Lead the IVS team by providing daily guidance and training.
Develop collaborative relationships with insurance companies to verify benefits and eligibility.
Work collaboratively with the RCM, finance, accounting, admissions, and utilization management departments.
Equip is a virtual, evidence-based eating disorder treatment program ensuring everyone with an eating disorder can access treatment. Founded in 2019, Equip has been a fully virtual company since its inception and is proud of its highly-engaged, passionate, and diverse team.
Conduct insurance verification for new referrals and ongoing patients.
Initiate and obtain prior authorizations for home health services.
Maintain insurance, authorization, and eligibility information in real-time.
VitalCaring is a leading provider of home health and hospice services. Founded in 2021, they have over 65 locations across the country and are committed to fostering a culture of support, growth, and excellence for their team, ensuring exceptional patient care.
Contacts insurance companies for status on outstanding claims.
Processes and follows up on appeals to insurance companies.
Works outstanding accounts receivable from assigned work queues.
US Anesthesia Partners is dedicated to providing high-quality anesthesia services. They offer equal employment opportunities to all employees and applicants.
Thoroughly verifies and explains coverage to Policyholders.
Sets reserves for anticipated losses and arranges required inspections.
Coordinates with other departments and researches customer inquiries.
Mercury Insurance has been helping people reduce risk and overcome unexpected events for over 60 years. They value their team members and offer diverse perspectives to serve customers from all walks of life.
Monitor incoming faxes for authorization requests, enter UM authorizations review requests, and verify eligibility and claims history.
Ensure all necessary documentation is submitted, contact providers for required medical records, and generate correspondence for notifications.
Initiate appeal cases, meet deadlines, assist UM Nurses, and handle inquiries from call centers and other sources.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly and fairly. While the company size is not mentioned, they seem to have a modern approach by utilizing AI tools in the hiring process to identify top-fitting candidates for their client companies.
Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.
Record after-call actions and perform post-call analysis for the claim follow-up.
TruBridge connects providers, patients, and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. They are a remote team that encourages their employees to push boundaries and look at things differently.
Manage multiple channel interactions professionally and efficiently.
Effectively present products/services to providers with integrity, understanding, and accuracy.
Focus on provider retention through first call resolution and maintain positive relationships.
Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.
Enroll and revalidate doctors and facilities with payors.
Process applications for licensing, permits, certifications, insurances, and relevant credentialing documents.
Review incoming insurance correspondence and mail and maintain and update credentialing spreadsheets accordingly.
CHOICE is the largest provider of pediatric dental care in the Southwest United States. They pride themselves on delivering high quality care to children in their communities.
Research and interpret payer policies in accordance with healthcare coding and regulatory requirements.
Identify common error areas that can be made into automated software logics that prevent overpayments.
Develop claims editing logics that promote payment accuracy and transparency across lines of business.
Rialtic is an enterprise software platform empowering health insurers and healthcare providers to run their most critical business functions. Founded in 2020 and backed by leading investors, they are tackling a $1 trillion problem to reduce costs, increase efficiency and improve quality of care.
Promptly and accurately record all provider information.
Monitor status of payer applications to ensure completion.
Initiate and follow through on all aspects of provider credentialing.
UnityPoint Health is committed to team members and is recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare. They champion a culture of belonging where everyone feels valued and respected, and provide employees with support and development opportunities.
Investigates and analyzes Motor Vehicle Accident accounts.
Identifies and coordinates insurance benefits, resolving outstanding balances.
Acts as a liaison between clients, attorneys, and insurance companies.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations. They leverage expertise and a unified intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers nationwide.
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. They offer inpatient and outpatient services. They extend a strong sense of family, security, and belonging.
Accurately review denied claims to identify root causes.
Communicate directly with insurance representatives to negotiate settlements.
Monitor denial trends and provide actionable feedback to billing and clinical teams.
Mindoula is a healthcare organization. They are seeking an Account Receivable Representative and value candidates with strong communication and problem-solving skills.
Secures outpatient accounts by performing insurance verification and obtaining prior authorization before services are rendered.
Works with physicians, nurses, clinic managers, and financial advocates to resolve issues during the prior authorizations process.
Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
University of Utah Health enhances the health and well-being of people through patient care, research, and education. They are a Level 1 Trauma Center and is nationally ranked with five hospitals and eleven clinics providing excellent comprehensive services.
Guiding them toward scheduling their care assessments.
Giving them the encouragement they need to take that next step.
Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value their team members and show it through a competitive and supportive package.
Responsible for managing patient registration and insurance-related tasks, including verifying insurance benefits and providing cost estimates.
Acts as a liaison between practice operations and financial advocates, addressing registration, insurance issues, patient concerns and billing questions.
Explains financial obligations, billing processes, collects payments, and establishes payment arrangements with patients as necessary.
Lucile Packard Children’s Hospital Stanford combines advanced technologies and breakthrough discoveries with family-centered care. They provide their caregivers with continuing education and state-of-the-art facilities. They strongly value diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment.
Responds to telephone inquiries promptly, professionally, and efficiently to provide resolution.
Analyzes provider questions to determine best use of resources to resolve the situation.
Empower AI provides federal agency leaders with tools to elevate their workforce's potential for transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.
Makes decisions supported by policy based on confidential financial information.
Utilizes scheduling and registration information to verify coverage and authorization.
Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit Health has more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. 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.
Receive and resolve patient correspondence regarding insurance billing.
Answer all correspondence relating to billing questions.
Verify insurance status, eligibility and general account information.
MANA Administration provides support services for 27 physician-owned medical practices in Northwest Arkansas. Their Administrative team are independent and work together, to help their physicians and clinics provide compassionate, comprehensive, quality health care while maintaining a healthy work-life balance.
Contacts insurance companies to determine pre-certification requirements.
Obtains pre-authorization prior to the scheduled complex service.
Liaisons with physicians to obtain additional information.
Piedmont Healthcare is a company focused on healthcare services. They appear to be a large corporate entity, offering a range of opportunities within the revenue cycle and healthcare sectors.