Analyze healthcare and revenue cycle data from billing, claims, payment, and accounts receivable systems
Monitor key performance indicators such as collections, denial rates, claim volumes, and AR aging
Build and maintain analytical reports and dashboards for internal and client-facing teams
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. They operate remotely and focus on improving financial and operational outcomes for healthcare providers.
Serve as a Revenue Integrity resource for assigned clinical service lines and partner with various stakeholders to improve revenue capture.
Perform end-to-end assessments of workflows to identify opportunities for improvement and implement corrective actions.
Analyze data to identify trends, charging variances, and revenue optimization opportunities while maintaining knowledge of regulations and best practices.
The Wilshire Group is a healthcare consulting organization focused on helping clients improve revenue cycle performance through experienced professionals, practical solutions, and collaborative partnership. They are an equal opportunity employer that values a collaborative, professional, and inclusive work environment.
Serves as the primary analytical resource for the Unresponded team, tracking post-appeal payer response activity.
Monitors key performance metrics including backlog aging, SLA adherence, and resolution trends.
Partners with the Manager to translate operational findings into actionable workflow recommendations.
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.
Assess current denials processes and analyze denial trends to identify root causes and financial risks.
Develop and implement strategies to reduce preventable denials and improve revenue cycle performance.
Lead denials-related projects from planning through implementation, coordinating with stakeholders and tracking KPIs.
The Wilshire Group is a boutique healthcare consulting firm specializing in revenue cycle, Epic, and healthcare technology solutions. We are a small team of experienced professionals dedicated to improving financial performance for healthcare organizations.
Review paid claims to identify underpayments and analyze payer reimbursements against contract terms.
Initiate and track underpayment recovery efforts through appeals, reconsiderations, and payer escalations.
Develop tracking reports, quantify financial impacts, and present findings to leadership.
We are one of the largest gastroenterology multi-specialty groups in the United States, with over 130 locations. Our team of gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals fosters a collaborative culture focused on outstanding medical care.
Assess complex denial processes, identify root causes, and develop strategies to improve financial performance and prevent revenue loss.
Lead denials-related projects from planning through implementation, coordinating with operational and executive stakeholders.
Analyze denial trends, perform root-cause analysis, and develop actionable recommendations to reduce denials and optimize revenue cycle performance.
This partner company is a healthcare organization seeking a consultant for revenue cycle denials management. The company size and culture are not specified.
Manage the workflow and activities related to recovery and revenue cycle management for complex claims.
Supervise team tasks, monitor performance, and investigate escalated issues.
Analyze reports on aging, accounts receivable, and ensure service level standards.
Centene connects people to the care they need to live healthier lives. It is a large healthcare company with a diverse workforce and a culture focused on improving lives, offering competitive benefits and remote flexibility.
Serve as the operational lead and subject matter expert for enterprise client accounts, overseeing accounts receivable and revenue cycle performance.
Drive root cause analysis of denied claims, payment variances, and workflow breakdowns to implement corrective actions.
Mentor team members, assign workloads, and facilitate training to ensure high-quality client support and operational consistency.
Prompt provides software for outpatient rehab organizations, helping them treat more patients and deliver better care while reducing environmental waste. It is a team of talented individuals committed to solving complex healthcare problems, fostering a culture of smart work and positive impact.
Partner with revenue leaders and cross-functional teams to improve operational visibility and decision-making across the revenue lifecycle.
Build and manage reporting for pipeline visibility, bookings, forecasting, retention, and customer health.
Analyze data from multiple systems to identify trends and translate findings into actionable recommendations.
Everway creates technology that helps everyone understand and be understood, focusing on neuroinclusion. They are a global community of over 800 employees with a culture that values curiosity, courage, and commitment.
Drive strategic pricing, financial modeling, and hybrid billing structures to maximize revenue and growth.
Collaborate with the tech team to optimize the RCM tech stack and ensure seamless data integrity.
Lead operational quality, denial management, and cross-functional project management for billing workflows.
Pomelo Care is the leading virtual medical practice for women and children, providing proactive, 24/7 clinical care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.
