Role Description Nema is seeking a full time coordinator to manage the day-to-day billing and revenue cycle management tasks for our growing business. The ideal candidate has extensive healthcare experience within healthcare billing and with payment practices. This person will act as a liaison between insurance companies, patients, and the Clinical Team to ensure accurate billing practices are executed with high quality. Responsibilities - Pre Authorization Management: - Submit for pre authorizations when needed - Maintain a record of who needs a pre authorization - Submit renewals and track tasks - Claims Submission: - Prepare and submit insurance claims for services provided with accuracy - Minimize delays in payment while adhering to insurance regulations and guidelines - Billing Management: - Monitor billing processes to ensure accuracy and completeness - Identify and rectify any discrepancies or errors - Claim Follow-Up: - Follow up on unpaid or denied claims - Identify reasons for denials and take necessary steps to resolve issues - Improve on our billing system to minimize future claim denials - Payment Processing: - Process payments received from insurance companies and patients - Accurately record transactions and reconcile accounts - Collecting: - Collect outstanding patient responsibilities following claim adjudication - Issue past-due notices for accounts with outstanding balances - Documentation and Reporting: - Maintain detailed records of billing activities, including claim submissions, payments, and denials - Generate reports as needed to track billing performance including monthly revenue reporting - Communication and Coordination: - Respond to inquiries from insurance companies, patients/families, and internal team members regarding billing and financial documents - Compliance: - Stay informed about changes in healthcare regulations and insurance policies to ensure compliance with billing procedures Qualifications - 3+ years previous experience in medical billing and administrative roles interfacing with payers for functions such as eligibility verification and RCM - Proficiency in billing software and electronic health records (EHR) systems such as Silna, Candid and Healthie - Strong understanding of insurance policies, procedures, and billing codes - Knowledge of third party payer reimbursement systems, rules and regulations relating to accounts receivable - Excellent attention to detail and accuracy in data entry and record-keeping - Sharp problem solving skills and ability to investigate and resolve discrepancies - Positive, solution oriented attitude and comfort with ambiguity as Nema builds billing processes - Effective communication skills, both written and verbal - Comfort and familiarity working with spreadsheets and analyzing data - Ability to work independently and manage time efficiently in a remote work environment - High level of integrity and commitment to maintaining patient confidentiality Requirements - VBC or alternative payment model claims billing experience related to telehealth services - Specific experience with CMS 1500 claims - Experience as a clinic or behavioral health facility billing specialist - Experience working remotely - Coding/Billing Certificate from an accredited institute or school preferred - Previous experience working in a healthtech startup - Passion for mental health and expanding access to treatment through insurance Benefits - This role offers a base salary of $60,000-$70,000, which will be determined based on individual experience, qualifications, and market considerations - This role is also eligible for competitive equity, reflecting the impact and scope of the position at an early-stage, mission-driven company - Comprehensive benefits including healthcare, 401(k) with matching, and stipends for work-from-home productivity and continued education - Generous PTO and flexible work hours - Remote-first culture with supportive team norms - Inclusive, trauma-informed leadership - Opportunity to grow with a fast-moving, mission-driven company

