Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.
Manage AR portfolios, denial analysis, and aging accounts.
Develop dashboards and reports to identify performance gaps.
Collaborate with teams to drive revenue cycle improvements.
They help healthcare organizations improve financial performance and revenue cycle operations through data-driven analysis and automation. They foster a collaborative culture focused on innovation, professional growth, and continuous improvement.
Process and submit claims to health plans accurately and on time, maintaining momentum through the billing cycle.
Investigate denied and rejected claims, identify root causes, correct, and resubmit; flag recurring patterns to fix issues at the source.
Monitor claim status, follow up on reimbursement, support reporting and month-end close, and partner with finance, product, and engineering teams.
Foodsmart is a leading Foodcare platform that delivers personalized nutrition care and food benefits to improve health outcomes while lowering healthcare costs. With over 3 million members and backed by a $200 million investment, the company is mission-driven to make nutritious food accessible and affordable for everyone.
Coordinate denial and appeal follow-up activities to ensure timely resolution of insurance denials and appeals.
Investigate payment issues with insurance carriers, maintain tracking systems, and document follow-up actions.
Analyze performance data and collaborate with revenue integrity teams to improve billing accuracy and recovery.
This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.
Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation, independently managing complex queues.
Analyze Explanation of Benefits (EOBs) and remittance advice to identify root causes of denials and payment discrepancies.
Collaborate with team members to optimize workflow, resolve billing issues, and mentor junior staff.
Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally through employer and health plan partnerships. The company has delivered over 15 million sessions of care and fosters a culture focused on innovation, collaboration, and high-quality outcomes.
Research denied claims and complete portal inquiries or outbound calls to insurance reps to identify root causes.
Resubmit corrected claims using CMS 1500 knowledge and draft appeals in line with medical policies.
Prioritize denials using the internal Claim Prio Model and flag system improvements to reduce denial inflow.
Grow Therapy is a mental health care platform operating a three-sided marketplace that connects providers, insurance payors, and patients to expand access to quality care. Backed by over $328M in funding and a $3B valuation, the company fosters an ambitious, ownership-driven culture.
Analyze hospital claims to identify discrepancies between expected and actual insurance reimbursements.
Investigate underpayments and payment variances by examining coding errors, billing discrepancies, and payer policies.
Collaborate with insurance carriers and internal stakeholders to resolve billing issues and improve revenue recovery outcomes.
This partner company specializes in healthcare revenue integrity, helping hospitals recover appropriate reimbursement for services. The team fosters a collaborative, inclusive culture focused on continuous improvement and professional development.
Serve as a patient advocate and multi-tasker handling all key functions of physician billing revenue cycle.
Maintain productivity above department average with quality and accuracy consistently above 90%.
Perform core and advanced revenue cycle duties including billing, claims, insurance follow-up, denial management, and system support.
Piedmont Healthcare is a healthcare organization dedicated to patient-centered care and medical services. They emphasize values of compassion, commitment, service, excellence, and balance, fostering a culture of high performance and teamwork.
Manage end-to-end denials and appeals to maximize reimbursement recovery.
Analyze payer policies and medical documentation to develop appeal strategies.
Collaborate with clinical and financial teams to improve revenue cycle performance.
Our partner organization focuses on improving patient outcomes and supporting cancer care. They are a collaborative remote team blending clinical, financial, and administrative expertise.
Perform line-by-line review of high-dollar facility itemized bills and claim forms to identify billing errors.
Apply coding and reimbursement expertise to validate accuracy and ensure claims are paid correctly.
Serve as a subject matter expert for complex billing issues and drive payment integrity improvements.
Oscar is a health insurance company built on a full-stack technology platform with a focus on serving members. Founded in 2012, it fosters a culture of transparency and collaboration, working to change health care.
Conduct thorough insurance eligibility verification and resolve discrepancies.
Analyze and resolve claim errors, including coding and billing discrepancies.
Ensure timely and accurate financial clearance of patient accounts.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company fosters a collaborative culture where every employee contributes to improving patient outcomes.
