Coordinates financial clearance activities including pre-registration, insurance verification, and authorizations to ensure timely access to care.
Maintains knowledge of payer requirements and works collaboratively with patients, providers, and insurance representatives to resolve issues.
Adheres to quality and productivity standards to support revenue cycle performance and patient access.
Boston Medical Center is a leading academic medical center dedicated to providing exceptional and equitable care to all. As a large health system, it fosters a strong sense of teamwork and support, and has been recognized as a top employer and best place to work.
Generate, review, and transmit claims for hospital-based services to third-party payors.
Collaborate across Revenue Cycle departments to resolve billing edits and other up-front issues efficiently.
Report to the Manager of Hospital Billing and support daily billing operations.
Piedmont Healthcare is a healthcare organization providing hospital-based services in Georgia. The company operates a corporate revenue cycle team focused on billing and claims management.
Verify insurance eligibility, benefits, and patient liability to ensure accurate financial clearance.
Collaborate with providers, authorization teams, and payers to resolve coverage questions.
Maintain accurate records and communicate financial expectations to patients.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. They partner with companies to manage applications and provide a collaborative hiring process.
Collects and verifies patient demographic and insurance information prior to scheduled appointments.
Ensures smooth registration process and accurate financial clearance to support timely access to services.
Maintains compliance with regulatory and confidentiality standards while performing other assigned duties.
Kettering Health is a healthcare system serving communities in Ohio, dedicated to patient-centered care. With multiple facilities and a large workforce, it emphasizes a culture of safety, compliance, and operational excellence.
Manage patient intake processes by scheduling, rescheduling, and canceling appointments.
Verify and update patient demographics, insurance eligibility, and collect payments.
Process referrals and authorizations while responding to patient inquiries with professional communication.
A comprehensive healthcare network serving the Puget Sound region with a full spectrum of health care services, from routine wellness to complex disease management. It includes 10 hospitals and nearly 300 care sites, fostering a culture of compassionate care and shared purpose.
Serve as the primary financial contact for caregivers during onboarding, explaining insurance benefits and estimated costs.
Collaborate with care coordination and clinical teams to ensure a seamless onboarding experience.
Maintain accurate documentation of all caregiver interactions while upholding HIPAA and privacy standards.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has a collaborative culture focused on delivering transformative care through technology.
Interview patients and representatives to gather complete demographic and financial information for account resolution.
Analyze financial data to determine appropriate payor sources and assist with applications to agencies like DHHS and SSA.
Communicate estimated financial responsibility and request payment, ensuring all possible payor sources are exhausted before hospital sponsorship.
Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. The company has 32,000 team members dedicated to supporting health and well-being.
Coordinate with providers, insurance companies, and hospital staff to secure pre-authorizations and address denials.
Review daily schedules, obtain authorizations via phone/fax/portals, and verify CPT/ICD-10 code alignment.
Communicate with patients about approvals, reschedules, or cancellations while maintaining HIPAA compliance.
Cardiac Study Center is a dedicated team at the forefront of cardiovascular medicine, empowering patients with the knowledge and treatment they need to lead heart-healthy lives. As a growing organization with deep roots in the Pacific Northwest, we foster continuous learning and collaboration among passionate professionals.
Perform follow-up status requests through telephone, internet, and fax requests.
Process incoming and outgoing mail, scanning, and document consolidation and indexing.
Maintain a working knowledge of internal policies and client systems and credentials.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.
Answer inbound calls, schedule appointments, and provide excellent customer service in a centralized access center environment.
Verify and update patient demographics, insurance, and electronic health records while maintaining confidentiality.
Adhere to call quality and scheduling guidelines, achieving minimum call standards and 95%+ quality threshold.
This is a physician-led, patient-centric network simplifying healthcare with primary, multispecialty, and urgent care services. They serve millions of patients across traditional practices, homes, and virtually, fostering a compassionate and innovative community.
Respond to medical records requests and payer audit inquiries.
Conduct benefit checks and verify insurance coverage for patients.
Review and process claims in the EHR system, ensuring accuracy and billing compliance.
NuvoAir Medical is a technology-enabled pulmonary care organization that improves outcomes for patients with chronic respiratory diseases through remote monitoring and clinical engagement. The company values patient obsession, ownership, and learning, and fosters a culture of confident humility.
Acclimate to client implementations to facilitate updates, additions, and fixes.
Partner with internal teams to navigate client tickets and enhancement requests with minimal delay.
Evaluate customer use of healthcare revenue cycle products to recommend best practices and solutions.
Experian is a global data and technology company that powers opportunities for people and businesses across multiple markets including financial services, healthcare, and automotive. With a team of 25,200 employees in 32 countries, Experian fosters a people-first, inclusive culture that has been recognized as one of the World's Best Workplaces.
Perform scheduling, cancellations, and rescheduling of appointments and surgeries while entering orders and completing full pre-registration.
Document demographics, verify insurance, determine patient liability, and collect payments electronically for self-pay and out-of-network patients.
Obtain prior authorizations, monitor medical necessity compliance, and collaborate with OR and ancillary departments to ensure continuity of care.
Southcoast Health is a not-for-profit, charitable health system operating multiple hospitals, clinics, and facilities across Southeastern Massachusetts and Rhode Island. With a workforce of highly skilled caregivers, they have been voted 'Best Place to Work' for seven consecutive years, fostering an inclusive and ethical workplace culture.
Serve as the initial point of contact for patients, handling scheduling and phone inquiries.
Use EPIC system to schedule, reschedule, and cancel appointments efficiently.
Provide exceptional customer service, resolving patient complaints and ensuring positive experiences.
CommUnityCare Health Centers provides patient-centered care to communities, focusing on coordination and access. They emphasize diversity, collaboration, and a supportive work culture for staff.
Respond to high-volume inquiries via email and phone, assisting with triaging case volumes and providing resolution guidance on complex claims and billing inquiries.
Critically analyze situations, escalate issues to appropriate teams, and identify recurring issues to provide feedback to management.
Act as a subject matter expert, updating team on resources, supporting team chat, and remaining flexible to take on other duties as assigned.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems to optimize practices and improve patient experiences. They are led by top industry talent and physician leadership, focusing on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.
Manage patient billing inquiries, resolve denials, and process insurance verifications.
Work claims end-to-end via clearinghouse and collaborate with cross-functional partners.
Optimize RCM processes, develop SOPs, and support ad-hoc projects including AI tool testing.
Nourish is an AI-native digital health system matching patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised a $100M Series C, bringing total funding to $215M.
Responds to patient inquiries regarding healthcare accounts receivables across a multi-facility integrated healthcare delivery system.
Independently manages complex call escalations from team members in a high-volume billing Call Center.
Assists with training and mentoring new and existing staff and provides support to level I team members.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, the organization empowers team members to grow their careers and make a meaningful difference.