
501 - 1000 employees
Founded 2023
🏥 Healthcare
🤝 B2B
💼 Consulting
Healthcare • B2B • Consulting
Xtensys is a healthcare IT services and consulting company founded by two non‑profit healthcare organizations (a health system and a payer) that helps community and provider-based healthcare organizations deploy, operate, and optimize enterprise clinical and IT systems. Xtensys offers Epic EHR implementation and support, managed IT and infrastructure services, information security (including vCISO services), integration and applications, and end‑to‑end revenue cycle management. The company emphasizes making enterprise-grade healthcare technology affordable and accessible, supports AI/ML readiness, and serves community and critical-access hospitals, ambulatory and specialty clinics, FQHCs, physician groups, and addiction/rehabilitation facilities. Xtensys operates a largely remote workforce (HQ in Ithaca, NY) and positions itself as an extension of provider teams.
🔥 3 minutes ago
🏈 Alabama, Alaska, +42 more states – Remote
💵 $17 - $26 / hour
⏰ Full Time
🟡 Mid-level
🟠 Senior
👻 Ghost score 0%
Where this job comes from
Posted on Xtensys's careers page, not through a job board
First seen by Remote Rocketship 3 minutes ago

501 - 1000 employees
Founded 2023
🏥 Healthcare
🤝 B2B
💼 Consulting
Healthcare • B2B • Consulting
Xtensys is a healthcare IT services and consulting company founded by two non‑profit healthcare organizations (a health system and a payer) that helps community and provider-based healthcare organizations deploy, operate, and optimize enterprise clinical and IT systems. Xtensys offers Epic EHR implementation and support, managed IT and infrastructure services, information security (including vCISO services), integration and applications, and end‑to‑end revenue cycle management. The company emphasizes making enterprise-grade healthcare technology affordable and accessible, supports AI/ML readiness, and serves community and critical-access hospitals, ambulatory and specialty clinics, FQHCs, physician groups, and addiction/rehabilitation facilities. Xtensys operates a largely remote workforce (HQ in Ithaca, NY) and positions itself as an extension of provider teams.
• Accurately post insurance and patient payments and adjustments using ERAs, EOBs, and manual remittance documentation • Maintain accurate patient account balances according to remittance details, payer requirements, and system guidelines • Validate ERA files and resolve or escalate remittance issues • Apply CARC and RARC codes and standardized account comments • Retrieve and process lockbox and other payment sources • Reconcile daily deposits against ERA files, lockbox reports, and other payment sources • Investigate and escalate payment variances, missing remittances, unapplied cash, posting errors, and unbalanced batches • Research payer portals and clearinghouses for missing payment information and documentation • Maintain work queues and exception reports and document account activity • Meet organizational policies, audit standards, payer requirements, and productivity and accuracy benchmarks • Partner with operational teams and senior team members to resolve payment issues, recoupments, refunds, and corrections • Maintain knowledge of healthcare billing regulations and reimbursement methodologies • Protect patient confidentiality and comply with HIPAA and applicable regulations • Support additional revenue cycle functions and changing business needs
• High School Diploma or GED is required • Associate’s degree in a related field and Epic experience is preferred • Associate’s degree plus 2 years of billing experience in a hospital billing environment, or High School Diploma plus 3 years’ experience in a hospital billing environment • Proficiency in practice management systems, billing applications, Microsoft Excel, and other healthcare revenue cycle technologies • Working knowledge of medical billing, insurance reimbursement, payment posting, and patient accounting processes • Understanding of HIPAA requirements and patient confidentiality standards • Strong analytical and problem-solving skills • Strong attention to detail and organizational skills • Effective written and verbal communication skills • Ability to prioritize and manage multiple responsibilities in a fast-paced environment • Ability to perform essential functions with or without reasonable accommodation • Certifications: None required
• Remote work arrangement • Opportunities to expand skillset and mentor others • Ongoing education and training • Minimal travel (less than 10%)
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🔥 Funding within the last year
💰 $50M Seed Round on 2026-03
⏰ Full Time
🟡 Mid-level
🟠 Senior