Process medical claims and appeals accurately and timely, following health plan policies and procedures.
Maintain detailed notes, research claim issues, and communicate outcomes with claimants and teams.
Support customer success teams, escalate operational issues, and help improve claims processes.
Sana is a health plan solution built for small and midsize businesses, with integrated primary care services to make healthcare easy. Founded in 2017, the company is remote-first with a fully distributed team across the U.S., and values curiosity, ownership, and speed.
Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies. - Research auto accident details to determine responsible payers and submit bills and documentation. - Follow up on denied or incorrect payments and support team with reports, audits, and overall assistance.
Revecore helps hospitals recover earned revenue so they can continue serving patients and communities. Trusted by over 1,300 hospitals across 48 states, the company offers a supportive, innovative culture where employees are trusted to do their best work.
Resolve denied claims by reviewing supporting documentation, calculating benefits due, and composing appeal letters.
Analyze claims to determine validity of denial/recovery options and draft convincing correspondence to effect reimbursement.
Build relationships with insurance carriers, patients, attorneys, and employers while documenting all actions to resolution.
Xsolis is an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Recognized on the Inc. 5000 and Deloitte Technology Fast 500 lists, it is one of the fastest-growing privately-held companies in North America with a passionate, fast-moving culture.
Collaborate with claimants, attorneys, medical providers, and insured businesses to ensure accurate, fair, and efficient claim outcomes.
This company provides workers' compensation claims management services, handling lost-time claims across multiple jurisdictions. The role is fully remote, emphasizing independent work, sound judgment, and high-quality service.
Adjudicate healthcare claims based on client-specified guidelines and determine appropriate payment for services.
Meet productivity, financial accuracy, and procedural standards while mentoring junior team members.
Collaborate on special projects including process documentation, training, quality audits, and surge activity.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them modernize operations and compete effectively. The company is expanding and investing in its people, fostering a collaborative and growth-oriented culture.
Evaluate, negotiate, and settle low to high complexity bodily injury claims to prevent unnecessary exposure.
Investigate and analyze medical records, law enforcement reports, and witness statements to determine liability and damages.
Coordinate settlement, mediation, and arbitration with attorneys, ensuring compliance with state laws and regulations.
Mercury Insurance helps people reduce risk and overcome unexpected events, providing insurance products and claims services for more than 60 years. They emphasize a collaborative, inclusive culture where team members are encouraged to grow, have fun, and make a meaningful impact.
Investigate claim denials, navigate evolving payer requirements, and ensure complex claims are prioritized and resolved accurately.
Partner with cross-functional teams to identify operational and denial trends, optimizing workflows and claim outcomes.
Act as the pod’s go-to expert for payer workflows, claim resolutions, and best practices, supporting new-hire onboarding and team performance.
Rula is a mental healthcare company dedicated to providing quality, evidence-based care and reducing stigma around mental health. It is a remote-first company with a focus on inclusion, employee well-being, and making mental healthcare work for everyone.
Serve as a subject matter expert in initiating Auto and Property claims with precision and professionalism.
Provide clear, expert counsel to customers on coverage, filing options, and the claims process.
Accurately capture First Notice of Loss documentation and coordinate resources to advance claim resolution.
Liberty Mutual is a Fortune 100 insurance company that helps people safeguard their assets and navigate life's uncertainties through a wide range of insurance products. With a large, inclusive workforce, the company values diverse perspectives and supports employees through comprehensive benefits and professional development opportunities.
Reviews claim notices, policies, and state requirements to determine coverage and compensability.
Conducts timely claim investigations and coordinates return-to-work efforts with involved parties.
Manages claim documentation, settlement evaluations, and collaboration with internal teams and attorneys.
EMC Insurance is a property and casualty insurer providing workers' compensation and other insurance solutions, with over 105 years of financial strength. The company fosters a collaborative culture that empowers team members, and has been recognized as a top workplace.
Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation medical claims.
Review denied or troubled claims, working with employers, insurers, attorneys, and patients to resolve issues.
Submit bills and documentation to payers, track payments, and support team special projects for client success.
