Job Search Results for Revenue Cycle Management

Denials Specialist (Appeals & Revenue Cycle)

Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI client. This is a part-time opportunity working approximately 10?20 hours/week where candidates will leverage... More their denials and appeals expertise to evaluate and improve AI-driven denial resolution strategies. This role is highly analytical and requires a strong understanding of payer requirements, denial root causes, and effective appeal strategies across multiple payer types. Laptop and equipment will be provided.Shift Times: Flexible scheduling within Monday-Friday, 9am-8pm PST (can't work weekends)(must be available 10-20 hours/week from 9am-8pm PST // ideal for individuals seeking additional income)Duration: 3-month contract (potential to extend)Responsibilities:? Review denied claims and evaluate AI-generated denial analysis and appeal recommendations? Assess the quality, logic, and persuasiveness of AI-generated appeal strategies across various denial types (medical necessity, authorization, coding, technical, etc.)? Identify discrepancies where AI recommendations diverge from effective real-world denial management practices? Analyze and explain successful appeal strategies, including payer-specific nuances and documentation requirements? Evaluate appealability and determine optimal approach based on denial type, payer guidelines, and supporting documentation? Provide detailed reasoning behind appeal strategies to help improve AI decision-making models? Identify patterns and trends across denials to highlight systemic issues impacting reimbursement? Partner with product and GTM teams to critique presentations and provide subject matter expertise on denial workflows and payer behaviorWe 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/.Less

Account Executive

Insight Global is seeking an experienced Account Executive to join one of our healthcare services clients. This individual will play a key role in developing strategic partnerships with healthcare... More organizations and driving business growth through the sale of Business Process Outsourcing (BPO) solutions. The ideal candidate is a motivated sales professional with a strong background in healthcare BPO, revenue cycle management, and complex solution selling.This position requires exceptional communication, presentation, and critical-thinking skills, as well as the ability to build relationships with decision-makers and guide prospects through the sales cycle from initial outreach to long-term partnership.Key ResponsibilitiesProspect and generate new business opportunities through cold calling and outbound sales efforts.Identify, engage, and establish relationships with prospective healthcare clients.Drive opportunities through the sales funnel, converting leads into long-term customers.Present and communicate BPO service offerings through meetings, presentations, emails, and other client interactions.Educate prospective clients on the benefits and value of outsourcing solutions.Assess client needs, identify challenges, and recommend tailored solutions.Meet and exceed established revenue goals and sales objectives.Gather information regarding project scope, budgets, timelines, and business requirements.Collaborate with internal leadership and operational teams to align client expectations with service delivery.Track, document, and maintain all sales activities within a CRM system.Attend networking events, industry conferences, and client meetings to generate and nurture business relationships.Travel as needed for introductory, discovery, and relationship-building meetings.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/.Less

Epic Govt. Payors Analyst

The Epic Government Payors Contract Configuration Analyst collaborates with the Revenue Cycle Management team to address contract related build issues, and holds primary responsibility for the... More design, build, testing, validation, and ongoing support of the Epic contract management applications. The position requires deep knowledge of reimbursement methodologies of government payors, managed care commercial payors, software functionality and the revenue cycle workflows in Epic.Key Responsibilities:? Interpret Contract Terms: Partner with Director of Payor Solutions Compliance and the team to review and clarify contract language.? Epic System Configuration: Design, build, validate, and support the Epic contract build in alignment with revenue cycle workflows.? System Design & Validation: Participate in design and advanced validation sessions to ensure accurate contract build configuration.? Testing & Documentation: Conduct structured application testing and maintain thorough documentation of results.? Release Management: Review and test new builds and releases prior to production deployment.? Resolve Contract Variances: Troubleshoot and correct discrepancies in contract builds to ensure accuracy and compliance.? Manage Adjustments: Post contractual adjustments promptly and maintain weekly updates on outstanding items and build deficiencies.? Issue Management: Track, update, and resolve contract build issues efficiently.? Training Development: Collaborate with team during peer reviews to establish new workflows as necessary.? Technical Support: Troubleshoot contract build related problems reported by Revenue Cycle Management team as end-users.? Continuous Improvement: Identify and recommend contract build enhancements to optimize performance.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/.Less

REMOTE Epic HB/PB Manger

Our healthcare system is currently seeking an experienced Epic HB/PB Manager to lead and support Hospital Billing (HB) and Professional Billing (PB) operations. The ideal candidate will have strong... More knowledge of Epic Revenue Cycle workflows, including claims processing, remittance management, reimbursement, billing work queues, and revenue cycle optimization. This role will oversee day-to-day HB/PB operations, support system enhancements, and collaborate with operational and technical teams to improve billing performance and financial outcomes. Experience managing Epic HB/PB teams in a healthcare environment is required. Epic HB and/or PB certification and prior leadership experience are preferred.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/.Less

Epic HB Contract Reimbursement Analyst

Insight Global is seeking an IT Application Analyst Level III ? Epic Resolute Contract Management professional for a top healthcare client. This individual will play a critical role in building,... More maintaining, and optimizing complex payer contracts across multiple Epic Resolute applications. The ideal candidate is a seasoned Epic analyst with strong revenue cycle expertise who enjoys partnering with business and operational leaders to ensure accurate reimbursement, regulatory compliance, and system excellence. This role offers high visibility, meaningful impact, and a flexible remote or hybrid work 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/.Less

PB System integration Analyst II

Job Description:Responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture... More Dashboard). Work as an operational and technical analyst supporting the technology used by the PB Coding Department in the revenue cycle function. Partner with Revenue cycle, clinical leadership, and IT to identify and analyze root cause of user and system issuesSubmit and track system requests, submit system enhancements and new edits, and participate in system upgradesDevelop efficient workflows and claim scrubber edits Routine Epic maintenance for PB coding, including tasks like managing reports, work queues, revenue setup, and verifying IT configurationsManaging 2 shared inbox requestsDay to day: Request optimizations, innovation, create automation solutions to make the coders and medical reviewers life more efficientKey Responsibilities Include:Sitting in on meetings in new growth projects and ability to drive conversations and have a seat at the table with ITWe 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/.Less

Business Development Manager (Public Sector)

?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... More 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/.Less

Enterprise Account Executive

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... More 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/.Less

AR Specialist

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... More 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/.Less

Regional Sales Manager, Dell Technologies

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... More 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/.Less