Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.
CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.
Serve as a critical gateway to patient care by ensuring timely and accurate processing of medical referrals.
Collaborate with providers and clinical teams to review, prioritize, and route referrals in a fully remote setting.
Apply administrative expertise and medical knowledge to support patient safety and operational excellence.
The company is a leading academic healthcare organization dedicated to patient care, research, and education. It offers a fully remote, inclusive work environment with opportunities for career growth.
Collaborate with a multidisciplinary team to manage referrals, prior authorizations, and medical records for whole-person member care.
Apply knowledge of CPT/ICD-10 codes and insurance requirements to obtain authorizations, appeals, and follow up for positive outcomes.
Assist members with accessing services, provide personalized customer service, and track data to refine operational processes.
Oshi Health is a virtual digestive health practice transforming GI care with compassionate, multidisciplinary care and innovative technology. It is a mission-driven, remote-first startup focused on personalized care plans and building a diverse team.
Investigate and resolve Coordination of Benefits denials by working with insurance carriers and members.
Conduct outreach to members to collect, verify, and update insurance information, providing clear guidance on benefits.
Maintain accurate member account records by documenting verified insurance details and coverage changes.
The company is a mission-driven healthcare organization focused on improving access to care. The size and culture are not specified, but the environment emphasizes teamwork, continuous improvement, and meaningful impact.
Handle inbound and outbound calls, emails, and chats for healthcare-related inquiries.
Gather accurate patient information and verify insurance coverage and eligibility.
Guide patients through the intake process with clarity, empathy, and professionalism.
We are a healthcare organization dedicated to providing patient intake services. We offer a supportive remote work culture with team engagement events and leadership development programs.
Review and verify insurance coverage, obtain authorizations, and create patient liability estimates while working closely with internal and external stakeholders.
Serve as a liaison between patients, providers, and insurance companies to ensure accurate financial services and resolve managed care issues.
Provide backup support and cross-coverage for the Centralized Managed Care & Price Estimates Department, including handling trauma admissions and third-party liability.
OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training the next generation of healthcare professionals. As Portland's largest employer, it offers a diverse and inclusive culture with opportunities for growth and advancement.
Handle inbound calls from patients, attorneys, and insurance providers to resolve billing-related issues.
Communicate revenue cycle processes and insurance information clearly to ensure positive customer experiences.
Apply knowledge of healthcare insurance terminology and payer requirements to support accurate responses.
The company is a healthcare services organization that provides patient support and revenue cycle management services. It fosters a patient-focused, remote work culture with an emphasis on empathy and professionalism.
You process patient payments and manage payment plans with accuracy and empathy.
You handle insurance verification, claims support, and billing education for patients.
You research account issues and resolve billing discrepancies while maintaining professionalism.
Privia provides healthcare billing and payment solutions, helping patients with insurance claims and financial responsibilities. They operate with a remote team and emphasize compassionate, compliant service.
Review and complete disability and leave documentation for patients.
Communicate with healthcare providers to gather required medical information.
Ensure compliance with HIPAA and manage multiple cases independently.
The company provides innovative healthcare technology solutions that streamline patient documentation. It operates remotely with a focus on accuracy, service, and operational excellence, though team size is not specified.
Manage complex financial clearance activities for healthcare patients, ensuring accuracy and compliance.
Serve as a subject matter expert in insurance verification, payer requirements, and financial resolution processes.
Provide mentorship and training to team members while collaborating with clinical teams to improve patient access.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It uses technology to ensure fair and objective application reviews, though the final hiring decisions are made by the employer.
Provide expertise in prior authorization and implement the Inspire Prior Authorization Program.
Support patient intake, verify insurance, and manage prior authorization requests.
Train sites on program requirements and assist with appeals through External Medical Review.
Inspire Medical Systems is a medical device company dedicated to treating Obstructive Sleep Apnea with an innovative FDA-approved device. The company values a people-first culture, offering excellent benefits, 401k matching, and flexible time off, and is committed to diversity and patient outcomes.
Support clinicians with patient coordination tasks including pharmacy communication, referrals, and scheduling.
