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.
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.
Submit your resume for future opportunities with a leading healthcare revenue cycle management firm.
Our team reviews your profile and matches you when an engagement aligns with your background and goals.
Seeking experienced professionals in patient access, revenue integrity, coding, billing, denials, and EHR systems like Epic.
The Wilshire Group partners with hospitals and health systems to improve revenue cycle performance through deep expertise in systems and workflows. They hire only the brightest and most experienced professionals in healthcare revenue cycle management, with a focus on career success.
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.
Audit inpatient medical records to validate ICD-10-CM/PCS coding, DRG assignments, and compliance.
Identify documentation gaps and develop compliant physician queries while collaborating with physicians.
Maintain productivity of at least three chart reviews per hour and complete accurate audit workpapers.
The hiring company provides clinical documentation improvement consulting services to healthcare organizations, focusing on accurate coding, compliance, and reimbursement. It fosters a collaborative, people-first environment and has been recognized as a Great Place to Work for three consecutive years.
We are building a talent network for experienced healthcare revenue cycle and Epic professionals.
Submit your resume for consideration for future advisory and consulting opportunities.
Work arrangements may include remote, hybrid, or onsite projects based on client needs.
We are a healthcare revenue cycle management firm that builds relationships with experienced professionals. We take time to understand your background and place you in roles that lead to career success.
Independently audit professional-fee coding for accuracy, compliance, and reimbursement impact.
Evaluate ICD-10-CM, CPT, HCPCS Level II, E/M services, modifiers, and professional components.
Prepare reports, deliver coding education, and maintain 95% audit accuracy.
A large regional healthcare network providing medical services across multiple facilities. The culture emphasizes independent auditing, high accuracy, and collaborative compliance education.
Provide day-to-day leadership, technical support, and QA for Revenue Optimization Auditors.
Perform complex coding, billing, and revenue integrity audits and analyze data for opportunities.
Train and mentor new auditors, support process improvement, and escalate compliance concerns.
NAPA is a clinician-led leader in anesthesia and perioperative services, delivering exceptional patient experiences. They cultivate leaders, promote work-life balance, and celebrate diversity in a collegial environment.
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.
Lead day-to-day billing and coding operations across multiple markets, payers, and service lines.
Coach and develop Billing and Coding Supervisors to drive performance and accountability.
Own Revenue Cycle KPIs, process improvements, and cross-functional partnerships.
Imagine Pediatrics is a tech-enabled, pediatrician led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.
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.
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.
Drive sales of Prompt RCM services to new and existing customers in outpatient therapy practices.
Perform inbound and outbound sales conversations and build client relationships.
Act as a trusted advisor, guiding prospects through RCM benefits and managing a robust pipeline.
Prompt revolutionizes healthcare by delivering automated B2B enterprise software to rehab therapy businesses. The company is growing rapidly and is the go-to platform in the space, with a team of talented individuals passionate about cutting-edge solutions.
Acclimate to client implementations to facilitate updates, additions, and fixes.
Partner with internal teams to navigate client tickets and enhancement requests with minimal delay.
Evaluate customer use of healthcare revenue cycle products to recommend best practices and solutions.
Experian is a global data and technology company that powers opportunities for people and businesses across multiple markets including financial services, healthcare, and automotive. With a team of 25,200 employees in 32 countries, Experian fosters a people-first, inclusive culture that has been recognized as one of the World's Best Workplaces.
Own the revenue cycle end-to-end, from enrollment through cash, for Medicaid and managed care payers.
Build AR, denials, metrics, and systems with automation and AI, not headcount.
Lead the RCM team and partner with Finance, Clinical Operations, and Engineering.
Daybreak Health delivers teletherapy to young people and families through schools, funded by health plans. It is a startup with a small RCM team and a culture of ownership, automation, and direct impact.
Develop and maintain athenaOne Collector curriculum for Care Centers.
Lead pre- and post-live training for new markets and high-profile implementations.
Support RCM workflow optimization and training across all markets.
Privia Health is a national physician platform that provides tailored solutions and population health management programs for physicians and providers. The company fosters an inclusive, innovative environment and partners with health plans, employers, and health systems to improve care quality.
Monitor clearinghouse portals and resolve rejected medical claims daily.
Investigate rejection causes including coding errors and eligibility issues.
Correct claim information and resubmit to insurance payers for reimbursement.
Our partner is a healthcare revenue cycle management company focused on optimizing medical claims processing for providers. They offer a collaborative, inclusive work culture with opportunities for professional growth in a remote environment.
Audit inpatient and outpatient records for coding accuracy, documentation support, and reimbursement impact.
Review ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG, modifier, and bundling assignments across facilities.
Present findings and provide facility-specific coding education to leadership and stakeholders.
A large regional health network operates multiple medical facilities across the United States, focusing on accurate coding and compliance. The organization maintains a structured, regulated environment with an emphasis on quality improvement, education, and confidentiality.
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.
Audit inpatient DRG, outpatient, and professional fee coding for accuracy and compliance.
Review up to 25 diagnoses and procedures per record, classify errors with references.
Deliver facility audit reports and lead training sessions for coding staff and clinicians.
Arrow ARC provides healthcare staffing and program support to Veterans Health Administration facilities across the U.S. It is a certified Service-Disabled, Veteran-Owned Small Business joint venture known for an agile, mission-focused, results-driven approach.