LogoFresh Jobs Ahead
Pivotal Health
Pivotal Health
51 – 200 Angajați
Asistență medicalăConsultanțăLogistică
Pivotal Health este o companie de tehnologie medicală care ajută spitalele și cabinetele de specialitate să obțină rambursări echitabile printr-o platformă integrată pentru soluționarea independentă a disputelor (IDR). Soluția sa SaaS combină automatizarea fluxurilor de lucru, datele și serviciile gestionate pentru a sprijini verificarea eligibilității, depunerea solicitărilor și contestațiile, conectându-se totodată la principalele sisteme de gestionare a ciclului veniturilor. Pivotal Health oferă, de asemenea, asistență practică pe tot parcursul procesului și utilizează un model aliniat la rezultate, în care clienții plătesc după obținerea unor rezultate favorabile. Activitatea companiei se concentrează pe îmbunătățirea recuperării veniturilor, a transparenței și a eficienței operaționale pentru organizațiile furnizoare de servicii medicale.
LinkedIn
Locurile de muncă ale companiei

Accounts Payable Analyst – Healthcare Payments

Manage refunds, payment reconciliation, and payor compliance for Pivotal Health’s healthcare reimbursement platform. Support independent dispute resolution workflows and resolve payment issues with clients and internal teams.

USStatele Unite ale AmericiiNYNew York
80.000 $ – 100.000 $ / an
HibridNormă întreagăJuniorNivel mediuNu este necesară o diplomăLimbă Obligatorie: englezăContabilitate furnizori
BigQuerySQL

Descriere

  • Process weekly fee-refund uploads for won or ineligible IDR cases, compare remit amounts with received bricks, and escalate discrepancies to Finance
  • Act as the primary contact for Client Success refund questions, using Metabase and the dispute status tool to track missing or delayed payments
  • Develop and maintain relationships with Independent Dispute Resolution Entities to accelerate outstanding refunds owed to practices
  • Coordinate communications among Client Success, IDREs, Business Operations, and Accounting
  • Create and implement processes that address changing business and customer needs
  • Maintain and enhance Payor Compliance SOPs as workflows develop
  • Analyze payment and refund exceptions for recurring patterns that may signal systemic issues, then escalate findings
  • Investigate platform errors in which lost disputes are recorded as wins and provide supporting evidence to Engineering
  • Reconcile payments and refunds, identify structural payment blockers, and assist processing through the manual intervention queue

Cerințe

  • 2–3 years of experience in healthcare operations, revenue cycle, managed care, or a related field
  • Comfort working directly with data in Metabase, BigQuery, or similar tools; basic SQL is a plus
  • Strong written communication skills
  • A detail-oriented and thorough approach to work
  • Ability to manage a high-volume weekly refund cycle alongside multiple open payment exceptions
  • Proficiency with Excel, Google Sheets, Metabase, or BigQuery
  • Analytical skills for evaluating claim and payor data, identifying root causes, and determining next steps
  • Highly accurate data entry and careful matching-based reconciliation skills
  • Familiarity with the No Surprises Act, the federal IDR process, or health insurance payor and TPA structures is a plus
  • Experience handling payment and remittance data, including 835 remits, is a plus
  • Experience with Asana, Notion, Metabase, or similar workflow and reporting tools is a plus
  • Background in revenue cycle payment posting, refund reconciliation, 835 remittance processing, accounting, bookkeeping, or accounts payable and receivable is a plus
  • Authorization to work in the United States without current or future employer sponsorship

Beneficii

  • Competitive compensation with equity
  • Full health, dental, and vision coverage
  • 401(k) retirement savings plan
  • Flexible time off
  • Company-wide connection opportunities and events
  • Remote and hybrid flexibility varies by role and team

Locuri de muncă similare

CVS Health

Medical Billing Coordinator, Revenue Cycle — CVS Health

CVS Health
Asigurare de sănătateAsistență medicalăComerț cu amănuntul
USStatele Unite ale AmericiiPAPennsylvania
17 $ – 28 $ / oră
HibridNormă întreagăJuniorNu este necesară o diplomăLimbă Obligatorie: englezăFacturare și codificare medicală

Process insurance claims for CVS Health Specialty Pharmacy and help resolve billing issues to support reimbursement. This hybrid role is based in Monroeville, Pennsylvania.

Deschide
Fiserv

Principal Engineer, DNA Platforms at Fiserv

Fiserv
Sponsor pentru viza H1BConsultanțăLogisticăMarketing
USStatele Unite ale AmericiiAZArizonaNJNew Jersey
186.000 $ – 285.600 $ / an
RemoteNormă întreagăLiderLimbă Obligatorie: englezăInginer full-stackInginer software
CloudSisteme distribuite

Set the architecture and engineering direction for Fiserv’s DNA Platforms, leading modernization and cloud-native scalability. Guide distributed engineering teams while advancing platform security, reliability, and delivery practices.

Deschide
Nagarro

Associate Staff Infor M3 Technical Consultant at Nagarro (Seattle Hybrid)

Nagarro
Sponsor pentru viza H1BAsistență medicalăConsultanțăMarketing
USStatele Unite ale AmericiiWAWashingtonHibridNormă întreagăNivel mediuLimbă Obligatorie: englezăInginer full-stackInginer software
AzureCloudSOAPSQL

Develop and support enterprise integrations as an Infor M3 technical consultant at Nagarro. Work with Infor OS, ION, MEC, APIs, and cloud integrations in a hybrid role associated with Seattle.

Deschide
Fiserv

Principal Engineer, Digital Banking Platform

Fiserv
Sponsor pentru viza H1BConsultanțăLogisticăMarketing
USStatele Unite ale AmericiiAZArizonaNJNew Jersey
145.000 $ – 240.000 $ / an
RemoteNormă întreagăLiderLimbă Obligatorie: englezăInginer full-stackInginer software
CloudSisteme distribuite

Set the architecture and technical direction for Fiserv’s digital banking platforms. Modernize distributed systems and cloud infrastructure while strengthening reliability and engineering delivery.

Deschide