Serves as front line support for the Patient Connection Center.
Reviews orders for outpatient hospital services to ensure completeness prior to scheduling.
Prepares for the patient visit by verifying patient insurance, confirming benefits, determining authorization requirements, reviewing medical necessity, and creating patient liability estimates.
Responsible for serving as front-line support for the Patient Connection Center within Piedmont Healthcare.
The Patient Connection Associate III is responsible for pre-registering and scheduling moderately complex procedures.
Coordinating multiple resources for patient services.
Piedmont Healthcare is responsible for pre-registering and scheduling moderately complex procedures and coordinating multiple resources for patient services. The company offer opportunities to those who seek to be challenged and have a meaningful impact on the health of our patients and community.
Secures prior authorizations for outpatient imaging and in-office scheduled services.
Acts as a liaison between the payer and clinic schedulers/medical support staff.
University of Utah Health enhances the health and well-being of people through patient care, research, and education. They seek staff committed to compassion, collaboration, innovation, responsibility, integrity, quality, and trust, with five hospitals and eleven clinics.
CommonSpirit Health has 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services, making them accessible to nearly one out of every four U.S. residents. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Obtains authorizations from Insurance companies for scheduled tests/procedures.
Interprets patient medical records and reviews cases with the insurance nurse reviewer.
Accurately enters information into multiple computer programs and insurance websites.
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. With six hospitals, 5 ERs, and over 80 clinics, CoxHealth has earned honors for workplace excellence and employs over 14,000 employees.
Accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP, Charity programs, or payment arrangements.
Verify coverage and authorization for all scheduled procedures through scheduling and registration information.
Act as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit is accessible to nearly one out of every four U.S. residents. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsible for submitting medical billing claims and appealing denied claims.
Obtain referrals and verify healthcare service eligibility.
Follow up on missed payments and resolve financial discrepancies.
CRMS by DocGo leads the proactive healthcare revolution with an innovative care delivery platform. They disrupt the traditional healthcare system by providing high quality, affordable care with a team of over 5,000 certified health professionals.
Provide high-level customer service to patients and fellow employees.
Review and update billing, codes, and account information.
Ensure accurate billing for all services provided, adhering to compliance.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products. With 160 years of clinical excellence, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.
Conduct outbound and inbound calls to potential patients to explain services and assist with enrollment or scheduling.
Complete short intake forms to accurately collect demographic, eligibility, and clinical information.
Schedule patient appointments based on availability, location, and provider match.
Zócalo Health is a tech-driven healthcare provider built for Latinos, by Latinos, developing a new approach to care designed around shared experiences. Founded in 2021, they are backed by leading healthcare and social impact investors and are committed to expanding their reach to serve more members and communities.
Collecting and verifying current demographic information
Contacting insurance companies when needed
Pediatrix Medical Group is a leading provider of specialized healthcare for women, babies, and children. Since 1979, they've grown into a national, multispecialty medical group committed to coordinated, compassionate, and clinically excellent services across the continuum of care.
Own and manage the member-facing phone line, delivering compassionate, timely, and solutions-oriented support.
Manage expedient and accurate Verifications of Benefits (VOBs) to ensure members can access care without delay.
Collaborate and strategize cross-functionally with our member growth team to streamline onboarding and ensure a seamless member experience.
Amae Health provides outpatient psychiatric and primary care health services through value-based care arrangements. They are a Series B venture-backed Public Benefit Corporation dedicated to becoming the nation's center of excellence for individuals living with severe mental illness.
Responsible for managed care, insurance verification and patient price estimate processes.
Supports ambulatory practices, professional services and hospital departments.
Works closely with internal and external customers to ensure patients receive optimal financial services related to their care.
Oregon Health & Science University values a diverse and culturally competent workforce. They are proud of their commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.
Responsible for collections and appeals from various Federal, State, & Third Party (HMO, PPO, IPA, TPA Indemnity) payers.
Optimize payment reimbursements by reviewing accounts for billing accuracy and health plan coverage.
Process an appeal, resubmit/rebill, or forward claims for adjudication as necessary.
BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Forbes recently named them one of America's Best Startup Employers for 2025, and they were awarded Great Place to Work certification in 2024.