Monitor and resolve escalated credit balances and refunds from billing system overages.
Review refund request letters and determine appropriate resolutions based on contract and timely guidelines.
Analyze data from reports, identify trends, and ensure refund checks are processed and cleared.
Ventra Health provides revenue cycle management and business solutions for facility-based physicians in specialties like anesthesia, emergency medicine, hospital medicine, pathology, and radiology. They foster a collaborative, team-oriented culture with a focus on transparency, data-driven solutions, and performance-based rewards.
Reconcile clinical trial receivables to ensure accurate and timely billing to pharmaceutical companies.
Interpret contracts and budgets while working with operations to resolve variances.
Analyze contracted revenue triggers and support internal audit and management requests.
Sarah Cannon Research Institute (SCRI) is a leading oncology research organization conducting community-based clinical trials. With over 1,300 physicians and 200+ locations across the U.S., it focuses on advancing cancer therapies and improving patient outcomes.
Follow up on submitted insurance claims to ensure accurate and timely reimbursement
Manage assigned payer accounts and work outstanding balances through resolution
Investigate denied, underpaid, and unpaid claims to determine appropriate next steps
LUX Infusion reimagines infusion care to be more human, supportive, and connected, guiding patients and providers with clarity and compassion. It is a clinician-led, U.S.-based organization with a culture centered on inclusion, diversity, equity, and advancement (IDEA).
Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.