Maintain workflow balance and accurately complete re-pricing requests within established timeframes.
Apply medical terminology and coding principles to re-price Medicare and Medicaid claims and meet quality assurance goals.
Manage pre-pay edit requests, adjudicate DME claims, scan records, and follow confidentiality guidelines for PHI and HIPAA.
CoventBridge Integrity Systems is a national leader in the fight against healthcare fraud, waste, and abuse, providing investigative services, technology, and expertise to government and commercial healthcare payers. They are an equal opportunity employer committed to inclusion, diversity, and supporting employees with benefits and accommodations.
Preparing billing and registration worksheets while collecting and verifying demographic information.
Contacting insurance companies as needed and submitting daily and monthly statistics.
Providing administrative support to physicians, the Medical Director, and the Corporate Office.
Pediatrix Medical Group is a physician-led provider of highly specialized health care for women, babies and children. It is one of the nation's largest multi-specialty medical groups, with a team-oriented culture focused on clinical excellence.
Process billing data entry with 10-key skills and compare data with source documents.
Research and update billing demographic data to ensure prompt payment from insurance.
Communicate via phone with clients and patients to resolve billing defects and verify insurance information.
Labcorp is a global leader in laboratory services, providing diagnostic testing and drug development solutions that help healthcare providers, researchers, and patients make informed decisions. With nearly 70,000 employees serving clients in more than 100 countries, Labcorp fosters a collaborative culture focused on improving health and improving lives.
Review clinical documentation and ensure accurate charge entry in the billing system.
Submit insurance claims, monitor status, and resolve denials to maintain a clean billing cycle.
Support families with billing questions and assist with accounts receivable monitoring.
InStride Health delivers specialty anxiety and OCD care for kids, teens, young adults, and families through evidence-based clinical care and technology. The company is a mission-driven startup focused on expanding access to insurance-based care, with a collaborative culture grounded in values like heart, humility, and community.
Perform collections and manage outstanding balances from insurance companies for behavioral health services.
Investigate and resolve payer denials, prepare appeals, and communicate with insurance representatives.
Collaborate with internal teams to ensure accurate reimbursement and maintain detailed records.
Northpoint is a behavioral healthcare provider offering evidence-based treatment for substance use and co-occurring disorders for adults and mental health treatment for adolescents. Grown from two facilities to twenty across the Western U.S., they are guided by values of humility, heart, inspiration, and conviction.
Monitor billing errors and claim/line item rejections to ensure accurate processing.
Provide initial training in central business office duties and support progression to higher-level representative roles.
Piedmont Healthcare is a healthcare system providing comprehensive medical services in Georgia. It operates a large network of hospitals and employs a substantial workforce focused on patient care and operational excellence.
Resolve denied claims by reviewing supporting documentation, calculating benefits due, and composing appeal letters.
Analyze claims to determine validity of denial/recovery options and draft convincing correspondence to effect reimbursement.
Build relationships with insurance carriers, patients, attorneys, and employers while documenting all actions to resolution.
Xsolis is an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Recognized on the Inc. 5000 and Deloitte Technology Fast 500 lists, it is one of the fastest-growing privately-held companies in North America with a passionate, fast-moving culture.
Resolve disputed claims by gathering, verifying, and providing additional information.
Resolve discrepancies by examining and evaluating data and selecting corrective steps.
Maintain work operations by following policies and procedures and reporting compliance issues.
Surgery Partners is a healthcare services organization providing surgical care. It is committed to equal employment opportunity and workforce diversity.
Contact insurance companies to check claim status and appeal submissions via payer portals and phone calls.
Manage administrative tasks such as gathering medical records, processing mail, and maintaining filing systems.
Build foundational knowledge of healthcare claims, ERISA regulations, and Commercial and Managed Care insurance policies.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, helping hospitals and health systems optimize their revenue cycles. We are a growing, mission-driven team focused on professional development, inclusion, and improving healthcare outcomes.