Maintains practice management systems, processes insurance claims, and reconciles patient accounts.
Investigates rejected claims, corrects denials, and facilitates payment through collections and billing reminders.
Ensures HIPAA compliance, resolves patient billing issues, and provides professional customer service.
US Anesthesia Partners provides anesthesia services and revenue cycle management. It is a large US-based healthcare organization focused on billing and insurance operations, emphasizing accuracy and compliance.
Process timely and accurate billing of medical claims in multiple states.
Monitor accounts daily to maximize reimbursement and identify potential billing compliance issues.
Utilize EHR and billing systems to manage claims, denials, and payer communications.
Indigenous Pact PBC, Inc. is a certified B-Corporation established in 2017 with a mission to create health equity for American Indians and Alaskan Natives. The dedicated team has decades of experience working in Indian Country, specializing in customized solutions for sustainable revenue and improved health outcomes.
Investigate and resolve health plan denials for coding-related issues, including rejections, down codes, bundling, modifiers, and level of service.
Generate appeals based on dispute reasons and contract terms specific to payors, including online reconsiderations and following payer guidelines.
Maintain working knowledge of workflows, systems, and tools used in the department, adhering to production and quality standards.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. The company partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver data-driven solutions.
Own the full AR cycle: payment posting, cash reconciliation, aging management, and payer follow-up across district, health plan, and member inquiries.
Investigate and resolve complex claim denials and rejections, submit corrected claims and appeals, and drive systemic fixes to improve clean claim rates.
Serve as internal subject matter expert on payer requirements, billing regulations, and compliance standards, fielding escalations from clinical and operations teams.
Cartwheel is building a new kind of mental health program for kids that puts schools at the center. Backed by top investors, it has grown to serve more than fifty school districts across six states and is driven by a mission to help millions of students experience joy.
Manage the end-to-end medical billing and revenue cycle process for home healthcare services.
Process and submit medical claims, verify insurance eligibility, and resolve claim denials.
Coordinate with Massachusetts insurance carriers and maintain compliance with HIPAA standards.
SnappyCX is a growing medical billing startup focused on supporting home healthcare providers across Massachusetts. They are a small, remote-first team seeking experienced billing professionals to join their fast-paced startup environment.
Ensure accurate and timely billing and reimbursement by submitting clean claims to primary and secondary payers
Review, correct, and resubmit rejected or denied claims, track accounts receivable, and maintain detailed AR status reporting
Communicate regularly with insurance companies, providers, and internal teams to resolve billing issues and verify insurance eligibility
LUX Infusion reimagines infusion care to be more human, supportive, and connected, guiding patients through complex therapies. As a clinician-led U.S. organization, they foster an inclusive culture where every team member feels valued and empowered.
Perform Skilled Nursing Facility (SNF) medical claims audit reviews for Government and Commercial Payers.
Document findings referencing medical review guidelines and support audit findings during the appeals process.
Work collaboratively with the audit team to identify vulnerabilities and improve medical policies and workflows.
Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans and representing more than 270 million lives, the company uses a configurable, AI-powered platform combined with industry expertise to maximize financial outcomes and reduce healthcare costs.
Manage insurance account workflows and ensure accurate resolution of billing and reimbursement issues.
Investigate, resolve, and appeal insurance denials while documenting actions in compliance with standards.
Monitor aged accounts receivable and prioritize workloads to optimize collections and reduce outstanding balances.
Our partner is a healthcare services organization focused on revenue cycle management. They offer a collaborative and mission-driven environment with a comprehensive benefits package.
Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
Review provider documentation and assign accurate codes per ICD-10-CM, CPT, and HEDIS/quality reporting guidelines.
Maintain and contribute to the internal billing rules matrix (payer, state, provider type, modifiers).
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care. They enhance existing care teams with compassion, creativity, and an unwavering commitment to children with medical complexity.
Ensures optimum reimbursement and improves day-to-day operations of the revenue cycle.
Processes and follows up on payer issues with various entities for completion.
Researches and resolves straightforward account activity and maintains accuracy of the revenue cycle system.
Athletico empowers people, inspires hope and transforms lives through exceptional, progressive fitness, performance and rehabilitative services. They are a people-focused company with a strong culture built on core values like one team, recognition, and trust and integrity.
