Post payments, adjustments, and denials from ERAs, EOBs, and lockbox files into customer PM systems.
Balance daily batches, reconcile to bank deposits, and resolve missing or mismatched ERAs.
Flag underpayments and denials, resolve unapplied cash, credit balances, refunds, and transfer balances.
Amperos is healthcare's first AI-native denial management and revenue recovery platform, using agentic AI to resolve claims end-to-end. Backed by a $16M Series A, it remains a small, early-stage team tackling a $260B+ problem with a mission-driven culture.
Post charges and claims accurately using clinical documentation and customer PM systems.
Verify coding, modifiers, and medical necessity before submission to prevent denials.
Track claims through posting and adjudication, resolving payment discrepancies and denials.
Amperos is healthcare's first AI-native denial management and revenue recovery platform, using agentic AI to resolve claims end-to-end. We are a small, early-stage startup backed by a $16M Series A, focused on tackling a $260B+ problem with a collaborative culture.
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.
Oversee timely and accurate application of insurance and patient payments, including monitoring of posting workflows and electronic remittances.
Ensure compliance with HIPAA, payer requirements, and financial controls, with emphasis on credit balance handling and refund processes.
Lead team development, process improvement, and automation initiatives to enhance cash visibility and operational efficiency.
SimonMed Imaging is a healthcare organization providing medical imaging services with a focus on revenue cycle management. They are a large-scale organization emphasizing compliance, automation, and patient-centered care.
Own end-to-end cash reconciliation for patient and insurance payments, aligning Stripe and Candid.
Build SOPs, workflows, and oversee a team of virtual assistants to clear the unreconciled cash backlog.
Partner across enterprise and new bet teams to support reconciliation and identify automation opportunities.
Nourish is the largest dietitian-led metabolic health clinic, offering insurance-covered care across all 50 states via an AI-native platform. With over $215M in funding and partnerships covering 200M+ Americans, they maintain a high-performance culture that values talent density and solving hard problems.
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.
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.