Responsible for collections and appeals from various Federal, State, & Third Party (HMO, PPO, IPA, TPA Indemnity) payers.
Optimize payment reimbursements by reviewing accounts for billing accuracy and health plan coverage.
Process an appeal, resubmit/rebill, or forward claims for adjudication as necessary.
BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Forbes recently named them one of America's Best Startup Employers for 2025, and they were awarded Great Place to Work certification in 2024.
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.
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.
Address the needs of patients with a focus on customer support, coordination of logistics, and problem solving.
Schedule and coordinate the flow of work within or between departments to expedite project efficiencies and resolution to escalations.
Address and resolve assigned inquiries with a sense of urgency; Ensure timely closure of escalation cases using email, phone, or salesforce.com
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.
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.
Manage a high volume of outbound and inbound new patient onboarding calls
Build trust with patients and clinical care team members through exceptional omnichannel customer service
Actively listen during patient conversations to activate personalized support for new patients and provide appropriate next steps including visit scheduling
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home.
Responsible for submitting medical billing claims and appealing denied claims.
Obtain referrals and verify healthcare service eligibility.
Follow up on missed payments and resolve financial discrepancies.
CRMS by DocGo leads the proactive healthcare revolution with an innovative care delivery platform. They disrupt the traditional healthcare system by providing high quality, affordable care with a team of over 5,000 certified health professionals.
Act as the primary point of contact for new patients calling and emailing in.
Efficiently register and onboard a high volume of new patients.
Precisely verify patient insurance information to confirm active coverage and eligibility.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team that values its employees.
Provide support across our full customer base via various channels, addressing complex product and technical inquiries with accuracy and efficiency.
Guide customers on best practices for revenue cycle management, claims submission, payment processing, collections, and denial management within our platform.
Meet or exceed established performance metrics, including customer satisfaction, resolution time, and quality benchmarks; handle a high volume of inbound calls daily, ensuring timely and accurate responses to customer inquiries.
Tebra is the digital backbone for practice well-being, formed by the merging of Kareo and PatientPop. They aim to unlock better healthcare by helping independent practices bring modernized care to patients everywhere, serving over 100,000 providers.
CommonSpirit Health has 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services, making them accessible to nearly one out of every four U.S. residents. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Researches overdue account balances and follows up on delinquent payments.
Reviews unpaid and underpaid claims, resubmitting or appealing as necessary.
Responds to customer inquiries, resolves discrepancies, and prepares adjustments.
Accendra Health helps deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. They have a presence in communities nationwide through their Apria and Byram Healthcare brands.
Demonstrate strong self-motivation and passion for learning various new payment solutions, and utilize advanced probing negotiation and skills to understand customer situations and resolve delinquency.
Learn about new business concepts and new collection techniques or payment programs in a fast-paced environment to drive continuous business improvement.
Treat customers with respect and demonstrate sensitivity and compassion in difficult situations.
Kafene is revolutionizing the lease-to-own space, making flexible lease-to-own accessible to everyone with cutting-edge AI and machine learning. The 150-person team spans NYC, Wilmington, and remote talent nationwide, united by a culture of collaboration, innovation, and genuine support.
Answer incoming inquiries from patients, answer questions, and schedule appointments
Make outbound phone calls to patients, pharmacies, and insurance companies
Create and triage tickets in ServiceNow
Talkiatry transforms psychiatry with accessible, human, and responsible care. They’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.
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 like rheumatoid arthritis, Crohn’s disease, and multiple sclerosis. They foster a culture of respect, empowerment, and shared purpose, living out their values every day.
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 a portfolio of sponsor and client accounts, leading recurring calls, business reviews, and ad-hoc engagements.
Drive responsiveness and service levels for sponsor requests, communicating with accuracy and awareness of business risks.
Translate sponsor goals into cross-functional delivery plans.
Jobgether is a company that uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Nurture & Grow: Take ownership of existing accounts and drive increased patient referral volume.
Success Management: Act as the primary point of contact for clinical partners, answering questions, providing updates.
Process Implementation: Work with clinics to refine their internal referral processes, making it easier for them to send patients to our platform.
Carda Health is building the world’s first patient-centered virtual heart and lung platform, starting with cardiac and pulmonary rehab. They are a team of clinicians, mathematicians, entrepreneurs, and engineers who believe technology and data, when applied ethically, can transform healthcare.
Making outbound calls to patients, members, and customers.
Helping patients make decisions that will enhance their healthcare experience.
Assisting members and patients with benefits and insurance information.
Carenet Health pioneers advancements for experiences across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.