Process, log, and respond to inbound medical record requests from clients, insurance companies, attorneys, and other valid requesters within required timeframes
Review and validate request documents, authorizations, subpoenas, and records for production to ensure compliance with HIPAA and other privacy laws
Maintain strict confidentiality and communicate with clients, providers, and requesters to clarify information and provide status updates
Act as main contact for assigned accounts, reviewing and verifying FMLA and Disability forms for compliance.
Pull and complete forms ensuring accuracy, handle high call volumes, and maintain production goals.
Log detailed information, update disclosures, and provide excellent customer service while protecting patient privacy.
MRO Clinics provides management and release of protected health information to healthcare facilities. The company focuses on compliance, accuracy, and world-class customer service.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Review clinical documentation and treatment trajectory to ensure care meets medical necessity standards.
Synthesize clinical documentation, medical record information, and outcomes data to make recommendations on next steps in care.
Partner cross-functionally to support high-quality, clinically appropriate care across the network.
Rula is dedicated to treating the whole person and aims to create a world where mental health is no longer stigmatized. They are a remote-first company committed to providing quality, evidence-based, and compassionate care, empowering individuals to take charge of their mental health.
Answering live calls, chats, and emails from clinicians and clients.
Collaborating with internal teams to resolve roadblocks.
Working with RCM and Engineering to address bugs and billing issues.
Grow Therapy is a three-sided marketplace that empowers therapists, patients, and insurance payors through technology. With over $328M in funding and a $3B valuation, they have empowered thousands of therapists and hundreds of thousands of clients.
Support ongoing documentation quality monitoring by reviewing provider notes for clinical completeness, risk, and payor compliance.
Serve as a clinical point of contact for providers, conducting outreach on documentation best practices and supporting a culture of quality.
Support complaint, grievance, and payor quality review workflows, including intake, clinical review, and resolution documentation.
Grow Therapy is a three-sided marketplace that empowers therapists, augments insurance payors, and serves patients, addressing the need for accessible mental healthcare. Since launching in February 2021, they have empowered over ten thousand therapists and hundreds of thousands of clients, raising over $328 million in funding at a $3 billion valuation from top investors.
Review medical records to identify clinical information and flag missing documentation.
Coordinate medical record requests and track case pipelines to ensure timely receipt.
Support provider and patient outreach and contribute to operational improvement projects.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Drafts and maintains medical information content for the Medical Information Call Center (MIC).
Provides guidance to Medical Information Managers on drafting standard medical responses and FAQs.
Reviews MIC case records to ensure accuracy of response and compliance with regulations.
Vertex is a global biotechnology company that invests in scientific innovation to create transformative medicines for serious diseases. The company is consistently recognized as one of the industry's top places to work, with a diverse and inclusive culture.
Coordinate patient billing, document management, and inbound support queries with accuracy and HIPAA compliance.
Liaise with care operations and finance teams to resolve billing discrepancies and maintain patient records.
Serve as first point of contact for patient queries, triaging clinical issues and maintaining resolution logs.
Sphere Health is a physician-led telehealth platform focused on patient experience and operational excellence. It operates in a pre-launch phase with a small, purpose-driven team aiming to transform how patients experience care.
Contact patients for payments on outstanding balances.
Process account adjustments and establish payment plans.
Maintain confidentiality and adhere to HIPAA regulations.
AnewHealth is a leading pharmacy care management company specializing in complex, chronic needs care. With over 1,400 team members, they care for more than 100,000 people across all 50 states.
Answer calls and resolve questions, routing to appropriate departments.
Complete documentation in EMR and marketing systems, including initial prescreening.
Schedule new and returning patients and complete follow-up duties.
Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.
Verify patient insurance coverage, eligibility, and benefits prior to services.
Obtain required prior authorizations from payers for services, procedures, or medications.
Monitor and track pending authorizations; follow up to prevent delays.
Prompt is revolutionizing healthcare with modern software for rehab therapy businesses. As the fastest-growing company in the therapy EMR space, Prompt is setting a new standard in healthcare technology with a team of exceptionally talented individuals.
Take incoming requests for appeals ensuring customer service and maximizing productivity.
Work with appeals team for multiple lines of business ensuring appeal submission for review.
Maintain quality standards, remain current on updated processes, and follow SOPs and HIPAA guidelines.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They have full-service health benefit management solutions to employers, TPAs, and health plans.
Support payer audits and medical record reviews, ensuring timely submission of documentation.
Manage medical review requests and appeals associated with CMS contractors and regulatory agencies.
Review clinical documentation using audit checklists and partner with teams to gather required records.
VitalCaring is a provider of home health and hospice services founded in 2021. They are a growing company focused on quality and compliance, with a mission to deliver exceptional patient care.
Monitors and verifies insurance information for patient visits.
Communicates with patients about co-pays, benefits, coverage, and care authorization.
Aviary is an organization in the healthcare sector. We value employees who are rigorous analytical thinkers and problem solvers with a strong work ethic.
Manage end-to-end delegated credentialing operations across an assigned portfolio of payors.
Prepare, coordinate, and execute both pre-delegation and annual credentialing audits.
Build and deliver reporting packages for submission to delegated entities & payors.
Grow Therapy is a company that serves as a trusted partner for therapists growing their practice, and patients accessing high-quality care. They are powered by technology as a three-sided marketplace that empowers providers, augments insurance payors, and serves patients with over ten thousand therapists and hundreds of thousands of clients across the country.
Ensures optimum reimbursement and improves day-to-day operations of the revenue cycle.
Processes and follows up on payer issues with various entities for completion.
Researches and resolves straightforward account activity and maintains accuracy of the revenue cycle system.
Athletico empowers people, inspires hope and transforms lives through exceptional, progressive fitness, performance and rehabilitative services. They are a people-focused company with a strong culture built on core values like one team, recognition, and trust and integrity.
Handle inbound and outbound calls to ensure patient satisfaction, troubleshoot concerns, and explain insurance coverage.
Obtain and process authorizations for reorders, resolve patient issues, and ensure accurate reorder processing via phone and document processing.
Maintain patient documentation, insurance requirements, and company procedures with high confidentiality.
CCS is a strategic partner addressing America's healthcare challenges through intelligent chronic care management, focusing on diabetes and chronic conditions. Recognized as a Great Place to Work®, they support over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals.
Provide outpatient services through our telehealth program.
Work 100% remotely with a Monday - Friday schedule; no weekends.
Additional compensation for bilingual (Spanish) candidates.
Brave Health expands access to compassionate, high-quality mental health care using technology, focusing on closing the gap for Medicaid recipients. They are a community health-centered organization with a diverse team that cares for a diverse patient population.
Compile confidential data to facilitate customer decision-making for healthcare practitioners and providers.
Process and maintain credentialing files, ensuring compliance with federal, state, and NCQA standards.
Perform primary source verification and communicate data in a timely manner.
Symplr revolutionizes healthcare operations with a platform that drives effective workflows and improves clinical, financial, and quality outcomes. It is a remote-first company with employees across the US, India, and the Netherlands, focusing on teamwork, customer championing, and integrity.
Coordinate medical record retrieval, ensuring complete and timely submission of patient documentation for provider review
Prepare and process referrals to specialists and manage prior authorization requests in coordination with insurance payors
Virtually greet and room patients prior to telehealth appointments, confirming patient information and visit readiness
Synapticure is a patient and caregiver-founded company that provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. They are dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases like Alzheimer’s, Parkinson’s, and ALS.