and improving outcomes for patients and providers.
Responding to high volume inquiries via email/phone
Assist with triaging case volumes
Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Resolve claims rejections and denials in work queues as assigned.
Resolve outstanding claims based on an accounts receivable report.
Submit appeals to payors for non-payment of claims as needed.
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in multiple states. They offer a variety of programs designed to ensure patients receive the highest quality of care by a team they know and trust.
Submit bills compliant with all appropriate regulations and managed care contracts.
Collect money due by contacting third parties and providing explanations of charges.
Analyze accounts to determine coordination of benefits, refunds, and denials.
They are Oregon's only public academic health center, involved in patient care, research, and training healthcare professionals. As Portland's largest employer, they offer opportunities for learning and advancement in hospitals and clinics across Oregon and Southwest Washington.
Acts as a resource for collection issues and ensures patient accounts are accurate.
Monitors patient A/R, sends statements, and posts payments according to standards.
Documents all activity on accounts and prepares data needed for court-related circumstances.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They are a team that delivers outstanding care in one of the most beautiful regions in the country.
Resolve aging AR through root cause analysis and follow up remediation actions.
Handle client and provider billing inquiry escalations
Investigate, appeal and resolve denied or underpaid claims
SonderMind is a mental health service provider aiming to provide personalized and effective mental healthcare. They combine technology and human connection to drive better outcomes through a comprehensive approach, offering therapy, medication management, meditation, and mindfulness exercises.
Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools.
Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
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. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024.
Ensure coordination of provider invoice activities to support timely reimbursement.
Research and resolve claim denials that fail payer edits, preparing corrections and appeals.
Verify patient eligibility, benefits, and health‑plan information using payer databases.
CareCentrix supports value-based care by providing care management and transition of care services. They focus on improving patient outcomes and managing healthcare costs through a range of programs and services. The company values caring, doing the right things and striving for excellence.
Answer inbound patient phone calls to handle payments, insurance questions, and account management.
Learn and apply knowledge of insurance billing basics, including PPOs, HMOs, Medicare, and Workers Comp.
Manage copay collections, create billing ledgers, post payments, and complete documentation to meet daily, weekly, and monthly goals.
Luna redefines physical therapy with an award-winning technology and clinically-proven platform that connects patients and providers. Operating in 28 states with over 25 partners, it is a mission-driven, growing startup recognized for innovation in healthcare.
Prepares, reviews, and submits hospice claims accurately and timely, including Medicare, Medicaid, Managed Care, and other third-party payors.
Identifies, investigates, and resolves billing edits, claim rejections, denials, and payment discrepancies, including coordination of benefit (COB) scenarios.
Maintains strict confidentiality of all patient and financial data in accordance with HIPAA and company policies.
VitalCaring is a leading provider of home health and hospice services. Founded in 2021, they support, inspire, and uplift both their patients and their team members and has grown to over 100 locations across the country.
Act as a billing liaison between clients and company, resolving queries via phone and email.
Follow up on returned claims and keep clients informed of billing and payment statuses.
Collaborate with internal billing teams and customer success to resolve client cases and troubleshoot issues.
Smartway Energy Ltd provides client support. This is a full-time position and they value collaboration and client-focused individuals who are passionate about assisting clients.
Process account payments and update patient insurance and demographic information accurately.
Research payments and rebill insurance companies when updates or corrections have been provided.
Work collaboratively with other departments to achieve account resolution, handling adjustments and conducting insurance follow-up.
CommonSpirit Health operates over 700 care sites across the United States, providing clinic, hospital, home-based, and virtual care services. It is a large organization accessible to nearly one in four U.S. residents, committed to building healthy communities, advocating for the vulnerable, and innovating healthcare delivery with a focus on compassion.
Handle Revenue Cycle department interactions via phone, email, voicemail, faxes, and patient portal.
Communicate with offices and patients to ensure current information.
Answer patient questions, inquiries, and concerns regarding their accounts and/or about centers.
LifeStance Health strives to help individuals, families, and communities with their mental health needs. They are the fastest growing mental health practice group in the country.
Assist Revenue Cycle Consultant and Technical Consultant teams in the implementation of Experian's Claim Source revenue cycle management system.
Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectiveness.
Document complex solutions to internal and external clients.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. They operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments, with corporate headquarters in Dublin, Ireland, and a team of 23,300 people across 32 countries.
Manage home infusion billing and reimbursement workflows
Handle accounts receivable and payor collections
Resolve complex claims and denials
We connect growth-minded companies with high-impact professionals who drive real results. Whether you're building a team or building a career, our approach is precise, people-first, and built for long-term success.
Responsible for timely billing and resolution of claims, with a focus on authorizations.
Manages the insurance approval process for hospice services, ensuring all levels of care are approved by payers to prevent denials.
Verify insurance eligibility and benefits for new and current patients including Medicare, Medicaid and private insurance at beginning of each month.
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in multiple states. They offer a variety of programs to ensure that their patients receive the highest quality of care by a team they know and trust.
Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals.
Assist in vendor support of daily cash reconciliation duties.
Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials.
Advantia Health provides unparalleled healthcare to our customers by employing the most highly qualified individuals. Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage.
Accurately abstracts information from service documentation and assigns CPT, ICD-10, and HCPCS codes for billing compliance.
Reviews and resolves coding denials and completes charge sessions in assigned work queues in a timely manner.
Ensures documentation meets current EM Guidelines and specific payer rules before releasing codes for billing.
UofL Health is a fully integrated regional academic health system with hospitals, medical centers, and numerous physician practice locations. It has over 14,000 team members, including physicians and nurses, focused on delivering patient-centered care.
Responsible for coding and abstracting patient records for professional billing and reimbursement.
Reviews medical records retrospectively and concurrently for accurate diagnosis and procedure coding.
Serves as a resource for coding questions, assists with insurance denials, and makes process improvement recommendations.
Trinity Health is a not-for-profit, faith-based healthcare system providing diverse medical services across 27 states. With 121,000 colleagues and nearly 36,500 physicians, it operates 101 hospitals and numerous care locations, emphasizing compassionate, person-centered care and significant community investment.