Job Search Results for Revenue Cycle Management
Apr 08, 2026
Boca Raton, FL
|
Sales
|
Perm
|
$80k - $100k (estimate)
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?Prospect and generate leads within assigned geographic region for SLED agencies. ?Build/maintain relationships with state + local government decision-makers and influencers. ?Create and execute... sales plans to drive bookings and revenue to quota. ?Understand agency needs and position IDI/CORE? solutions to solve identity verification, risk mitigation, due diligence, fraud prevention, and compliance challenges. ?Drive procurement motion: help shape requirements, contribute to RFP buildout, coordinate with procurement teams, and work toward contract drafting ? operations director alignment ? PO. ?Maintain accurate pipeline and activity tracking in Salesforce + GovWin; monitor KPIs and course-correct gaps. ?Collaborate with Sales/Marketing/Product/Legal for contract alignment and revenue initiatives. ?Stay current on market trends, competitive landscape, and regulatory developments affecting public sector buyers. ?Travel for in-person meetings, trade shows, speaking engagements, and industry events. $100K base (1ST YEAR OTE: $130K, 2ND YEAR OTE $160K)We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Jul 24, 2026
Largo, FL
|
Architect (Engineering)
|
Perm
|
$150k - $175k (estimate)
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This leader drives modernization, builds scalable cloud native systems, and ensures seamless interoperability across clinical, revenue cycle, enterprise, and digital ecosystems.The ideal candidate owns enterprise architecture, application engineering, API \u0026 integration engineering, platform engineering, and engineering standards, ensuring the organization delivers secure, scalable, high-performing systems using modern technologies.Key Responsibilities:Enterprise Architecture Leadership?Define and maintain enterprise architecture standards, patterns, and guardrails?Lead architecture for clinical, revenue cycle, enterprise, and digital platforms?Establish cloud-first, API first, modular, event-driven architecture principles?Maintain reference architectures and technology roadmaps?Govern technology selection, lifecycle management, and modernization prioritiesSoftware Engineering Leadership?Lead teams building custom applications, microservices, and internal tools?Modernize legacy systems into cloud native, scalable architectures?Drive engineering excellence: coding standards, peer reviews, CI/CD, automated testing?Build reusable components, shared services, and platform capabilities?Ensure performance, reliability, scalability, and observability across all engineered systemsSystems Integrations \u0026 Interoperability?Own enterprise integration platforms (iPaaS, API gateway, FHIR server, HL7 engine)?Lead development of APIs, event-driven services, and integration endpoints?Ensure interoperability across EMR, RCM, ERP, HRIS, CRM, digital tools, labs, imaging, and external partners?Implement and govern standards: HL7, FHIR, X12, REST, event streaming?Ensure integration reliability, monitoring, and rapid issue resolutionPlatform Engineering?Build and maintain internal platforms for identity, integration, DevOps, and automation?Enable self-service capabilities for development, testing, and deployment?Partner with Infrastructure \u0026 Cloud to optimize cloud environments and developer tooling?Own platform performance, scalability, and cost optimizationDevOps, CI/CD \u0026 Engineering Automation?Lead DevOps strategy and adoption across engineering teams?Maintain CI/CD pipelines, automated testing, and environment provisioning?Implement infrastructure as code (IaC) and GitOps practices?Ensure consistent configuration, security, and performance across environmentsSecurity, Compliance \u0026 Governance?Partner with Cybersecurity to embed secure engineering practices?Ensure APIs and integrations follow identity, access, and encryption standards?Support HIPAA, SOC, HITRUST, and audit requirements?Maintain engineering governance, API lifecycle management, and architectural complianceModernization \u0026 Transformation?Lead modernization of legacy applications, integrations, and platforms?Drive cloud migration, API enablement, and event-driven architecture adoption?Partner with business and product leaders to deliver scalable, future-ready solutions?Evaluate emerging technologies and incorporate them into the engineering roadmapCross-Functional Leadership?Partner with: Clinical Systems, Revenue \u0026 Enterprise, Data \u0026 Analytics, Ai \u0026 Automation, and Cybersecurity?Provide engineering and integration resources to major programs and initiativesTeam Leadership \u0026 Talent Development?Build and lead high-performing engineering, architecture, and integration teams?Develop engineering career paths, training programs, and technical leadership?Foster a culture of innovation, accountability, and continuous improvementWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Director, Software Engineering \u0026 Integration","City":"Largo","ExpirationDate":null,"PriorityOrder":0,"Requirements":"?12+ years of experience in software engineering, enterprise architecture, or systems integration?7+ years leading engineering or architecture teams in complex environments?Deep expertise in cloud-native engineering, microservices, APIs, event-driven architecture?Strong understanding of healthcare interoperability (HL7, FHIR, X12) preferred?Proven experience modernizing legacy systems and building scalable platforms?Strong leadership, communication, and cross-functional collaboration skills.","Skills":"?Prior leadership in a healthcare provider, payer, or health tech organization?Healthcare interoperability standards (FHIR, HL7, X12) ?Event-driven architectures (Kafka, Service Bus, Event Hub)?Oracle Fusion integrations.?eClinicalWorks (eCW) ecosystem?HIPAA data handling requirements knowledge","Industry":"Architect (Engineering)","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":175000.0000,"SalaryLow":150000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
