Process Community Care consult intake, conduct outreach to Veterans and providers, schedule appointments, document actions, and escalate issues per VHA directives.
Maintain appointment schedules, use Electronic Waiting List, and schedule appointments with patient input by phone or in person.
Provide professional front-line service by answering inquiries, addressing concerns, screening calls, and directing patients to appropriate resources.
International SOS Government Medical Services supports healthcare delivery, operational readiness, and workforce wellbeing across the U.S. and internationally. Founded in 1984, the company operates in more than 90 countries, providing healthcare, medical assistance, emergency response, and workforce support services worldwide.
Lead end-to-end payer enrollment and revalidation activities for behavioral health providers.
Provide day-to-day guidance, training, and support to enrollment specialists.
Act as primary point of contact with payer enrollment departments and credentialing vendors.
BetterHelp is the world's largest online therapy service, on a mission to make mental health care more accessible. Founded in 2013, we have a network of over 30,000 licensed therapists, and we deeply invest in our team's well-being and professional development.
Review inpatient and outpatient medical records to ensure accurate and compliant clinical documentation.
Collaborate with physicians and clinical teams to clarify diagnoses and support proper coding.
Maintain productivity targets and contribute to provider education initiatives to improve documentation quality.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It processes applications using AI to ensure fair review and shares top candidates with employers.
Lead day-to-day execution of clinical quality programs and manage Quality Improvement Specialists.
Oversee care gap closure, HEDIS, Medicare Stars, CKCC performance, and NCQA accreditation compliance.
Partner cross-functionally with Clinical Ops, Analytics, and Market Ops to drive quality initiatives.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. We are a growing company committed to improving patient outcomes and quality of life, fostering a culture of innovation and compassion.
Support professional practice evaluation programs to improve clinical outcomes across a network of NPs and MDs/DOs.
Conduct chart reviews, provide clinician feedback, and create remediation plans for documentation and evidence-based practices.
Collaborate with operations, product, and engineering teams to develop automated quality monitoring systems.
Headway is building a new mental healthcare system by automating insurance admin and providing software for over 75,000 providers across all 50 states. They are a Series D company with over $325M in funding, focused on scaling platform foundations to improve access to therapy.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and government programs.
Perform primary source verification services including license, malpractice, and work history verification.
Maintain CAQH profiles and credentialing databases, partner with client liaisons, and follow up with payers on submitted applications.
BerryDunn is a client-centered, people-first professional services firm providing tax, advisory, and consulting services since 1974. The firm is led by CEO Sarah Belliveau and is recognized for its diverse and inclusive workplace culture and focus on learning, development, and well-being.
Conduct online research and consumer insights analysis to support healthy living program development.
Create promotional materials and edit content for diverse audiences including multicultural outreach.
Provide administrative support for meetings, slide decks, and stakeholder coordination.
The American Heart Association is a nonprofit voluntary health organization dedicated to fighting heart disease, stroke, and other cardiovascular diseases. With over 100 years of trusted leadership, the organization employs thousands and fosters a culture of work-life harmonization and professional development through resources like Heart U.
Must have at least 5 years' RN experience with current licensure, a bachelor's degree or equivalent, and at least 1 year of leadership with direct reports.
Responsible for overseeing RN denials management specialists, pre-bill utilization reviews, payer calls, workflow optimization, and collaboration with internal RCM teams.
Blends clinical expertise with revenue cycle management to protect the organization's bottom line, decrease A/R, and ensure compliance.
Banner Health is one of the largest nonprofit health care systems in the country, providing hospital services, primary care, research, and physician practices across multiple states. With 31 facilities and a focus on innovation, they recently earned Great Place To Work certification, reflecting their investment in employee happiness and fulfillment.
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.
Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.
Cohere Health provides an AI-powered clinical intelligence platform that streamlines access to quality care by improving payer-provider collaboration and cost containment. The company works with over 660,000 providers, handles over 12 million prior authorization requests annually, and has been named to the Inc. 5000 list and a Top 5 LinkedIn Startup for 2023 and 2024.
Review medical records and clinical documentation to ensure accurate, compliant coding per CMS, federal, state, and payer policies.
Conduct routine and focused coding audits, collaborate with clinical leadership and revenue cycle teams, and provide actionable recommendations.
Serve as a subject matter expert on pediatric, Medicaid, telehealth, and behavioral health coding, interpreting state-specific billing requirements.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual and in-home medical, behavioral, and social care, and are a remote-first, high-growth environment.