Act as a liaison between patients, providers, and insurance companies to ensure accurate data collection and compliance.
Verify insurance benefits, eligibility, and prior authorization requirements for scheduled patients.
Notify patients of estimated liability and act as a financial counselor regarding insurance and payment options.
Vail Health is the world's most advanced mountain healthcare system, providing exceptional care through a 56-bed hospital and various outpatient services. It is a nonprofit organization committed to patient-centered care and community well-being.
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.
Eligibility Review: Review patient records and clinical documentation to determine eligibility for Form Health.
Record Collection: Manage requesting, faxing, and tracking medical records from external providers while ensuring HIPAA compliance.
File Communication: Maintain clear communication with patients and colleagues to keep them updated throughout the eligibility process.
Form Health is a virtual obesity medicine clinic that provides multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, it is a venture-backed startup with an experienced clinical and leadership team, committed to a culture of inclusion and patient-first values.
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.
Investigate mental health benefits and verify eligibility, authorization, and insurance requirements via phone, portals, or fax.
Contact patients to clearly communicate cost estimates, financial options, and liability including copays, coinsurance, and deductibles.
Collaborate with front office, billing, and intake teams to resolve insurance issues and correct errors in the practice management system.
Mindpath Health is a national leader in mental health services, providing psychiatric and therapy services across six states via in-person and telehealth appointments. The team is deeply committed to compassionate, collaborative care and supporting total health.
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.
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.
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.
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.
Verify patient eligibility and analyze Medicaid claim payments to ensure proper reimbursement.
Review UB-04 billing components and prepare initial Medicaid bill packets with supporting documentation.
Conduct timely follow-up with payers, manage authorizations, and appeal denials as needed.
EnableComp provides specialty revenue cycle management solutions for healthcare organizations, using intelligent automation to improve financial sustainability for hospitals and health systems. Recognized as a Top Workplaces recipient and among the Inc. 5000 fastest-growing private companies for eleven years, the company fosters a family-oriented culture focused on employee growth.
Support patients with payment processing, billing education, insurance verification, and claims-related inquiries.
Accurately process payments, create payment plans, and interpret claim notes and billing outcomes.
Research account history to resolve billing issues and educate patients on insurance concepts.
Five Star Solutions is a staffing company connecting talent with roles in customer service and healthcare. They foster a remote work culture with a focus on compliance, empathy, and professional development.
Document and relay patient information to practices, utilizing Epic and other communication tools.
Boston Medical Center is a nationally-recognized academic medical center dedicated to providing exceptional and equitable care to all. As a top employer, we foster a strong sense of teamwork and support for our staff, with a focus on improving community health.
Manage patient billing episodes, prior authorizations, and claim submissions.
Review and resolve claims issues, appeals, and eligibility with payors.
Ensure timely follow-up on outstanding accounts and document activities.
Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) nationwide, serving more than 74,000 patients daily. As the leading provider of medication-assisted treatment in the nation, our team is at the forefront of the battle against the opioid epidemic.
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.
Manage end-to-end credentialing and payer enrollment activities with minimal supervision.
Ensure provider readiness, accurate records, and compliant documentation across multiple systems.
Serve as a knowledgeable resource for less experienced team members and support cross-functional processes.
Our partner is a healthcare organization focused on credentialing and provider network management. They offer a mission-driven, inclusive environment with a focus on collaboration and continuous learning.
Verify and collect patient demographic and insurance information through direct data entry into the electronic medical record.
Conduct face-to-face or telephonic interviews with patients to secure information for requested services.
Demonstrate customer-centric focus and achieve performance standards defined by Integrated Patient Scheduling Management.
NAH is a healthcare network serving Northern Arizona, providing a range of medical services. It is a large organization with thousands of employees, focused on patient-centered care and innovation.
Conduct outbound phone outreach and answer inbound calls to connect eligible members to RightMove's virtual MSK care.
Educate patients on available care options, verify eligibility, and schedule initial clinical evaluations.
Accurately document all patient interactions in CRM systems and escalate complex issues to internal teams.
RightMove is a fast-growing digital health startup delivering best-in-class musculoskeletal (MSK) care through a value-based, virtual model. We are backed by the #1 orthopedic hospital in the world and focus on improving outcomes and reducing unnecessary healthcare costs.
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.