Source Job

• Provides support in the functional areas of the Revenue Cycle, including Billing, Reimbursement, and Insurance Recovery.
• Ensures adherence to company policies, procedures, and related government regulations.
• Prepares and submits claims to various insurance companies electronically or on paper.

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being.

• Oversee the end-to-end billing process.
• Maintain comprehensive billing records, monitor and report key performance indicators related to claims submission, denial resolution, and payment posting.
• Serve as the primary point of contact for internal teams and external payers.

Apollo Behavior is the premier provider of ABA therapy in metro Atlanta, and the largest ABA provider based in Georgia.

Responsible for daily accounts receivable collections and billing. Assist with increasing collections, reducing accounts receivable days, and reducing bad debt. Partners with the field to ensure appropriate and timely revenue and collections.

In this position, you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved, disputed, or sent to Legal. Conduct collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online. Communicate with insurance plans and researching health plans for benefits and types of coverage.

Sutherland is a digital transformation company helping customers globally achieve greater agility and transform automated customer experiences for over 35 years.

Acts as key point of contact for the processing of enrollment applications for all providers. Works with System Credentialing and local medical staff contacts. Responsible for completing the ongoing review and attestation of all Munson Healthcare provider enrollment records.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents.

• Provide high-level customer service to patients and fellow employees.
• Review and update billing, codes, and account information.
• Ensure accurate billing for all services provided, adhering to compliance.

Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products. With 160 years of clinical excellence, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.

Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services. Maintain adequate documentation on the client software to send the necessary documentation to insurance companies. Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms.

You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides.

• Process transactions on insurance accounts and interact with insurance companies.
• Communicate with staff and third-party customers to ensure accurate processing.
• Prioritize accounts to maximize aged AR resolution, and research documentation.

Oregon Health & Science University values a diverse and culturally competent workforce. They are proud of their commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.

• Responsible for collections and appeals from various Federal, State, & Third Party (HMO, PPO, IPA, TPA Indemnity) payers.
• Optimize payment reimbursements by reviewing accounts for billing accuracy and health plan coverage.
• Process an appeal, resubmit/rebill, or forward claims for adjudication as necessary.

BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Forbes recently named them one of America's Best Startup Employers for 2025, and they were awarded Great Place to Work certification in 2024.

• Responsible for accurate and timely processing of designated claims.
• Resolve claim issues, answer incoming SalesForce cases and management of issues that escalate to the RCM team.
• Management of accounts receivable, including analysis of aged AR, and investigating denial sources.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems.

• Ensure adherence to payer requirements and internal compliance standards.
• Support audit readiness, reduce denials, and improve claim resolution.
• Maintain payer setup and readiness including fee schedules.

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients.

• Perform daily revenue integrity audits and charge reconciliation.
• Monitor patient board and review census and discharges.
• Collaborate with care providers to resolve missing documentation.

UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers and nearly 200 physician practice locations.

• Provide support across our full customer base via various channels, addressing complex product and technical inquiries with accuracy and efficiency.
• Guide customers on best practices for revenue cycle management, claims submission, payment processing, collections, and denial management within our platform.
• Meet or exceed established performance metrics, including customer satisfaction, resolution time, and quality benchmarks; handle a high volume of inbound calls daily, ensuring timely and accurate responses to customer inquiries.

Tebra is the digital backbone for practice well-being, formed by the merging of Kareo and PatientPop. They aim to unlock better healthcare by helping independent practices bring modernized care to patients everywhere, serving over 100,000 providers.

• Assist Revenue Cycle Consultant and Technical Consultant teams in the implementation of Experian's Claim Source revenue cycle management system
• Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectiveness
• Communicate status with team members, end-users and clients within client expectations including participating in regular client calls

Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries and were named a World's Best Workplace in 2024.

• Manages client denials and concerns through analytic review of clinical documentation.
• Delivers final determination based on skillsets and partnerships with Humana parties.
• Investigates and resolves member and practitioner issues via phone or face to face to support quality goals.

Humana Inc. is committed to putting health first for teammates, customers, and the company. Through Humana insurance services and CenterWell healthcare services, they strive to make it easier for millions to achieve their best health, delivering needed care and service.

Contacts insurance companies to determine pre-certification requirements. Obtains pre-certification prior to the scheduled complex service being performed. Liaisons with physicians to obtain additional information.

Piedmont Healthcare contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements.

• Ensure timely and accurate payment of medical claims, following health plan policies and procedures.
• Maintain accurate and up-to-date notes of all claims processed.
• Process appeals and disputes by gathering and verifying claim information and communicating outcomes.

Sana Benefits aims to create an easy healthcare experience. They focus on providing seamless care and affordable benefits to small businesses.

• Conduct thorough reviews of medical records for accurate coding compliance.
• Identify opportunities for documentation improvement to enhance code accuracy.
• Educate healthcare providers on proper coding practices and HEDIS measures.

Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

Primarily responsible for the accurate assignment of CPT, HCPCS, modifiers, and diagnosis codes. Utilizes expert knowledge and application of CPT, HCPCs, and ICD-10 coding guidelines to ensure accuracy of coding and charge capture. Communicates effectively with providers or other teams to resolve CPT, ICD-10, HCPCs, or modifier discrepancies and resolve complex coding-related denials.

Cook Children's is a not-for-profit organization comprised of a flagship medical center, a physician network, and other health-related services throughout Texas.

• Accurately abstracts information and assigns appropriate CPT, ICD-9/10, and HCPCS codes.
• Communicates professionally with providers, practice management, and other stake holders.
• Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing.

UofL Health is a fully integrated regional academic health system. With more than 14,000 team members, they are focused on one mission: to transform the health of communities they serve through compassionate, innovative, patient-centered care.