Own end-to-end claims and revenue-cycle operations, including claim submission, denials, appeals, and collections across Medicaid and commercial payers.
Build and optimize payer-specific billing workflows, including claim configuration, coding, and credentialing.
Drive cross-functional execution with Operations, Partner Success, and Finance to improve processes and achieve over $1M in monthly claims.
Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations, combining technology with networks of clinicians, suppliers, and installers. Founded by experienced entrepreneurs, Jukebox Health is a fast-growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot, with a high-trust, collaborative, remote-first culture.
Lead, coach, and develop a team of coders, ensuring daily accuracy, productivity, and compliance.
Serve as the primary escalation point for complex coding issues, partnering with billing and clinical teams.
Monitor KPIs, manage audits, and drive revenue integrity through cross-functional collaboration.
Alteva RCM helps healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. They are a dedicated, collaborative team committed to excellence, always seeking passionate professionals to grow their careers and make a meaningful impact.
Manage end-to-end credentialing and payer enrollment activities with minimal supervision.
Ensure provider readiness, accurate records, and compliant documentation across multiple systems.
Serve as a knowledgeable resource for less experienced team members and support cross-functional processes.
Our partner is a healthcare organization focused on credentialing and provider network management. They offer a mission-driven, inclusive environment with a focus on collaboration and continuous learning.
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.
Performs clinical evaluations on disability claims to substantiate medical necessity for absence.
Communicates with employees and providers to discuss clinical status and provides follow-up recommendations.
Acts as a clinical resource to claims examiners, ensuring accurate medical terminology and claim decisions.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with AI-enabled technology and expertise. With over 33,000 colleagues and 10,000 clients across 80 countries, they've been recognized as a Great Place to Work and offer a caring culture.
Schedule, track, and manage appointments while completing required pre-appointment and follow-up communications.
Process and monitor referrals and coordinate authorized care with community healthcare providers.
Maintain accurate patient demographic, insurance, emergency-contact, and administrative information.
International SOS Government Medical Services supports healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, International SOS operates in over 90 countries, delivering healthcare, medical assistance, emergency response, and workforce support services worldwide.
Accurately assigns ICD-10-CM and CPT codes to professional fee inpatient and outpatient records for reimbursement and data collection.
Reviews medical records for documentation discrepancies and queries physicians for additional information when needed.
Maintains coding quality and productivity expectations, collaborating with Patient Financial Services to resolve edits promptly.
Vail Health is a nonprofit community healthcare system in Colorado's high country, operating a 56-bed hospital with advanced mountain healthcare services. The organization offers 24/7 emergency care, cancer care, surgery, and more, with a focus on community health and a culture of collaboration and excellence.
Proactively monitor patient insurance eligibility and authorization status to prevent therapy interruptions.
Work directly with patients, sales teams, and physicians to obtain updated insurance or clinical documentation.
Serve as primary point of contact for patients, providers, and field partners, answering benefits and authorization questions.
LUX Infusion reimagines infusion care to be more human, supportive, and connected. It is a clinician-led, U.S.-based organization committed to inclusion, diversity, equity, and advancement.
Conduct quality assurance and audit planning for the WTC Health Program, reviewing claims and analyzing data to identify trends and issues.
Research federal payer coverage policies and develop program policies and procedures, maintaining the health plan codebook.
Collaborate with clinicians and subject matter experts to support medical management and claims review, ensuring accurate application of medical coding standards.
Advanced Technologies & Laboratories International (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit for the World Trade Center Health Program. The company offers a competitive total compensation package including paid leave, medical, dental, vision, and a 401(k) retirement plan.
Lead enterprise-wide population health strategies to optimize clinical, economic, and societal impact of therapies.
Use advanced analytics and real-world data to improve patient identification, treatment access, and health system integration.
Collaborate across teams to engage health systems, payers, and academic partners for value demonstration.
BridgeBio pioneered a 'moneyball for biotech' approach, pooling early-stage research to reduce risk and accelerate innovation in rare diseases. The company is built around small teams of experts who defy convention, push boundaries, and empower problem-solving.