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.
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.
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.
Review and prioritize follow-up activities requiring claim edits or general payer follow-up.
Research claim denial issues and resolve them in a timely manner to release claims to payers.
Contact insurance companies to understand delays in processing claims or sending payments and identify next steps to resolve them.
BetterHelp is on a mission to remove traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, BetterHelp is now the world's largest online therapy service with a network of over 30,000 licensed therapists, helping millions of people.
Post charges and claims accurately using clinical documentation and customer PM systems.
Verify coding, modifiers, and medical necessity before submission to prevent denials.
Track claims through posting and adjudication, resolving payment discrepancies and denials.
Amperos is healthcare's first AI-native denial management and revenue recovery platform, using agentic AI to resolve claims end-to-end. We are a small, early-stage startup backed by a $16M Series A, focused on tackling a $260B+ problem with a collaborative culture.
Review appeals of adverse benefit determinations within federal and state regulatory timeframes.
Apply medical policy, coding guidelines, and contractual requirements to assess coverage decisions.
Collaborate with medical divisions and respond to state insurance department inquiries regarding benefit complaints.
Arkansas Blue Cross and Blue Shield is a health insurance provider serving Arkansas. It is consistently ranked as one of the best places to work in Central Arkansas, with an inclusive culture and an average employee tenure of 10 years.
Own relationships with commercial and government health plans, serving as primary escalation contact.
Support contract negotiations and renewals with financial analysis, tracking deadlines and rate changes.
Partner with revenue cycle to resolve denials and underpayments, and report payer performance to leadership.
Adaptive Home Health is fixing US healthcare with an AI-native physical care platform, starting with home health. It pairs one of the best AI teams in the world with healthcare veterans, valuing innovation and problem-solving in a fast-growing environment.
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.
Own ONC Pharma campaign strategy end to end, from translating business objectives into an integrated multi-channel plan through launch, optimization, and retrospective.
Direct day-to-day execution across digital, email, paid media, content, HCP/patient programs, and events, making prioritization calls and tradeoffs.
Define KPIs, read performance data critically, and drive a continuous test-and-learn discipline to improve campaign outcomes.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company employs a diverse team of scientists, engineers, and business professionals and is committed to changing the landscape of genetic disease management.
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.
Lead hospital billing operations across the Presbyterian Delivery System, including Home Health and Hospice.
Oversee denial management, accounts receivable, and cash collections to reduce revenue leakage and accelerate reimbursement.
Drive process improvement, technology optimization, and team development while enhancing the patient financial experience.
Presbyterian Healthcare Services is a not-for-profit healthcare system with nine hospitals, a statewide health plan, and a medical group. Founded in New Mexico in 1908, it is the state's largest private employer with roughly 11,000 employees.
Build and lead the data analytics and outcomes research function, owning architecture through client-facing reporting.
Partner with engineering and product on implementation and delivery, and translate member and clinical data into actionable conviction.
Manage a small growing team and produce health economics evidence that demonstrates value to payer clients.
Nadia Care is a maternal health company reimagining pregnancy, birth, and postpartum care for underserved communities through doula support, care navigation, and virtual engagement. It is an early-stage, lean team that values empathy, collaboration, and resilience in a fast-paced environment.
You'll be the first intake for payor eligibility inquiries, handle CS tickets and calls, and pull claims data to root-cause issues.
You'll run the ineligible claims review, determine which flags are truly ineligible or product defaults to correct, and communicate outcomes.
You'll fix problems at the source by documenting recurring patterns, building CS-facing materials, and owning eligibility-risk dashboards.
Pivotal Health is a technology platform that helps healthcare providers get paid fairly in a complex reimbursement landscape by simplifying IDR workflows with AI-driven software, data, and service. The team is collaborative and low-ego, building solutions for reimbursement clarity, with a mission to make healthcare reimbursement fairer for providers.
Analyze, research, and resolve issues related to the creation and submission of paper and electronic claims.
Monitor claim errors, identify opportunities for new edits, and collaborate with the Business Systems Department to implement clearinghouse edits.
Validate daily imports, balance hash totals, and report system issues to IS to ensure timely resolution.
Pediatrix Medical Group is one of the nation’s largest providers of prenatal, neonatal and pediatric services, led by physicians. They offer a diverse range of opportunities, competitive salaries, and a commitment to clinical excellence, focusing on a team approach to improve patient lives.
Lead the development and launch of Revecore's DRGV service offering, expanding Billing and Coding Optimization capabilities.
Define operating models, workflows, staffing, productivity metrics, and quality standards to scale the service line.
Partner cross-functionally with Product, Data, AI, and Operations to translate DRGV requirements into scalable technology solutions.
Revecore helps hospitals recover revenue they've earned through specialized expertise and proprietary technology. Trusted by more than 1,300 hospitals across 48 states, the company fosters a supportive, innovative workplace where employees are trusted to do their best work.
Handle inbound billing calls, escalations, and urgent member requests with empathy and accuracy.
Research and resolve billing concerns including insurance denials, payment discrepancies, and patient balances.
Partner with Revenue Cycle Management SMEs and support teams to document, escalate, and resolve cases.
Tia is transforming women's healthcare by integrating primary care, gynecology, mental health, dermatology, and wellness in person and virtually. Backed by Series D funding and trusted by over 120,000 women, Tia fosters a culture of excellence and continuous improvement.
Execute 12-18 MD-level engagements per quarter across defined geography, with at least 50% in top strategic community accounts.
Serve as primary MD triage for escalated area medical inquiries, ensuring 90% acknowledgment within 48 hours and 100% closed-loop documentation.
Host or present at least 12 regional educational programs per quarter and lead at least one educational initiative per cycle.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team is made up of highly dedicated professionals from world-class institutions, who care deeply about the work and each other.
Own outcomes measurement and savings analysis to quantify the impact of RightMove's care model on total cost of care and patient outcomes.
Analyze medical claims, referral patterns, and provider performance to identify savings opportunities and guide patients to high-value care.
Communicate findings through executive-ready reports and presentations to support commercial teams and customer stakeholders.
RightMove is redefining musculoskeletal (MSK) care by shifting from fragmented, volume-driven care to a coordinated, expert-led model powered by AI and data. Backed by leading investors and built in partnership with the Hospital for Special Surgery, the company is a rapidly expanding startup with a high-performing team that values impact, direct communication, and collaboration.