Jobs at Calpion Inc.

Prospects healthcare organizations through cold calling, email, LinkedIn, and other approved channels. Qualifies leads against ICP criteria, engages executive stakeholders, delivers introductory presentations, handles objections, and schedules meetings for sales leaders. Maintains accurate CRM records, tracks outreach and pipeline activity, submits performance reports, participates in coaching, and follows HIPAA, privacy, information security, and outbound communication compliance requirements.

Conduct insurance follow-up for U.S. healthcare providers, investigate and resolve denials and underpayments, manage appeals and refiling, and follow up on outstanding accounts receivable. The role requires accurate, timely account resolution while meeting quality and productivity standards, communicating with U.S. insurance companies, and working flexibly on night shifts.

Manage accounts receivable follow-up and denial management throughout the medical billing revenue cycle. Investigate claim rejections, review claim statuses, and contact insurance companies regarding unpaid, underpaid, denied, and pending claims. Resolve issues through payer portals while applying payer guidelines, reimbursement policies, and healthcare regulations. The role requires knowledge of commercial insurers and strong analytical, problem-solving, verbal, and written communication skills.

Conduct outbound calls to healthcare providers and payers to resolve outstanding balances, analyze claims and patient accounts, investigate denials and payment delays, negotiate payment arrangements, document collection activity, maintain privacy compliance, and report recovery performance. The role requires healthcare revenue cycle knowledge, medical billing and terminology expertise, strong communication and negotiation skills, and accurate management of high-volume accounts.

Leads enterprise security governance, risk management, compliance, policy administration, control oversight, audit readiness, and third-party risk programs. Develops cybersecurity frameworks and roadmaps, manages regulatory requirements and assessments, oversees security controls and remediation, reports risk posture to executives and boards, and coordinates audits and regulatory examinations. Partners across IT, legal, compliance, audit, and business teams while mentoring GRC staff and driving security awareness, metrics, and continuous improvement.

Build production agentic AI systems for healthcare revenue cycle management. Responsibilities include designing LangGraph multi-agent workflows, integrating MCP tools and AWS Step Functions, developing Playwright browser automation with LLM self-healing, and implementing LLM reasoning, RAG, structured outputs, and durable execution. The role also involves integrating healthcare APIs and EDI workflows, maintaining reliable Python services, and applying CI/CD, PostgreSQL, observability, retry, and security practices.