Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools.
Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
Submit bills compliant with all appropriate regulations and managed care contracts.
Collect money due by contacting third parties and providing explanations of charges.
Analyze accounts to determine coordination of benefits, refunds, and denials.
They are Oregon's only public academic health center, involved in patient care, research, and training healthcare professionals. As Portland's largest employer, they offer opportunities for learning and advancement in hospitals and clinics across Oregon and Southwest Washington.
Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system.
Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
Collects, posts, and manages patient account payments.
US Anesthesia Partners provides comprehensive anesthesia care. They are committed to clinical excellence and outstanding patient experience.
Drive market growth by building pipeline opportunities and exceeding multi-million-dollar sales quotas.
Orchestrate high-stakes strategic calls and client engagements, positioning EnableComp as a thought leader.
Cultivate new relationships with hospital CFOs, VPs, and senior executives.
EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and revenue recovery. They are a multi-year Top Workplaces honoree, and have a SOC 2 Type II and HITRUST e1-certified platform that values integrity and innovation.
Handle Revenue Cycle department interactions via phone, email, voicemail, faxes, and patient portal.
Communicate with offices and patients to ensure current information.
Answer patient questions, inquiries, and concerns regarding their accounts and/or about centers.
LifeStance Health strives to help individuals, families, and communities with their mental health needs. They are the fastest growing mental health practice group in the country.
Guide healthcare providers through the reimbursement process, including prior authorizations and appeals.
Work with insurance companies and third-party administrators to address coverage issues.
Provide education regarding insurance benefits and financial assistance programs.
Amplity is a full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. Amplity transforms how breakthrough treatments reach the people who need them with expert-led teams delivering contract medical, commercial + communications excellence for 40+ years.
Audits client data and generates high quality recoverable claims for the benefit of Cotiviti and our clients.
Conduct advanced, strategic analysis of paid claims, uncovering critical audit insights that drive process improvements and enhance organizational knowledge.
Make determinations based on prior knowledge and experience of client contract terms with the likelihood of recovery acceptance.
Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. They are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth.
Performs claims processing, insurance and charge verification, payment posting, account resolution, customer service and follow up.
Educates staff and physicians on CPT/HCPCS/ICD-10 codes and appropriate documentation requirements to reduce errors and remain compliant.
Works directly with staff when needed for insurance authorization assistance, IPA guidance and insurance optimization.
Community is committed to providing the highest standard of care. They value their diverse team members and offer various opportunities for growth and development.
Ensure coordination of provider invoice activities to support timely reimbursement.
Research and resolve claim denials that fail payer edits, preparing corrections and appeals.
Verify patient eligibility, benefits, and health‑plan information using payer databases.
CareCentrix supports value-based care by providing care management and transition of care services. They focus on improving patient outcomes and managing healthcare costs through a range of programs and services. The company values caring, doing the right things and striving for excellence.
Assist Revenue Cycle Consultant and Technical Consultant teams in the implementation of Experian's Claim Source revenue cycle management system.
Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectiveness.
Document complex solutions to internal and external clients.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. They operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments, with corporate headquarters in Dublin, Ireland, and a team of 23,300 people across 32 countries.
Manage home infusion billing and reimbursement workflows
Handle accounts receivable and payor collections
Resolve complex claims and denials
We connect growth-minded companies with high-impact professionals who drive real results. Whether you're building a team or building a career, our approach is precise, people-first, and built for long-term success.
Contacts insurance companies for status on outstanding claims.
Processes and follows up on appeals to insurance companies.
Works outstanding accounts receivable from assigned work queues.
US Anesthesia Partners is dedicated to providing high-quality anesthesia services. They offer equal employment opportunities to all employees and applicants.
Responding to high volume inquiries via email/phone
Assist with triaging case volumes
Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Investigate billing concerns, working closely with patients and insurance providers.
Improve the patient experience while strengthening billing processes.
Resolve complex billing issues to ensure timely, accurate resolutions.
Rula is dedicated to treating the whole person and aims to create a world where mental health is no longer stigmatized. They are a remote-first company that strives to be a force for positive change in the field of mental healthcare.
Responsible for answering phone calls and emails in a timely manner, professionally answering questions from clients, insurances, or patients.
Review patient documentation for accuracy and qualification, manage shipments by sending sales orders, and review sales orders for accuracy after shipment completion.
Create claims and/or invoices confirming sales orders, billing electronically or via paper, and monitor the patient billing module, updating information as needed.
Cala Health strives to free individuals from chronic diseases, starting with a non-invasive prescription therapy for hand tremor and expanding into neurology and cardiology. They empower thousands to regain confidence and ease in their lives by applying pioneering technology and offer a comprehensive benefits package aligned with their compensation philosophy.
Coordinate and implement medical case management to facilitate case closure.
Assess appropriate utilization of medical treatment and services.
Review medical records and assess data to ensure appropriate case management process.
Berkley Medical Management Solutions (BMMS) provides managed-care service for W.R. Berkley Corporation, focusing on injured worker’s return to work. BMMS was started in 2014 and combines clinical practices, return-to-work strategies, and software for workers’ compensation cases.
Investigate and resolve insurance claim denials with speed and accuracy.
Partner with payers to resolve issues and secure timely reimbursement.
Provide top-tier phone support to patients, insurance companies, and internal teams.
IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions. We’re transforming the way care is delivered with a focus on patient comfort and convenience and believe the best patient experience starts with a great employee experience.
Responsible for insurance follow-up and collections, including phone calls and accessing payer websites.
Identify root cause issues for denials and coordinate with clinic and management for process improvements.
Resolve complex inventory, including payment research, and accurately document collection activity.
Anne Arundel Dermatology provides comprehensive medical, surgical, and esthetic skin care services. With over 250 clinicians and 110 locations across 7 states, they are experiencing growth and looking for talented individuals to join their team.
You will answer a high volume of inbound calls; transfer and directs calls; provide exceptional customer service via telephone
You’ll be responsible for all front office patient coordination; to be completed in a timely manner (e.g. appointment scheduling, transport coordination)
Accurately input data into both Carenet and EMR (Electronic Medical Records) databases
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Connect with customers via phone/email/chat/social media to resolve questions/concerns.
Calmly attempt to resolve and de-escalate any issues.
Respond to requests for assistance and/or possible processing payments.
TP is a global, digital business services company that delivers advanced, digitally powered business services. With over 500,000 employees speaking 300+ languages, they emphasize community support, client satisfaction, and environmental responsibility.