About the Role:The Director of Software Engineering & Integrations is responsible for defining and delivering the enterprise?s software engineering strategy, integration architecture, and modern... application platforms. This leader drives modernization, builds scalable cloud native systems, and ensures seamless interoperability across clinical, revenue cycle, enterprise, and digital ecosystems.The ideal candidate owns enterprise architecture, application engineering, API & integration engineering, platform engineering, and engineering standards, ensuring the organization delivers secure, scalable, high-performing systems using modern technologies.Key Responsibilities:Enterprise Architecture Leadership?Define and maintain enterprise architecture standards, patterns, and guardrails?Lead architecture for clinical, revenue cycle, enterprise, and digital platforms?Establish cloud-first, API first, modular, event-driven architecture principles?Maintain reference architectures and technology roadmaps?Govern technology selection, lifecycle management, and modernization prioritiesSoftware Engineering Leadership?Lead teams building custom applications, microservices, and internal tools?Modernize legacy systems into cloud native, scalable architectures?Drive engineering excellence: coding standards, peer reviews, CI/CD, automated testing?Build reusable components, shared services, and platform capabilities?Ensure performance, reliability, scalability, and observability across all engineered systemsSystems Integrations & Interoperability?Own enterprise integration platforms (iPaaS, API gateway, FHIR server, HL7 engine)?Lead development of APIs, event-driven services, and integration endpoints?Ensure interoperability across EMR, RCM, ERP, HRIS, CRM, digital tools, labs, imaging, and external partners?Implement and govern standards: HL7, FHIR, X12, REST, event streaming?Ensure integration reliability, monitoring, and rapid issue resolutionPlatform Engineering?Build and maintain internal platforms for identity, integration, DevOps, and automation?Enable self-service capabilities for development, testing, and deployment?Partner with Infrastructure & Cloud to optimize cloud environments and developer tooling?Own platform performance, scalability, and cost optimizationDevOps, CI/CD & Engineering Automation?Lead DevOps strategy and adoption across engineering teams?Maintain CI/CD pipelines, automated testing, and environment provisioning?Implement infrastructure as code (IaC) and GitOps practices?Ensure consistent configuration, security, and performance across environmentsSecurity, Compliance & Governance?Partner with Cybersecurity to embed secure engineering practices?Ensure APIs and integrations follow identity, access, and encryption standards?Support HIPAA, SOC, HITRUST, and audit requirements?Maintain engineering governance, API lifecycle management, and architectural complianceModernization & Transformation?Lead modernization of legacy applications, integrations, and platforms?Drive cloud migration, API enablement, and event-driven architecture adoption?Partner with business and product leaders to deliver scalable, future-ready solutions?Evaluate emerging technologies and incorporate them into the engineering roadmapCross-Functional Leadership?Partner with: Clinical Systems, Revenue & Enterprise, Data & Analytics, Ai & Automation, and Cybersecurity?Provide engineering and integration resources to major programs and initiativesTeam Leadership & Talent Development?Build and lead high-performing engineering, architecture, and integration teams?Develop engineering career paths, training programs, and technical leadership?Foster a culture of innovation, accountability, and continuous improvementWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
May 19, 2026
San Francisco, CA
|
Sales
|
Perm
|
$140k - $160k (estimate)
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They develop hyper-efficient software for enterprises seeking competitive advantages through quantum computing and artificial intelligence.The client?s flagship products?CompactifAI and Singularity?address critical needs across multiple sectors:? CompactifAI is an advanced compression solution for foundational AI models using Tensor Networks. It enables large systems, including language models, to be significantly more efficient and portable.? Singularity is a quantum and quantum-inspired optimization platform used by leading global companies to solve complex problems in finance, energy, manufacturing, and more. It integrates seamlessly with existing workflows and delivers immediate performance improvements on both classical and quantum hardware.You will join a team of world-class experts building solutions that address real-world challenges. The client is seeking passionate