Complete medical billing uploads in EHR systems and cross-reference member information across platforms.
Maintain high data integrity through meticulous documentation and error-free data entry.
Review provider documentation to verify coding accuracy and identify discrepancies.
This company specializes in connecting talent with healthcare billing opportunities. It is a partner organization that values accuracy, collaboration, and flexibility in a remote, part-time contract environment.
Conducts outreach to members, prescribers, and infusion providers to facilitate site-of-care transitions and support informed healthcare decisions.
Manages case workloads, tracks referral progress, and coordinates with internal and external stakeholders to ensure timely service delivery.
Documents activities, identifies barriers, and contributes to process improvements to enhance program effectiveness and member outcomes.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. It replaces fragmented, outdated systems with a unified claims processing architecture to drive operational efficiency for millions of Americans.
Review and analyze Medicare claims sampled by the Department of Justice to determine correct coding and payment based on coverage and utilization.
Conduct in-depth claims analysis to detect fraudulent or abusive billing practices using ICD-10, CPT-4, and CMS guidelines.
Complete summary reports and communicate findings internally while maintaining confidentiality and compliance with DOJ and CMS regulations.
Empower AI provides AI-powered solutions for federal government agencies, helping them transform their workforce and operations. Headquartered in Reston, Va., the company has three decades of experience in Health, Defense, and Civilian missions and is recognized as a 2024 Military Friendly Employer.
Submit medical documentation and billing data to insurance providers
Research and appeal denied or rejected claims, and follow up on unpaid claims
Review insurance payments for accuracy and completeness using billing software
Cardinal Health is a global distributor of pharmaceuticals and medical products, providing performance and data solutions for healthcare facilities. With over 50 years of experience, the company supports an inclusive workplace that values diversity and delivers end-to-end solutions to improve healthcare.
Review facility credentialing applications for accuracy and completeness based on applicable standards.
Communicate with facilities to resolve discrepancies and obtain missing information.
Manage data entry, monitor compliance, and prepare reports for the Credentialing Committee.
Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, the company serves 200,000+ seniors across 1,500+ communities in 32 states with a team of over 1,000 clinicians and professionals, and was ranked #147 on the Inc. 5000 list.
Create and maintain Study Trackers and monitor screening deadlines.
Review study visits and sweeps for readiness using page status and query reports.
Monitor review progress, identify issues and risks, and report to Lead Central Review Manager.
ICON is a global healthcare intelligence and clinical research organization that accelerates drug development. It is a large, values-driven organization with a focus on integrity, collaboration, agility, and inclusion.
Execute clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers, and track denials and underpayments.
Review provider documentation and assign codes per ICD-10-CM, CPT, and HEDIS guidelines, escalating gaps as needed.
Collaborate with Data & Analytics and Revenue Cycle teams to track claim trends, documentation compliance, and A/R performance.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs by delivering 24/7 virtual-first and in-home medical, behavioral, and social care. As a growing startup, they foster a values-driven culture focused on children first, earning trust, innovation, empathy, and diverse perspectives.