Job Description

Healthcare providers go into medicine to care for people, but end up losing valuable time each day to admin work and other workplace challenges. Time that could otherwise be spent helping patients. And patients end up suffering as a result. At Commure,

we build solutions that simplify providers' lives and keep them connected to their patients so they can focus on doing what matters most: providing care.

Our innovative suite of software and hardware - augmented by advanced LLM AI, RTLS, and healthcare workflow automations - boosts efficiency across every domain of healthcare, freeing up healthcare providers to spend more of their time caring for patients. Our growing suite of technologies include staff duress alerting, asset tracking, patient elopement, revenue cycle management, clinical documentation and intake, provider copilots, patient engagement and communication, home health, remote patient monitoring, and more.


Today, we support over 250,000 clinicians across hundreds of care sites around the country. And we're only just getting started: Healthcare's watershed moment for AI-powered transformation is here - so join us in creating the technology to power healthcare!

Job Overview:

We seek an experienced and highly motivated Senior Analyst to join our team. The Senior Analyst in Denials Management Team will be responsible for identifying denied claims, making outbound calls to insurance payers, and resubmitting corrected claims. The ideal candidate should possess excellent communication and problem-solving skills, have a strong understanding of medical billing and coding, and be well-versed in denial management and appeals processes.

Role & responsibilities

Denial Identification and Analysis: Identify, categorize, and analyze denials and underpayments from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs). Claim Resubmission: Correct and resubmit denied claims following payer guidelines and timelines. Payer Communication: Communicate with insurance companies to resolve issues leading to denials and ensure accurate reimbursement. Preventative Action: Review denial trends and work with other RCM teams to implement processes that can prevent future denials. Experience in analyzing and resubmitting Denials in multiple specialities (Denials due to Medical Coding, Authorisation, etc).

Preferred candidate profile

1-3 years of prior experience in denials management, healthcare billing, or a related role. Strong understanding of medical billing processes payer requirements and CARC/RARC codes. Excellent problem-solving and negotiation skills. Detail-oriented with strong analytical skills. Excellent communication skills, both written and verbal. Proficiency in using healthcare billing software and Microsoft Office Suite.

Why you'll love working at Commure + Athelas:

Highly Driven Team:

We work hard and fast for exceptional results, knowing we're doing mission-driven work to transform the country's largest sector.

Strong Backing

: We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil.

Incredible Growth

: Prior to our merger, Commure and Athelas had independently grown more than 500% YoY for three consecutive years. We've achieved Series D funding, have an industry-leading runway, and continue to scale rapidly.

Competitive Benefits:

Flexible PTO (pending specific geographical locations) , medical, dental, vision, maternity and paternity leave. Note that benefits are subject to change and may vary based on jurisdiction.

Commure + Athelas is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.



Please be aware that all official communication from us will come exclusively from email addresses ending in

@

getathelas.com

,

@

commure.com

or

@

augmedix.com

.Any emails from other domains are not affiliated with our organization.



Employees will act in accordance with the organization's information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.