Process incoming medical referrals, enter accurate data into medical management systems, and assign appropriate healthcare providers.
Review referrals for benefits and medical necessity, escalate sensitive cases for clinical assessment, and apply ICD-10 and CPT codes.
Communicate with military treatment facilities and civilian providers, respond to inquiries, and manage referral tasks within established timelines.
This position is listed on behalf of a partner company that manages all applications and next steps. The company supports healthcare service delivery by ensuring medical referrals are processed accurately and efficiently within a structured, collaborative remote team.
Schedules patient visits, testing, procedures, and surgeries for referrals, ensuring timely and accurate coordination.
Verifies insurance, demographic, and eligibility information and ensures referral and authorization requirements are met.
Provides high-level customer service to patients, visitors, clinical staff, and colleagues, maintaining confidential information.
Carilion Clinic is a not-for-profit, mission-driven health system headquartered in Roanoke, Va., with award-winning hospitals, trauma centers, orthopedics and neurosciences institute, and multi-specialty physician practices. The culture emphasizes innovation, collaboration, learning, and making a difference in the community.
Manage referral workflows from intake through closure, ensuring accurate and efficient progress.
Coordinate the full prior authorization lifecycle including submission, tracking, follow-up, and appeals.
Facilitate patient scheduling and care coordination across providers, clinics, specialists, and payers.
Indigenous Pact is committed to improving access to quality healthcare services through innovative, patient-centered care coordination. They are an equal opportunity employer dedicated to fostering an inclusive and barrier-free work environment.
Serve as the first point of contact for patients in person and by phone, delivering excellent customer service.
Process new orders, verify insurance, obtain authorizations, and gather documentation for accurate billing.
Perform data entry, collect payments, and make outbound satisfaction calls to patients and referrals.
Accendra Health makes essential healthcare products and services accessible outside traditional settings. With over 6,000 teammates in 250+ locations under Apria and Byram Healthcare, it offers meaningful work focused on personalized, long-term care.
Process referrals and prior authorizations, ensuring accurate and timely documentation.
Collaborate with clinical teams, physician offices, and insurance companies to resolve authorization issues.
Monitor denial reports, manage referral tracking, and communicate decisions to providers, staff, and patients.
Baystate Health is an integrated healthcare system serving western Massachusetts. With 12,000 employees and a community-focused culture, it includes five hospitals and offers career growth.
Handle high-volume inbound and outbound calls to support patients with financial responsibilities, insurance coverage, and payment options.
Verify insurance eligibility, register patients, and coordinate pre-authorizations while maintaining accurate records.
Collaborate with clinical and administrative teams to ensure a seamless patient experience and meet productivity standards.
Our partner is a healthcare organization focused on improving patient access to financial and administrative support. They foster a compassionate, patient-centered culture and operate a fast-paced call center environment with a collaborative team.
Help members navigate US health insurance, including billing questions, denied claims, and appeals.
Coordinate with providers, insurers, and members to resolve coverage issues and prior authorizations.
Translate complex insurance benefits into clear guidance and identify trends to improve the member experience.
This company provides a global safety net for remote workers, offering health, income, and travel coverage. It operates as a remote-first organization with a culture of empathy, integrity, and a mission to improve access to healthcare worldwide.
Take inbound calls from patients, providers, and members, handling everything from routine questions to emergent situations.
Support members with insurance needs, including changing primary care physicians, locating urgent care clinics, and getting prescription authorizations.
Provide 24/7 Triage Support and assign priority for a Registered Nurse to deliver health advice.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily to deliver positive healthcare experiences and improve outcomes. For over 30 years, the company has combined clinical expertise with data-driven technology, fostering a collaborative and innovative culture that empowers growth through trust, opportunity, and accountability.
Serve as first point of contact for patient and customer inquiries, resolve issues.
Schedule appointments, verify insurance, and maintain records.
Coordinate with clinical teams, route urgent calls, and support navigation.
A patient-focused healthcare organization dedicated to simplifying access to care. The team provides comprehensive training and development in a supportive, fast-paced culture.
Coordinate insurance clearance for inpatient and outpatient services, verifying eligibility and benefits.
