OneImaging saves insurance plans and benefit members 60-80% on diagnostic imaging costs while improving access to care across the Country. Backed by XRC Labs.
About the role
We’re hiring a Lead Claims Analyst to own the day-to-day integrity of our claims and adjudication workflows and to help build the processes, controls, and reporting behind them. This is a hands-on role: you’ll personally work our hardest claims and denials while standing up the playbooks, benchmarks, and dashboards that let claims operations scale without breaking. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- 4+ years in healthcare claims, revenue cycle, or medical billing, with demonstrated ownership of complex adjudication and denials work
- Deep hands-on experience with EDI transactions (837/835) and a clearinghouse platform (Waystar strongly preferred)
- Strong command of CPT/HCPCS, ICD-10, place-of-service, and modifier logic — ideally in radiology/imaging
- Working knowledge of benefit structures, cost-sharing, deductibles, and accumulator/HDHP mechanics
- Advanced spreadsheet skills and comfort building reporting from raw claims data
- A meticulous, audit-minded approach: you can trace any dollar to its source and defend it
More about this role
Radiology is the second most used healthcare service, used by over 51% of the workforce annually. Despite the critical role of radiology in healthcare, the process for undergoing a medical imaging exam has remained unchanged for decades. OneImaging is solving this with a concierge approach and a premium-quality radiology network of over 5,000 vetted providers across 48 states, which also reduces imaging costs by 60-80%. Our solution helps patients and families access essential radiology services at fair prices and without surprise bills, all while delivering immediate savings and ROI for employers and payers on every exam.
We’re hiring a Lead Claims Analyst to own the day-to-day integrity of our claims and adjudication workflows and to help build the processes, controls, and reporting behind them. This is a hands-on role: you’ll personally work our hardest claims and denials while standing up the playbooks, benchmarks, and dashboards that let claims operations scale without breaking. Reporting to our Manager, RCM, you’ll sit at the intersection of our clearinghouse, prior-auth, and finance systems — and you’ll be the person who can explain exactly why a claim paid, denied, or...
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