individuals who want to grow in an ethics-driven, sustainability-focused, and deeply diverse environment.The client is committed to building an inclusive culture?come be a part of it.About the RoleThe client is seeking a high-impact GTM specialist to lead enterprise customer acquisition and expansion across the U.S. market. This role owns strategic accounts, drives complex AI adoption cycles, and plays a key part in shaping commercial strategy as the organization scales. Ideal candidates thrive in technical, high-growth, customer-centric environments.Key ResponsibilitiesEnterprise Sales \u0026 Revenue Growth? Manage the full sales cycle for strategic enterprise accounts (prospecting ? negotiation ? closing ? expansion).? Meet and exceed quarterly and annual revenue targets.? Build and maintain a multi-million-euro pipeline across priority verticals.GTM Execution \u0026 Market Development? Develop regional GTM strategies for key industries and high-value customer segments.? Identify and pursue new opportunities across AI, cloud, security, data, and integration use cases.? Represent the client at C-suite and senior technical levels.Cross-Functional Leadership? Collaborate with product, engineering, and solutions teams to shape customer-centric offerings.? Lead cross-functional deal teams to ensure smooth commercial and technical execution.? Provide structured customer feedback to influence product roadmap decisions.Customer Engagement \u0026 Success? Build and nurture long-term, multi-level relationships within enterprise accounts.? Support successful deployment and adoption of AI/ML solutions.? Act as a trusted advisor for digital transformation and innovation initiatives.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Enterprise Account Executive","City":"San Francisco","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Required Qualifications? 5+ years of experience in enterprise sales, GTM, or strategic account management within SaaS, cloud, cybersecurity, or AI.? Proven ability to exceed quotas and close complex deals involving multiple stakeholders (ideally ?500k??5M+).? Experience engaging C-level executives and technical decision makers.? Familiarity with modern GTM strategies for LLMs, infrastructure, or AI-driven products.? Strong analytical, negotiation, and communication abilities.? Fluency in English (additional EU languages are a strong plus).","Skills":"Preferred Qualifications? Experience in high-growth startups or in launching new regions/products.? Background in AI/ML or enterprise data/IT environments.? Experience across U.S. markets.Compensation: $120,000-$140,000/year. Plus commission Exact compensation may vary based on several factors, including skills, experience, and education.","Industry":"Sales","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":160000.0000,"SalaryLow":140000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
Location: Remote - must be located in Bay Area, CA or willing to relocateJob Type: Direct Hire Interview Process: 2 virtual interviewsAbout Our ClientOur client is a well-funded, fast-growing... deep-tech organization founded in 2019. As the largest quantum software provider in the EU, the client has been recognized by CB Insights (2023 and 2025) as one of the world?s 100 most promising AI companies.With 180+ employees and expanding, the client operates with a highly international, multicultural team. They develop hyper-efficient software for enterprises seeking competitive advantages through quantum computing and artificial intelligence.The client?s flagship products?CompactifAI and Singularity?address critical needs across multiple sectors:? CompactifAI is an advanced compression solution for foundational AI models using Tensor Networks. It enables large systems, including language models, to be significantly more efficient and portable.? Singularity is a quantum and quantum-inspired optimization platform used by leading global companies to solve complex problems in finance, energy, manufacturing, and more. It integrates seamlessly with existing workflows and delivers immediate performance improvements on both classical and quantum hardware.You will join a team of world-class experts building solutions that address real-world challenges. The client is seeking passionate individuals who want to grow in an ethics-driven, sustainability-focused, and deeply diverse environment.The client is committed to building an inclusive culture?come be a part of it.About the RoleThe client is seeking a high-impact GTM specialist to lead enterprise customer acquisition and expansion across the U.S. market. This role owns strategic accounts, drives complex AI adoption cycles, and plays a key part in shaping commercial strategy as the organization scales. Ideal candidates thrive in technical, high-growth, customer-centric environments.Key ResponsibilitiesEnterprise Sales & Revenue Growth? Manage the full sales cycle for strategic enterprise accounts (prospecting ? negotiation ? closing ? expansion).? Meet and exceed quarterly and annual revenue targets.? Build and maintain a multi-million-euro pipeline across priority verticals.GTM Execution & Market Development? Develop regional GTM strategies for key industries and high-value customer segments.? Identify and pursue new opportunities across AI, cloud, security, data, and integration use cases.? Represent the client at C-suite and senior technical levels.Cross-Functional Leadership? Collaborate with product, engineering, and solutions teams to shape customer-centric offerings.? Lead cross-functional deal teams to ensure smooth commercial and technical execution.? Provide structured customer feedback to influence product roadmap decisions.Customer Engagement & Success? Build and nurture long-term, multi-level relationships within enterprise accounts.? Support successful deployment and adoption of AI/ML solutions.? Act as a trusted advisor for digital transformation and innovation initiatives.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Jul 17, 2026
