Review and analyze CDM data to ensure accuracy and compliance.
Conduct regular audits to identify discrepancies and areas for improvement.
Work with clinical, billing, and coding teams to resolve charge capture issues.
LCMC Health is a community-focused healthcare provider deeply rooted in New Orleans, Louisiana. They are committed to providing exceptional care and education, with a culture that celebrates authenticity, equity, and inclusion.
Conduct audits of payer processed claims to verify accurate reimbursement.
Conduct post-implementation Care Center audits following the audit policy.
Assist the Manager, RI, in leading initiatives that drive efficiency.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. Their platform consists of scalable operations and cloud-based technology to reduce healthcare costs and improve patient outcomes.
Provide high-level customer service to patients and fellow employees.
Review and update billing, codes, and account information.
Ensure accurate billing for all services provided, adhering to compliance.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products. With 160 years of clinical excellence, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.
Develop, implement, and monitor systems that ensure compliance with Medicare and other payor documentation guidelines.
Analyze physician practices to identify charge opportunities and ensure all billable services are captured.
Perform regular audits to ensure compliance with coding and documentation guidelines and provide feedback to physicians.
Legacy Health is committed to fostering an inclusive environment where everyone can grow and succeed. They are an equal opportunity employer that prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants.
Support current Claim Source Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectiveness
Document and communicate complex solutions to internal and external clients promptly
Assess project complexity and estimate development and implementation timeframe
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries and corporate headquarters are in Dublin, Ireland.
Meet with billing teams to train them on billing best practices and assist in their transition over to Prompt.
Assist in teaching submission, posting, invoicing, AR, etc best practices on Prompt.
Understand unique team needs to help configure and develop workflows with their new EMR/PM system
Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. As the fastest growing company in the therapy EMR space and the new standard in healthcare technology, they are looking for someone scrappy, willing to bring new ideas, take on big challenges, and is into doubling down on what works.
Serve as the primary point of contact for assigned clients, building strong relationships and addressing inquiries.
Oversee the entire billing process, ensuring accurate and timely claim submission and denial resolution.
Monitor claim submissions, payment posting, and aging AR to ensure targets are met and identify remediation efforts.
Motivity provides revenue cycle management services. They focus on helping ABA providers improve their financial success with billing and claims management. The company culture emphasizes strong partnerships, trust, and transparency.
Research escalated invoicing questions/issues and provide resolution.
Prepare and develop metric reporting for the platform.
Research and resolve billing-related credits and rebill requests.
RRD is a global provider of marketing, packaging, print, and supply chain solutions. They elevate engagement across the complete customer journey with creative execution and business process consulting, designed to lower environmental impact and serve 22,000 clients.
Manage and develop a team of Billing Specialists responsible for end-to-end claims processing.
Monitor workflows and systems to ensure timely, accurate submission of claims.
Analyze and address rejection trends, leading root cause resolution and implementing scalable solutions.
Spring Health aims to eliminate every barrier to mental health by providing the right care at the right time through their technology, Precision Mental Healthcare. They partner with over 450 companies and serve 10 million people, with a valuation of $3.3 billion.
Ensure correct insurance information for claim submission.
Communicate with patients about balance, billing concerns, and insurance.
Work in computer systems to obtain and organize billing information.
CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. In February 2024, they partnered with WindRose Health Investors as well as top physician services and payor executives to grow their team and invest in their next phase of growth.
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
Communicate status with team members, end-users and clients within client expectations including participating in regular client calls
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries and were named a World's Best Workplace in 2024.
Collect, analyze, and interpret clinical, operational, and financial data to assess payer performance and trends.
Maintain SOPs, payer playbooks, internal how-to guides, and reference materials.
Translate front-line payer knowledge into scalable process improvements.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies and provide care for 10 million people.
Manage the order to cash cycle for both subscription and non-recurring billing.
Execute recurring and ad-hoc billing activities, ensuring accuracy and timeliness.
Partner with revenue, Rev ops, and analytics to align data definitions and reporting logic.
Alvys is the world’s leading and fastest-growing software technology platform for the transportation and logistics space. Their mission is to help small to enterprise carriers and brokers thrive by boosting their business efficiency.
Assist with processing revenue transactions and preparing revenue reports in accordance with US GAAP and ASC 606.
Review and validate routine sales contracts and agreements for revenue recognition requirements.
Support monthly, quarterly, and annual revenue close activities, including reconciliations and variance analysis.
Jobgether uses an AI-powered matching process. They ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.
Conduct timely and accurate eligibility checks and benefit investigations through payer portals and phone outreach to ensure claims are submitted correctly from the start
Enter and monitor DME claims across multiple platforms, troubleshoot billing issues, and proactively follow up to reduce denials and accelerate reimbursement
Analyze explanation of benefits (EOBs) for errors, missing payments, or misapplied patient responsibility, then determine and execute the correct resolution path
Babylist is the leading registry, e-commerce, and content platform for growing families helping parents feel confident, connected, and cared for at every step. It has over $1 billion in annual GMV, and more than $500 million in 2024 revenue and is reshaping the $320 billion baby product industry.
Manage prior authorizations and related administrative paperwork.
Input patient information, medical records (CPT, ICD-10, HCPCS), and billing data into EMR/EHR systems.
Assist with processing insurance claims, verifying patient insurance information, and handling billing inquiries, concerns, and documentation.
Wing is redefining the future of work for companies worldwide. They aim to be a one-stop shop for companies looking to build world-class teams and place their operations on autopilot.
Prepares and submits clean claims to various insurance companies.
Identifies and resolves patient billing complaints.
Performs various collection actions including contacting patients by phone.
SelectQuote provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience.
Support the setup, maintenance, and optimization of billing configurations.
Perform account reconciliations to validate billed amounts against system data.
Fetch is an app where millions of people use America’s Rewards App, earning rewards for buying brands they love. With investments from SoftBank, Univision, and Hamilton Lane, and partnerships ranging from challenger brands to Fortune 500 companies, Fetch is reshaping how brands and consumers connect in the marketplace. Fetch fosters a people-first culture rooted in trust, accountability, and innovation, and was ranked as one of America’s Best Startup Employers by Forbes for two years in a row.
Resolves delinquent payment issues of complex accounts.
Investigates patient account information, medical records and bills, billing and reimbursement regulations.
Analyzes each account to optimize reimbursement and remove barriers to processing claims.
Legacy Health is dedicated to good health for its people, patients, communities, and the world, emphasizing doing the right thing. They foster an inclusive environment where everyone can grow and succeed, committed to equal opportunity.
Generate and reconcile revenue reports for customer programs.
Collaborate with accounting and FP&A for timely revenue entries.
Analyze program volumes and provide variances to forecast and budgets.
Idemia Public Security is a leading provider of secure and trusted biometric-based solutions, transforming public and private organizations. With 4000+ employees around the world and 150+ partners worldwide, they provide a dynamic environment where innovation thrives and talents are valued.