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• Obtain managed care authorizations and verify patient insurance benefits prior to services.
• Review office schedules daily and update EHR systems with authorization and insurance details.
• Coordinate with staff and providers on denials, peer-to-peer reviews, and monthly re-verification of coverage.

Surgery Partners operates a network of surgical facilities and provides healthcare services across the United States. The company fosters a diverse and inclusive workplace, offering comprehensive benefits and professional development opportunities.

• Manage incoming patient referrals and insurance authorizations for diagnostic imaging procedures.
• Serve as a point of contact between patients, healthcare providers, and insurance companies to ensure timely processing.
• Maintain accurate documentation and uphold patient confidentiality and compliance standards.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use a remote-first culture and a small, inclusive team focused on leveraging technology to streamline recruitment.

• Manage prior authorization and precertification workflows, including submitting requests and following up with payers.
• Verify insurance eligibility and benefits, and maintain accurate patient insurance information in the EHR.
• Communicate with patients, payers, and clinic teams to resolve authorization issues and support timely care.

Modena Health and Modena Allergy & Asthma are leading medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. They are physician-led, hospitality-focused, and technology-enabled, with a dedicated team that values collaboration, positivity, and growth.

• 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.

• 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.

• Serves as front line support for the Patient Connection Center within Piedmont Healthcare.
• Reviews accounts for complex hospital services and specialized procedures to ensure completeness prior to patient arrival.
• Verifies patient insurance, confirms benefits, determines authorization requirements, and creates pre-service liability estimates.

Piedmont Healthcare is a healthcare organization providing patient care services across Georgia. It fosters diverse teams, shared purpose, and schedule flexibility, with wellness programs and comprehensive benefits.

• Contacts insurance companies to determine pre-certification, pre-authorization, and medical necessity requirements for complex outpatient services.
• Obtains pre-certification or pre-authorization prior to scheduled procedures and notifies payers of admittance when required.
• Liaises with physicians and office staff to collect additional demographic, insurance, or clinical information.

Piedmont Healthcare is a healthcare system delivering comprehensive medical services across Georgia. It fosters a culture of diverse teams, shared purpose, and schedule flexibility, supported by wellness programs and total rewards.

• Manage complete financial clearance for assigned patients before scheduled appointments, including registration, insurance verification, and benefits confirmation.
• Calculate patient liability and collect deposits, co-pays, deductibles, and outstanding balances while referring uninsured patients to financial counselors.
• Secure PCP referrals and insurance authorizations, coordinate peer-to-peer reviews when needed, and maintain knowledge of commercial, managed care, and governmental plans.

VCU Health is an academic medical center and comprehensive health system delivering patient care, research, and education, with a Level I trauma center and a children's hospital. It has more than 800 physicians and a culture focused on discovery, collaboration, and relentless improvement.

• Obtain detailed benefit information using payer portals, phone, or fax for all insurance companies.
• Validate and document payor information in EMR and reduce write-offs by clearly documenting deductibles and co-pays.
• Monitor task flow for insurance issues including Medicare eligibility, authorizations, and re-verifications.

Graham Healthcare Group designs business and technology solutions for home health and hospice companies, driving better care and outcomes. As a subsidiary of Graham Holdings, they have over 20 years of experience and offer competitive benefits in a collaborative, patient-focused culture.

• Act as the liaison between senior communities, patients, and practitioners to coordinate appointments and manage schedules.
• Build and maintain relationships with key decision makers in facilities to ensure successful implementation and utilization of services.
• Handle daily tasks including scheduling, insurance eligibility verification, and monitoring referrals and authorizations.

Onsite Dermatology provides mobile dermatological care for seniors in the US, visiting over 2,000 senior communities, assisted living centers, and skilled-nursing facilities nationwide. They focus on eliminating transportation barriers to deliver early detection and better quality of life for residents.

• Conduct thorough research on attributed patients to understand healthcare needs and enrollment barriers.
• Perform telephonic outreach to caregivers and health professionals to enroll children and ensure onboarding.
• Handle inbound calls, develop SSI knowledge, and collaborate with Provider Engagement Specialists.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group providing 24/7 virtual-first and in-home care for children with special health needs. It is a startup with a values-driven culture focused on diversity, equity, and inclusion.

• 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.

• Process and coordinate patient referrals, ensuring timely approvals and documentation.
• Act as a liaison among patients, physicians, insurers, and specialists.
• Manage insurance authorizations, schedule appointments, and support patient communication.

A healthcare organization is seeking a Referral Coordinator to manage patient access and care coordination. It offers a patient-focused, collaborative culture with remote work flexibility.

• Manage end-to-end case activities for insurance verification, authorization, and reimbursement.
• Serve as the single point of contact among patients, providers, payors, and internal teams.
• Prioritize competing demands to ensure timely patient access to therapy.

PRO-Spectus supports patient services programs by navigating patient access from benefit verification through claims and reimbursement resolution. The company fosters a supportive, teamwork-driven culture focused on improving patients' lives.

• Serve as front line support for the Patient Connection Center within Piedmont Healthcare.
• Review accounts for hospital services to ensure completeness prior to patient arrival.
• Verify patient insurance, confirm benefits, determine authorization requirements, and create pre-service estimates.

Piedmont Healthcare is a health system providing comprehensive medical services across Georgia. It operates multiple hospitals and employs thousands of healthcare professionals, focusing on patient-centered care and innovation.

• Serve as a clinical point of contact for referring providers and internal teams.
• Coordinate and validate clinical documentation for authorizations.
• Partner with Business Development Managers to support account planning and satisfaction.

IVX Health is a national provider of infusion and injection therapy for patients with complex chronic conditions. They are a growing company focused on collaboration, innovation, and employee development.