Manage a 4-person state arbitration production team, driving accountability and quality.
Develop repeatable processes for state arbitration workflows and support expansion into new markets.
Partner cross-functionally to integrate state arbitration processes with the broader dispute lifecycle.
Pivotal Health is a leading technology platform that helps healthcare providers get paid fairly using AI-driven tools. The company has a collaborative, low-ego team and hires primarily around Los Angeles and New York, with remote and hybrid flexibility for exceptional talent.
Oversee day-to-day operations of the Unresponded team, including offshore and onshore staff, to drive resolution of post-appeal payer responses.
Partner cross-functionally with Denials & Appeals, Technology, and operational leadership to reduce backlog and maintain SLA compliance.
Build and refine standard operating procedures and workflows to sustain SLA compliance as volume scales.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health. The company consists of highly dedicated professionals from world-class institutions who care deeply for their work.
Leads the implementation and optimization of automation solutions across healthcare revenue cycle.
Partners with operational leaders, IT, and stakeholders to improve efficiency and financial outcomes.
Manages automation projects, testing, deployment, and stakeholder coordination.
US Anesthesia Partners is a healthcare organization specializing in anesthesia services. They are a large company that emphasizes innovation, operational excellence, and a culture of continuous improvement.
Manage Revenue Cycle personnel and processes across Patient Access and Customer Service to maximize productivity, accuracy, revenue collections, and customer satisfaction.
Leverage AI and automation to streamline workflows, develop SOPs supporting best practices, and build daily analytics for proactive management.
Foster a team culture built on positivity, accountability, collaboration, and mutual respect.
Legacy Healthcare Services is a not-for-profit organization that provides personalized therapeutic care for residents within senior living communities, focusing on rehabilitative care to improve quality of life. Founded and led by therapists, it is one of the largest providers of on-site senior therapy care in the country, serving nearly 500 communities and growing.
Oversee daily operations of the revenue recovery team to ensure accurate resolution of claims and reimbursement issues.
Monitor team performance, prepare reports for leadership, and collaborate with compliance, finance, and payer representatives.
Develop policies, provide training and mentorship, and lead initiatives to improve efficiency and reduce risk.
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They are a five-time winner of "Best in KLAS" and have been recognized as a Great Place to Work, with a culture rooted in collaboration, growth, and innovation.