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.
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.
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.
Manage complete financial clearance for assigned patients before scheduled appointments, including registration, insurance verification, and benefits confirmation.
Calculate patient liability and collect deposits, co-pays, deductibles, and outstanding balances while referring uninsured patients to financial counselors.
Secure PCP referrals and insurance authorizations, coordinate peer-to-peer reviews when needed, and maintain knowledge of commercial, managed care, and governmental plans.
VCU Health is an academic medical center and comprehensive health system delivering patient care, research, and education, with a Level I trauma center and a children's hospital. It has more than 800 physicians and a culture focused on discovery, collaboration, and relentless improvement.
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.
Contacts patients to collect accurate coverage information and verify insurance eligibility.
Assesses patients' financial ability to pay and refers them to financial counseling when appropriate.
Creates estimates, provides financial liability education, and collects copayments and deposits.
Ohio State University Physicians operates over 100 outpatient care centers focused on exceptional patient care and collaboration. The team includes more than 1,800 healthcare and administrative professionals in a culture grounded in inclusion, empathy, sincerity, and determination.
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.
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.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight community hospitals serving over half a million residents. They value excellence, teamness, positivity, and creativity, and are committed to exceptional experiences for patients and each other.
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.
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.
Monitor billing errors and claim/line item rejections to ensure accurate processing.
Provide initial training in central business office duties and support progression to higher-level representative roles.
Piedmont Healthcare is a healthcare system providing comprehensive medical services in Georgia. It operates a large network of hospitals and employs a substantial workforce focused on patient care and operational excellence.
Submit your resume for future opportunities with a leading healthcare revenue cycle management firm.
Our team reviews your profile and matches you when an engagement aligns with your background and goals.
Seeking experienced professionals in patient access, revenue integrity, coding, billing, denials, and EHR systems like Epic.
The Wilshire Group partners with hospitals and health systems to improve revenue cycle performance through deep expertise in systems and workflows. They hire only the brightest and most experienced professionals in healthcare revenue cycle management, with a focus on career success.
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.
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.
Manage AR portfolios, denial analysis, and aging accounts.
Develop dashboards and reports to identify performance gaps.
Collaborate with teams to drive revenue cycle improvements.
They help healthcare organizations improve financial performance and revenue cycle operations through data-driven analysis and automation. They foster a collaborative culture focused on innovation, professional growth, and continuous improvement.
Schedules patient visits, testing, procedures, and surgeries for referrals, ensuring timely and accurate coordination.
Verifies insurance, demographic, and eligibility information and ensures referral and authorization requirements are met.
Provides high-level customer service to patients, visitors, clinical staff, and colleagues, maintaining confidential information.
Carilion Clinic is a not-for-profit, mission-driven health system headquartered in Roanoke, Va., with award-winning hospitals, trauma centers, orthopedics and neurosciences institute, and multi-specialty physician practices. The culture emphasizes innovation, collaboration, learning, and making a difference in the community.
Preparing billing and registration worksheets while collecting and verifying demographic information.
Contacting insurance companies as needed and submitting daily and monthly statistics.
Providing administrative support to physicians, the Medical Director, and the Corporate Office.
Pediatrix Medical Group is a physician-led provider of highly specialized health care for women, babies and children. It is one of the nation's largest multi-specialty medical groups, with a team-oriented culture focused on clinical excellence.
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.