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.
Protera Health is a health-tech startup transforming the delivery of musculoskeletal (MSK) care through a multidisciplinary approach and patient tracking technology. Founded by orthopedic surgeons and value-based care experts, it is a growing team that emphasizes collaboration, innovation, and a patient-first culture.
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.
Respond to client and team information requests in a timely, professional manner.
Communicate with insurance carriers to resolve claim issues and improve cash flow.
Contribute to training materials and maintain proactive communication with clients.
Ternium RCM specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals to focus on patient care. They are a growing team of dedicated professionals committed to optimizing revenue cycles and improving healthcare outcomes.
Assess current denials processes and analyze denial trends to identify root causes and financial risks.
Develop and implement strategies to reduce preventable denials and improve revenue cycle performance.
Lead denials-related projects from planning through implementation, coordinating with stakeholders and tracking KPIs.
The Wilshire Group is a boutique healthcare consulting firm specializing in revenue cycle, Epic, and healthcare technology solutions. We are a small team of experienced professionals dedicated to improving financial performance for healthcare organizations.
Manage the workflow and activities related to recovery and revenue cycle management for complex claims.
Supervise team tasks, monitor performance, and investigate escalated issues.
Analyze reports on aging, accounts receivable, and ensure service level standards.
Centene connects people to the care they need to live healthier lives. It is a large healthcare company with a diverse workforce and a culture focused on improving lives, offering competitive benefits and remote flexibility.
Manage day-to-day billing activities across the revenue cycle, including claims processing, denial management, follow-ups, collections, and account documentation.
Analyze EOBs and ERAs to identify non-payment and denial reasons, investigate root causes, and take appropriate action.
Communicate professionally with insurance companies, clients, patients, and provider offices to facilitate resolution.
The partner company specializes in U.S. medical billing and Revenue Cycle Management (RCM) operations. They are seeking an experienced Medical Billing Specialist to join their remote team, focusing on high-volume billing and denial management.
You will review and manage pre-billing filters to ensure claims are submitted cleanly and in accordance with payor guidelines.
You will submit high volumes of claims with strong attention to detail, accuracy, and speed.
You will monitor and respond to a high volume of emails professionally and in a timely manner.
Proud Moments ABA is a behavioral health organization providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. It is a fast-growing company that offers a supportive culture with competitive pay, generous PTO, and advancement opportunities.
Oversee daily billing operations for assigned provider and hospital accounts.
Lead and support billing team members, including workload coordination and performance management.
Monitor claim submission volume, billing accuracy, and turnaround times to improve efficiency.
Raventra Health provides outsourced medical billing, coding, and claims processing solutions for provider groups and hospitals. It is an equal opportunity employer that values diversity and inclusion.
Oversee day-to-day operations across billing, coding, claims, and accounts receivable functions.
Coordinate workloads and monitor performance metrics to ensure client requirements are met.
Resolve escalated operational issues and improve workflows to maintain service quality.
Raventra Health is a medical services company that provides outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company emphasizes operational excellence and client service, with a focus on accuracy and efficiency.