Process and reconcile hospital payments, including patient and insurance transactions, to ensure accurate posting and bank deposit balancing.
Research and resolve payment exceptions, denied claims, and billing issues, supporting appeals to maximize reimbursement.
Maintain productivity and quality standards while handling multiple priorities and serving as a resource for team projects.
The company specializes in healthcare revenue cycle management, focusing on hospital payment posting and reconciliation. As a US-based remote team, they emphasize work-life balance and offer comprehensive benefits.
Manage patient engagement through telephonic outreach and enrollment while carrying your own monthly targets.
Lead and coach a small patient engagement team, building playbooks and scaling processes.
Coordinate with operations, clinical, and site leadership to align outreach priorities.
Atlas Oncology Partners provides oncology practices with staff, contracts, and tools to deliver whole-person, value-based care to cancer patients. The company is a startup that prioritizes collaboration and a tight-knit team culture.
Own end-to-end clinical review of medical certifications and lead the clinical operations team.
Build and improve operational workflows, SOPs, and documentation standards.
Ensure compliance with FMLA, ADA, and state leave laws while managing team performance.
Sparrow is a high-tech employee leave management solution that simplifies the leave process for companies and employees. The company is fully remote, diverse, and supportive, with a mission-driven culture and a fast-growing venture-backed team.
Apply utilization criteria to monitor appropriateness of admissions and continued stay reviews.
Communicate with third-party payers for initial and concurrent clinical review.
Prepare appeals on denied cases when appropriate.
Northpoint Recovery Holdings is a leading behavioral healthcare provider offering evidence-based treatment for adults with substance use and co-occurring disorders. Operating under an in-network commercial insurance model, the company has grown to seventeen facilities across the Western US and is guided by core values of humility, heart, inspiration, and conviction.
Serve as a Revenue Integrity resource for assigned clinical service lines and partner with various stakeholders to improve revenue capture.
Perform end-to-end assessments of workflows to identify opportunities for improvement and implement corrective actions.
Analyze data to identify trends, charging variances, and revenue optimization opportunities while maintaining knowledge of regulations and best practices.
The Wilshire Group is a healthcare consulting organization focused on helping clients improve revenue cycle performance through experienced professionals, practical solutions, and collaborative partnership. They are an equal opportunity employer that values a collaborative, professional, and inclusive work environment.
Assess complex denial processes, identify root causes, and develop strategies to improve financial performance and prevent revenue loss.
Lead denials-related projects from planning through implementation, coordinating with operational and executive stakeholders.
Analyze denial trends, perform root-cause analysis, and develop actionable recommendations to reduce denials and optimize revenue cycle performance.
This partner company is a healthcare organization seeking a consultant for revenue cycle denials management. The company size and culture are not specified.
Lead recruitment and onboarding of healthcare organizations for quality improvement initiatives.
Serve as the key liaison between participating organizations, technology vendors, and internal teams.
Coordinate EHR-connected registry implementation and ensure successful data exchange and engagement.
The American Heart Association works to reduce cardiovascular disease deaths and improve health outcomes for all. As a large non-profit with over 100 years of history, it fosters a culture of work-life harmonization and employee growth.
Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Provide education and guidance to providers, clinical staff, and coders on documentation standards.
Analyze audit data, report findings, and collaborate with leadership to improve coding practices.
UnityPoint Health is a healthcare system providing medical services across Iowa, Illinois, and Wisconsin. It is recognized as a top workplace, committed to team member support, development, and a culture of belonging.
Apply specialized clinical knowledge to categorize, code, and summarize patient data from medical records with high accuracy.
Manage multiple concurrent tasks, prioritize deadlines, and propose solutions to obstacles in a timely manner.
Navigate electronic medical records and registry tools, contributing to team best practices and process improvements.
Q-Centrix delivers data abstraction solutions for hospital partners to improve patient outcomes and advance research. They have a supportive, remote-first culture recognized as a Great Place to Work multiple years in a row.
Coordinate national Medicaid program planning, governance, implementation milestones, and status reporting across participating U.S. offices.
Support readiness assessments, office onboarding, go-live preparation, and expansion planning for consistent Medicaid program implementation.
Maintain program dashboards, KPIs, and track risks, issues, and performance to support long-term sustainability and continuous improvement.
World Relief is a global Christian humanitarian organization that responds to humanitarian crises and partners with local churches to build thriving communities. Founded after WWII, the organization has operated for 80 years across 100 countries and is rapidly expanding its team to meet increasing global needs.