Lead and manage the coding team, setting productivity and quality standards for documentation and coding operations.
Oversee pre-encounter review workflows, query auditing, and vendor performance to drive compliance and risk adjustment outcomes.
Collaborate with clinical, operations, compliance, and finance stakeholders on program objectives and process improvements.
WellBe Senior Medical provides healthcare services focused on seniors, with an emphasis on documentation accuracy, coding compliance, and risk adjustment. The company operates in a remote, cross-functional environment and values compliance, quality, and continuous improvement.
Develop and lead the enterprise HEDIS strategy, including measures influencing Medicare Advantage Star Ratings.
Oversee the full HEDIS lifecycle from data acquisition to audit readiness and digital quality measurement.
Build cross-functional improvement initiatives and provider performance strategies to drive quality outcomes.
Capital Blue Cross is a health insurance company and independent licensee of the Blue Cross Blue Shield Association, focused on improving the health and well-being of its members and communities. The company fosters a flexible, caring culture and is consistently voted one of the "Best Places to Work in PA."
Obtain managed care authorizations and verify patient insurance benefits prior to services.
Review office schedules daily and update EHR systems with authorization and insurance details.
Coordinate with staff and providers on denials, peer-to-peer reviews, and monthly re-verification of coverage.
Surgery Partners operates a network of surgical facilities and provides healthcare services across the United States. The company fosters a diverse and inclusive workplace, offering comprehensive benefits and professional development opportunities.
Monitor provider workloads and patient communication queues across a distributed network of clinicians.
Escalate urgent concerns and follow up to ensure timely patient care and consistent service delivery.
Track operational metrics and recommend workflow improvements to support scalable virtual care.
This growing telehealth organization focuses on weight management and long-term metabolic health. It operates as a remote-first team that values initiative, accountability, and practical problem-solving.
Help members navigate US health insurance, including billing questions, denied claims, and appeals.
Coordinate with providers, insurers, and members to resolve coverage issues and prior authorizations.
Translate complex insurance benefits into clear guidance and identify trends to improve the member experience.
This company provides a global safety net for remote workers, offering health, income, and travel coverage. It operates as a remote-first organization with a culture of empathy, integrity, and a mission to improve access to healthcare worldwide.
Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.
Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.
Support Rater Training Program and serve as liaison across teams
Manage study reporting and ensure timely deliverable completion
Mentor junior team members and lead small studies
Cogstate advances brain health by providing digital cognitive assessments used in clinical trials and healthcare settings. With a global team of experts, the company supports over 2,000 clinical trials across 150+ countries in a collaborative, patient-first culture.
Connect with eligible patients through inbound calls, outbound outreach, and AI-assisted tools.
Serve as the main point of contact, coordinating with physicians, PTs, and health coaches.
Maintain organized documentation and use motivational interviewing to support patient engagement.
Protera Health is a fast-growing digital health company reimagining musculoskeletal care. Founded by orthopedic surgeons, we combine technology and personalized human support; our multidisciplinary virtual care team treats patients like family.
Manage charge entry, coding, claim submission, and ensure accurate and timely processing of claims.
Post payments, reconcile billing transactions, work denials, and handle insurance follow-ups.
Support patient billing, resolve account concerns, and contribute to the revenue cycle process.
Wing is redefining the future of work by providing companies with a one-stop shop for building world-class teams and automating operations. It offers an inclusive, supportive culture with opportunities for career growth and upskilling.
Coordinate patient appointments, outpatient visits, and procedures while ensuring accurate registration and efficient access to healthcare services.
Handle high-volume incoming calls, verify insurance details, process physician orders, and guide patients on preparation and location instructions.
Maintain accurate records across multiple computer systems while delivering courteous, professional, and responsive customer service.
A healthcare-focused organization dedicated to coordinating patient access and scheduling services across multiple departments and locations. It fosters a collaborative, supportive remote work culture centered on service, accessibility, and continuous improvement.