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.
Supervise offshore/global VA revenue cycle staff and ensure adequate coverage and productivity.
Conduct regular team check-ins and performance reviews to develop staff capability.
Monitor key revenue cycle metrics and implement action plans to address underperformance.
EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and revenue recovery and earned its reputation in the toughest corners of the revenue cycle by solving the complex claims no one else could. The company is a multi-year Top Workplaces honoree and believes that investing in employees is the key to their success.
Review incoming referral orders to assess patient’s needs based on diagnosis, insurance coverage or lack thereof, and previous treatments.
Verify patient information including demographics, insurance coverage and financial status; confirm patient eligibility for health care coverage and clarify any managed care arrangements.
Contact the patient prior to service to inform them of their estimate and collect any pre-payments at that time.
OHSU is Oregon's only public academic health center, caring for patients and leading groundbreaking research. As Portland's largest employer, they offer opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
Lead a team of professionals across billing, collections, and denials management.
Build SOPs and scalable processes to ensure consistent and high-quality execution.
Create feedback loops to identify pain points and implement improvements across billing workflows.
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.
Acts as initial service ambassador to referral sources, physicians, patients, caregivers and other external customers providing the highest quality service.
Responsible for the initial entry, verification, and maintenance of information regarding new patients in all applicable software programs.
Processes private insurance verifications, verifies eligibility of Medicare, Medicaid and third party payers and any other duties as directed.
CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better is in their own home. As a faith-based organization, they are committed to finding new ways to improve the health of their patients and the health of the communities they serve.
Develop and implement Freenome’s enterprise-wide revenue cycle strategy.
Build, coach, and develop a high-performing team and foster a culture of accountability.
Establish and oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management.
Freenome is an equal-opportunity employer that values diversity. They are committed to building a career with their company and offer future opportunities via email alerts.
Lead pre-live and post-live athenaOne Collector/billing training to providers, administrative and billing staff in all markets
Innovate and create new learning experiences for Care Centers for Privia University (LMS).
Provide excellent customer service through creative problem solving and follow through
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. They are led by top industry talent and exceptional physician leadership.
Coordinate onboarding of new consultants and assess training opportunities.
Manage staff utilization, collaborate on staffing needs, and ensure project needs are met.
Monitor performance metrics, identify coaching opportunities, and elevate team excellence.
UASI assists clients with revenue cycle operations. They provide a supportive environment that encourages professional development and enables each employee to achieve their individual goals.
Design, build, test, validate, maintain and provide ongoing support of Epic Hospital Billing systems.
Work across interdisciplinary workgroups to accomplish set goals as a team.
Establish, foster and maintain positive business relationships with Emory co-workers, interdisciplinary workgroups and Epic partners.
Emory Healthcare is a healthcare system that provides comprehensive medical services and research. They are committed to providing reasonable accommodations to qualified individuals with disabilities upon request.
Schedules diagnostic tests, procedures, and surgeries and provides patients with preparation instructions.
Prepares and manages patient documentation, acting as a liaison between patients and the billing department.
Coordinates schedules for staffing, revising and updating them as necessary, and may assist in routine clerical functions.
University of Utah Health is a patient-focused organization committed to enhancing health and well-being through patient care, research, and education. They are a Level 1 Trauma Center nationally ranked and recognized for academic research, quality standards, and patient experience.
Secures outpatient accounts by performing insurance verification and obtaining prior authorization before services are rendered.
Works with physicians, nurses, clinic managers, and financial advocates to resolve issues during the prior authorizations process.
Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
University of Utah Health enhances the health and well-being of people through patient care, research, and education. They are a Level 1 Trauma Center and is nationally ranked with five hospitals and eleven clinics providing excellent comprehensive services.
Assists in managing the day-to-day operations of the IntelliCenter utilizing quality, cost effective patient care principles.
Supervises a team of call center agents, which may include clinical and nonclinical staff.
Monitors queue and keeps call center staff aware of inbound calls, calls waiting, queued calls in order to help navigate appropriate staff into different areas to support volume needs.
UnityPoint Health is committed to its team members and has been recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare. They champion a culture of belonging where everyone feels valued and respected.
Performs complex secretarial and administrative duties.
Responsible for all clinic preparations and optimizing provider patient schedule.
Triages incoming calls, schedules patient appointments, and obtains pertinent medical information.
The University of Rochester is committed to education, research and making the world ever better. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning.
Responsible for the Care Coordination staff for case reviews and UR appeals.
Coordinates worklists and completion of cases on audit review, retro authorization and appeals.
Northside Hospital is an award-winning and state-of-the-art healthcare provider that is constantly growing. They are expanding the quality and reach of their care to patients and communities, creating more opportunity for healthcare professionals in Atlanta and beyond.
Responsible for planning and executing quality and oversight activities to ensure operational compliance.
Responsible for internal and external case audits for Capital and our delegated UM vendors.
Responsible for educating staff on findings, and the audit tool ensuring a consistent approach.
Capital Blue Cross promises to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”
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.
Build and lead Zócalo Health’s prior authorization function.
Design and implement scalable processes for authorization intake, submission, tracking, and follow up.
Hire, develop, and manage a team responsible for authorization operations.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.
Provide high-quality supervision, mentorship, and training to residents and pre-licensed clinicians.
Promote clinical excellence, ensure compliance with state licensure and CARF standards.
Maintain a small caseload to model best practices and stay grounded in direct care.
Backpack Health is building the next generation of exceptional behavioral health clinicians. It is a mission-driven team of clinicians and operators in an innovative, forward-thinking environment with a strong clinical community and mentorship culture.
Guide the Care Partner Team, ensuring efficient completion of monthly programs and fostering a positive environment.
Assist management by identifying and addressing areas of need within the CCM/RPM process.
Support hiring and training, using training programs effectively to ensure all team members excel.
Medsien is revolutionizing healthcare with its cutting-edge remote care management solutions. They aim to enhance patient outcomes through seamless integration of technology, allowing healthcare providers to deliver exceptional care with ease.
Coordinating payor denial and appeal follow up activities to ensure timely response from third party payors.
Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day to day activities related to appeal follow up and denials.
Maintaining the hospital tracking tool/application that stores/communicates all denial and review activity.
Shriners Children’s is an organization that respects, supports, and values each other. They provide excellence in patient care, embracing multi-disciplinary education, and research with global impact and were named the 2025 best mid-sized employer by Forbes.