Own end-to-end revenue cycle operations across Medicaid (in-network and out-of-network) within behavioral health programs.
Lead and manage performance of third-party billing vendors and/or internal billing staff, driving improvements in A/R days, denial rates, collections, and first-pass claim acceptance.
Ensure accurate charge capture, documentation alignment, and coding integrity in collaboration with clinical and administrative teams.
We are a mission-driven outpatient behavioral health organization focused on helping individuals and families recover from substance use disorders and co-occurring mental health conditions. Headquartered in North Carolina and expanding across multiple states, we are in a strong growth phase and focused on operational excellence, clinical integrity, and sustainable revenue cycle performance.
Ensures accuracy and timeliness of patient financial records, including payment posting, insurance follow-up, and revenue integrity.
Monitors work queues, resolves payer discrepancies, and supports provider enrollment and revalidation activities.
Assists with charge review and correction using Epic workflows to improve reimbursement accuracy and cash flow.
This position is listed on behalf of a partner company that manages all applications and next steps for a healthcare revenue cycle environment. The role supports multiple Patient Financial Services functions within a large, process-driven healthcare organization.
Resolve aged claims and appeals via payer portals & outbound phone calls.
Identify non-payment trends and escalate groups of claims to the Dispute Resolution teams.
Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee.
CareDx, Inc. is a precision medicine solutions company focused on healthcare solutions for transplant patients. They offer products, testing services, and digital healthcare solutions. They are the leading provider of genomics-based information for transplant patients.
Serve as the primary financial and billing contact for caregivers during the onboarding process into behavioral health services.
Explain insurance benefits, coverage details, and estimated out-of-pocket costs in a clear and compassionate manner.
Respond to initial billing, insurance, and payment-related questions, escalating complex inquiries to appropriate insurance providers or internal teams.
Jobgether helps partner companies find candidates for their open positions. They use an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.
Improve first-pass claim acceptance by ensuring correct coding, flagging inconsistencies, and reviewing EOBs and denial trends to identify recurring issues.
Work closely with billing teams and vendors to resolve complex claim issues, review clinical documentation, and support coding corrections and resubmissions.
Ensure compliance with CMS, state Medicaid, and managed-care guidelines while monitoring payer policy changes to optimize coding and billing practices.
ReKlame Health is a clinician-led, tech-enabled provider group providing culturally competent behavioral health and addiction care. As an early-stage organization focused on expanding access to care and health equity, they are building a purpose-driven team dedicated to making a positive impact.
Perform case reviews and process requests for elective services and durable medical equipment.
Collaborate with physicians, vendors, and providers to ensure regulatory compliance and timely service.
Provide high-quality customer service to members and healthcare professionals.
Elderplan provides Medicare and Medicaid managed care health plans designed to help people stay independent. They are part of MJHS, a supportive community committed to excellence, respect, and collaboration.
Review and analyze insurance denials using EOBs, payer correspondence, and claims data to determine appropriate resolution strategies.
Differentiate between clinical and technical denials and identify required next steps for appeals or reprocessing.
Prepare and submit appeals using supporting documentation such as medical records, appeal letters, and clinical justification when necessary.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use automated technology to review applications and share top-fitting candidates directly with employers, ensuring a fair and efficient hiring process.
Investigate and resolve insurance claim denials, handling 50 to 100 denials daily with speed and accuracy.
Partner with payers to secure timely reimbursement and interpret LCD/NCD requirements for CPT/HCPCS-related denials.
Provide top-tier phone support to patients, insurance companies, and internal teams while using payer portals and clearinghouses.
IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn’s disease, and multiple sclerosis. We foster a culture of respect, empowerment, and shared purpose, with a team committed to patient-centered outcomes and values such as Be Kind and Do What’s Right.
Generate routine customer invoices accurately and on time according to contractual terms and billing schedules.
Apply customer payments, perform collections follow-up, and reconcile client accounts.
Collaborate with internal teams to resolve billing issues and support process improvements.
Included Health is a healthcare company that delivers integrated virtual care and navigation services to raise the standard of healthcare for everyone. Though specific employee count is not mentioned, the company fosters a remote-first culture and offers comprehensive benefits.