Denver, CO
|
Accounts Receivable
|
Contract
|
$18 - $22 (hourly estimate)
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DAY TO DAY:The Accounts Receivable Specialist follow up with insurance carriers on denied, underpaid, or unresolved insurance claims. This position requires a comprehensive understanding of the... entire revenue cycle and appropriate actions to take to resolving claim issues with payers in a timely manner.RESPONSIBILITES: *Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s) *Produces and maintains department policies, procedures, documentation, and training materials for role specific activities *Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team *Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner *Routinely collaborate with department managers to correct problems and improve services *Accurately documents collection activity performed *Identifies inaccurate claim denials, under or over payments, billing errors, and discrepancies to correct to ensure resolution *Informs manager of identified issues or trends *Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients *Provides timely resolution of assigned accounts for multiple clients *Successfully submits appeals to insurance companies to obtain reimbursement *Successfully navigates multiple vendors including, but not limited to, payer websites and clearinghouse(s) *Meets specified department performance requirements *Resolves support tickets submitted by clients and assigned to department according to metrics assigned *Manages time and multi-tasks appropriately to meet expectations of management and peers *Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner *Remote employee is responsible to keep work area quiet and organized during scheduled working hoursWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
May 29, 2026
Denver, CO
|
Accounts Receivable
|
Contract
|
$18 - $22 (hourly estimate)
{"JobID":535566,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-104.87,"Longitude":39.76,"Distance":null},"State":"Colorado","Zip":"80224","ReferenceID":"DGH-b14ae7e6-1646-4f12-a3f2-90412b70945e","PostedDate":"\/Date(1780070368000)\/","Description":"DAY TO DAY:The Accounts Receivable Specialist follow up with insurance carriers on denied, underpaid, or unresolved insurance claims. This position requires a comprehensive understanding of the entire revenue cycle and appropriate actions to take to resolving claim issues with payers in a timely manner.RESPONSIBILITES: *Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s) *Produces and maintains department policies, procedures, documentation, and training materials for role specific activities *Upholds \"best practices\" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team *Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner *Routinely collaborate with department managers to correct problems and improve services *Accurately documents collection activity performed *Identifies inaccurate claim denials, under or over payments, billing errors, and discrepancies to correct to ensure resolution *Informs manager of identified issues or trends *Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients *Provides timely resolution of assigned accounts for multiple clients *Successfully submits appeals to insurance companies to obtain reimbursement *Successfully navigates multiple vendors including, but not limited to, payer websites and clearinghouse(s) *Meets specified department performance requirements *Resolves support tickets submitted by clients and assigned to department according to metrics assigned *Manages time and multi-tasks appropriately to meet expectations of management and peers *Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner *Remote employee is responsible to keep work area quiet and organized during scheduled working hoursWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"AR Specialist","City":"Denver","ExpirationDate":null,"PriorityOrder":0,"Requirements":"*2+ years in Accounts Receivable / Collections experience for a healthcare organization *In current position, utilizing Epic as billing system *1+ years of experience working in a remote setting *Ability to work Monday through Friday 8:00-4:30 CST (can sit in other time zones)","Skills":"*Medicare/Medicaid experience *OBGYN billing experience","Industry":"Accounts Receivable","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":22.0000,"SalaryLow":17.6000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
