About Us

A few years ago, our intrepid team of nurses, doctors, developers, salespeople and data scientists came to a realization: if we can truly put the power of data and technology behind the clinical expertise of nurses and docs, we can transform the future of healthcare. Right now, we’re focused on bridging the silos that afflict the industry with inefficiency, waste, and friction, ultimately refocusing healthcare towards the patient, not the process.
We offer a Software as a Solution (SaaS) platform that connects previously disparate data from within an electronic medical record and transforms it into the type of clinical insight that can help providers determine appropriate care and reimbursement.

Additionally, this platform is used as a conduit to connect the provider to the payer, helping break down the information silos that result in denied claims, administrative burden, and strained relationships.
And to be clear: it’s working! We are expanding to help support our mission, our growth, and our clients. We’re looking for smart, savvy, spirited people like you to join the movement.

What You’ll Do

At XSOLIS, the Appeals Analysts work with our clients and client representatives to investigate denied claims, document investigation, and work to effect reimbursement for denied services. The Appeals Analyst will need a strong understanding of clinical policies, contracts, and regulations to guide research into claim denials. Aside from the technical know-how, a successful Appeals Analyst will also have the soft-skills necessary to build relationships with clients, payers, and providers and the ability to draft a convincing argument for reimbursement.

Essential Duties & Responsibilities

The essential functions include, but are not limited to the following:

• Resolve claims by reviewing supporting documentation; calculating benefits due; initiating payment or composing appeal letters; guiding resolution of non-routine claims; auditing claims to ensure appropriate payment.
• Ability to maneuver through multiple facility patient accounting systems
• Prepares reports by securing analytical information through to a finished product
• Analyze claims to determine validity of denial/recovery options
• Draft detailed & convincing correspondence to effect reimbursement
• Develop relationships with insurance carriers, patients, attorneys, and employers to facilitate reimbursement
• Conduct research when necessary to build a strong reimbursement argument
• Research/Review clinical policies, contracts, and other media to aide in claims recovery.
• Work individually and within a team to identify trends from client inventories and formulate recovery resolution
• Clearly and concisely document all actions taken to resolution within a claims recovery system
• Ensures legal compliance by following guidelines, contracts, regulations, and the company's business plan
• Maintains quality service by following corporate provider and payer service practices and protocols

Minimum Qualifications (Knowledge, Skills, and Abilities)

• Nashville candidates will be given preference
• High school diploma required; Associate's degree or higher preferred
• 2-4 years of experience in appeal and claim processing
• Strong verbal and written communication skills
• Ability to provide excellent customer service
• Solid Analytical skills
• Experience with MS Office Suite
• Proven ability to negotiate, recognize and resolve problems
• Ability to multi-task

Physical Demands & Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

We’ve Got You Covered On…

Health, Dental and Vision Insurance

Competitive Salary401(k) with match

Free parking, free coffee, free smiles

A mission-driven, impactful place to work

Where We’ll Go Together

Our company will become the new standard for utilization management. You’ll be a core part of realizing that goal and a valued contributor to the culture and climate we wish to create. Our wins are your wins, and we’re dedicated to making you feel your work matters (it truly does).
If any of this speaks to you, let’s get in touch.