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.
Reviews insurance eligibility and coverage issues for patient appointments across practice sites.
Serves as the primary escalation contact for scheduling and practice teams on pre-visit and day-of-visit insurance questions.
Follows up post-visit to resolve PCP assignment and Coordination of Benefits discrepancies.
Bluebird Kids Health provides underserved communities with value-based pediatric primary care, aiming to help every child thrive through comprehensive services and around-the-clock support. The organization is a dynamic team focused on exceptional health outcomes and a rewarding environment for clinicians and staff.
Determine patient qualification for financial assistance programs and payment arrangements using confidential financial information.
Verify insurance coverage, obtain authorizations, and provide price estimates for scheduled procedures.
Serve as a liaison between patients, providers, and internal departments to coordinate benefits and collect patient portions.
CommonSpirit Health is a large healthcare system with over 700 care sites across the U.S., serving nearly one in four Americans. The culture emphasizes compassion, community health, and employee commitment to a greater cause.
Schedules office visits, in-office procedures, and operating room procedures, including pre-operation appointments.
Processes insurance pre-certifications and coordinates benefits for procedures and medications.
Maintains patient registrations, collects payments, and ensures accurate documentation of patient information.
Vail Health is a world-class mountain healthcare system operating a 520,000-square-foot, 56-bed hospital in Colorado. The organization emphasizes a culture of care and innovation, offering competitive benefits and a supportive work environment.
Contact patients by phone, email, and text to collect missing insurance information before appointments.
Verify insurance eligibility and benefits using Waystar, Availity, and other payer resources.
Document all insurance verification details accurately and assist patients with payment methods and forms.
Backpack Medical Group is a healthcare organization dedicated to making healthcare more accessible by ensuring accurate insurance and billing processes. They are a growing, mission-driven team focused on patient experience and collaboration.
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.
Verify patient insurance eligibility and benefits prior to services and document findings accurately.
Post insurance and patient payments, research variances, and follow up on outstanding claims.
Perform provider documentation and coding audits to ensure CPT, ICD-10-CM, and modifier accuracy.
Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.
Research and resolve insurance claims to maximize cash collections and minimize denials.
Maintain worklists and assignments based on performance targets and quality scores.
Interface with payers and internal partners to conduct follow-up and escalate items promptly.
USACS is a clinician-centric provider of hospital-based emergency and inpatient medicine, serving 11 million patients annually in 400+ programs across 27 states. They are a large practice prioritizing personal and professional satisfaction with a culture of robust support.
Ensure data accuracy and input on the computer billing system, updating patient and insurance information.
Handle patient inquiries regarding insurance, credit, and billing issues; review and mail statements; file electronic claims.
Follow up on litigation cases, scan documents into electronic medical records, and coordinate with physicians for documentation.
Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents. They prioritize a culture of excellence, teamness, and creativity, committed to exceptional experiences for patients and teammates.
Manage incoming phone calls and fax requests to schedule outpatient tests, ensuring a seamless patient experience.
Complete pre-registration of scheduled patients and verify all valid provider orders are accurately obtained.
Maintain scheduling system, check insurance eligibility, and demonstrate knowledge of medical insurances.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. With a large workforce, they are committed to building healthy communities and advocating for the poor and vulnerable.
Schedule appointments and coordinate care between VA and community providers.
Process community care consults and update patient demographics.
Respond to telephone inquiries and maintain proficiency in VA software.
CVP is an award-winning healthcare and technology consulting firm that solves critical problems for healthcare, national security, and public sector clients. They foster a work environment that encourages fairness, teamwork, and respect among all associates.
Answers assigned department/queue overflow calls and assists callers with scheduling and inquiries.
Maintains compliance with Orlando Health policies and performs end-of-day processes.
Requires two years of experience in customer service or call center roles, with medical terminology preferred.
Florida Medical Clinic Orlando Health is a healthcare provider focused on delivering patient-centered services. They are part of Orlando Health, a large network that values education, wellness, and diversity among its team members.
Manage insurance authorization workflows from initial request through final approval.
Verify insurance eligibility, benefits, and authorization requirements.
Collaborate with clinical and billing teams to ensure timely processing.
The company is a healthcare operations organization focused on managing insurance authorization processes to support patient care. They offer a collaborative remote work environment with cross-functional teams.
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 process medical, supplemental, or dental claims according to benefits, eligibility, and guidelines.
Validate accuracy of medical codes, assess eligibility, and evaluate authorizations in claim submissions.
Meet or exceed quality and productivity goals while working independently in a virtual environment.
The Cigna Group is a health services company dedicated to improving the health and vitality of those they serve. It is a large organization with a focus on innovation and employee well-being.
Serve as the first point of contact for patients and families, managing referrals and coordinating information to connect them with appropriate services.
Ensure accurate documentation and communication with clinical teams, referral sources, and community partners to support seamless patient care.
Thrive in a fast-paced healthcare environment, using organizational skills and attention to detail to manage the intake process from referral to transition.
Optimal Care is a clinician-owned organization providing Physician Services, Home Health, and Hospice care. They have been recognized as a Top Workplace for 12 consecutive years and certified as a Great Place to Work for 6 years, fostering a culture of collaboration and clinical excellence.
Verify insurance eligibility, benefits, and network status, and create pre-service liability estimates.
Secure prior authorizations for outpatient imaging and office services, following up on delayed or denied requests.
Act as a liaison between payers and clinic schedulers, ensuring accurate documentation and issue resolution.
University of Utah Health enhances health and well-being through patient care, research, and education. With five hospitals and eleven clinics, it is nationally ranked and fosters a culture of collaboration, excellence, leadership, and respect.