Verify patient insurance eligibility and benefits prior to services and document findings accurately.
Post insurance and patient payments, research variances, and follow up on outstanding claims.
Perform provider documentation and coding audits to ensure CPT, ICD-10-CM, and modifier accuracy.
Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.
Process and resolve insurance claims, denials, and appeals accurately and timely using Epic and other systems.
Verify patient insurance eligibility, update demographics, and communicate with payors to ensure proper coverage.
Analyze and correct claim issues, perform write-offs, and contribute to workflow improvements for optimal AR outcomes.
Exact Sciences helps change how the world prevents, detects and guides treatment for cancer. The company offers an inclusive culture, purpose-driven careers, and robust benefits.
Follow up on claim rejections and denials to ensure appropriate reimbursement for clients.
Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
Communicate with insurance companies about the status of outstanding claims and properly notate patient accounts.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. They partner with private practices, hospitals, and health systems to deliver transparent data-driven solutions, and foster a collaborative culture.
Ensure smooth claim submission and follow up on denials to maximize reimbursement.
Investigate and resolve billing discrepancies while training team members on processes.
Support patients with insurance inquiries and maintain accurate billing records.
We provide safe, discreet medication abortion treatment and have helped over 100,000 people access care. Our in-house clinical team of board-certified doctors and clinicians is committed to judgment-free virtual healthcare.
Manage insurance accounts receivable, follow up on claims, and resolve denials and payment discrepancies.
Post and reconcile insurance payments, investigate variances, and ensure accurate financial records.
Collaborate with cross-functional teams to improve revenue cycle performance and support month-end close activities.
Oshi Health is a virtual digestive health practice on a mission to transform GI care. They combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions.
Review and manage aging reports and outstanding claims to ensure timely collections.
Investigate claim discrepancies and payment variances with insurance carriers.
Work with clinics and internal teams to resolve billing issues and improve reimbursement outcomes.
Medical Billing Center specializes in proactive revenue cycle management for outpatient physical therapy practices. Supported by more than 25 years of U.S.-based therapy billing expertise, they offer a supportive, close-knit team environment with opportunities for growth.
Manage high-value medical claims, denials, and appeals to ensure accurate and timely reimbursement.
Analyze unpaid/underpaid claims, investigate billing errors, and communicate with insurance payors via portals, phone, and email.
Maintain detailed documentation, process updates, and collaborate with internal teams to resolve complex accounts receivable issues.
Our partner operates within the healthcare revenue cycle, ensuring accurate reimbursement for medical services. They are a collaborative team focused on improving financial outcomes and maintaining compliance with healthcare regulations.
Research and resolve insurance claims to maximize cash collections and minimize denials.
Maintain worklists and assignments based on performance targets and quality scores.
Interface with payers and internal partners to conduct follow-up and escalate items promptly.
USACS is a clinician-centric provider of hospital-based emergency and inpatient medicine, serving 11 million patients annually in 400+ programs across 27 states. They are a large practice prioritizing personal and professional satisfaction with a culture of robust support.
You process patient payments and manage payment plans with accuracy and empathy.
You handle insurance verification, claims support, and billing education for patients.
You research account issues and resolve billing discrepancies while maintaining professionalism.
Privia provides healthcare billing and payment solutions, helping patients with insurance claims and financial responsibilities. They operate with a remote team and emphasize compassionate, compliant service.
Prepares and submits hospital, physician, and clinic claims to third-party insurance carriers electronically or by hard copy.
Follows up with insurance carriers on unpaid claims and secures needed medical documentation.
Processes rejections by correcting billing errors and resubmitting claims to insurance carriers.
TruBridge provides innovative solutions that support the financial and clinical sides of healthcare delivery, connecting providers, patients, and communities. They foster a remote team culture that encourages pushing boundaries and thinking differently.
Manage complex financial clearance activities for healthcare patients, ensuring accuracy and compliance.
Serve as a subject matter expert in insurance verification, payer requirements, and financial resolution processes.
Provide mentorship and training to team members while collaborating with clinical teams to improve patient access.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It uses technology to ensure fair and objective application reviews, though the final hiring decisions are made by the employer.
Manage patient-facing and internal billing questions, including resolving denials and processing insurance verifications.
Work claims end-to-end with cross-functional stakeholders to ensure smooth billing experiences.
Support efforts to streamline existing processes by suggesting automation and maintaining reliable execution.
Nourish is an AI-native digital health system that matches patients with registered dietitians, physicians, and medications for insurance-covered metabolic health care. They have completed millions of appointments, tripled year-over-year, and partner with health plans covering 200M+ Americans, with a culture of high talent density and relentless resilience.
Verify patient insurance eligibility, benefits, and referral requirements prior to services.
Communicate coverage and financial responsibility to patients in a clear and empathetic manner.
Collaborate with cross-functional teams to improve patient access and reduce claim denials.
Oshi Health is a virtual digestive health practice that provides multidisciplinary care for chronic digestive conditions. It is a remote-first, mission-driven company focused on transforming GI care.
Review and verify insurance coverage, obtain authorizations, and create patient liability estimates while working closely with internal and external stakeholders.
Serve as a liaison between patients, providers, and insurance companies to ensure accurate financial services and resolve managed care issues.
Provide backup support and cross-coverage for the Centralized Managed Care & Price Estimates Department, including handling trauma admissions and third-party liability.
OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training the next generation of healthcare professionals. As Portland's largest employer, it offers a diverse and inclusive culture with opportunities for growth and advancement.
Handle inbound billing calls, escalations, and urgent member requests with professionalism, empathy, and accuracy.
Research and resolve billing concerns related to insurance denials, payment discrepancies, and patient balances.
Partner with Revenue Cycle Management SMEs and billing support teams to resolve nuanced cases and ensure smooth handoffs.
Tia is building a new model for women’s healthcare, integrating primary care, mental health, gynecology, dermatology, and wellness across in-person and virtual settings. They are a Series D, venture-backed company trusted by more than 120,000 women, committed to improving outcomes, lowering costs, and creating a better experience for patients and providers.
Oversee the entire claims submission and follow-up process, ensuring accuracy and timeliness.
Lead and manage large payer projects and care center support, updating leadership on opportunities.
Manage accounts receivable, analyze denial patterns, and implement process improvements.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. The company is led by top industry talent and exceptional physician leadership, and fosters an inclusive work environment.
Deliver healthcare consulting services independently, ensuring compliance with industry regulations.
Analyze and reconcile financial and operational data, including claims and reimbursements.
Prepare client-ready reports and maintain knowledge of healthcare regulations and payer requirements.
Wipfli provides consulting services including financial and operational analysis and regulatory readiness for healthcare organizations. The firm values flexibility, relationships, and individual growth, fostering a culture where people count.
Perform complete, accurate, and timely processing of reimbursement/payment audits in compliance with policies, payer contracts, and government fee schedules.
Collaborate with operations consultants, RCM AR staff, and management to address Care Center payment performance audits and maximize cash flow.
Identify, monitor, and manage denial management trends, and work closely with Revenue Cycle Teams and payer representatives.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and exceptional physician leadership, focusing on reducing healthcare costs and improving outcomes.