DAY TO DAY:The Accounts Receivable Specialist follow up with insurance carriers on denied, underpaid, or unresolved insurance claims. This position requires a comprehensive understanding of the... entire revenue cycle and appropriate actions to take to resolving claim issues with payers in a timely manner.RESPONSIBILITES: *Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s) *Produces and maintains department policies, procedures, documentation, and training materials for role specific activities *Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team *Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner *Routinely collaborate with department managers to correct problems and improve services *Accurately documents collection activity performed *Identifies inaccurate claim denials, under or over payments, billing errors, and discrepancies to correct to ensure resolution *Informs manager of identified issues or trends *Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients *Provides timely resolution of assigned accounts for multiple clients *Successfully submits appeals to insurance companies to obtain reimbursement *Successfully navigates multiple vendors including, but not limited to, payer websites and clearinghouse(s) *Meets specified department performance requirements *Resolves support tickets submitted by clients and assigned to department according to metrics assigned *Manages time and multi-tasks appropriately to meet expectations of management and peers *Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner *Remote employee is responsible to keep work area quiet and organized during scheduled working hoursWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Jun 29, 2026
Westerville, OH
|
Sales
|
Perm
|
$123k - $205k (estimate)
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Once go-to-market sales strategies are defined, the position is required to facilitate execution of them across the organization to deliver results to the business; inclusive of selling with and to Dell Technologies where directed.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Regional Sales Manager, Dell Technologies","City":"Westerville","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Bachelor?s degree, MBA preferred, with a strong technical aptitude.Minimum of 8+ years of experience selling a technology product or service; with at least 50% in an outside sales role.Must be located in the Northeastern United States.Must have documented experience of directly managing sales with channel partners and end users, including Enterprise and SMB customers.Must have documented experience of selling to executive-level customer personnel. Working knowledge of Dell Technologies; their market, including their network, their customers, and their competition.Previous experience selling to or with Dell Technologies","Skills":"Develop and implement multi-stakeholder sales strategy; including account plans that will be delivered to Executive leadership.Build strong customer relationships and become a trusted advisor.Identify opportunities/sales in their initial stages and manage those deals through the entire sales cycle to close, and in some cases delivery.Achieve year over year sales growth through proper management of the assigned region. Develop a high volume and profitable regional business.Fully understand customer?s technology requirements and pains and translate those into successful adoption of Vertiv solutions.Promote and sell through a high-level of product and application knowledge and familiarity of Vertiv solutions.Train Dell Technologies sales teams on Vertiv products and services where applicable.Forecast, plan, and execute assigned revenue targets and objectives.Participate in and/or attend regional trade meetings, events, conventions or shows as required by the customer or as directed by Vertiv.Informs resellers on current promos, new product launches, and Vertiv Partner Program updates.Coordinates selling campaigns, qualifies leads, and coordinates customer introductions. Works in partnership with other sales employees to increase sales revenue.Provides dedicated support to answer or coordinate responses for all requests from assigned customers. Assists customers in determining the best solution for their needs.Understands and communicates company product or services features \u0026 benefits and promotes the advantages of our company to assigned resellers.Answers basic technical questions about Vertiv products.Provides quotes, information on product availability, pricing, and competitive portfolio cross-referencing suggestions.Generates, updates and tracks CRM opportunities, whether originated or assigned.Works with sales operations team to answer questions regarding company inventory, shipping deliveries, manufacturing timeline, etc. to ensure products and services desired can be delivered to customer given their expectation/need.Re-directs calls as appropriate to other departments such as technical support, services, or application engineering.Participates in sales events to educate and promote products and services.Other duties as assigned.","Industry":"Sales","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":205000.0000,"SalaryLow":123000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
This position is responsible for managing all functional aspects of the Dell Technologies Account for a defined North American Region. This unique role blends both hunting and farming responsibility... to achieve assigned revenue targets and management objectives. The position is responsible for developing and building working relationships with all facets of the customer? organization and develop and implement sales strategies across the functional Dell Technologies sales organizations. Once go-to-market sales strategies are defined, the position is required to facilitate execution of them across the organization to deliver results to the business; inclusive of selling with and to Dell Technologies where directed.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Jul 08, 2026
