Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation claims.
Submit bills and proper documentation to insurance companies, ensuring maximized payments to clients.
Review payer information to resolve denied claims and participate in special projects to achieve goals.
Revecore helps hospitals recover the revenue they've earned. Trusted by over 1,300 hospitals across 48 states, they combine specialized expertise with proprietary technology and foster a supportive, innovative workplace.
Ensure timely and accurate adjudication and payment of medical claims.
Process appeals and disputes by gathering and verifying claim information.
Work independently and as part of a team to meet daily processing quotas.
Sana is a health plan solution built for small and midsize businesses, designed around integrated primary care. Founded in 2017, Sana is remote-first with a fully distributed team across the U.S., valuing curiosity, ownership, and speed.
Research and follow up on unpaid insurance claims via mail and phone.
Review and appeal underpaid or rejected claims, coordinating with collection agencies as needed.
Respond to customer inquiries, resolve billing discrepancies, and maintain accurate records.
Accendra Health simplifies healthcare by delivering essential products and services beyond traditional settings, with a focus on home-based care. With over 6,000 teammates across 250 locations nationwide under the Apria and Byram Healthcare brands, we are dedicated to personalized care and accessible health solutions.
Provide on-site and on-demand education on reimbursement challenges and support services for physician offices.
Educate on benefit investigation, prior authorization, Medicare and Commercial coverage, and patient communication streams.
Collaborate with internal hub support and case managers to ensure customer needs are met and track activities in CRM.
McKesson is a Fortune 10 healthcare company that delivers insights, products, and services to make quality care more accessible and affordable. It fosters a culture where employees can grow, make an impact, and thrive as they shape the future of health.
Updates patient accounts with information received from hospitals and follow-up with Contact Specialist.
Accesses client connections/computer system to obtain information required to update accounts.
Performs special projects or tasks as assigned and assists IT in resolving access issues.
Revecore helps hospitals recover the revenue they've earned through specialized expertise and proprietary technology. Trusted by over 1,300 hospitals across 48 states, they have built a supportive and innovative workplace where people support one another.
Provide initial training on central business office duties to new staff.
Develop into higher-level roles with two years of acceptable performance.
Piedmont Healthcare Corporate is a healthcare organization focused on revenue cycle management and central business office operations. It is a large corporate entity with a culture centered on accuracy and development.
Conduct virtual or in-person walk-through inspections to identify covered damage.
Interpret insurance policies and utilize skills to drive business growth.
Provide exceptional customer service and process claims efficiently.
Metro Public Adjustment helps homeowners receive the maximum amount they are entitled to from their insurance claims. The company is a renowned and trusted 30-year-old business that offers ongoing training and flexible schedules.
Maximize reimbursement by collecting outstanding balances from insurance companies through claim follow-up and appeals.
Resolve aged claims via payer portals and outbound calls, escalating for reconsideration and up to three levels of appeals.
Identify denial trends and collaborate cross-functionally to improve upstream processes and prevent future denials.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company partners with healthcare providers and biopharma organizations to improve patient outcomes through molecular diagnostics and digital health solutions.
Review healthcare claims and determine appropriate payment methodologies based on contractual terms and client requirements.
Analyze claim information and system data to ensure accurate repricing while meeting productivity and quality metrics.
Collaborate with internal audit and operational teams to support compliance, quality assurance, and process improvement initiatives.
The company provides healthcare claims review and repricing services. It operates remotely with a focus on compliance, accuracy, and continuous improvement.
Prepare and file stop loss claim submissions, assessing eligibility against policy terms and gathering required documents.
Build and maintain claimant files, ensuring accurate and audit-ready records throughout the claim lifecycle.
Track and recover outstanding reimbursements, monitoring requests and following up with carriers to drive resolution.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. The company serves employers, health plans, and health systems with data-driven solutions and is on a mission to empower people to lead healthier lives.
Conducts redetermination reviews in compliance with Medicare rules.
Responds to appeals and writes professional correspondence.
Researches claims issues and submits educational referrals.
Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As a small business focused on government and private sector clients, they foster integrity, collaboration, and excellence.
Manage government and commercial healthcare insurance receivables to ensure timely collection.
Research unpaid, denied, and underpaid claims and resolve billing discrepancies.
Communicate with insurance carriers and healthcare providers to secure reimbursement.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It operates remotely and focuses on fair, objective recruitment processes.
Manage design, build, testing, validation, maintenance, and ongoing support of Epic Resolute Hospital Billing and Electronic Remittance modules.
Collaborate with interdisciplinary workgroups to accomplish goals, focusing on Epic upgrades, enhancements, ticket queue responses, and break/fix duties.
Build relationships with colleagues, departments, and vendors, providing technical consulting and ensuring compliance with regulatory guidelines.
Emory Healthcare is a leading healthcare system in Atlanta, providing comprehensive medical services. They foster a supportive culture with extensive benefits, mentorship, and professional development opportunities.
Provide direct support to customers navigating healthcare reimbursement, claims, and insurance processes.
Assist with verifying benefits, reviewing claims documentation, and maintaining compliant records.
Collaborate with internal teams to resolve complex reimbursement issues and improve workflows.
This partner company provides customer reimbursement coordination services for healthcare. They operate remotely and offer a collaborative environment with opportunities for professional development.
Review and process medical, supplemental, or dental claims according to benefits, eligibility, and guidelines.
Validate accuracy of medical codes, assess eligibility, and evaluate authorizations in claim submissions.
Meet or exceed quality and productivity goals while working independently in a virtual environment.
The Cigna Group is a health services company dedicated to improving the health and vitality of those they serve. It is a large organization with a focus on innovation and employee well-being.
Guide beneficiaries through health insurance options by listening to their needs, answering questions, and recommending suitable coverage solutions.
Conduct phone consultations to help customers understand plans and make informed purchasing decisions while meeting sales targets.
Maintain accurate customer information and documentation while navigating multiple systems and applications.
Amplify helps individuals make informed decisions about their health insurance coverage through personalized support and education. The company operates a remote call center environment with a focus on customer service and sales, offering paid training and career growth opportunities.
Manage complete and timely processing of claims, including reviewing daily correspondence and resolving issues through SalesForce.
Oversee accounts receivable functions such as worklists, zero pay, and denials to ensure timely resolution.
Serve as an escalation point and subject matter expert on internal sub-teams, driving toward daily and monthly KPIs.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups and health systems to optimize practices and reduce costs. They are a national organization with top industry talent and a focus on high-value care.
Review and process incoming claims and supporting documents.
Verify information for accuracy and completeness and update claim records.
Identify missing or inconsistent information and follow up on needed documentation.
Bilgewater Group is a company specializing in claims processing and related services. They are an equal opportunity employer with a focus on accuracy and efficiency.
Manage complex pre-bill functions and investigate claim rejections to ensure accurate resolution.
Partner with cross-functional teams to analyze trends and optimize revenue cycle workflows.
Provide guidance to offshore teams and monitor automated processes for operational efficiency.
Rula is a mental health company dedicated to treating the whole person and eliminating stigma. They are a remote-first organization with a growing team that values diversity, equity, and inclusion.