Revecore helps hospitals recover revenue they've earned through specialized expertise and proprietary technology. Trusted by more than 1,300 hospitals, the company fosters a supportive, innovative workplace where employees are trusted to do their best work.
Provide world-class customer service to members and providers by phone in a call center environment.
Resolve claims, benefits, eligibility, and provider network inquiries with one-call resolution.
Document calls, follow up on issues, and support team accountability for service performance.
University of Utah Health is an integrated academic healthcare system with five hospitals, eleven community health centers, and a health plan serving over 200,000 members. It is nationally ranked for research and quality, with over 2 million patient visits annually and a culture of collaboration, excellence, and respect.
Serve as the first point of contact for patients in person and by phone, delivering excellent customer service.
Process new orders, verify insurance, obtain authorizations, and gather documentation for accurate billing.
Perform data entry, collect payments, and make outbound satisfaction calls to patients and referrals.
Accendra Health makes essential healthcare products and services accessible outside traditional settings. With over 6,000 teammates in 250+ locations under Apria and Byram Healthcare, it offers meaningful work focused on personalized, long-term care.
Serve as first point of contact for patient and customer inquiries, resolve issues.
Schedule appointments, verify insurance, and maintain records.
Coordinate with clinical teams, route urgent calls, and support navigation.
A patient-focused healthcare organization dedicated to simplifying access to care. The team provides comprehensive training and development in a supportive, fast-paced culture.
Oversee the quality of disability claim documentation and physician reports, ensuring completeness and alignment with client requirements.
Review medical evidence to verify it substantiates physicians' clinical determinations for short- and long-term disability claims.
Communicate directly with clients and physician reviewers to clarify information and meet strict service deadlines.
US Security & IT provides IT and security solutions to partner organizations. The company fosters a remote-first culture and values accuracy, quality, and collaboration.
Contact insurance companies to check claim status and appeal submissions via payer portals and phone calls.
Manage administrative tasks such as gathering medical records, processing mail, and maintaining filing systems.
Build foundational knowledge of healthcare claims, ERISA regulations, and Commercial and Managed Care insurance policies.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, helping hospitals and health systems optimize their revenue cycles. We are a growing, mission-driven team focused on professional development, inclusion, and improving healthcare outcomes.
Provides administrative support to clinical teams including building medical management records and managing authorizations.
Conducts fax and telephonic outreach to members and providers for status updates and engagement.
Supports compliance monitoring and documentation in the medical management system.
Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.
Serve as the primary non-clinical contact for members, providing timely and empathetic assistance via phone, email, and other channels.
Explain healthcare benefits and programs, coordinate appointments, and manage cases from intake through resolution.
Collaborate with clinical teams and providers to remove barriers to care and ensure a seamless healthcare journey.
The company provides healthcare navigation and member support services, helping members access essential healthcare services. The culture emphasizes customer service, remote work, and professional development in a technology-driven healthcare environment.
Handle inbound and outbound customer inquiries related to third-party liability and subrogation matters.
Conduct professional interviews to collect, verify, and document insurance and claims information.
Navigate multiple computer systems while maintaining accurate records and meeting productivity targets.
This company focuses on improving healthcare payment accuracy and helping individuals navigate complex insurance-related inquiries. It operates with a customer-focused team in a fast-paced, technology-driven environment.
Adjudicate high-end General Liability claims involving serious injuries, complex coverage scenarios, and legal disputes.
Develop case strategies for satisfactory resolution, coordinating with local counsel, clients, and medical or legal experts.
Work in a remote, flexible environment with opportunities for career growth and comprehensive benefits.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with expertise and AI-enabled technology. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides a caring culture, professional development, and work-life balance.
Analyze high-value and complex claims, ensuring alignment with carrier guidelines and regulatory requirements.
Oversee delegated claims operations and third-party administrators, monitoring compliance and quality.
Provide subject matter expertise and process improvements to strengthen claims governance and outcomes.
They are an insurance organization focused on claims governance, compliance, and operational performance. They are a growing company that prioritizes accountability, service quality, and effective risk management.