San Francisco, CA
|
Recruiting / Staffing
|
Contract
|
$42 - $52 (hourly estimate)
{"JobID":549685,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-122.39,"Longitude":37.78,"Distance":null},"State":"California","Zip":"94105","ReferenceID":"SFR-fae8058e-bd93-4e13-8d85-e208006d82cd","PostedDate":"\/Date(1783532169000)\/","Description":"Insight Global is seeking an experienced GTM Recruiter to support the continued growth of its North American Go-To-Market organization. This role is responsible for driving hiring efforts across critical Sales and Pre-Sales teams to ensure revenue-generating headcount keeps pace with company growth objectives.In this role, you will serve as a strategic partner to Sales Leadership rather than simply managing requisitions. You\u0027ll collaborate closely with hiring managers and executive stakeholders to identify, attract, and hire top-tier sales talent while delivering a world-class candidate experience. This position requires a proactive sourcing mindset, strong business acumen, and the ability to thrive in a fast-paced, remote environment where hiring speed and quality are equally important.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Sales Recruiter","City":"San Francisco","ExpirationDate":null,"PriorityOrder":0,"Requirements":"* 5+ years of full-cycle Sales / GTM recruiting experience within a global SaaS or enterprise technology company*Proven experience recruiting quota-carrying Account Executives (New Business \u0026 Strategic) and Solutions / Pre-Sales Engineers*Strong experience partnering with Senior Managers through VP-level stakeholders as a strategic talent advisor*Deep understanding of OTE compensation structures, sales accelerators, and equity (RSU) negotiations*Data-driven recruiting approach with experience leveraging talent analytics, funnel health metrics, passthrough rates, and start date forecasting*Expertise in passive candidate sourcing and headhunting strategies beyond inbound applicant pipelines*Experience operating independently in a high-growth, remote environment spanning multiple US time zones*Strong stakeholder management and consultative recruiting experience","Skills":"-Strong sense of urgency in fast-paced, high-growth environments-Creative sourcing experience utilizing non-traditional talent channels-Experience leveraging AI-powered recruiting tools and talent intelligence platforms","Industry":"Recruiting / Staffing","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":52.0000,"SalaryLow":41.6000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
Insight Global is seeking an experienced GTM Recruiter to support the continued growth of its North American Go-To-Market organization. This role is responsible for driving hiring efforts across... critical Sales and Pre-Sales teams to ensure revenue-generating headcount keeps pace with company growth objectives.In this role, you will serve as a strategic partner to Sales Leadership rather than simply managing requisitions. You'll collaborate closely with hiring managers and executive stakeholders to identify, attract, and hire top-tier sales talent while delivering a world-class candidate experience. This position requires a proactive sourcing mindset, strong business acumen, and the ability to thrive in a fast-paced, remote environment where hiring speed and quality are equally important.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Jul 16, 2026
Philadelphia, PA
|
Accounting / Finance
|
Perm
|
$48k - $55k (estimate)
{"JobID":552702,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-75.16,"Longitude":39.95,"Distance":null},"State":"Pennsylvania","Zip":"19107","ReferenceID":"HPA-0e37c648-0e56-4420-aadc-21a2438ba526","PostedDate":"\/Date(1784203108000)\/","Description":"We are seeking a Patient Registration Specialist to support pre-appointment registration and insurance verification activities for a large healthcare organization. This individual will review and resolve registration errors, validate demographic and insurance information, and ensure patient accounts are accurate prior to scheduled appointments. The role requires working efficiently within Epic and other payer portals to prevent downstream billing and authorization issues. The ideal candidate is detail-oriented, knowledgeable in healthcare insurance, and able to manage a high-volume work queue in a fast-paced environment.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Registration \u0026 Charge Error Representative","City":"Philadelphia","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Experience with patient registration, scheduling support, or front-end revenue cycle operations in a healthcare setting.Strong understanding of insurance verification, including Commercial, Medicare, Medicaid, Workers\u0027 Compensation, and Auto insurance.Experience identifying and resolving registration-related errors prior to patient appointments.Proficiency with Epic, including registration, scheduling, or work queue management functions.Excellent attention to detail, organizational skills, and ability to manage a high-volume workload while meeting daily productivity goals.Experience utilizing Real-Time Eligibility (RTE) tools and resolving eligibility discrepancies.","Skills":"Background working with multiple specialties and diverse payer populations.Familiarity with prior authorizations, referral requirements, or pre-service financial clearance processes.","Industry":"Accounting / Finance","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":55000.0000,"SalaryLow":48000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
