Reviews complex hospital service accounts to ensure completeness prior to patient arrival.
Verifies patient insurance, confirms benefits, and determines authorization requirements.
Initiates pre-certification and creates patient liability estimates.
Piedmont Healthcare is a healthcare system providing comprehensive medical services across Georgia. It is a large organization focused on patient-centered care and community health.
Responds to patient inquiries regarding healthcare accounts receivables across a multi-facility integrated healthcare delivery system.
Independently manages complex call escalations from team members in a high-volume billing Call Center.
Assists with training and mentoring new and existing staff and provides support to level I team members.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, the organization empowers team members to grow their careers and make a meaningful difference.
Coordinates financial clearance activities including pre-registration, insurance verification, and authorizations to ensure timely access to care.
Maintains knowledge of payer requirements and works collaboratively with patients, providers, and insurance representatives to resolve issues.
Adheres to quality and productivity standards to support revenue cycle performance and patient access.
Boston Medical Center is a leading academic medical center dedicated to providing exceptional and equitable care to all. As a large health system, it fosters a strong sense of teamwork and support, and has been recognized as a top employer and best place to work.
Counsel patients on healthcare payment responsibilities, insurance benefits, and financial assistance options.
Contact insurers, resolve registration, billing, authorization, and claims issues to advocate for patients.
Maintain accurate documentation and provide compassionate, clear communication on sensitive financial matters.
A healthcare organization helping patients navigate medical costs, insurance benefits, and financial assistance. It operates as a large, patient-centered environment focused on caregiver well-being and professional development.
Review and evaluate denied claims using proprietary software to determine correct reimbursement.
Research and acquire medical records and supporting documentation for submission to payers.
Conduct telephone follow-up with payers to ensure prompt reimbursement.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using an intelligent automation platform. The company has over 24 years of industry expertise, is a multi-year Top Workplaces award recipient, and has been on the Inc. 5000 list for eleven years.
Post payments from patients and third-party payers and adjust accounts accordingly.
Evaluate and verify Explanation of Benefit statements and process incoming payments.
Verify write-offs, scan documents, confirm refunds, and identify payer issues.
DocGo is a mobile health and transportation company disrupting the traditional four-wall healthcare system by providing high-quality, affordable care at home or workplace. With over 5,000 certified health professionals, DocGo combines telehealth, AI-powered logistics, and ambulance services to bridge physical and virtual care.
Submit medical documentation and billing data to insurance providers
Research and appeal denied or rejected claims, and follow up on unpaid claims
Review insurance payments for accuracy and completeness using billing software
Cardinal Health is a global distributor of pharmaceuticals and medical products, providing performance and data solutions for healthcare facilities. With over 50 years of experience, the company supports an inclusive workplace that values diversity and delivers end-to-end solutions to improve healthcare.
Completing collection and A/R follow-up activities for third party payors.
Maintaining quality and productivity requirements as outlined in performance expectations.
Reporting to the Manager/Supervisor of A/R Follow-up.
Piedmont Healthcare is a healthcare system providing medical services across Georgia. The corporate office is a large organization focused on revenue cycle management and administrative support.
Perform follow-up status requests through telephone, internet, and fax requests.
Process incoming and outgoing mail, scanning, and document consolidation and indexing.
Maintain a working knowledge of internal policies and client systems and credentials.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.
Respond to medical records requests and payer audit inquiries.
Conduct benefit checks and verify insurance coverage for patients.
Review and process claims in the EHR system, ensuring accuracy and billing compliance.
NuvoAir Medical is a technology-enabled pulmonary care organization that improves outcomes for patients with chronic respiratory diseases through remote monitoring and clinical engagement. The company values patient obsession, ownership, and learning, and fosters a culture of confident humility.
Post insurance and patient payments into billing software according to explanation of benefits or patient pay stubs.
Perform research of unidentified payments and credit balances, and process refunds as needed.
Prepare daily bank deposits, download electronic remittances, and maintain file retention for all facilities.
Munson Healthcare is northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents. The company values excellence, teamness, positivity, creativity, and commitment to exceptional experiences, and offers a supportive culture with benefits like tuition reimbursement and wellness programs.
Collects and verifies patient demographic and insurance information prior to scheduled appointments.
Ensures smooth registration process and accurate financial clearance to support timely access to services.
Maintains compliance with regulatory and confidentiality standards while performing other assigned duties.
Kettering Health is a healthcare system serving communities in Ohio, dedicated to patient-centered care. With multiple facilities and a large workforce, it emphasizes a culture of safety, compliance, and operational excellence.
Perform scheduling, cancellations, and rescheduling of appointments and surgeries while entering orders and completing full pre-registration.
Document demographics, verify insurance, determine patient liability, and collect payments electronically for self-pay and out-of-network patients.
Obtain prior authorizations, monitor medical necessity compliance, and collaborate with OR and ancillary departments to ensure continuity of care.
Southcoast Health is a not-for-profit, charitable health system operating multiple hospitals, clinics, and facilities across Southeastern Massachusetts and Rhode Island. With a workforce of highly skilled caregivers, they have been voted 'Best Place to Work' for seven consecutive years, fostering an inclusive and ethical workplace culture.
Ensures accurate and timely billing of all services.
Identifies, researches, and resolves billing issues with cross-functional teams.
Analyzes billing trends and implements process improvements to enhance revenue cycle performance.
Natera is a global leader in cell-free DNA testing for oncology, women's health, and organ health. The team consists of dedicated professionals from world-class institutions who are deeply committed to their work and each other.
Manage patient accounts, post payments, and resolve outstanding balances accurately.
Handle high-volume inbound and outbound calls to address patient financial concerns and insurance questions.
Maintain confidentiality, update records, and explain financial responsibilities clearly to patients.
This company provides ophthalmology services in a growing healthcare environment. It emphasizes teamwork, professional development, and a supportive remote culture while delivering patient-centered care.
Perform basic professional accounting and financial processes, including financial analysis, variance analysis, and general accounting tasks.
Maintain financial records and reports, ensuring compliance with departmental, organizational, and federal regulations for patient assistance.
Assist with procurement, contract compliance, invoice processing, and financial reporting to support budget planning and operational improvements.
OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training healthcare professionals. As Portland's largest employer, it offers opportunities to learn and advance while striving to build an anti-racist, multicultural institution.
Furnish patients and healthcare providers with estimates related to upcoming treatment, and collect estimated liabilities from patients.
Acquire knowledge of patient insurance coverage and benefit limits, and communicate financial responsibilities clearly.
Initiate prior authorization requests per insurance carrier requirements, and work to minimize potential financial risk of patient accounts.
Spring Fertility is a passionate, dedicated team of leading physicians and scientists building the fastest-growing fertility group in the country, grounded in clinical excellence and innovation. They deliver deeply patient-centric, individualized care and are committed to guiding patients every step of the way, with a culture that values collaboration, positivity, and enjoyment.
Analyze collections and resolve non-payables for complex billing issues.
Follow up on insurance payer claims to ensure appropriate reimbursement.
Write appeals using established guidelines and communicate with insurance companies.
Ventra is a business solutions provider for facility-based physicians, specializing in Revenue Cycle Management. The company fosters a collaborative and fast-paced environment.
Maximize client satisfaction by analyzing data and implementing improvement plans.
Develop strategies for client retention, engagement, and expansion.
Build relationships with client partners to identify upselling opportunities.
Experian is a global data and technology company powering opportunities for people and businesses worldwide. They have 25,200 employees across 32 countries and foster a people-first, inclusive culture.