Inputs and updates insurance information in appropriate screens.
Verifies insurance eligibility online or by phone and identifies primary and secondary insurance.
Obtains claim numbers and verifies claims for Workmen’s Comp and Auto Insurance.
Munson Healthcare is a healthcare provider. They require all employees to be vaccinated or have lab-confirmed immunity for certain diseases and to receive a flu vaccine annually, with medical or religious exemptions available.
Perform outbound calls to obtain appropriate information and document accurately.
Answer in-bound calls and assist customers with pharmacy related services.
Contact insurance companies for benefit investigation and coverage eligibility.
IQVIA is a global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. They create connections that accelerate the development and commercialization of innovative medical treatments to improve healthcare and patient outcomes.
Acts as initial service ambassador to referral sources, physicians, patients, caregivers and other external customers providing the highest quality service.
Responsible for the initial entry, verification, and maintenance of information regarding new patients in all applicable software programs.
Processes private insurance verifications, verifies eligibility of Medicare, Medicaid and third party payers and any other duties as directed.
CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better is in their own home. As a faith-based organization, they are committed to finding new ways to improve the health of their patients and the health of the communities they serve.
Guide healthcare providers through the reimbursement process, including prior authorizations and appeals.
Work with insurance companies and third-party administrators to address coverage issues.
Provide education regarding insurance benefits and financial assistance programs.
Amplity is a full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. Amplity transforms how breakthrough treatments reach the people who need them with expert-led teams delivering contract medical, commercial + communications excellence for 40+ years.
Secures outpatient accounts by performing insurance verification and obtaining prior authorization before services are rendered.
Works with physicians, nurses, clinic managers, and financial advocates to resolve issues during the prior authorizations process.
Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
University of Utah Health enhances the health and well-being of people through patient care, research, and education. They are a Level 1 Trauma Center and is nationally ranked with five hospitals and eleven clinics providing excellent comprehensive services.
Supports the affiliate-level Utilization Management and denials processes by coordinating incoming requests for information from multiple payer sources.
Conducts maintenance and utilization of EPIC work queues that support obtaining authorization for patient stays; communicates with payers via telephone, fax, or email.
Acquires an understanding of third party authorizations, verification, and denials, and proceeds with notification/documentation to appropriate parties.
UnityPoint Health is committed to its team members and recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row. They champion a culture of belonging where everyone feels valued and respected, honoring the ways people are unique and embracing what brings us together.
Contacts insurance companies for status on outstanding claims.
Processes and follows up on appeals to insurance companies.
Works outstanding accounts receivable from assigned work queues.
US Anesthesia Partners is dedicated to providing high-quality anesthesia services. They offer equal employment opportunities to all employees and applicants.
Accountable for making decisions supported by policy based on confidential financial information to determine qualification for CICP, Charity programs, or payment arrangements.
Verify coverage and authorization for all scheduled procedures using scheduling and registration information; populate price estimate tool to decide patient portion.
Act as a liaison between patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit has over 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services and is accessible to nearly one out of every four U.S. residents. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Review incoming referral orders to assess patient’s needs based on diagnosis, insurance coverage or lack thereof, and previous treatments.
Verify patient information including demographics, insurance coverage and financial status; confirm patient eligibility for health care coverage and clarify any managed care arrangements.
Contact the patient prior to service to inform them of their estimate and collect any pre-payments at that time.
OHSU is Oregon's only public academic health center, caring for patients and leading groundbreaking research. As Portland's largest employer, they offer opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
Serve as a key point of contact for patients regarding billing questions, payment plans, and account resolution
Respond to inbound calls and proactively reach out to patients to collect past-due balances and arrange payments
Review and explain Explanation of Benefits (EOBs) to patients in a clear and supportive manner.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are transforming the way care is delivered with a focus on patient comfort and convenience, empowering their team to thrive while living their core values.
Open insurance claims and serve as the primary liaison with adjusters and carriers.
Request, track, and organize medical records, bills, and police reports.
Ensure treatment progression and awareness of treatment outcomes.
EvenUp uses technology and AI with the mission to close the justice gap. It empowers personal injury lawyers and victims to get the justice they deserve and is backed by top VCs. They are one of the fastest-growing vertical SaaS companies.