We are seeking a Patient Registration Specialist to support pre-appointment registration and insurance verification activities for a large healthcare organization. This individual will review and... resolve registration errors, validate demographic and insurance information, and ensure patient accounts are accurate prior to scheduled appointments. The role requires working efficiently within Epic and other payer portals to prevent downstream billing and authorization issues. The ideal candidate is detail-oriented, knowledgeable in healthcare insurance, and able to manage a high-volume work queue in a fast-paced environment.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Jul 06, 2026
Nottingham, MD
|
Claims/Denials
|
Contract-to-perm
|
$16 - $20 (hourly estimate)
{"JobID":548663,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-76.48,"Longitude":39.38,"Distance":null},"State":"Maryland","Zip":"21236","ReferenceID":"HSE-f4868747-cd57-4a83-91ce-0d1f35c4b427","PostedDate":"\/Date(1783367266000)\/","Description":"Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will support the Denials Appeals and Performance team, a centralized hospital denial team serving 10 hospitals. This role is hospital-based and denial-type driven, with work assigned via CARC codes rather than by inpatient or outpatient setting. Denials primarily include no-authorization (technical) and medical necessity / level-of-care (clinical) denials. Denial Coordinators work closely with RN reviewers and fellow technical staff in a fast-paced, collaborative environment.This is a production-focused role, with an expected daily volume of approximately 40 appeals per day, varying in complexity. Primary Responsibilities:- Work hospital denial accounts routed through proprietary system based on denial reason- Review denial letters to determine appeal feasibility and next steps- Draft and submit clear, detailed appeal letters for: ? No-authorization denials (technical)? Medical necessity and level-of-care denials (in partnership with RNs)- Collaborate daily with: ? RN reviewers? Other denial coordinators? Leadership and managed care partners as needed- Maintain timely follow-up on appealed accounts to ensure resolution- Identify denial trends and escalate issues appropriately- Participate in: ? Daily huddles? Case review meetings? Interdisciplinary denial discussions- Support special projects related to denial trends, payer behavior, or backlog reduction- Adapt to evolving workflows as the DAP team continues to build and scaleWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Denial Coordinator","City":"Nottingham","ExpirationDate":null,"PriorityOrder":0,"Requirements":"? High school diploma or equivalent? Facility/hospital billing experience (not physician or professional) ? 3+ years of hospital denial management experience ? Post-billing denials and appeals (not front-end access only)? Hands-on appeal writing experience ? Ability to build a case using denial letters, payer policy, and supporting documentation? Not limited to form or template-only appeals? Ability to thrive in a high-volume, production-driven environment (target ~40 appeals/day)? Experience with prior authorization?related denials and insurance follow-up? Experience working within payer portals (e.g., Availity, EVS, payer-specific portals)? Comfort navigating multiple systems and workflows simultaneously? Strong attention to detail with the ability to work quickly and accurately? Experience collaborating with clinical staff (RNs, UR, case management)","Skills":"- Familiarity with CARC (claim adjustment reason) codes and denial-reason?based work routing- Experience with UB-04 forms - Experience with systems such as: ? RCI (denial repository)? Epic? Med-Connect (medical records)? Envision / SMS- Experience with Maryland and/or Washington, DC reimbursement- Certifications: ? CHAA (Certified Healthcare Access Associate)? CRCS-I (Certified Revenue Cycle Specialist ? Insurance)","Industry":"Claims/Denials","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":20.0000,"SalaryLow":16.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will support the Denials Appeals and Performance team, a centralized... hospital denial team serving 10 hospitals. This role is hospital-based and denial-type driven, with work assigned via CARC codes rather than by inpatient or outpatient setting. Denials primarily include no-authorization (technical) and medical necessity / level-of-care (clinical) denials. Denial Coordinators work closely with RN reviewers and fellow technical staff in a fast-paced, collaborative environment.This is a production-focused role, with an expected daily volume of approximately 40 appeals per day, varying in complexity. Primary Responsibilities:- Work hospital denial accounts routed through proprietary system based on denial reason- Review denial letters to determine appeal feasibility and next steps- Draft and submit clear, detailed appeal letters for: ? No-authorization denials (technical)? Medical necessity and level-of-care denials (in partnership with RNs)- Collaborate daily with: ? RN reviewers? Other denial coordinators? Leadership and managed care partners as needed- Maintain timely follow-up on appealed accounts to ensure resolution- Identify denial trends and escalate issues appropriately- Participate in: ? Daily huddles? Case review meetings? Interdisciplinary denial discussions- Support special projects related to denial trends, payer behavior, or backlog reduction- Adapt to evolving workflows as the DAP team continues to build and scaleWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Jun 25, 2026
