Resolve aged claims and appeals via payer portals & outbound phone calls.
Prioritize assigned work queue to ensure timely work is balanced with working the most payable claims.
Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.
CareDx, Inc. is focused on providing healthcare solutions for transplant patients and caregivers. They are the leading provider of genomics-based information for transplant patients.
Performs daily billing functions for assigned Accounts Receivable claims to ensure claims resolutions within set deadlines.
Sends out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R.
Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually, employing over 157,000 employees across 24 states.
Responsible for daily billing functions, including working claim edits and reviewing insurance claims.
Contacts various parties for information on unpaid claims and identifies issues causing non-payment.
Works first-level appeals in compliance with departmental policies and procedures.
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. They are committed to transforming the health care experience with high-quality care for every stage of life.
Accurately review denied claims to identify root causes.
Communicate directly with insurance representatives to negotiate settlements.
Monitor denial trends and provide actionable feedback to billing and clinical teams.
Mindoula is a healthcare organization. They are seeking an Account Receivable Representative and value candidates with strong communication and problem-solving skills.
Maintain a working knowledge and understanding of DMEOPS CPT and ICD-10 codes.
Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied.
Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract terms.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. They have 160 years of clinical excellence and innovation, and its vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.
Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system.
Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
Collects, posts, and manages patient account payments.
US Anesthesia Partners provides comprehensive anesthesia care. They are committed to clinical excellence and outstanding patient experience.
Responsible for the accurate and timely resolution of patient accounts.
Work assigned accounts through the collections system, analyzing them for appropriate action.
Follow all third-party payer guidelines and procedures for collection; keep current on policy changes.
UChicago Medicine has been at the forefront of medicine since 1899. They provide superior healthcare, mindful that each patient is an individual, advancing medical innovation, serving the health needs of the community, and moving collective knowledge forward.
Submitting clean claims efficiently and accurately for your assigned clinics
Following up on denials and rejections with urgency and clarity
Posting payments, reconciling accounts, and communicating proactively with clinics
Jane is a founder-led, high-growth SaaS company. They build products and tools that thousands of clinics rely on every day to run their businesses, care for their patients, and grow their communities, with over 700 employees working remotely across Canada, the US, and the UK.
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.
Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.
Record after-call actions and perform post-call analysis for the claim follow-up.
TruBridge connects providers, patients, and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. They are a remote team that encourages their employees to push boundaries and look at things differently.
Responsible for accurate and timely submission of billing claims.
Responsible for the timely follow-up of unpaid inpatient, outpatient and clinic claims.
Provides appropriate medical documentation to the insurance carrier.
Plumas District Hospital provides essential health care services to the residents of Quincy and the surrounding area. They are located in Quincy, California, nestled against the Western slope of the Sierra Nevada mountain range.
Responsible for collecting and verifying demographic, guarantor and insurance information, educate patients, physicians, staff, etc. on the financial process.
Will be involved in extensive utilization of the Hospitals revenue systems and constant interaction with patients, physicians, insurance companies, donors and other members of the Hospitals' staff.
Advise and counsel patients and guarantors regarding patient rights, responsibilities and procedures as it relates to payment for Hospital and ProFee care
They are a comprehensive academic medical center. They have many employees and maintain a collaborative culture.
Contacts insurance companies for status on outstanding claims.
Processes and follows up on appeals to insurance companies.
Works outstanding accounts receivable from assigned work queues.
US Anesthesia Partners is dedicated to providing high-quality anesthesia services. They offer equal employment opportunities to all employees and applicants.
Accountable for making decisions supported by policy based on confidential financial information to determine qualification for CICP, Charity programs, or payment arrangements.
Verify coverage and authorization for all scheduled procedures using scheduling and registration information; populate price estimate tool to decide patient portion.
Act as a liaison between patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit has over 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services and is 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.
Auditing to ensure new provider and care center information is accurate.
Conducting Care Center audits based on the number of providers.
Identifying, monitoring, and managing denial management trends.
Privia Health is a technology-driven, national physician enablement company. They collaborate with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. Their platform is led by industry talent and cloud-based technology.
Responsible for answering phone calls and emails in a timely manner, professionally answering questions from clients, insurances, or patients.
Review patient documentation for accuracy and qualification, manage shipments by sending sales orders, and review sales orders for accuracy after shipment completion.
Create claims and/or invoices confirming sales orders, billing electronically or via paper, and monitor the patient billing module, updating information as needed.
Cala Health strives to free individuals from chronic diseases, starting with a non-invasive prescription therapy for hand tremor and expanding into neurology and cardiology. They empower thousands to regain confidence and ease in their lives by applying pioneering technology and offer a comprehensive benefits package aligned with their compensation philosophy.
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.
Process medical claims, resolve issues, and provide billing assistance.
Respond to inquiries promptly and coach physicians on OHIP billing.
Work individually and as a team to deliver a positive experience.
RBCx empowers tech trailblazers to compete harder and grow faster by leveraging RBC's experience, network, and capital. With four pillars – Banking, Capital, Platform, and Ventures – they aim to be the go-to backer of Canadian innovation and were named one of the 100 Best Workplaces for Innovators by Fast Company in 2020.
Consistently practices Patients First philosophy and adheres to high standards of customer service.
Correctly identifies and collects patient demographic information in accordance with organization standards.
Uses effective service recovery skills to solve problems or service breakdowns when they occur.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace, setting it apart as a leader in the healthcare industry. As an integral part of the team, you'll have the opportunity to join our quest for better health care, with competitive benefits from tuition reimbursement and loan forgiveness to 401(k) matching.
Independently determine PBB eligibility for new and existing clinic locations.
Lead completion of CMS PBB Attestation for all hospital-owned clinics and facilities.
Conduct scheduled annual compliance reviews to ensure continued compliance with CMS regulations.
VCU Health is dedicated to providing exceptional care and empowering quality of life through discovery. They are a comprehensive healthcare system with an academic medical center, Level I trauma center, and a wide range of specialists and research teams.