Source Job

Unlimited PTO 18w maternity 18w paternity

  • 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.

Medical Billing Process Improvement

16 jobs similar to Specialist II, Collections

Jobs ranked by similarity.

US

  • 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.

US Unlimited PTO 18w maternity 18w paternity

  • Troubleshoot and resolve issues for Clients and Therapists via phone and chat.
  • Assist and educate customers on the Grow Therapy platform to ensure a great experience.
  • Identify root causes of problems and collaborate with Product teams to improve the platform.

Grow Therapy is a mental health care platform that connects patients, therapists, and insurance payors to make quality care accessible. Founded in 2020, it has raised over $328M and reached a $3B valuation, with a mission-driven, fast-paced culture.

$68,000–$103,500/yr
US

  • 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.

$50,000–$65,000/yr
US Unlimited PTO

  • 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.

US

  • Investigate claim denials, navigate evolving payer requirements, and ensure complex claims are prioritized and resolved accurately.
  • Partner with cross-functional teams to identify operational and denial trends, optimizing workflows and claim outcomes.
  • Act as the pod’s go-to expert for payer workflows, claim resolutions, and best practices, supporting new-hire onboarding and team performance.

Rula is a mental healthcare company dedicated to providing quality, evidence-based care and reducing stigma around mental health. It is a remote-first company with a focus on inclusion, employee well-being, and making mental healthcare work for everyone.

$52,000–$58,000/yr
US Unlimited PTO 12w maternity 12w paternity

  • 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.

US

  • 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.

US

  • Monitor and manage post payment queues, conducting outreach and negotiation calls to providers.
  • Communicate with providers to verify understanding of NSA claims payments and regulations.
  • Maintain HIPAA compliance and document all conversations, payment rates, and counter offers.

Reliant Health Partners is an innovative medical claims repricing service provider that helps employers achieve maximum health plan savings. The company tailors services to each client’s needs and values a diverse, inclusive workplace.

$14–$18/hr
US

  • 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.

US

  • Review, investigate, and appeal denied hospital insurance claims using clinical documentation and payer policies.
  • Develop evidence-based appeal letters addressing medical necessity, level-of-care, and charge discrepancies.
  • Collaborate with nursing, revenue integrity, and financial teams to resolve denials and prevent future rejections.

This partner company is a healthcare system that provides hospital services and focuses on revenue integrity. It supports fully remote work and values clinical expertise, collaboration, and financial sustainability.

US

  • Coordinate business office functions including patient billing, collections, and data entry for hospital and clinic claims.
  • Ensure accurate and timely billing and follow-up on third-party approvals, collections, and overdue accounts.
  • Use eClinicalWorks to manage full-cycle billing for Acute Hospital and Physician claims, including denials and work queues.

TruBridge connects providers, patients, and communities with innovative solutions that support both the financial and clinical sides of healthcare delivery. The company offers a remote team culture that encourages pushing boundaries and exploring new approaches.

US Unlimited PTO

  • 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.

US

  • Process and transmit electronic and paper claims to insurance companies, patients, and other responsible parties.
  • Follow up on unpaid claims, review rejections, and resolve payment questions with insurance providers.
  • Verify insurance benefits, analyze charges and payments, and support coordination of benefits for patient accounts.

Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals across 29 counties. The organization values excellence, teamness, positivity, and creativity, and is committed to creating exceptional experiences for patients and staff.

US

  • Process patient payments and manage payment plans with accuracy and compliance.
  • Educate patients on billing, insurance verification, and claims-related inquiries.
  • Resolve billing issues by researching account history and coordinating with internal teams.

Five Star Solutions is a customer service and healthcare billing solutions provider, supporting patient payment and insurance processes. The company fosters a remote work culture with a focus on empathy, accuracy, and compliance.

US

  • Analyze and evaluate worker's compensation claim payments using proprietary software and tools.
  • Research and acquire medical records and submit claims with supporting documentation to insurance companies.
  • Conduct telephone follow-up with payers to ensure claims are received and facilitate prompt reimbursement.

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging a unified platform to improve financial sustainability. The company is a multi-year Top Workplaces award recipient and has been among the fastest-growing private companies in the US for eleven years.

Global

  • Post payments, adjustments, and denials from ERAs, EOBs, and lockbox files into customer PM systems.
  • Balance daily batches, reconcile to bank deposits, and resolve missing or mismatched ERAs.
  • Flag underpayments and denials, resolve unapplied cash, credit balances, refunds, and transfer balances.

Amperos is healthcare's first AI-native denial management and revenue recovery platform, using agentic AI to resolve claims end-to-end. Backed by a $16M Series A, it remains a small, early-stage team tackling a $260B+ problem with a mission-driven culture.