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.
Makes decisions supported by policy based on confidential financial information.
Utilizes scheduling and registration information to verify coverage and authorization.
Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit Health has more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. 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.
Monitor incoming faxes for authorization requests, enter UM authorizations review requests, and verify eligibility and claims history.
Ensure all necessary documentation is submitted, contact providers for required medical records, and generate correspondence for notifications.
Initiate appeal cases, meet deadlines, assist UM Nurses, and handle inquiries from call centers and other sources.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly and fairly. While the company size is not mentioned, they seem to have a modern approach by utilizing AI tools in the hiring process to identify top-fitting candidates for their client companies.
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.
Completes and submits all required documentation in an accurate and timely manner.
Develops and maintains accurate files on each key referral source to provide the location with client information needed to build strong client and branch ties and deliver customer satisfaction.
CommonSpirit Health is a full-service health care organization that believes the best place for our patients to heal is in their own home. As a faith-based organization, they are committed to finding new ways to improve the health of patients and the health of the communities they serve.
Schedules diagnostic tests, procedures, and surgeries and provides patients with preparation instructions.
Prepares and manages patient documentation, acting as a liaison between patients and the billing department.
Coordinates schedules for staffing, revising and updating them as necessary, and may assist in routine clerical functions.
University of Utah Health is a patient-focused organization committed to enhancing health and well-being through patient care, research, and education. They are a Level 1 Trauma Center nationally ranked and recognized for academic research, quality standards, and patient experience.
Receiving phone calls and fax requests to schedule patients for outpatient tests.
Completing pre-registration of scheduled patients.
Ensuring a valid provider order is obtained.
CommonSpirit is a healthcare organization with more than 700 care sites across the U.S. They are committed to building healthy communities and advocating for those who are poor and vulnerable.
Coordinate care between VA and community providers, schedule appointments, and ensure Veterans receive timely and appropriate care.
Complete accurate scheduling using the Electronic Waiting List and VA scheduling systems, ensuring all appointments are made with the patient's input either in person or by phone.
Explain the VA's mandate to collect insurance information to Veterans, their families, and other eligible patients and update health insurance information.
CVP is an award-winning healthcare and next-gen technology and consulting services firm solving critical problems for healthcare, national security, and public sector clients. They cultivate a work environment that encourages fairness, teamwork, and respect among all associated, and are committed to maintaining a workplace where everyone can grow both personally and professionally.
Responsible for collecting and verifying demographic, guarantor and insurance information, educate patients, physicians, staff, etc. on the financial process.
Will be involved in extensive utilization of the Hospitals revenue systems and constant interaction with patients, physicians, insurance companies, donors and other members of the Hospitals' staff.
Advise and counsel patients and guarantors regarding patient rights, responsibilities and procedures as it relates to payment for Hospital and ProFee care
They are a comprehensive academic medical center. They have many employees and maintain a collaborative culture.
Provide a warm welcome and guidance to prospective patients exploring our services.
Gather comprehensive information from initial inquiries to facilitate appropriate matching with clinicians.
Explain our services, fees, and payment policies with clarity and professionalism.
Aligned Modern Health is creating a new standard of healthcare. As the largest evidence-based holistic healthcare practice in the Midwest, they operate 16 clinics across Chicago with a rapidly expanding telehealth practice that is currently serving patients in 20+ states and growing.
Provides non-clinical administrative support to Case Managers and Care Coordinators.
Obtains and manages medical documents, ensuring accurate record retrieval.
Prioritizes tasks based on expedited requests with attention to detail.
Spectrum Healthcare Resources (SHR) delivers systems and processes designed to meet the unique needs of Military and VA Health Systems. They provide physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies.
Educate recipients about the Pathways Program offerings and enrollment options.
Introduce managed care choices to recipients and aid in navigating health care and dental plans.
Cultivate positive relationships with county staff, state agencies, community groups, and recipients.
Knowledge Services is a company that provides workforce management solutions. They are committed to working with individuals with disabilities and providing reasonable accommodations.
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.
Enjoy making outbound calls and reaching out to patients, members, and customers
Outreach to patients to schedule appointments for preventative health screenings
Assist members and patients with benefits and insurance information
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.
The Medical Receptionist is the first point of service for our patients.
Responsible for greeting, registering and scheduling patient appointments.
Responsible for verifying insurance eligibility and benefits.
Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider. They offer inpatient and outpatient services. They extend a strong sense of family, security, and belonging.
Manage multiple channel interactions professionally and efficiently.
Effectively present products/services to providers with integrity, understanding, and accuracy.
Focus on provider retention through first call resolution and maintain positive relationships.
Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.
Accurately review denied claims to identify root causes.
Communicate directly with insurance representatives to negotiate settlements.
Monitor denial trends and provide actionable feedback to billing and clinical teams.
Mindoula is a healthcare organization. They are seeking an Account Receivable Representative and value candidates with strong communication and problem-solving skills.
Receive and resolve patient correspondence regarding insurance billing.
Answer all correspondence relating to billing questions.
Verify insurance status, eligibility and general account information.
MANA Administration provides support services for 27 physician-owned medical practices in Northwest Arkansas. Their Administrative team are independent and work together, to help their physicians and clinics provide compassionate, comprehensive, quality health care while maintaining a healthy work-life balance.
Engaging patients to deliver services on behalf of their health plan.
Managing a consistent volume of outbound and inbound calls.
Accurately documenting all interactions, interventions, and outcomes.
Arine is a healthcare technology and clinical services company that ensures individuals receive the safest and most effective treatments for their unique healthcare needs. They are a rapidly growing company backed by leading healthcare investors and collaborating with top healthcare organizations and providers.
Contacts insurance companies to determine pre-certification requirements.
Obtains pre-authorization prior to the scheduled complex service.
Liaisons with physicians to obtain additional information.
Piedmont Healthcare is a company focused on healthcare services. They appear to be a large corporate entity, offering a range of opportunities within the revenue cycle and healthcare sectors.