Build and maintain recurring reports and dashboards covering enhancement volumes, cycle times, and aging.
Analyze vendor performance and cost variances to identify opportunities for margin improvement.
Support pilot programs and process rollouts by validating data and documenting workflows.
The company specializes in vehicle remarketing enhancement and make-ready programs across multiple branches and regions. They operate with a focus on data-driven operational improvements and cost control in a fast-paced environment.
Own RCM end to end for Medicaid and Medicare, from eligibility through claims, denials, and collections.
Lead strategy, team building, KPI reporting, and cross-functional collaboration with operations, product, and engineering.
Analyze claims data to improve collection rate, manage payer relationships, and ensure billing compliance.
Pair Team is an AI-enabled medical group for Medicaid and Medicare, delivering whole-person care through community-based organizations. It is California's largest complex care provider and is building an AI platform to scale across the safety net.
Own the RevOps systems roadmap, defining priorities and leading cross-functional programs from scoping to adoption.
Build and maintain dashboards, reporting, and analytics to measure customer satisfaction, account health, and tool adoption.
Serve as the technical owner of core GTM tooling, including Gainsight, designing scalable architecture and enforcing data quality standards.
Modern Health is a mental health benefits platform for employers, providing a global solution with one-on-one, group, and self-serve digital resources. They are a fully remote, hyper-growth company with over $170M in funding, known for high empathy and accountability.
Provide advanced expertise and leadership for hospital billing and accounts receivable operations.
Ensure compliance with payer rules and regulatory requirements through quality assurance and audits.
Analyze payer trends and collaborate on process improvements to optimize revenue recovery.
Emory Healthcare is a healthcare system providing comprehensive medical services. They foster a supportive culture with benefits, mentorship, and leadership programs for employees.
Own and scale the RCM engine across payer contracting, billing, denials, collections, and reconciliation.
Lead the RevOps team and act as the go-to expert on revenue cycle performance.
Drive root-cause resolution of denials and build process improvements for audit-ready scale.
Clarity Pediatrics is redefining pediatric chronic care by uniting virtual multi-specialty care for kids with ADHD, allergies, asthma, and obesity. It has raised $25M from top VCs and is scaling after a substantial Series A.
Manage claim submission and resolution for governmental and commercial insurance accounts.
Analyze and correct accounts receivable problems, post payments, and resolve credit balances.
Research denials, initiate appeals, and maintain documentation for maximum reimbursement.
CCS is a healthcare company specializing in chronic care management, using AI-powered models to improve patient adherence and outcomes. It supports over 200,000 patients nationwide and is recognized as a Great Place to Work.
Submit medical documentation and billing data to insurance providers
Research and appeal denied or rejected claims, and follow up on unpaid claims
Review insurance payments for accuracy and completeness using billing software
Cardinal Health is a global distributor of pharmaceuticals and medical products, providing performance and data solutions for healthcare facilities. With over 50 years of experience, the company supports an inclusive workplace that values diversity and delivers end-to-end solutions to improve healthcare.
Manage billing, collections, and accounts receivable for healthcare clients, ensuring timely claim submission and payment resolution.
Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements.
Serve as primary client contact, providing ongoing communication, status updates, and revenue cycle support.
Wipfli is a professional services firm providing accounting, tax, and consulting services. They emphasize flexibility, relationships, and employee well-being, with a focus on creating exceptional impact.
Own the analytics layer connecting Marketing, Partnerships, and Sales to drive predictable revenue.
Build dashboards, models, and lead-routing logic for campaign and partner performance.
Partner with cross-functional teams to track attribution and optimize revenue operations.
Fundraise Up is a global fundraising platform that makes donating to nonprofits fast and accessible. The company is trusted by leading nonprofits like UNICEF and has a 4.9/5 rating, with a culture focused on innovation and impact.
Maximize client satisfaction by analyzing data and implementing improvement plans.
Develop strategies for client retention, engagement, and expansion.
Build relationships with client partners to identify upselling opportunities.
Experian is a global data and technology company powering opportunities for people and businesses worldwide. They have 25,200 employees across 32 countries and foster a people-first, inclusive culture.