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.
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.
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.
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.
Review and prioritize follow-up activities requiring claim edits or general payer follow-up.
Research claim denial issues and resolve them in a timely manner to release claims to payers.
Contact insurance companies to understand delays in processing claims or sending payments and identify next steps to resolve them.
BetterHelp is on a mission to remove traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, BetterHelp is now the world's largest online therapy service with a network of over 30,000 licensed therapists, helping millions of people.
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.
Lead a non-clinical outreach team, overseeing daily operations and EHR/platform administration.
Monitor KPIs, manage escalations, and implement workflow improvements for patient engagement.
Coach, mentor, and develop a remote team while fostering an inclusive, patient-centered culture.
Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, the company has grown into the largest network of independent primary care in the country, fostering a remote-first, collaborative, and inclusive culture.
Oversee daily billing operations for assigned provider and hospital accounts.
Lead and support billing team members, including workload coordination and performance management.
Monitor claim submission volume, billing accuracy, and turnaround times to improve efficiency.
Raventra Health provides outsourced medical billing, coding, and claims processing solutions for provider groups and hospitals. It is an equal opportunity employer that values diversity and inclusion.
Review paid claims to identify underpayments and analyze payer reimbursements against contract terms.
Initiate and track underpayment recovery efforts through appeals, reconsiderations, and payer escalations.
Develop tracking reports, quantify financial impacts, and present findings to leadership.
We are one of the largest gastroenterology multi-specialty groups in the United States, with over 130 locations. Our team of gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals fosters a collaborative culture focused on outstanding medical care.
Serves as a senior member of the Contact Center team, providing first-line support and mentoring to specialists.
Assists supervisors with day-to-day operations, training, and handling escalated calls.
Balances leadership duties with at least 50% of time actively answering calls to maintain frontline expertise.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. The company fosters a culture of transparency and data-driven solutions, offering a robust rewards program.
Lead daily patient access and pre-access operations, coordinating registration and scheduling activities.
Supervise, coach, and develop team members through training, feedback, and performance evaluations.
Monitor operational KPIs such as point-of-service collections, wait times, and productivity to identify improvement opportunities.
The company specializes in healthcare revenue cycle management, focusing on patient access and pre-access operations. It is a growth-oriented organization that emphasizes innovation, collaboration, and work-life flexibility for its employees.
Analyze collections and resolve non-payables for complex billing issues.
Follow up on insurance payer claims to ensure appropriate reimbursement.
Write appeals using established guidelines and communicate with insurance companies.
Ventra is a business solutions provider for facility-based physicians, specializing in Revenue Cycle Management. The company fosters a collaborative and fast-paced environment.
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 patient billing inquiries, resolve denials, and process insurance verifications.
Work claims end-to-end via clearinghouse and collaborate with cross-functional partners.
Optimize RCM processes, develop SOPs, and support ad-hoc projects including AI tool testing.
Nourish is an AI-native digital health system matching patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised a $100M Series C, bringing total funding to $215M.