Source Job

• Accountable for making decisions supported by policy based on confidential financial information to determine qualification for CICP, Charity programs, or payment arrangements.
• Verify coverage and authorization for all scheduled procedures using scheduling and registration information; populate price estimate tool to decide patient portion.
• Act as a liaison between patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.

CommonSpirit has over 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services and is 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.

• Acts as initial service ambassador to referral sources, physicians, patients, caregivers and other external customers providing the highest quality service.
• Responsible for the initial entry, verification, and maintenance of information regarding new patients in all applicable software programs.
• Processes private insurance verifications, verifies eligibility of Medicare, Medicaid and third party payers and any other duties as directed.

CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better is in their own home. As a faith-based organization, they are committed to finding new ways to improve the health of their patients and the health of the communities they serve.

• Accurately register patients and verify insurance coverage.
• Deliver high-quality customer service and address patient inquiries.
• Support appointment scheduling and general administrative tasks.

Abax Health delivers high-quality customer service. While company information about culture/size is not mentioned, the role involves directly impacting patient experiences and requires strong communication and customer service skills.

• Verify insurance eligibility and benefits, ensuring accurate coverage details are documented prior to services.
• Support members in navigating employer-sponsored benefits, helping them understand financial responsibility and access to care.
• Own assigned worklists ensuring completion within established productivity, quality, and SLA expectations.

Headspace provides access to lifelong mental health support. They combine evidence-based content, clinical care, and innovative technology to help millions of members around the world get support that’s effective, personalized, and truly accessible whenever and wherever they need it.

• Accurately coordinate, schedule and complete registration for ambulatory outpatient visits.
• Collect patient demographic and insurance information, verifying and communicating liabilities.
• Explain patient preparation requirements and coordinate with clinical departments regarding protocols.

Southcoast Health is a not-for-profit, charitable health system with multiple hospitals, clinics, and facilities throughout Southeastern Massachusetts and Rhode Island. They provide inclusive, ethical workplaces where their highly skilled caregivers offer world-class, comprehensive healthcare close to home.

• Informs and assists patients with financial obligations for healthcare services.
• Conducts screenings to determine available funding sources including commercial insurance and government programs.
• Works with agencies and payers to process applications and assists with financial hardship applications.

University of Utah Health is a patient-focused organization that enhances the health and well-being of people through patient care, research, and education. It seeks staff committed to compassion, collaboration, innovation, responsibility, integrity, quality, and trust, with five hospitals and eleven clinics providing comprehensive services and medical advancement.

• The Medical Receptionist is the first point of service for our patients.
• Responsible for greeting, registering and scheduling patient appointments.
• Responsible for verifying insurance eligibility and benefits.

Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services. As you build your career at DH-YRMC, you’ll find Prescott is an inspiring place to live, work and to enjoy the outdoors.

• Provide pre-service support and verify patient insurance benefits.
• Contact insurance payers, confirm coverage details, and identify patient responsibilities.
• Document all findings to facilitate accurate billing and address potential financial barriers.

CHI Health Clinic offers various healthcare services, including primary and specialty care, walk-in, and virtual services, with over 20 specialties and 100 convenient locations. They focus on providing better access to healthcare so individuals can prioritize their health.

• Performs an accurate search for patient in EPIC data base, thus, reducing the number of duplicate patient records.
• Assesses the patient’s financial ability to pay for services, referring patients to financial counseling staff when appropriate.
• Sends eligibility requests to all payors to verify accurate and current coverage.

Ohio State University Physicians (OSUP) has over 100 cutting-edge outpatient center locations and is dedicated to providing exceptional patient care. Their buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders.

• Develop collaborative relationships with insurance companies/payors to verify benefits and eligibility.
• Enter and update patient demographics, guarantor, and insurance information in company systems.
• Respond to inquiries from insurance companies and internal team members.

Equip is a virtual, evidence-based eating disorder treatment program ensuring everyone can access treatment. Founded in 2019, Equip has been fully virtual since its inception and is proud of their highly engaged team, with recognition from Time, Linkedin, and Lattice.

• Provide front-line customer service, including scheduling appointments and verifying insurance benefits using electronic telephone and EHR systems
• Obtain, evaluate, and accurately record patient information in the Electronic Health Record (EHR) system
• Conduct patient outreach via text, email, mail, or phone using LSCC’s navigation center call platform

They strive for exceptional, equitable patient care that leads to healthier communities. It appears to be a friendly and fun environment to work in.

• Managing day-to-day patient registration processes.
• Ensuring accurate and timely documentation in the EHR system.
• Collaborating with cross-functional teams to support patient care and billing efficiency.

Phoenix Med Health is an innovative physicians network delivering high quality healthcare to elderly patients in assisted and independent living communities, group homes, and private homes. Phoenix Med Health has 50+ full-time healthcare clinicians and is rapidly expanding the house-call network model with telemedicine.

• Perform outbound calls to obtain appropriate information and document accurately.
• Answer in-bound calls and assist customers with pharmacy related services.
• Contact insurance companies for benefit investigation and coverage eligibility.

IQVIA is a global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. They create connections that accelerate the development and commercialization of innovative medical treatments to improve healthcare and patient outcomes.

• Discuss insurance coverage, balance estimates, and financial obligations with patients.
• Identify and enroll eligible patients in financial aid programs.
• Accurately document all financial communications in the EMR and practice management platform.

IVX Health provides infusion and injection therapy for individuals managing chronic conditions. They focus on patient comfort and believe in empowering their team to thrive while living their core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride.

• Consistently practices Patients First philosophy and adheres to high standards of customer service.
• Correctly identifies and collects patient demographic information in accordance with organization standards.
• Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.

At Northwestern Medicine, their patient-first approach sets them apart as a leader in the healthcare industry. They pride themselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, their goal is to take care of their employees.

• Understands organizational goals for timely account resolution.
• Performs demographic and financial assessments.
• Communicates patient's financial responsibility and requests payment.

Prisma Health is a not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Their 32,000 team members are dedicated to supporting the health and well-being of the community.

• Advise and enroll applicants into programs beneficial to their career objectives.
• Build relationships with prospective students through phone and email communications.
• Maintain a strong understanding of programs, enrollment processes, and requirements.

West Coast University educates students seeking healthcare careers and guides them through their transformational journey from student to caregiver. Their associates share a deep commitment to teamwork, collegiality, transparency, and a student-centric approach, creating a solution-oriented culture that supports professional growth.

• Manage end-to-end case activities throughout the insurance verification and authorization process.
• Serve as the single point of contact between the internal/external team, client, provider, payor, facility, and patient.
• Provide support across multiple client programs, ensuring effective oversight, operational excellence, and consistent delivery of quality service.

PRO-spectus has created a culture that is supportive, dedicated, and teamwork driven. They celebrate each other’s joys in personal life and professional accomplishments, promoting meaningful relationships and friendships, with humility and compassion at our core.

• Assist patients with all aspects of the surgical process and pre-operative preparations.
• Educate and counsel patients regarding their surgical options, including premium product offerings.
• Schedule surgery, make all surgical appointments, and act as a liaison between the office, surgical facility, patient, and the referring physician.

American Vision Partners (AVP) partners with respected ophthalmology practices, integrating best-in-class management systems, operational infrastructure, and advanced technology to provide high-quality patient care. They operate over 100 eye care centers in multiple states and are focused on building the nation’s largest and most comprehensive eye care practices.

• Educate and enroll new and existing patients into our specialty services and programs
• Manage the enrollment process, including collecting necessary information and documentation
• Communicate with patients to explain the benefits of enrollment

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Their mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death.