Review scheduled appointments, obtain authorizations, and document progress in EPIC.
Assist patients with payment options and refer uninsured patients for Medicaid or charity screening.
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. Nearly 29,000 healthcare professionals, researchers, and educators work within its family of organizations, fostering a collaborative and compassionate environment.
Work with pharmacies on refills, clarifications, transfers, and prescription workflows.
Prepare and submit prior authorizations and coordinate specialist referrals.
Schedule appointments and perform follow-up outreach so care plans are completed.
Curai Health is a fully virtual primary care practice using AI to deliver fast, high-quality care. They are a mission-driven team collaborating closely to drive meaningful impact in healthcare.
Conduct comprehensive member needs assessments and coordinate care plans, referrals, and follow-up activities with payer care management teams.
Build trusted relationships with members through compassionate, culturally responsive communication and motivational techniques.
Perform outreach by phone, text, and email while maintaining accurate documentation and escalating high-risk concerns when needed.
Mae Health improves maternal health outcomes by helping mothers, babies, and families access compassionate, culturally responsive healthcare and community-based support. The company builds a talent pool of qualified Care Coordinators to support members across Medicaid health plan partnerships, with a culture rooted in solution-oriented, curious, mission-connected, and data-driven values.
Manage prior authorization requests, reviewing clinical documentation and verifying ICD-10 and CPT codes.
Submit requests via payer portals, monitor pending cases, and follow up with insurers.
Investigate denials, prepare appeals, and coordinate with providers to prevent care delays.
Jobgether is an AI-powered job platform that matches candidates with relevant opportunities through objective review processes. It focuses on efficient recruitment and data privacy, using technology to support hiring decisions.
Coordinate retrieval of Attending Physician Statements and medical documentation from medical facilities and physicians.
Communicate with physicians and stakeholders to obtain outstanding reports and maintain accurate records.
Manage high-volume requests in a target-driven environment while balancing productivity, quality, and customer service.
They are a healthcare services organization supporting insurance and healthcare-related processes. They maintain a collaborative, inclusive team culture focused on continuous improvement and professional growth.
Manage prior authorization requests and coordinate specialty medication processes for a fully remote healthcare team.
Act as a liaison between pharmacies, prescribers, members, and vendors to resolve complex medication-related issues.
Support single case agreements, member financial assistance, and compliance with contractual and regulatory requirements.
The hiring company is a healthcare organization that administers specialty pharmacy and medical benefit programs. It operates fully remotely, fostering a collaborative and customer-focused culture that prioritizes compliance, member support, and process improvement.
Coordinate patient appointments, outpatient visits, and procedures while ensuring accurate registration and efficient access to healthcare services.
Handle high-volume incoming calls, verify insurance details, process physician orders, and guide patients on preparation and location instructions.
Maintain accurate records across multiple computer systems while delivering courteous, professional, and responsive customer service.
A healthcare-focused organization dedicated to coordinating patient access and scheduling services across multiple departments and locations. It fosters a collaborative, supportive remote work culture centered on service, accessibility, and continuous improvement.
Serve as the primary point of contact for prospective clients and referral partners, engaging with warmth and structure.
Conduct structured screenings, verify insurance benefits, and educate clients on PHP and IOP programs.
Own the admissions funnel, follow up reliably, and ensure every interaction ends with a clear next step.
Guidelight Health is a behavioral healthcare company delivering PHP and IOP services to transform lives. We are a newly launched organization building a passionate, forward-thinking team to redefine mental health care.
Provides administrative support to clinical teams including building medical management records and managing authorizations.
Conducts fax and telephonic outreach to members and providers for status updates and engagement.
Supports compliance monitoring and documentation in the medical management system.
Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.
Greet and register patients, updating demographic and insurance information.
Verify insurance eligibility, obtain authorizations, and schedule appointments.
Collect patient payments, maintain accurate EHR records, and ensure HIPAA compliance.
CorroHealth is a healthcare revenue cycle management company that helps clients meet financial health goals through scalable solutions and clinical expertise. The company emphasizes investing in team members' professional growth and has recently acquired Xtend Healthcare, with a focus on building long-term careers.