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.
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.
Own day-to-day revenue cycle management across physician-practice operations.
Manage and improve internal billers, outsourced RCM teams, and specialist billing resources.
Partner with physicians and practice teams to improve RCM processes across multi-site operations.
This healthcare platform partners with physician practices to rebuild revenue cycle operations, focusing on podiatry, vascular care, and lower-limb preservation. The company is in a growth stage and operates across multi-site practices in Houston and Atlanta.
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.
Manage an assigned book of insurance accounts receivable, working claims from submission through final resolution to keep aging balances down.
Follow up with payers on outstanding claims, underpayments, and payment discrepancies, and drive them to close.
Investigate and resolve claim denials and rejections — corrected claims, appeals, and reconsiderations with the documentation payers require.
SimpliFed gives parents the tools they need to navigate baby feeding questions, concerns, and obstacles, starting in pregnancy and through the feeding journey. We're a Series A company growing fast, and our operational and revenue infrastructure needs to grow with us.
Protera Health is a health-tech startup transforming the delivery of musculoskeletal (MSK) care through a multidisciplinary approach and patient tracking technology. Founded by orthopedic surgeons and value-based care experts, it is a growing team that emphasizes collaboration, innovation, and a patient-first culture.
Review and evaluate denied claims using proprietary software to determine correct reimbursement.
Research and acquire medical records and supporting documentation for submission to payers.
Conduct telephone follow-up with payers to ensure prompt reimbursement.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using an intelligent automation platform. The company has over 24 years of industry expertise, is a multi-year Top Workplaces award recipient, and has been on the Inc. 5000 list for eleven years.
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.
Lead and scale a high-performing Revenue Cycle Management team, managing workflows and driving operational excellence.
Oversee day-to-day RCM operations with a patient-first approach, optimizing collections and efficiency.
Collaborate cross-functionally with Engineering, Credentialing, Customer Experience, and external vendors to support growth.
Nourish is an AI-native digital health system that connects patients with registered dietitians, physicians, medications, lab testing, and AI agents for insurance-covered care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partners with health plans covering 200M+ Americans.
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.
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.
Prepare and resubmit corrected claims to insurance companies following specific payer guidelines.
Analyze first pass rejected claims to ensure clean resubmissions and minimize reimbursement delays.
Evaluate customer accounts and recommend adjustments or write-offs based on collectability.
Prompt RCM builds software for outpatient rehab organizations to improve patient care and reduce environmental waste. The company fosters a talented and healthy work culture with a focus on smart work and positive impact.
Manage billing, receivables auditing, and collections for services provided to patients in assigned facilities.
Achieve monthly cash collection goals and minimize the impact of bad debt.
Interact with insurance companies via telephone and written correspondence to resolve unpaid claims.
CommuniCare Family of Companies is a national leader in post-acute care, providing person-centered services for individuals with chronic or complex conditions. With over 19,000 employees across six states, the family-owned company is dedicated to serving with pride and fostering an environment where employees thrive.
You will review and manage pre-billing filters to ensure claims are submitted cleanly and in accordance with payor guidelines.
You will submit high volumes of claims with strong attention to detail, accuracy, and speed.
You will monitor and respond to a high volume of emails professionally and in a timely manner.
Proud Moments ABA is a behavioral health organization providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. It is a fast-growing company that offers a supportive culture with competitive pay, generous PTO, and advancement opportunities.
Respond to client and team information requests in a timely, professional manner.
Communicate with insurance carriers to resolve claim issues and improve cash flow.
Contribute to training materials and maintain proactive communication with clients.
Ternium RCM specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals to focus on patient care. They are a growing team of dedicated professionals committed to optimizing revenue cycles and improving healthcare outcomes.
Support front-end and back-end billing operations for a fully virtual care delivery model.
Ensure accurate charge entry, claims submission, and denial resolution.
Serve as a billing point of contact for families, explaining insurance processes with empathy.
InStride Health delivers specialty anxiety and OCD care for children, teens, and young adults through a combination of research-backed clinical care and innovative technology. The team is mission-driven, focused on expanding access to insurance-based care, and values heart, smart work, humility, and community.
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.
Coordinate daily workloads and priorities across the medical billing team
Monitor billing productivity, accuracy, claim submission, and turnaround-time metrics
Support team members with complex billing issues, payer requirements, and claim corrections
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. They are an equal opportunity employer that prioritizes accuracy and efficiency in medical billing services.
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.
Perform follow-up status requests through telephone, internet, and fax requests.
Process incoming and outgoing mail, scanning, and document consolidation and indexing.
Maintain a working knowledge of internal policies and client systems and credentials.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.