Research denied claims and complete portal inquiries or outbound calls to insurance reps to identify root causes.
Resubmit corrected claims using CMS 1500 knowledge and draft appeals in line with medical policies.
Prioritize denials using the internal Claim Prio Model and flag system improvements to reduce denial inflow.
Grow Therapy is a mental health care platform operating a three-sided marketplace that connects providers, insurance payors, and patients to expand access to quality care. Backed by over $328M in funding and a $3B valuation, the company fosters an ambitious, ownership-driven culture.
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.
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).
Follow up on submitted insurance claims to support timely reimbursement.
Investigate denied, underpaid, and unpaid claims and determine corrective actions.
Collaborate with internal teams to resolve complex reimbursement issues.
The company is a patient-focused healthcare organization that provides essential infusion therapies. It operates in a patient-first, clinician-led environment with a focus on continuity of care.
Coordinate denial and appeal follow-up activities to ensure timely resolution of insurance denials and appeals.
Investigate payment issues with insurance carriers, maintain tracking systems, and document follow-up actions.
Analyze performance data and collaborate with revenue integrity teams to improve billing accuracy and recovery.
This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.
Review clinical documentation and ensure accurate charge entry in the billing system.
Submit insurance claims, monitor status, and resolve denials to maintain a clean billing cycle.
Support families with billing questions and assist with accounts receivable monitoring.
InStride Health delivers specialty anxiety and OCD care for kids, teens, young adults, and families through evidence-based clinical care and technology. The company is a mission-driven startup focused on expanding access to insurance-based care, with a collaborative culture grounded in values like heart, humility, and community.
Manage full-cycle psychiatric billing and revenue cycle for a Texas mental health practice.
Utilize eClinicalWorks for claims, payment posting, denials, and accounts receivable follow-up.
Communicate with patients and insurance representatives to resolve billing inquiries.
20four7VA connects independent contractors with global clients, focusing on developed markets like the US, UK, Canada, and Australia. They offer a vibrant community, constant support, free training, and upskilling for their contractors.
Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation, independently managing complex queues.
Analyze Explanation of Benefits (EOBs) and remittance advice to identify root causes of denials and payment discrepancies.
Collaborate with team members to optimize workflow, resolve billing issues, and mentor junior staff.
Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally through employer and health plan partnerships. The company has delivered over 15 million sessions of care and fosters a culture focused on innovation, collaboration, and high-quality outcomes.
Review, investigate, and appeal denied hospital insurance claims using clinical documentation and payer policies.
Develop evidence-based appeal letters addressing medical necessity, level-of-care, and charge discrepancies.
Collaborate with nursing, revenue integrity, and financial teams to resolve denials and prevent future rejections.
This partner company is a healthcare system that provides hospital services and focuses on revenue integrity. It supports fully remote work and values clinical expertise, collaboration, and financial sustainability.
Lead payer appeals and denial resolution operations, investigating denials and developing evidence-based appeals.
Design scalable workflows and use AI-enabled technology to improve efficiency while maintaining human oversight.
Track performance metrics and provide regular reporting to Market Access leadership.
Big Health provides fully digital, non-drug options for common mental health conditions through FDA-cleared digital therapeutics. They are a remote-first company with a diverse team committed to equity and innovation in mental health care.
Process credit card payments and document call details, account inquiries, and actions taken.
Deliver friendly, professional service while handling sensitive billing questions.
Five Star Solutions provides customer service and medical billing support, helping patients navigate their billing questions with care. The company values diversity and is committed to a professional, diverse workforce, offering equal opportunity employment.
Manage collections for outstanding accounts receivable by contacting clients via phone and email to secure payment.
Monitor aging reports, prioritize outreach, and track promises to pay while maintaining accurate records.
Resolve billing disputes, negotiate payment plans, and prepare regular collections status updates.
Sorren is a top 50 national advisory firm providing accounting, assurance, tax, advisory, and private client services. The firm fosters a collaborative, innovative culture focused on professional growth and work-life balance.
Troubleshoot and resolve issues for Clients and Therapists via phone and chat.
Assist and educate customers on the Grow Therapy platform to ensure a great experience.
Identify root causes of problems and collaborate with Product teams to improve the platform.
Grow Therapy is a mental health care platform that connects patients, therapists, and insurance payors to make quality care accessible. Founded in 2020, it has raised over $328M and reached a $3B valuation, with a mission-driven, fast-paced culture.
Investigate claim denials, navigate evolving payer requirements, and ensure complex claims are prioritized and resolved accurately.
Partner with cross-functional teams to identify operational and denial trends, optimizing workflows and claim outcomes.
Act as the pod’s go-to expert for payer workflows, claim resolutions, and best practices, supporting new-hire onboarding and team performance.
Rula is a mental healthcare company dedicated to providing quality, evidence-based care and reducing stigma around mental health. It is a remote-first company with a focus on inclusion, employee well-being, and making mental healthcare work for everyone.
Serves as the primary source of knowledge for revenue cycle functions and drives performance improvement.
Analyzes trends, identifies opportunities, and ensures appropriate system configurations.
Manages denial trend research and translates policies into action plans.
Natera is a global leader in cell-free DNA testing dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Manage billing and collections to support timely reimbursement.
Investigate claim denials and implement solutions.
Collaborate with payers and internal teams to resolve discrepancies.
Evernorth is a health services company specializing in home infusion and specialty pharmacy. They foster a collaborative, performance-driven culture focused on continuous improvement.
Contact insurance companies to check claim status and appeal submissions via payer portals and phone calls.
Manage administrative tasks such as gathering medical records, processing mail, and maintaining filing systems.
Build foundational knowledge of healthcare claims, ERISA regulations, and Commercial and Managed Care insurance policies.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, helping hospitals and health systems optimize their revenue cycles. We are a growing, mission-driven team focused on professional development, inclusion, and improving healthcare outcomes.
Manage pre-service authorization denials and coordinate reconsiderations, appeals, peer-to-peer reviews, and payer exception requests within applicable timeframes.
Interpret payer policies, medical necessity criteria, and coverage requirements to determine appropriate resolution pathways and obtain supporting documentation.
Collaborate with providers, payers, and internal teams to resolve complex cases, identify denial trends, and support process improvement.
IVX Health is a national provider of infusion and injection therapy for patients managing complex chronic conditions. They are a growing healthcare organization with a culture built on collaboration, innovation, and purpose, offering professional development and meaningful work.
Review referred accounts to validate underpayments and analyze reimbursement variance reports.
Request additional payment from insurance companies and perform timely follow-up on all assigned accounts.
Escalate unresolved appeals, prepare monthly denial logs, and collaborate to recover underpayments.
Lucile Packard Children's Hospital Stanford provides world-renowned pediatric care, combining advanced technologies and breakthrough discoveries with family-centered care. We support our caregivers with continuing education and state-of-the-art facilities, fostering a caring and committed team culture.