Investigate and resolve health plan denials for coding-related issues, including rejections, down codes, bundling, modifiers, and level of service.
Generate appeals based on dispute reasons and contract terms specific to payors, including online reconsiderations and following payer guidelines.
Maintain working knowledge of workflows, systems, and tools used in the department, adhering to production and quality standards.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. The company partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver data-driven solutions.
Review and analyze insurance denials using EOBs, payer correspondence, and claims data to determine appropriate resolution strategies.
Differentiate between clinical and technical denials and identify required next steps for appeals or reprocessing.
Prepare and submit appeals using supporting documentation such as medical records, appeal letters, and clinical justification when necessary.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use automated technology to review applications and share top-fitting candidates directly with employers, ensuring a fair and efficient hiring process.
Investigate and resolve denied, underpaid, or aging insurance claims using payer portals and billing systems.
Submit timely appeals and manage aging reports to reduce revenue delays.
Collaborate with billing, coding, and operational teams to resolve claim issues and maintain accuracy.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 70 clinics across 8 states and a Net Promoter Score of 93, we deliver compassionate, results-driven care in a modern, patient-first environment.
Manage insurance account workflows and ensure accurate resolution of billing and reimbursement issues.
Investigate, resolve, and appeal insurance denials while documenting actions in compliance with standards.
Monitor aged accounts receivable and prioritize workloads to optimize collections and reduce outstanding balances.
Our partner is a healthcare services organization focused on revenue cycle management. They offer a collaborative and mission-driven environment with a comprehensive benefits package.
Maintains practice management systems, processes insurance claims, and reconciles patient accounts.
Investigates rejected claims, corrects denials, and facilitates payment through collections and billing reminders.
Ensures HIPAA compliance, resolves patient billing issues, and provides professional customer service.
US Anesthesia Partners provides anesthesia services and revenue cycle management. It is a large US-based healthcare organization focused on billing and insurance operations, emphasizing accuracy and compliance.
Process timely and accurate billing of medical claims in multiple states.
Monitor accounts daily to maximize reimbursement and identify potential billing compliance issues.
Utilize EHR and billing systems to manage claims, denials, and payer communications.
Indigenous Pact PBC, Inc. is a certified B-Corporation established in 2017 with a mission to create health equity for American Indians and Alaskan Natives. The dedicated team has decades of experience working in Indian Country, specializing in customized solutions for sustainable revenue and improved health outcomes.
Review and audit patient advocacy tasks to ensure accuracy and compliance with program requirements.
Identify revenue recovery opportunities by analyzing rejection codes and flagging errors for leadership.
Track quality findings and prepare structured feedback to improve workflows and reduce revenue leakage.
Atlas Health helps patients navigate healthcare complexities by connecting them with financial assistance programs. The company is a dedicated team working with providers, pharmacies, and aid programs to improve patient outcomes.
Ensures optimum reimbursement and improves day-to-day operations of the revenue cycle.
Processes and follows up on payer issues with various entities for completion.
Researches and resolves straightforward account activity and maintains accuracy of the revenue cycle system.
Athletico empowers people, inspires hope and transforms lives through exceptional, progressive fitness, performance and rehabilitative services. They are a people-focused company with a strong culture built on core values like one team, recognition, and trust and integrity.
Responsible for initiating ERA and EFT setup with clearinghouses and payers.
Assist in vendor support for daily cash reconciliation and understand RCM Payment Posting Processing.
Maintain payer portal admin and employee registration; resolve unidentified payments.
Advantia Health provides unparalleled healthcare services to customers. The company employs highly qualified individuals and is an equal opportunity employer committed to diversity.
Ensures accuracy and timeliness of patient financial records, including payment posting, insurance follow-up, and revenue integrity.
Monitors work queues, resolves payer discrepancies, and supports provider enrollment and revalidation activities.
Assists with charge review and correction using Epic workflows to improve reimbursement accuracy and cash flow.
This position is listed on behalf of a partner company that manages all applications and next steps for a healthcare revenue cycle environment. The role supports multiple Patient Financial Services functions within a large, process-driven healthcare organization.
Process assigned claims based on client-specified guidelines.
Meet productivity targets and procedural accuracy standards.
Mentor junior team members and collaborate on special projects.
UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. With a global presence and over 4000 employees, they are dedicated to simplicity, honesty, and leadership.
Own the full AR cycle: payment posting, cash reconciliation, aging management, and payer follow-up across district, health plan, and member inquiries.
Investigate and resolve complex claim denials and rejections, submit corrected claims and appeals, and drive systemic fixes to improve clean claim rates.
Serve as internal subject matter expert on payer requirements, billing regulations, and compliance standards, fielding escalations from clinical and operations teams.
Cartwheel is building a new kind of mental health program for kids that puts schools at the center. Backed by top investors, it has grown to serve more than fifty school districts across six states and is driven by a mission to help millions of students experience joy.
Contact patients for payments on outstanding balances.
Process account adjustments and establish payment plans.
Maintain confidentiality and adhere to HIPAA regulations.
AnewHealth is a leading pharmacy care management company specializing in complex, chronic needs care. With over 1,400 team members, they care for more than 100,000 people across all 50 states.
Manage the end-to-end medical billing and revenue cycle process for home healthcare services.
Process and submit medical claims, verify insurance eligibility, and resolve claim denials.
Coordinate with Massachusetts insurance carriers and maintain compliance with HIPAA standards.
SnappyCX is a growing medical billing startup focused on supporting home healthcare providers across Massachusetts. They are a small, remote-first team seeking experienced billing professionals to join their fast-paced startup environment.
Prepare, review, and submit Medicare Part A & B claims for skilled nursing residents.
Ensure timely and accurate billing in accordance with CMS and SNF-specific guidelines.
Track, appeal, and resolve denied or rejected claims efficiently.
Tutera Senior Living & Health Care is dedicated to providing senior living and healthcare services guided by the YOUNITE philosophy. The company is family-owned, founded in 1985, and offers stability, competitive wages, and benefits, with a focus on developing employees through Tutera University.
Submit commercial insurance claims accurately and in a timely manner.
Monitor claim status and proactively resolve denials, rejections, and unpaid claims.
Verify insurance eligibility and benefits and post insurance payments.
LivWell Behavioral Health Services is a licensed outpatient behavioral health organization committed to improving the lives of youth and families through accessible, high-quality mental health care. They partner with schools and communities in the Chandler/Mesa, AZ area and continue expanding into additional states.
Own denials, rejections, and outstanding AR for our customers: Work the full recovery lifecycle from root cause diagnosis to resolution.
Pair deep RCM judgment with AI-native tooling: Use Joyful Health's platform to resolve claims at speed and scale, applying expertise where human judgment matters most.
Collaborate with Revenue Cycle Success Managers, RCM Center of Excellence, and Engineering teams to sharpen recovery work and feed product improvements.
Joyful Health is building the AI-powered financial operating system for healthcare practices, aiming to simplify financial operations so providers can focus on patient care. They just announced a $22M Series A led by CRV and investors including founders of MongoDB & KAYAK, and are a small, ambitious team with big goals.
Conduct medical claim reviews using clinical information and established criteria to determine medical necessity and appropriate reimbursement.
Educate internal and external staff on medical reviews, coding procedures, and coverage determinations.
Participate in quality control activities and provide guidance to LPN team members.
Palmetto GBA is a healthcare service administrator and one of the nation's largest providers of high-volume medical claims and transaction processing. The company offers a diverse workforce, training programs for leadership, tuition assistance, and financial incentives.
Auditing claims for medically appropriate services in inpatient and outpatient settings using medical review guidelines.
Documenting findings with reference to appropriate policies and rules.
Generating letters articulating audit findings.
Machinify is a healthcare intelligence company delivering value and efficiency to health plan clients across the US. Deployed by over 85 health plans representing over 270 million lives, the company uses an AI-powered platform and best-in-class expertise to reimagine healthcare cost reduction.
Manage billing processes, generate accurate invoices, and support month-end closing.
Monitor accounts receivable, follow up on outstanding balances, and resolve discrepancies.
Collaborate with Finance, Sales, and customers to ensure billing accuracy and collections.
Provi is a company that provides a platform for the beverage alcohol industry, streamlining ordering and payments. They are a growing organization with a dynamic and innovative team, committed to diversity and equal opportunity.