Drive strategic pricing, financial modeling, and hybrid billing structures to maximize revenue and growth.
Collaborate with the tech team to optimize the RCM tech stack and ensure seamless data integrity.
Lead operational quality, denial management, and cross-functional project management for billing workflows.
Pomelo Care is the leading virtual medical practice for women and children, providing proactive, 24/7 clinical care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.
Serves as the primary analytical resource for the Unresponded team, tracking post-appeal payer response activity.
Monitors key performance metrics including backlog aging, SLA adherence, and resolution trends.
Partners with the Manager to translate operational findings into actionable workflow recommendations.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Provide real-time documentation support to healthcare providers before and after patient encounters.
Evaluate chart review performance and assist physicians in improving coding and documentation best practices.
Ensure compliance with federal and state laws related to coding and documentation guidelines for risk adjustment.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They are mission-driven and value diversity, equity, and inclusion.
Analyze and define medical group contracts for various payers including Medicare, Medicaid, and Commercial.
Interpret payer contracts and reimbursement provisions for accurate system configuration.
Validate claim valuations and troubleshoot discrepancies to ensure proper reimbursement.
Experian is a global data and technology company that powers opportunities for people and businesses worldwide. With over 25,200 employees across 32 countries, we foster a people-first, inclusive culture.
Lead and develop a team of Collections Specialists while managing a portion of the Tier 3 AR portfolio.
Serve as escalation point for complex denials and payer disputes, tracking team-level AR aging and denial trends.
Ensure operational consistency through productivity scorecards, standardized follow-up templates, and auditable documentation practices.
Virta Health is on a mission to reverse metabolic disease in one billion people. They have raised over $350 million from top-tier investors and are a remote-first company with office hubs in Denver and San Francisco.
Partner with hospital leadership and clinical teams to analyze and optimize EHR clinical workflows.
Serve as a bridge between clinical operations and technology, translating needs into IT solutions.
Support system optimization, training, and cross-functional collaboration within the Healthcare IT team.
Intelligent Technical Solutions (ITS) is an MSP that provides healthcare IT services, partnering with hospital leadership to optimize EHR workflows. Emphasizing core values and cultural fit, the company offers comprehensive benefits and promotes from within.
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 provider and coach assignments to ensure accurate care team operations.
Maintain operational data quality and perform analysis to identify inefficiencies.
Collaborate with cross-functional teams to optimize workflows and support scalable care models.
The company is an innovative healthcare organization that leverages technology to improve clinical operations and patient outcomes. It fosters a collaborative, remote-first culture with a global team.
Support daily provider and coach assignments based on licensure and operational requirements.
Monitor care team panels and ensure compliance with program type and changes.
Provide prompt responses to assignment requests and resolve discrepancies with stakeholders.
Twin Health empowers people to improve and prevent chronic metabolic diseases like type 2 diabetes and obesity using AI Digital Twin technology. With over $100 million raised and a team passionate about metabolic health, Twin Health is recognized as an innovator and a top most loved workplace, scaling rapidly across the U.S. and globally.
Contribute directly to improving Provider experience through timely credentialing and enrollment.
Collaborate with cross-functional teams to support new payer launches and share operational insights.
Help educate credentialing associates as new processes and payers are introduced.
Rula is a remote-first company that makes mental health care more accessible by streamlining provider onboarding. The team values diversity, equity, and inclusion, fostering a culture of belonging.