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.
Responsible for daily billing functions including claim edits, insurance review, and follow-up on unpaid claims.
Must display knowledge retention through scheduled competency assessments and work independently or collaboratively.
Requires high school diploma or equivalent, with Microsoft Office experience; preferred patient billing and Epic experience.
Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Their mission is to live God’s love by promoting and restoring health, with a commitment to safety and integrated healthcare.
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.
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 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 an assigned accounts receivable portfolio, prioritizing accounts by age, balance, and recovery potential
Follow up on unpaid and underpaid claims through payer portals and by phone
Submit appeals and reconsiderations with supporting documentation when appropriate
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company values independence, persistence, and attention to detail in a remote work environment.
Submit provider bills to health insurance or MedPay carriers accurately and timely.
Follow up with providers and insurance carriers to ensure prompt payment and maximize client recovery.
Verify medical balances and coordinate benefits to facilitate smooth settlement distributions.
Parnall Law Firm is the largest personal injury firm in New Mexico, dedicated to advocating for clients when they need it most. The team is a group of passionate advocates with a culture of learning, growing, and supporting one another.
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.
Manage patient billing episodes, prior authorizations, and claim submissions.
Review and resolve claims issues, appeals, and eligibility with payors.
Ensure timely follow-up on outstanding accounts and document activities.
Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) nationwide, serving more than 74,000 patients daily. As the leading provider of medication-assisted treatment in the nation, our team is at the forefront of the battle against the opioid epidemic.
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 billing and receivables for home safety assessments and modifications.
Submit invoices to payers, track payments, and manage denials and disputes.
Ensure documentation compliance with payer policies and accurate billing codes.
Rosarium Health provides home safety assessments and home modifications performed by physical or occupational therapists. The company is a small, collaborative team focused on compliance and detail-oriented billing.
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.
Act as liaison between client contacts and the VA, handling patient health information with extreme privacy.
Analyze VA claim payments using proprietary software to ensure compliance with state fee schedules.
Research, request, and submit medical records with claims to the VA or TriWest for correct reimbursement.
EnableComp provides specialty revenue cycle management solutions for healthcare organizations, leveraging over 24 years of expertise and an intelligent automation platform. The company has been a multi-year recipient of the Top Workplaces award and is among the top one percent of companies on the Inc. 5000 list for eleven years.
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.
Support patients with payment processing, billing education, insurance verification, and claims-related inquiries.
Accurately process payments, create payment plans, and interpret claim notes and billing outcomes.
Research account history to resolve billing issues and educate patients on insurance concepts.
Five Star Solutions is a staffing company connecting talent with roles in customer service and healthcare. They foster a remote work culture with a focus on compliance, empathy, and professional development.
Coordinate day-to-day business office functions, including patient billing, credit and collections, and claims processing.
Follow up on third-party approvals, outstanding claims, overdue accounts, and billing issues.
Support business office personnel while maintaining efficient workflows and quality standards.
They support healthcare providers by managing critical business office and revenue cycle activities. The team focuses on accuracy, flexibility, and collaboration to ensure smooth billing and collections processes.
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.
Collect, verify, and submit information necessary for enrollment of hospitals/physicians with Out-of-State Medicaid payers.
Develop and maintain ongoing policies and procedures specific to each state for new hospital/physician enrollments.
Manage work queue to ensure all timely submissions and deadlines of payor-specific forms and documents.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM platform. The company is a multi-year recipient of the Top Workplaces award, recognized as Black Book's #1 Specialty Revenue Cycle Management provider in 2024, and has been among the top one percent of Inc. 5000 fastest-growing private companies for eleven years.