Conduct benefit investigations, insurance verification, and prior authorizations to secure timely patient access to therapies.
Manage patient case files, coordinate product ordering and shipment with pharmacies and prescribers.
Handle inbound inquiries, report adverse events, and educate stakeholders on program requirements.
Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, objective candidate screening and share top-fitting shortlists with employers.
Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.
CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.
Design and configure prior authorization criteria, decision trees, and authorization parameters within the PA system.
Perform quality assurance and quality control reviews to ensure clinical intent and regulatory compliance.
Collaborate with internal teams and external clients to support delegated PA services and system optimization.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. The company is a public benefit corporation focused on rebuilding trust in healthcare in the U.S., with a culture that emphasizes collaboration and client support.
Collaborate with a multidisciplinary team to manage referrals, prior authorizations, and medical records for whole-person member care.
Apply knowledge of CPT/ICD-10 codes and insurance requirements to obtain authorizations, appeals, and follow up for positive outcomes.
Assist members with accessing services, provide personalized customer service, and track data to refine operational processes.
Oshi Health is a virtual digestive health practice transforming GI care with compassionate, multidisciplinary care and innovative technology. It is a mission-driven, remote-first startup focused on personalized care plans and building a diverse team.
Verify patient insurance eligibility, benefits, and coverage prior to treatment.
Secure prior authorizations from insurance companies for scheduled medical services.
Maintain accurate records of authorizations, approvals, denials, and follow-up activities.
A-DTS is a healthcare services company focused on supporting patient access to care through insurance verification and authorization processes. The company is detail-oriented and emphasizes timely coordination in a remote work environment.
Manage all aspects of payer enrollment for independent providers and care centers in the New Jersey market.
Investigate claims/enrollment issues, work within AthenaOne EMR, and resolve Salesforce cases.
Partner with internal teams including National Credentialing, Implementation, and Operations Consultants.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and focuses on reducing healthcare costs through scalable operations and cloud-based technology, with a culture that values diversity and inclusion.
Process referrals to MTM team and schedule appointments for patients.
Provide phone support and document patient information in electronic health records.
Assist with prior authorizations and billing to help patients access affordable medications.
UnityPoint Health is a healthcare system providing medical services. It is recognized as a Top 150 Place to Work in Healthcare and offers a supportive culture for team members.
Process and resolve insurance claims, denials, and appeals accurately and timely using Epic and other systems.
Verify patient insurance eligibility, update demographics, and communicate with payors to ensure proper coverage.
Analyze and correct claim issues, perform write-offs, and contribute to workflow improvements for optimal AR outcomes.
Exact Sciences helps change how the world prevents, detects and guides treatment for cancer. The company offers an inclusive culture, purpose-driven careers, and robust benefits.
Facilitate client calls related to contracting and payer enrollments.
Run and analyze client KPIs, providing regular reports.
Manage the full contracting and payer enrollment process.
Experity transforms on-demand healthcare across the U.S. by empowering urgent care clinics with industry-leading software. The company fosters a team-first culture with opportunities for flexible work and career development.
Answer inbound and outbound patient calls professionally and schedule appointments.
Verify insurance eligibility, assist with prior authorizations, and coordinate referrals.
Maintain accurate patient records in SimplePractice EHR and ensure HIPAA compliance.
The client operates in the behavioral health space and is focused on delivering high-quality patient-centered care. SnappyCX is a remote staffing company that connects healthcare professionals with US-based clients.