Verify patient eligibility and analyze Medicaid claim payments to ensure proper reimbursement.
Review UB-04 billing components and prepare initial Medicaid bill packets with supporting documentation.
Conduct timely follow-up with payers, manage authorizations, and appeal denials as needed.
EnableComp provides specialty revenue cycle management solutions for healthcare organizations, using intelligent automation to improve financial sustainability for hospitals and health systems. Recognized as a Top Workplaces recipient and among the Inc. 5000 fastest-growing private companies for eleven years, the company fosters a family-oriented culture focused on employee growth.
Manage accident benefit claims from investigation through resolution, ensuring compliance with legislation and delivering outstanding customer service.
Investigate and assess Minor Injury Guideline (MIG) claims to determine coverage eligibility and appropriate outcomes.
Coordinate claim activities with claimants, legal representatives, and healthcare providers to facilitate timely resolutions.
The partner company operates in the insurance industry, focusing on accident benefits claims. They maintain a fully remote, collaborative team culture that values integrity and customer service.
Manage insurance follow-up and accounts receivable resolution for assigned accounts.
Handle patient billing inquiries and review Explanation of Benefits (EOBs) for accurate resolution.
Identify trends and recommend process improvements to reduce denials and improve revenue flow.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. We focus on efficient and fair recruitment processes, leveraging technology to streamline applications while supporting a collaborative and growth-oriented culture.
Follow up on claim rejections and denials to ensure appropriate reimbursement for clients.
Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
Communicate with insurance companies about the status of outstanding claims and properly notate patient accounts.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. They partner with private practices, hospitals, and health systems to deliver transparent data-driven solutions, and foster a collaborative culture.
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.
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 patient account activities to optimize reimbursement and reduce accounts receivable.
Perform billing, follow-up, collections, and denials resolution to improve financial outcomes.
Ensure accuracy of charge, claim, and payment data through reviews and targeted corrections.
The University of Kentucky is a public land-grant university dedicated to advancing education, research, and healthcare. It promotes a supportive culture that values employee well-being and professional growth.
Initiate and follow up on unpaid or denied claims with payers or patients.
Resolve delinquent accounts and obtain missing claim information for prompt payment.
Research, appeal, and resolve claim rejections or denials.
Herself Health is building a new model of primary care for women 65+, offering patient-centric clinics in the Twin Cities metro. Their mission-driven team is innovating the primary care landscape to provide specialized care for women's later-life needs.
Research actual cash value of vehicles by gathering market information to reach equitable settlements.
Confirm title status and identify irregularities such as salvage titles and custom modifications.
Negotiate storage fees with body shops and towing yards to resolve claims.
Mercury Insurance helps people reduce risk and overcome unexpected events. The company has over 60 years of experience, fostering a culture of growth, inclusion, and teamwork.
Provide effective and timely customer service for members, providers, and insurers regarding health care claims.
Ensure timely follow-up and organize health insurance paperwork and medical records.
Communicate status updates, negotiate with providers, and appeal claim denials on behalf of plan members.
Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone, offering care guidance, advocacy, and personalized virtual and in-person care.
Manage all aspects of liability injury claims of low to moderate complexity, including coverage, liability, and damage concerns.
Handle first-party exposures such as Medical Payment coverage, PIP, Uninsured/Underinsured Motorists, and Auto-Death Benefit claims.
Develop negotiation strategies to resolve claims effectively with insureds, claimants, or representatives.
Mobilitas is a commercial insurance company created by CSAA Insurance Group, reinventing commercial insurance in the mobility space. They are a startup-like team looking for motivated individuals to build a company from the ground up.
Manage a portfolio of high-risk escalated accounts, performing in-depth analysis and dispute resolution.
Serve as a subject matter expert, coaching junior team members and resolving systemic billing issues.
Collaborate with cross-functional teams to improve collection processes and portfolio performance.
Avesis provides supplemental ancillary benefit solutions, including vision and dental coverage. They cover over 8.5 million members nationwide and focus on member satisfaction and client retention.
Ensure data accuracy and input on the computer billing system, updating patient and insurance information.
Handle patient inquiries regarding insurance, credit, and billing issues; review and mail statements; file electronic claims.
Follow up on litigation cases, scan documents into electronic medical records, and coordinate with physicians for documentation.
Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents. They prioritize a culture of excellence, teamness, and creativity, committed to exceptional experiences for patients and teammates.
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.
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.
Analyze Implementation and Integration requests to support new client onboarding and product integration into EnableComp systems.
Diagnose and report product issues, collaborating with internal teams to resolve them and maintain department SLAs.
Perform research and analysis on claim submission behavior and assist with testing product enhancements and deployments.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise. The company is a multi-year recipient of the Top Workplaces award and has been recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024, and is among the top one percent of companies on the Inc. 5000 list for eleven years.
Handle a high volume of claims calls, open new claims, and collect and review all claim documents.
Verify all requirements have been met and provide claim status updates to customers.
Maintain key performance indicators including claims audits, contact center adherence, and attendance.
Protective helps protect our customers against life's uncertainties by providing insurance coverage. We are a large company that values employee wellbeing and offers a supportive culture.
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.
Verify patient insurance eligibility and benefits prior to services and document findings accurately.
Post insurance and patient payments, research variances, and follow up on outstanding claims.
Perform provider documentation and coding audits to ensure CPT, ICD-10-CM, and modifier accuracy.
Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.