Triage incoming clinical programs calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members.
Manage and maintain drug lists to support clinical programs, including periodic maintenance and ad-hoc updates.
Support reporting requirements, monitor claims, and ensure communication among internal and external stakeholders.
Judi Health is a health technology company providing benefit administration solutions with Unified Claims Processing architecture. It operates in a startup environment, deploying infrastructure for millions of Americans.
Accurately assigns ICD-10-CM and PCS codes for inpatient CABG, Ortho, and Med cases.
Uses 3M 360 Encoder HDM to streamline coding and billing processes.
Creates compliant physician queries and reviews claims for medical necessity.
TruBridge provides innovative solutions that support both the financial and clinical sides of healthcare delivery. They foster a remote work culture that encourages employees to push boundaries and think differently.
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.
Design realistic healthcare and social assistance scenarios reflecting clinical and administrative settings in German-speaking locales.
Develop structured evaluation rubrics and review AI responses for medical correctness, operational feasibility, and patient safety.
Ensure cultural and contextual appropriateness of healthcare content, including hospital workflows and regulatory expectations.
LILT provides multilingual AI and human-verified services to Enterprises, Governments, and AI Developers worldwide. They have a global community of linguists and subject matter experts who collaborate on innovative projects advancing human knowledge.
Lead the building and scaling of risk adjustment operations, including defining workflows and integrating into care delivery.
Drive broader clinical operations initiatives to improve care delivery workflows and cross-team coordination.
Translate strategic priorities into operational workplans, establish KPIs, and support performance visibility.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by CEO Dr. Justin Bekelman, with a culture focused on transforming cancer care.
Accurately process inbound healthcare documentation and data from multiple sources.
Maintain patient and program records with strict attention to detail and confidentiality.
Collaborate with internal teams to resolve discrepancies and ensure timely intake.
A healthcare operations company focused on patient documentation and data processing. They maintain a remote team with a culture of accuracy and confidentiality.
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.
Review OASIS documentation and plan of care to ensure compliance with regulations and accuracy.
Evaluate patient visit frequency and utilization to align with clinical needs and provider orders.
Collaborate with coding partners and escalate documentation improvement opportunities to leadership.
Graham Healthcare Group designs business and technology solutions to drive better care and outcomes in home health and hospice. As a subsidiary of a publicly traded company, they've been improving care coordination for over 20 years, focusing on patient-centered home care.
We are seeking detail-oriented candidates for medical billing and coding positions. - Experienced professionals in claims, insurance verification, and accounts receivable are encouraged to apply. - Entry-level candidates will receive training as needed to succeed in the field.
Sydiera Healthcare Staffing connects motivated individuals with opportunities in medical billing and healthcare administration. They welcome both experienced professionals and entry-level candidates interested in building a career in the healthcare revenue cycle.