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.
Manage the full revenue cycle from patient registration through claims resolution.
Accurately submit and track medical claims to various insurance payers.
Perform accounts receivable follow-up, identifying and resolving denied, underpaid, or unpaid claims.
Allara is a comprehensive women's health provider that offers expert, longitudinal care for hormonal, metabolic, and reproductive conditions. It is one of the fastest-growing women's health platforms in the U.S., trusted by thousands of women nationwide.
Generate, review, and transmit claims for hospital-based services to third-party payors.
Collaborate across Revenue Cycle departments to resolve billing edits and other up-front issues efficiently.
Report to the Manager of Hospital Billing and support daily billing operations.
Piedmont Healthcare is a healthcare organization providing hospital-based services in Georgia. The company operates a corporate revenue cycle team focused on billing and claims management.
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.
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.
Review and verify assigned medical codes for accuracy.
Enter demographic and insurance information into the billing system.
Respond to inquiries and assist with audits to ensure accurate billing.
Virtual Firm LLC provides medical data entry, coding, and billing services for healthcare providers. The company operates as a virtual firm, offering remote work opportunities and an entry-level friendly environment.
Review inpatient and outpatient records and assign accurate ICD-10, CPT, and HCPCS codes.
Maintain a minimum coding accuracy of 95% while meeting turnaround and quality standards.
Work fully remotely within the US supporting multiple medical facilities.
This position is listed on behalf of a partner company within a large healthcare network. They focus on health information management and clinical coding accuracy, offering a fully remote environment.
Adjudicate healthcare claims based on client-specified guidelines and determine appropriate payment for services.
Meet productivity, financial accuracy, and procedural standards while mentoring junior team members.
Collaborate on special projects including process documentation, training, quality audits, and surge activity.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them modernize operations and compete effectively. The company is expanding and investing in its people, fostering a collaborative and growth-oriented culture.
Answer inbound patient calls and manage appointment scheduling, rescheduling, and cancellations.
Register patients, update demographics, and maintain accurate records in EMR/EHR systems.
Verify insurance eligibility, handle patient communications, and follow HIPAA guidelines.
SnappyCX provides remote staffing solutions, connecting U.S. healthcare clients with experienced professionals in the Philippines. They focus on building a supportive remote work culture for their team.
Source and screen medical billing candidates using hands-on revenue cycle expertise.
Assess candidates through live calls, resume reviews, and role-specific skills tests.
Collaborate with internal teams to match qualified professionals to partner practices.
They specialize in recruiting medical billing and revenue cycle management professionals for U.S. therapy practices. The team is collaborative and supportive, with focus on practical expertise and professional growth.
Manage patient billing inquiries, resolve denials, and process insurance verifications.
Work claims end-to-end via clearinghouse and collaborate with cross-functional partners.
Optimize RCM processes, develop SOPs, and support ad-hoc projects including AI tool testing.
Nourish is an AI-native digital health system matching patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised a $100M Series C, bringing total funding to $215M.
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.
Lead strategic customer relationships and drive revenue growth across enterprise healthcare accounts, owning the full customer lifecycle from onboarding to expansion.
Partner with hospitals, healthcare practices, and technology providers to deliver integrations and measurable business outcomes, focusing on maximizing reimbursement and improving operational performance.
Build trusted relationships with technical and executive stakeholders, clearly communicating value using financial and business outcomes rather than production metrics or SLA adherence.
The partner company is a healthcare technology provider that improves revenue cycle performance and patient care. They foster a collaborative, growth-oriented environment, working with cross-functional teams and healthcare stakeholders across a dynamic organization.
Resolve unpaid, denied, or short-paid claims using company billing systems.
Review EOBs and payer correspondence; follow up via portal, phone, email, or fax.
Manage complex denials, appeals, and account resolution with clear documentation.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products. With 160 years of clinical excellence, it operates the largest O&P patient care clinic network nationwide, helping people achieve new levels of mobility.
Work from home and set your own schedule as a pediatric medical billing specialist.
Use EPIC EMR to submit claims, post payments, and research denied claims.
Ensure every patient visit is paid and exceed client collection expectations.
Altus Pediatric Billing provides specialized pediatric medical billing services, focusing on maximizing client collections and delivering exceptional service. They offer a flexible, work-from-home culture that prioritizes work-life balance and supports their team of billers.
Review complex inpatient medical records and assign ICD-10-CM, ICD-10-PCS, and DRG codes accurately.
Ensure compliant documentation and billing by applying federal and VHA coding guidelines.
Maintain 95% coding accuracy and meet facility-specific turnaround requirements while working remotely.
This role is with a partner company that supports inpatient coding operations for Veterans Affairs medical centers. The environment is structured and mission-driven, with a focus on accuracy, compliance, and federal healthcare standards.
Respond to high-volume inquiries via email and phone, assisting with triaging case volumes and providing resolution guidance on complex claims and billing inquiries.
Critically analyze situations, escalate issues to appropriate teams, and identify recurring issues to provide feedback to management.
Act as a subject matter expert, updating team on resources, supporting team chat, and remaining flexible to take on other duties as assigned.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems to optimize practices and improve patient experiences. They are led by top industry talent and physician leadership, focusing on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.
Manage the full lifecycle of PIP and Medical Payments claims, from coverage verification and investigation to settlement or denial.
Apply medical cost-containment strategies, coordinate experts, and identify subrogation opportunities while meeting compliance standards.
Work remotely within the US, maintaining accurate claim files and communicating professionally with claimants and stakeholders.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The partner company is seeking a remote Associate PIP Claims Rep to handle Personal Injury Protection claims across multiple states in a structured, compliance-focused environment.
Code inpatient services with 95% or above accuracy following ICD-10 guidelines.
Abstract medical records and assign accurate diagnosis and procedure codes using Epic and 3M 360.
Collaborate with coding leadership and CDI reviewers to resolve coding issues and support compliance.
Oregon Health & Science University (OHSU) is Oregon's only public academic health center, providing patient care, leading research, and training healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance across hospitals and clinics in Oregon and Southwest Washington.