Serve as a key point of contact for patients regarding billing questions, payment plans, and account resolution
Respond to inbound calls and proactively reach out to patients to collect past-due balances and arrange payments
Review and explain Explanation of Benefits (EOBs) to patients in a clear and supportive manner.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are transforming the way care is delivered with a focus on patient comfort and convenience, empowering their team to thrive while living their core values.
Researches, develops, and collaborates with other attorneys and stakeholders regarding regulatory analyses.
Performs research and offers advice and counsel regarding various subjects, including patient care matters, HIPAA, and EMTALA.
Drafts various contracts and supports the drafting of necessary policies and procedures.
Dartmouth Health is New Hampshire’s largest, and only academic, health system. They serve patients from across northern New England and provide access to more than 1,800 providers.
Investigate and resolve insurance claim denials with speed and accuracy.
Partner with payers to resolve issues and secure timely reimbursement.
Provide top-tier phone support to patients, insurance companies, and internal teams.
IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions. We’re transforming the way care is delivered with a focus on patient comfort and convenience and believe the best patient experience starts with a great employee experience.
Refine and enhance operations to identify new cases and recover payments.
Research and understand federal and state statutes related to Third Party and Estate Recovery.
Maintain a caseload, identify Medicaid benefits paid, and calculate recovery value.
ForHealth Consulting partners with purposeful organizations to make the healthcare experience better by making it more equitable, effective, and accessible. The size of the company and specific details about their culture are not mentioned in the job posting.
Manage disputes with healthcare providers and vendors related to Clover’s Medicare Advantage business.
Collaborate with the Counterpart Assistant product team on feature development.
Proactively identify areas of litigation and regulatory risk and develop mitigation strategies.
Clover is reinventing health insurance by combining the power of data with human empathy to keep its members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care to the people who need it most.
Guide healthcare providers through the reimbursement process, including prior authorizations and appeals.
Work with insurance companies and third-party administrators to address coverage issues.
Provide education regarding insurance benefits and financial assistance programs.
Amplity is a full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. Amplity transforms how breakthrough treatments reach the people who need them with expert-led teams delivering contract medical, commercial + communications excellence for 40+ years.
Initiate and manage high-volume outbound calls to insurance carriers.
Negotiate effectively to maximize recovery outcomes.
Maintain detailed claim notes and communication logs.
Whip is an equal opportunity employer committed to providing equal employment opportunities to all employees and applicants. They are committed to providing a workplace free from discrimination and harassment.
Lead the development and execution of Clover’s provider network strategy in New Jersey.
Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
Lead a team to deliver high-quality and data-driven contracting operations.
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.
Resolve claims rejections and denials in work queues as assigned.
Resolve outstanding claims based on an accounts receivable report.
Submit appeals to payors for non-payment of claims as needed.
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in multiple states. They offer a variety of programs designed to ensure patients receive the highest quality of care by a team they know and trust.
Responsible for insurance follow-up and collections, including phone calls and accessing payer websites.
Identify root cause issues for denials and coordinate with clinic and management for process improvements.
Resolve complex inventory, including payment research, and accurately document collection activity.
Anne Arundel Dermatology provides comprehensive medical, surgical, and esthetic skin care services. With over 250 clinicians and 110 locations across 7 states, they are experiencing growth and looking for talented individuals to join their team.
Review and analyze claims, member, and group data.
Establish the correct order of liability for clients’ members.
Input accurate claim recovery information into software tools.
Cotiviti delivers comprehensive payment accuracy services that help organizations improve their healthcare outcomes. Team members enjoy a competitive benefits package and are encouraged to embody Cotiviti's core values.
Provide a seamless, high-quality support experience to members
Assist members with insurance education, eligibility, and enrollment support
Submit applications to carriers and own cases through approval
Vitable is a health benefits platform making healthcare better for employers of everyday workers. They bring accessible, high-quality care to over 85 million uninsured and underinsured Americans. Vitable is growing rapidly and looking for eager team members who are hungry for change and passionate about delivering better care to the everyday worker.
Respond to inquiries, providing expert guidance and support via in-app chat and phone.
Use AI-powered tools to efficiently research plan details and synthesize information for users.
Conduct comprehensive comparisons of Medicare Advantage plans, ensuring users understand their options.
Propel builds technology that strengthens the social safety net in America. Over 5.5 million Americans trust Propel today and they've grown revenue 35% YoY, reinventing entire benefit categories, including Medicare, around the real needs of low-income Americans.
Contacts insurance companies for status on outstanding claims.
Processes and follows up on appeals to insurance companies.
Works outstanding accounts receivable from assigned work queues.
US Anesthesia Partners is dedicated to providing high-quality anesthesia services. They offer equal employment opportunities to all employees and applicants.
Provide legal support of healthcare M&A transactions, including coordination of legal strategy, risk management, and due diligence
Advise and assist in the negotiation and drafting of transaction agreements, including confidentiality agreements, letters of intent, and definitive agreements
Work closely with internal stakeholders to review and provide legal support and recommendations on potential business ventures and partnerships
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems. They optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. The company's platform consists of scalable operations and cloud-based technology.
Follow VitalCaring billing Standard Operating Procedures and regulatory billing guidelines
Collaborate with your supervisor and the billing team to address payor and billing concerns
Ensure documentation accuracy and submit claims in accordance with Medicare and other payor requirements
VitalCaring is a leading provider of home health and hospice services. Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 65 locations across the country. They foster a culture of support, growth, and excellence.
Provide vocational placement, return to work, and case management services.
Research and develop temporary work site contacts for job referrals.
Maintain thorough documentation concerning case management services.
Liberty Mutual strives to create a workplace where everyone feels valued and supported, embedding inclusion in their culture. They offer comprehensive benefits, flexibility, and professional development, fostering a community where individuals can make a meaningful impact.
Own and execute all CMS Section 111 (MSP) mandatory insurer reporting obligations.
Manage RxDC (Prescription Drug and Health Care Spending) reporting under the Consolidated Appropriations Act (CAA).
Serve as the internal SME on No Surprises Act (NSA) compliance, including Good Faith Estimate (GFE) requirements.
Centivo is an innovative health plan for self-funded employers with a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies and is headquartered in Buffalo, NY. They value being resilient, uncommon, and positive.
Partner with cross functional leaders to ensure internal processes and care delivery are in accordance with health plan needs across commercial and Medicaid lines of business
Translate health plan contracts, provider manuals, and regulatory requirements into scalable operational workflows
Serve as the internal subject-matter expert on credentialing and payor operational requirements
Equip is a virtual, evidence-based eating disorder treatment program. They aim to provide accessible and effective treatment. Founded in 2019, Equip has been a fully virtual company and has a highly-engaged, passionate, and diverse culture.
Source and attract quality candidates using job boards, social media, and employee referrals.
Build partnerships with hiring managers to support staffing needs and interview processes.
Screen resumes, conduct phone interviews, and coordinate interviews with hiring managers.
Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Their team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery. They value continuous learning and growth.