Review healthcare claims and determine appropriate payment methodologies based on contractual terms and client requirements.
Analyze claim information and system data to ensure accurate repricing while meeting productivity and quality metrics.
Collaborate with internal audit and operational teams to support compliance, quality assurance, and process improvement initiatives.
The company provides healthcare claims review and repricing services. It operates remotely with a focus on compliance, accuracy, and continuous improvement.
Review offeror proposals for completeness, consistency, and mathematical accuracy.
Develop and maintain analytical models and evaluation workpapers.
Collaborate with pricing and actuarial professionals to reconcile data and assumptions.
The partner company supports government acquisition and proposal evaluation through rigorous pricing, actuarial, financial, and healthcare analysis. The team culture emphasizes analytical rigor, quality control, and collaboration in a remote environment.
Analyze, design, and administer compensation programs including base salary, incentives, and sales commissions.
Partner with HR and Talent Acquisition to provide guidance on compensation decisions and market competitiveness.
Maintain salary structures, conduct job evaluations, and participate in compensation surveys.
This partner company provides recruitment matching services using AI. They operate remotely with a preference for candidates in the Northern Virginia, Maryland, or Washington, DC area, and focus on connecting talent with healthcare and public-sector roles.
Manage provider and coach assignments to ensure accurate care team operations.
Maintain operational data quality and perform analysis to identify inefficiencies.
Collaborate with cross-functional teams to optimize workflows and support scalable care models.
The company is an innovative healthcare organization that leverages technology to improve clinical operations and patient outcomes. It fosters a collaborative, remote-first culture with a global team.
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 insurance accounts receivable to ensure timely reimbursement and reduce aging balances.
Follow up with payers on outstanding claims, denials, and underpayments, resolving discrepancies.
Post payments, reconcile ERAs/EOBs, and support revenue cycle reporting and process improvements.
Oshi Health is a virtual digestive health practice on a mission to transform GI care. They combine compassionate, multidisciplinary care with innovative technology in a remote-first, mission-driven environment.
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.
Investigate and resolve consumer and commercial billing issues, analyzing account discrepancies and negotiating settlements.
Communicate professionally with customers and provide timely updates on billing outcomes.
Document all investigations and collaborate with internal teams to improve billing processes.
They support healthcare organizations by ensuring accurate, timely, and effective resolution of complex billing matters. Their team is collaborative, remote, and focused on operational excellence with a supportive culture.
Support monthly project accounting, including status meetings and financial trackers.
Review and reconcile new projects, change orders, and client setups.
Assist with revenue recognition, invoicing, and mentoring junior staff.
Precision Medicine Group is a specialized services provider for the life sciences industry, focusing on precision medicine. The company is a mid-to-large size organization with a culture of collaboration and growth.
Deliver account-level intelligence and insights to support Key Account Management and field teams.
Analyze complex data from multiple sources to identify trends and opportunities for commercial strategy.
Collaborate cross-functionally with Sales, Marketing, Finance, and IT to drive data-driven decision-making.
Our partner is a leading healthcare and MedTech organization focused on commercial transformation. They operate in a collaborative, matrixed environment with a dynamic team.
Analyze claim selection processes and AI-enabled methodologies to optimize payment integrity outcomes.
Collaborate with data scientists and analytics teams to validate coding and reimbursement accuracy.
Serve as subject matter expert in healthcare billing, coding, and regulatory compliance.
Cotiviti is a healthcare payment integrity company that leverages data and AI to improve claim accuracy and compliance. They are a large organization with a collaborative culture focused on innovation and operational excellence.
Support end-to-end sales compensation administration, including monthly and quarterly incentive calculations and payout preparation.
Validate data from CRM and finance systems, reconcile results, and identify discrepancies before payout cycles.
Maintain accurate documentation covering compensation plans, calculation methodologies, and standard operating procedures.
The company specializes in sales compensation administration for global go-to-market teams. They offer a remote-first culture with a focus on data-driven processes and cross-functional collaboration.
Manage claim submission and resolution for governmental and commercial insurance accounts.
Analyze and correct accounts receivable problems, post payments, and resolve credit balances.
Research denials, initiate appeals, and maintain documentation for maximum reimbursement.
CCS is a healthcare company specializing in chronic care management, using AI-powered models to improve patient adherence and outcomes. It supports over 200,000 patients nationwide and is recognized as a Great Place to Work.
Own commissions & compensation administration across the sales organization.
Integrate acquisitions into compensation processes and ensure CRM hygiene via BI dashboards.
Support Quote-to-Cash process and manage RevOps data/reporting requests.
Cordance accelerates growth of B2B SaaS companies through acquisition and long-term tactical and financial guidance. They are experienced operators and subject-matter experts who partner with founders to scale businesses and realize their full potential.
Manage patient refund and credit workflows, ensuring accurate processing in compliance with policies.
Serve as the primary contact for refund resolution and Salesforce case management.
Reconcile patient accounts, investigate discrepancies, and coordinate with insurance companies as needed.
Privia Health is a technology-driven national physician enablement company that optimizes physician practices and improves patient experiences. The company is led by top industry talent and offers a collaborative culture focused on reducing healthcare costs and improving outcomes.
Utilize Microsoft Access and other tools to resolve unapplied cash and payment-on-account transactions.
Accurately post customer payments from lockboxes, EDI, and other channels using the cash application system.
Communicate with branches and internal stakeholders to ensure accurate payment application and account reconciliation.
Ferguson is a leading distributor of plumbing supplies and other products for industrial and residential projects. They have approximately 36,000 associates across 1,700 locations and foster a community of proud associates.
Provide analytical, technical, and problem-solving support for Large Group delinquency processes while managing payment arrangements and mitigating risk.
Develop, automate, and maintain delinquency reports, tracking tools, and variance analyses for complex receivables.
Lead medium-scale projects and collaborate with Legal, Operations, Sales, IT&D, and other areas on system changes and process improvements.
Capital Blue Cross is a health insurer and independent licensee of the Blue Cross Blue Shield Association. Its employees have voted it a Best Place to Work in PA, with a supportive culture focused on community and wellbeing.
Support internal teams with system configurations, documentation updates, and testing for symplr products.
Collaborate with Product, Engineering, and Support teams to ensure successful implementations and resolve issues.
Drive continuous improvement initiatives and product adoption while engaging with US healthcare clients during night shifts.
Symplr is a leader in healthcare operations solutions, helping organizations integrate critical business operations for better outcomes. They are a remote-first company with employees across the US, India, and the Netherlands, focusing on teamwork, customer success, and integrity.
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.