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!

The Appeals Submissions Team Member is responsible for managing and resolving appeals related to claims discrepancies. The ideal candidate will have a strong understanding of the healthcare billing and reimbursement process, excellent analytical skills, and a keen eye for detail.

Key Responsibilities:

• Track Appeal Status: Monitor the progress of submitted appeals, follow up as necessary, and ensure timely resolution.

• Maintain Records: Accurately document all appeal activities, outcomes, and communications in the company’s system.

• Identify Trends: Analyse denial patterns and provide feedback to improve claim submission processes and reduce future denials.

• Compliance: Ensure all appeals and related activities comply with relevant regulations, policies, and guidelines.

Qualifications:

• Education: Bachelor's degree in healthcare administration, business, or a related field. Equivalent experience may be considered.

• Experience: Minimum of 2 years of experience in medical billing, claims processing, or appeals management within an RCM environment.

Skills:

• Strong understanding of healthcare billing, coding, and reimbursement processes.

• Excellent analytical and problem-solving skills.

• Ability to interpret and apply complex regulations and guidelines.

• Proficient in using healthcare management software and databases.

• Strong written and verbal communication skills.

• Detail-oriented with strong organisational skills.

• Ability to work independently and as part of a team.

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.