Provide empathetic, patient-centered communication and document tasks accurately in the electronic health record.
Ensure compliance with HIPAA and confidentiality standards while participating in team huddles and quality initiatives.
Curai is a healthcare company that harnesses artificial intelligence and clinical expertise to make high-quality primary care more affordable, accessible, and effective. They are a mission-driven, remote team committed to diversity and inclusion.
Conduct outbound calls to pharmacies to support patient care initiatives and address medication-related cases.
Communicate professionally with pharmacy staff and clinical teams to resolve issues and gather information.
Maintain accurate documentation and records within internal software platforms to ensure compliance.
The partner company is a fast-growing healthcare technology organization that connects patients, providers, and pharmacies to improve healthcare outcomes. It has a mission-driven and supportive team culture, focusing on improving patient care through innovative technology.
Serve as a key point of contact for patients scheduling diagnostic imaging and other services across multiple departments.
Manage high-volume inbound and outbound interactions with empathy and accuracy while documenting in CRM systems.
Adhere to HIPAA standards and follow established workflows to ensure efficient patient care coordination.
Carenet Health provides healthcare support services including patient scheduling and coordination. They foster a collaborative culture with a focus on growth and accountability, employing a team-oriented workforce.
Verify and update patient demographic and insurance information with high accuracy.
Perform benefits and eligibility verification, and initiate authorization and pre-certification processes.
Communicate clearly with patients regarding financial responsibility, next steps, and required documentation.
Advocate Health is a nonprofit integrated health system formed from the combination of Advocate Aurora Health and Atrium Health, providing care under multiple regional brands. They employ 155,000 teammates across 69 hospitals and over 1,000 care locations, with a focus on clinical innovation, equitable care, and community benefit.
Act as a patient and family advocate to obtain necessary information and fulfill payer authorization requirements.
Collaborate with providers and staff to ensure successful referral and authorization processes.
Track, follow up, and resolve authorization issues to minimize financial risks.
Lucile Packard Children's Hospital Stanford provides world-renowned pediatric care combining advanced technologies with family-centered care. It is a major children's hospital dedicated to caregiver education and state-of-the-art facilities.
Perform daily audits on client data for completeness and accuracy of coding using clinical knowledge.
Respond to provider appeals and meet client turnaround time and KPI goals.
Utilize coding validation training to become familiar with claims payment policies and regulations.
Cotiviti is a healthcare analytics company that uses data-driven solutions to improve payment accuracy and quality in healthcare. The company offers a competitive benefits package and fosters a collaborative, fast-paced work environment.
Serve as primary point of contact for Spanish-speaking patients at a physical therapy practice, handling calls, scheduling, and insurance tasks.
Verify insurance benefits, obtain authorizations, and maintain HIPAA compliance using EHR systems like InteGRAHR or Waystar.
Support front desk operations, coordinate with billing, and manage patient documentation through Google Workspace.
20four7VA provides remote services to clients worldwide, focusing on developed markets. It is a growing company that offers free training, upskilling, and a supportive community for independent contractors.
Provide personalized onboarding and ongoing adherence support to patients and caregivers throughout their treatment journey.
Coordinate insurance coverage verification, reimbursement support, and financial assistance enrollment for eligible patients.
Serve as the primary point of contact for healthcare providers, resolving access barriers and ensuring seamless coordination with internal teams.
The partner company provides comprehensive non-clinical patient support for individuals managing rare and ultra-rare diseases. They foster a collaborative, patient-focused culture with a remote work environment and a commitment to improving healthcare access.
Take inbound calls from patients, providers, and members to assist with healthcare needs, insurance questions, and triage support.
Provide empathetic, patient-focused service in a remote environment, managing calls that may involve emergent situations.
Support members with insurance navigation, including changing primary care physicians, locating urgent care clinics, and obtaining prescription authorizations.
Carenet Health has pioneered healthcare consumer engagement for over 30 years, interacting with 1 in 3 Americans daily to deliver positive experiences and improve outcomes. We foster a culture of collaboration, creativity, and accountability, empowering growth through trust and opportunity.