Nottingham, MD
|
Claims/Denials
|
Contract-to-perm
|
$16 - $20 (hourly estimate)
{"JobID":545476,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-76.48,"Longitude":39.38,"Distance":null},"State":"Maryland","Zip":"21236","ReferenceID":"HSE-f91c9b92-b2ce-4927-aa2a-e9be1dc79393","PostedDate":"\/Date(1782399032000)\/","Description":"Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will support the Denials Appeals and Performance team, a centralized hospital denial team serving 10 hospitals. This role is hospital-based and denial-type driven, with work assigned via CARC codes rather than by inpatient or outpatient setting. Denials primarily include no-authorization (technical) and medical necessity / level-of-care (clinical) denials. Denial Coordinators work closely with RN reviewers and fellow technical staff in a fast-paced, collaborative environment.This is a production-focused role, with an expected daily volume of approximately 40 appeals per day, varying in complexity. Primary Responsibilities:- Work hospital denial accounts routed through proprietary system based on denial reason- Review denial letters to determine appeal feasibility and next steps- Draft and submit clear, detailed appeal letters for: ? No-authorization denials (technical)? Medical necessity and level-of-care denials (in partnership with RNs)- Collaborate daily with: ? RN reviewers? Other denial coordinators? Leadership and managed care partners as needed- Maintain timely follow-up on appealed accounts to ensure resolution- Identify denial trends and escalate issues appropriately- Participate in: ? Daily huddles? Case review meetings? Interdisciplinary denial discussions- Support special projects related to denial trends, payer behavior, or backlog reduction- Adapt to evolving workflows as the DAP team continues to build and scaleWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Denial Coordinator","City":"Nottingham","ExpirationDate":null,"PriorityOrder":0,"Requirements":"? High school diploma or equivalent? Facility/hospital billing experience (not physician or professional) ? 3+ years of hospital denial management experience ? Post-billing denials and appeals (not front-end access only)? Hands-on appeal writing experience ? Ability to build a case using denial letters, payer policy, and supporting documentation? Not limited to form or template-only appeals? Ability to thrive in a high-volume, production-driven environment (target ~40 appeals/day)? Experience with prior authorization?related denials and insurance follow-up? Experience working within payer portals (e.g., Availity, EVS, payer-specific portals)? Comfort navigating multiple systems and workflows simultaneously? Strong attention to detail with the ability to work quickly and accurately? Experience collaborating with clinical staff (RNs, UR, case management)","Skills":"- Familiarity with CARC (claim adjustment reason) codes and denial-reason?based work routing- Experience with UB-04 forms - Experience with systems such as: ? RCI (denial repository)? Epic? Med-Connect (medical records)? Envision / SMS- Experience with Maryland and/or Washington, DC reimbursement- Certifications: ? CHAA (Certified Healthcare Access Associate)? CRCS-I (Certified Revenue Cycle Specialist ? Insurance)","Industry":"Claims/Denials","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":20.0000,"SalaryLow":16.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will support the Denials Appeals and Performance team, a centralized... hospital denial team serving 10 hospitals. This role is hospital-based and denial-type driven, with work assigned via CARC codes rather than by inpatient or outpatient setting. Denials primarily include no-authorization (technical) and medical necessity / level-of-care (clinical) denials. Denial Coordinators work closely with RN reviewers and fellow technical staff in a fast-paced, collaborative environment.This is a production-focused role, with an expected daily volume of approximately 40 appeals per day, varying in complexity. Primary Responsibilities:- Work hospital denial accounts routed through proprietary system based on denial reason- Review denial letters to determine appeal feasibility and next steps- Draft and submit clear, detailed appeal letters for: ? No-authorization denials (technical)? Medical necessity and level-of-care denials (in partnership with RNs)- Collaborate daily with: ? RN reviewers? Other denial coordinators? Leadership and managed care partners as needed- Maintain timely follow-up on appealed accounts to ensure resolution- Identify denial trends and escalate issues appropriately- Participate in: ? Daily huddles? Case review meetings? Interdisciplinary denial discussions- Support special projects related to denial trends, payer behavior, or backlog reduction- Adapt to evolving workflows as the DAP team continues to build and scaleWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.