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.
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.
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.
Verify insurance eligibility, benefits, and network status, and create pre-service liability estimates.
Secure prior authorizations for outpatient imaging and office services, following up on delayed or denied requests.
Act as a liaison between payers and clinic schedulers, ensuring accurate documentation and issue resolution.
University of Utah Health enhances health and well-being through patient care, research, and education. With five hospitals and eleven clinics, it is nationally ranked and fosters a culture of collaboration, excellence, leadership, and respect.
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.
Schedule appointments and coordinate care between VA and community providers.
Process community care consults and update patient demographics.
Respond to telephone inquiries and maintain proficiency in VA software.
CVP is an award-winning healthcare and technology consulting firm that solves critical problems for healthcare, national security, and public sector clients. They foster a work environment that encourages fairness, teamwork, and respect among all associates.
Manage and resolve claims rejections and denials, escalating trends as identified.
Verify patient eligibility and benefits, and coordinate with insurance payers.
Maintain compliance with HIPAA regulations and meet productivity standards.
Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care for addiction. They are a growing company with a dedicated team passionate about making judgment-free care accessible.
Provide personalized onboarding and ongoing adherence support to patients and caregivers throughout their treatment journey.
Coordinate insurance coverage verification, reimbursement support, and financial assistance enrollment for eligible patients.
Serve as the primary point of contact for healthcare providers, resolving access barriers and ensuring seamless coordination with internal teams.
The partner company provides comprehensive non-clinical patient support for individuals managing rare and ultra-rare diseases. They foster a collaborative, patient-focused culture with a remote work environment and a commitment to improving healthcare access.
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.
Review and verify insurance coverage, obtain authorizations, and create patient liability estimates while working closely with internal and external stakeholders.
Serve as a liaison between patients, providers, and insurance companies to ensure accurate financial services and resolve managed care issues.
Provide backup support and cross-coverage for the Centralized Managed Care & Price Estimates Department, including handling trauma admissions and third-party liability.
OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training the next generation of healthcare professionals. As Portland's largest employer, it offers a diverse and inclusive culture with opportunities for growth and advancement.
Ensure admissions are coordinated from start to finish, maintaining knowledge of census and bed board for efficient patient flow.
Coordinate with patients, families, referral sources, UR, and finance to ensure expedited access to care.
Collect and present medical and psycho-social documentation to clinical staff to support timely admissions.
ERC Pathlight is a leading national provider of treatment for eating disorders, mood, anxiety, and trauma-related conditions. Founded in 2008, the organization supports over 6,000 patients annually with multiple locations and virtual programming.
Guide beneficiaries through health insurance options by listening to their needs, answering questions, and recommending suitable coverage solutions.
Conduct phone consultations to help customers understand plans and make informed purchasing decisions while meeting sales targets.
Maintain accurate customer information and documentation while navigating multiple systems and applications.
Amplify helps individuals make informed decisions about their health insurance coverage through personalized support and education. The company operates a remote call center environment with a focus on customer service and sales, offering paid training and career growth opportunities.
Engage patients and help them navigate their care, improving communication with their medical practice.
Accurately document patients' medical history and issues in the electronic health record.
Utilize effective communication modalities to engage and schedule high-risk patients.
Guidehealth is a data-powered healthcare company using AI to make healthcare affordable and improve patient outcomes. They are a physician-led, remote-first company with a culture focused on accountability, growth, collaboration, and empathy.
Processes referral requests and authorizations for patients, ensuring timely and accurate scheduling.
Communicates with physicians, employers, and payors to coordinate specialist referrals and obtain necessary information.
Maintains high standards of quality and patient experience while meeting production requirements.
Concentra operates over 500 medical centers and 130 onsite clinics nationwide, focusing on providing high-quality healthcare to improve the health of America's workforce. The company emphasizes a culture of outstanding patient experience and customer service.
Handle inbound and outbound calls from patients, physicians, and referral sources to ensure patient satisfaction and resolve issues.
Obtain and process authorizations for reorders, audit supply configurations, and maintain accurate documentation for billing.
Maximize patient base through retention efforts and cross-selling via phone while maintaining a high degree of confidentiality.
CCS is a strategic partner in chronic care management, tackling diabetes and chronic conditions affecting over 133 million Americans. Recognized as a Great Place to Work®, the company supports over 200,000 people annually with home-delivered medical supplies and pharmaceuticals.
Make outbound calls to schedule appointments for preventative health screenings.
Assist members with benefits and insurance information during welcome calls.
Conduct surveys to make a difference in patients' lives.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily. With over 30 years of experience, the company fosters collaboration and innovation, empowering growth through trust and accountability.
Provide compassionate, accurate, and timely support by scheduling, confirming, canceling, and rescheduling radiology appointments across multiple imaging modalities.
Handle complex patient interactions requiring independent reasoning, prioritization, and problem solving within defined workflows and escalation guidelines.
Comply with HIPAA, confidentiality requirements, call center metrics, and organizational policies while maintaining high quality and performance standards.
Carenet Health is a healthcare contact center that fosters collaboration, creativity, and innovation. They empower growth through trust and opportunity, offering a diverse and inclusive work environment.
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.
Create a welcoming experience by authentically engaging every caller and providing a world-class experience.
Thoroughly and accurately answer questions about customers' healthcare accounts and provide appropriate solutions.
Handle 35-50+ inbound and outbound phone calls per day and work closely with claim staff to adjust claims.
Point C Health is a national third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company with a focus on partnership, innovation, and a supportive culture.
Review and assign diagnostic and procedural codes from medical records with 95% accuracy.
Serve as a liaison between billing and clinical sites to resolve coding discrepancies.
Train new employees and act as an expert resource for coding compliance questions.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. They emphasize a culture of excellence, teamness, positivity, and creativity with over 5,000 employees.