Pivotal Health delivers full-service Independent Dispute Resolution (IDR) technology to help providers recover fair reimbursement with less administrative burden. Backed by Bessemer.
About the role
Prepare and submit filings: Enter and submit state dispute and arbitration requests through state portals, agencies and arbitration entities, following each state’s documentation and formatting requirements. Track deadlines, fees and payments: Monitor filing and response deadlines, process fees and confirm payers pay awarded amounts. Follow up when a payment is late or incorrect. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- 2–4 years of experience in data management, operational tracking, revenue cycle operations, claims management, or insurance operations
- Experience with medical billing or coding, and comfortable reading EOBs, claims and reimbursement codes
- Comfortable in Excel or Google Sheets, including pivot tables
- Highly detail-oriented, and catches inconsistencies in documents and data
- Manages high volume and competing deadlines accurately
- Comfortable following detailed, state-specific processes
More about this role
Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape.
Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools.
Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams.
Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey.
About the Role
We’re looking for a State Dispute Analyst to handle the day-to-day filing and tracking of Pivotal’s state-level healthcare reimbursement disputes. You’ll prepare and submit disputes...
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