Verify insurance eligibility and benefits using online systems and phone, ensuring accurate input for primary and secondary coverage. - Obtain pre-authorization and retro-certification for inpatient and scheduled procedures, and communicate with Utilization Management. - Maintain current knowledge of third-party billing requirements and refer patients to Financial Counselors as needed.
Verify insurance eligibility and coverage for patients using online systems and phone calls.
Input and update insurance information, identify primary and secondary coverage, and manage COB order.
Obtain pre-authorizations and communicate necessary information to Utilization Management.
Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents across 29 counties. The culture emphasizes excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for patients and each other.
Verify insurance eligibility, coverage, and behavioral health benefits for new and existing patients.
Coordinate prior authorizations, referrals, and coverage resolution with insurance carriers and internal teams.
Manage high-volume requests through EHR systems with strong attention to detail and problem-solving.
Blackbird Health is a clinician-founded provider of virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland. The team is collaborative, supportive, and innovative, taking a whole-child approach to care.
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.
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.
Process and transmit electronic and paper claims to insurance companies, patients, and other responsible parties.
Follow up on unpaid claims, review rejections, and resolve payment questions with insurance providers.
Verify insurance benefits, analyze charges and payments, and support coordination of benefits for patient accounts.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals across 29 counties. The organization values excellence, teamness, positivity, and creativity, and is committed to creating exceptional experiences for patients and staff.
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.
Handle high-volume inbound and outbound calls to support patients with financial responsibilities, insurance coverage, and payment options.
Verify insurance eligibility, register patients, and coordinate pre-authorizations while maintaining accurate records.
Collaborate with clinical and administrative teams to ensure a seamless patient experience and meet productivity standards.
Our partner is a healthcare organization focused on improving patient access to financial and administrative support. They foster a compassionate, patient-centered culture and operate a fast-paced call center environment with a collaborative team.
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.
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.
Input and maintain accurate patient billing information and update records in the computer billing system.
Handle patient and insurance inquiries regarding coverage, credit, and other billing-related issues.
Process electronic claims, review accounts receivable, and coordinate billing follow-up and collections.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight community hospitals and serving over half a million residents across 29 counties. The culture emphasizes excellence, teamness, positivity, and creativity, with a strong focus on community and exceptional experiences for both patients and teammates.
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.
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.
Coordinates utilization review and prior authorization requests, ensuring accurate entry into the UM platform.
Provides customer service to providers and members, confirming benefits and answering authorization questions.
Facilitates communication between reviewers, hospitals, and physicians to ensure timely decisions.
University of Utah Health Plans is a patient-focused organization that enhances health through patient care, research, and education. It is part of a nationally ranked academic medical center with five hospitals and eleven clinics, fostering a culture of collaboration and excellence.
Serve as the first point of contact for patients in person and by phone, delivering excellent customer service.
Process new orders, verify insurance, obtain authorizations, and gather documentation for accurate billing.
Perform data entry, collect payments, and make outbound satisfaction calls to patients and referrals.
Accendra Health makes essential healthcare products and services accessible outside traditional settings. With over 6,000 teammates in 250+ locations under Apria and Byram Healthcare, it offers meaningful work focused on personalized, long-term care.
Review and respond to phone and fax inquiries from members, providers, and pharmacies for prior authorization.
Use multiple applications and follow procedures to accurately document and resolve inquiries.
Provide excellent customer service and meet or exceed call center metrics.
The Cigna Group is dedicated to improving the health and vitality of those we serve through Cigna Healthcare and Evernorth Health Services. We are a major healthcare organization focused on enhancing the lives of our clients, customers, and patients.
Leads enterprise authorization operations with direct impact on revenue protection, patient access, and reimbursement performance.
Manages a team responsible for insurance verification, pre-authorization, and timely processing of assigned services.
Collaborates with billing, registration, revenue cycle, clinical, and administrative teams to reduce preventable payment denials.
The partner company is a healthcare organization focused on revenue protection, patient access, and reimbursement performance. They provide a collaborative and mission-driven environment for teams working across complex healthcare operations.
Perform claim scrubs, input data into insurance portals, and conduct insurance verifications.
Investigate claim denials, follow up with insurance companies, and manage accounts receivable.
Run monthly reports and communicate efficiently with team members to support client partners.
Hanger, Inc. provides orthotic and prosthetic services and products, operating the largest network of O&P patient care clinics nationwide. With 160 years of clinical innovation, its employees help thousands of people achieve mobility and freedom every day.
Greet and register patients, updating demographic and insurance information.
Verify insurance eligibility, obtain authorizations, and schedule appointments.
Collect patient payments, maintain accurate EHR records, and ensure HIPAA compliance.
CorroHealth is a healthcare revenue cycle management company that helps clients meet financial health goals through scalable solutions and clinical expertise. The company emphasizes investing in team members' professional growth and has recently acquired Xtend Healthcare, with a focus on building long-term careers.
Help members navigate US health insurance, including billing questions, denied claims, and appeals.
Coordinate with providers, insurers, and members to resolve coverage issues and prior authorizations.
Translate complex insurance benefits into clear guidance and identify trends to improve the member experience.
This company provides a global safety net for remote workers, offering health, income, and travel coverage. It operates as a remote-first organization with a culture of empathy, integrity, and a mission to improve access to healthcare worldwide.
Coordinate patient appointments, outpatient visits, and procedures while ensuring accurate registration and efficient access to healthcare services.
Handle high-volume incoming calls, verify insurance details, process physician orders, and guide patients on preparation and location instructions.
Maintain accurate records across multiple computer systems while delivering courteous, professional, and responsive customer service.
A healthcare-focused organization dedicated to coordinating patient access and scheduling services across multiple departments and locations. It fosters a collaborative, supportive remote work culture centered on service, accessibility, and continuous improvement.