Title: Prior Authorization Specialist - 100% Remote Location: Remote Job Description: Prior Authorization Specialist (Remote – Select States Only) TRA Medical Imaging Remote | Full-Time | Monday–Friday | $19.27–$22.93 per hour Applicants must reside in one of the following states to be considered: Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington. TRA Medical Imaging is seeking an experienced Prior Authorization Specialist with strong knowledge of radiology procedures, insurance verification, CPT coding, ICD-10 coding, and medical insurance authorizations. This fully remote role supports our radiology practice by ensuring all scheduled imaging exams are authorized, medically necessary, and compliant with insurance carrier requirements. The ideal candidate has at least three years of medical office insurance authorization experience and thrives in a fast-paced healthcare environment. Compensation and Benefits Hourly Pay: $20.23 – $23.61 (based on experience, skills, and qualifications) Benefits Include: - No nights, weekends, or on-call shifts - Medical, Dental, and Vision Insurance - HSA and FSA options - Employee Assistance Program (EAP) - Basic Life Insurance and Long-Term Disability - 401(k) with automatic 3% employer contribution plus up to 3% employer match - 17 days of PTO - 9 paid holidays - Annual automatic compensation growth path - Profit sharing - Optional Pet Insurance, Legal, and ID Protection - About TRA Medical Imaging TRA Medical Imaging is a physician-owned and physician-led radiology practice serving the South Puget Sound region for over 100 years. With approximately 100 subspecialized radiologists, TRA is committed to delivering high-quality, patient-centered imaging services while fostering a collaborative, high-trust culture rooted in Compassionate Care, Accountability and Integrity, Respect, and Excellent Service. Position Overview The Prior Authorization Specialist is responsible for ensuring all scheduled imaging examinations: - Are authorized for the correct facility - Include accurate CPT and ICD-10 codes - Meet medical necessity guidelines - Comply with insurance carrier and HIPAA requirements This role works under established guidelines and immediate supervision within Health Information Management, Patient Access, and Scheduling functions Key Responsibilities - Obtain prior authorizations for imaging procedures including MRI, CT, PET, Nuclear Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry - Verify insurance eligibility, benefits, and authorization requirements - Ensure correct CPT and ICD-10 coding for all scheduled exams - Contact referring physician offices and insurance carriers to obtain required documentation - Review medical records to confirm medical necessity - Enter authorization numbers and detailed documentation into the RIS system - Educate patients on insurance and authorization requirements - Reschedule patients when authorization is pending - Provide price quotes and explain financial assistance options - Maintain HIPAA compliance and patient confidentiality - Collaborate with technologists, front desk staff, and scheduling teams to ensure exam accuracy Required Qualifications - High School Diploma or GED - Formal medical terminology training or equivalent medical office experience - Minimum 3 years of medical office insurance authorization experience - Knowledge of CPT and ICD-10 coding - Experience navigating insurance websites for eligibility and claim status - Understanding of radiology procedures and authorization workflows - Strong attention to detail and ability to manage multiple tasks - Effective written and verbal communication skills - Professional customer service skills Preferred Qualifications - Clinical experience in a radiology or imaging setting - Experience working with RIS systems - Experience with PET scan authorization processes - Knowledge of HCPCS coding Work Environment and Schedule - Fully remote position (training and equipment provided) - Monday through Friday, 9:00 AM – 5:30 PM Pacific Time Ideal Candidate Profile The ideal candidate is detail-oriented, experienced in radiology prior authorizations, comfortable working independently in a remote environment, knowledgeable about insurance carriers and medical necessity criteria, and committed to patient-focused service. Apply Today If you reside in Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington and have strong experience in radiology prior authorization, insurance verification, and CPT/ICD-10 coding, we encourage you to apply. Join a respected, physician-led organization with over 100 years of excellence in medical imaging and become part of the next chapter of the TRA story.

Role Description We're hiring a Credentialing Specialist to own provider credentialing end-to-end at Vitable. This is a dedicated, standalone function — not a secondary responsibility attached to another role. You'll be the internal expert and system owner for all things credentialing, ensuring our providers are verified, compliant, and activated without disruption. This role exists because we've reached a scale where credentialing demands dedicated ownership. You'll build the systems, own the database, and be the first line of defense on compliance — so the rest of the clinical ops team can focus on capacity planning, scheduling, and member access. What You’ll Do - Primary verification of provider licenses, board certifications, and prescriptive authority across all active states - Execution and validation of collaborative agreements and state-specific registration requirements - Independent verification of vendor-submitted credentials (e.g. DirectShifts, staffing partners) - Ownership of a centralized, auditable credentialing database - Proactive monitoring of expirations and renewals — no surprises - Direct liaison with state boards and regulatory bodies - Building standardized activation checklists and verification workflows Qualifications - 2+ years of credentialing experience in a multi-state healthcare setting — NP, PA, or physician group strongly preferred - Working knowledge of NP scope-of-practice laws and collaborative agreement requirements across states - Experience with a credentialing platform (Medallion, CAQH, Modio, or similar) - Comfortable navigating state board portals and regulatory language independently - Strong documentation habits — you build systems, love being compliant, and not just complete tasks - Able to respond quickly to compliance issues - Telehealth or virtual-first care experience is a plus Benefits - 100% Silver Plan medical coverage — plus dental and vision - Vitable Primary Care membership — the same care we give our members, yours too - 401(k) and life insurance - Unlimited PTO — and we actually mean it - Remote-first — work from wherever you do your best thinking - MacBook and home office setup stipend — the gear you need to do great work - Competitive equity — you're building something real, you should own a piece of it

Support daily practice operations, assist in developing strategic plans, facilitate attorney integration, and prepare financial reports to enhance operational efficiency and drive revenue growth within the practice group.