Responsible for accurate and timely posting of insurance, patient, and third‑party payments to ground ambulance accounts in a fully remote environment.
Responsibilities
Posts payments, contractual adjustments, and denials from electronic remittance advice (ERA/835) files and paper EOBs to the correct patient account, claim, and service line, including transport and mileage HCPCS codes.
Processes checks, lockbox files, EFT/ACH deposits, credit card payments, and patient payments, and applies each to the correct account and payer.
Posts payer adjustments and remittance elements accurately by type, including contractual (CO-45), sequestration (CO-253), patient responsibility, interest, and provider-level balance (PLB) recoupments or takebacks.
Reviews claim adjustment reason codes (CARCs) and remittance advice remark codes (RARCs) on each remittance, and flags denials, underpayments, zero pays, and rejected lines for follow‑up with clear documentation.
Prepares and uploads credit import and batch posting files for manual and bulk posting and verifies that every file posts completely and accurately.
Responsible for follow‑up and resolution of aged ground ambulance insurance claims across Medicare, Medicaid, Medicare Advantage, commercial, and third‑party liability payers in a fully remote environment.
Responsibilities
Investigate why claims remain unpaid
Contact payers to secure payment
Pursue appeals and underpayment recovery
Escalate complex accounts to protect revenue
Reduce days in A/R and meet monthly collection targets
Conduct telehealth nutrition counseling sessions using an evidence-based, patient-centric approach to care, leveraging our technology platform.
Demonstrate strong clinical and behavior change coaching skills, leading with empathy and use of motivational interviewing.
Support a diverse patient population with a wide range of clinical conditions.
Complete thorough and timely documentation for each session, including clinical and patient notes, in accordance with established standards of practice.
Collaborate with the clinical team to provide patient-centered care, participate in monthly case reviews, and contribute to overall team success.
Member Care Coordinator ensures timely, coordinated, high‑quality care for members, acting as the glue between Clinical, Coaching, and Operational teams.
Compensation
This is a full-time, hourly role with a hourly rate of $20-22 per hour.
Responsibilities
Execute critical clinical administrative workflows focusing on resolving readiness barriers to accelerate members toward provider review and medication access.
Facilitate provider workflow efficiency by preparing clinical documents and proactively triaging member needs for specialty support.
Facilitate structured handoffs of critical information to Clinical and Coaching teams to ensure timely follow‑up regarding changes in medication, denials, or approved exception paths.
Engage in cross‑functional meetings and work collaboratively with other departments to improve and maintain a high level of member care.
Identify and formally report recurring systemic issues, submission errors, or trends that contribute to operational friction.
Requirements
Completion of a formal medical assisting program
National certification such as Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA)
The Virtual Clinical Care Coordinator is the connective tissue of Amae’s virtual Intensive Outpatient Program (IOP) cohorts, supporting members, coordinating logistics, and facilitating group sessions under licensed clinicians.
Compensation
Base salary range for this role is $21.00 per hour.
Responsibilities
Coordinate intake scheduling and cohort placement
Schedule and confirm appointments; manage member communication
Maintain accurate attendance and cohort records in EHR
Support documentation workflows and outcomes‑measure reminders
Help coordinate cohort start dates, backfilling open seats, and discharge logistics