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.
Lead client discovery and workflow planning to assess and improve referral management processes.
Deliver practical, role-based training for clinical and operational teams on Carefeed's Referral Management module.
Manage implementation through go-live, coordinate milestones, and support early adoption.
Carefeed helps senior living and long-term care organizations simplify operations, improve communication, and give staff more time to focus on care. It is a fast-growing startup with a culture that values growth and development.
Process incoming medical referrals, enter accurate data into medical management systems, and assign appropriate healthcare providers.
Review referrals for benefits and medical necessity, escalate sensitive cases for clinical assessment, and apply ICD-10 and CPT codes.
Communicate with military treatment facilities and civilian providers, respond to inquiries, and manage referral tasks within established timelines.
This position is listed on behalf of a partner company that manages all applications and next steps. The company supports healthcare service delivery by ensuring medical referrals are processed accurately and efficiently within a structured, collaborative remote team.
Serve as the primary point of contact for prospective clients and referral partners, engaging with warmth and structure.
Conduct structured screenings, verify insurance benefits, and educate clients on PHP and IOP programs.
Own the admissions funnel, follow up reliably, and ensure every interaction ends with a clear next step.
Guidelight Health is a behavioral healthcare company delivering PHP and IOP services to transform lives. We are a newly launched organization building a passionate, forward-thinking team to redefine mental health care.
Conduct patient outreach and engagement via text and phone for chronic care management patients.
Document patient interactions and ensure compliance with Medicare CCM billing requirements.
Coordinate care between patients, providers, and healthcare partners, supporting care transitions and referrals.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are committed to improving outcomes and quality of life for patients with kidney disease while fostering an innovative, evolving environment for employees.
Act as the first point of contact for inbound calls, meeting service level targets and escalating clinical red flags per protocol.
Own direct referrals end to end, completing intake and documentation before handing off to the outreach team.
Work Monday-Friday 8:30-5pm EST with occasional evenings/weekends; bilingual English/Spanish required.
Vynca provides comprehensive care for individuals with complex needs, with a mission to deliver more quality days at home. It is a close-knit, mission-driven team guided by values of Excellence, Compassion, Curiosity, and Integrity.
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.
Conduct patient screening calls and serve as the first point of contact for mental health and brain health services.
Coordinate care by scheduling appointments, navigating insurance coverage, and documenting interactions in EHR.
Collaborate with clinicians and care teams to support treatment planning, discharge, and patient follow-up.
Salma Health is transforming mental and neurological brain healthcare into a comprehensive, end-to-end system. We are a dedicated team working in a fast-paced, evolving clinical setting to deliver coordinated, compassionate care.
Verify insurance, obtain benefits, calculate estimates, and secure prior authorizations for outpatient services.
Act as liaison between payers and clinic staff; follow up on denied or delayed authorizations.
Maintain detailed documentation and resolve issues with physicians, nurses, and financial advocates.
University of Utah Health is a patient-focused organization enhancing health through care, research, and education. It operates five hospitals and eleven clinics with a culture of collaboration, excellence, leadership, and respect.
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.
Serve as a primary point of contact for member inquiries through phone, chat, and other channels, providing compassionate and efficient support.
Coordinate complex scheduling, care workflows, and urgent requests while partnering with clinical providers and operations teams.
Build trust through empathetic communication, accurate documentation, and thoughtful problem solving to ensure a seamless care experience.
Tia is building a new model for women's healthcare that integrates primary care, gynecology, mental health, dermatology, and wellness across in-person and virtual settings. The company is a Series D venture-backed organization trusted by over 120,000 women across four markets, with a culture focused on excellence and continuous improvement.
Serve as the initial point of contact for patients, coordinating new patient scheduling and access to OHSU Ambulatory Clinics.
Verify patient demographic and insurance information, create medical records, and manage referrals in Epic.
Handle high-volume phone calls, triage inquiries, and monitor work queues to ensure efficient scheduling and patient satisfaction.
OHSU is a prominent academic medical center in Oregon, dedicated to health care, education, and research. It is a large, collaborative organization with a diverse workforce and a focus on patient-centered care.
Serve as the first point of contact, greeting patients and handling inbound calls.
Verify insurance, update demographics, and register patients in EMR (EPIC).
Document patient concerns, triage messages, and escalate emergent issues promptly.
U.S. Urology Partners provides urology and specialty services, including surgery and cancer treatment. It has over 50 offices across the East Coast and Midwest, with values of compassion, collaboration, respect, and accountability.
Communicate with patients regarding appointments, treatment plans, and follow-ups.
Coordinate patient care between providers, specialists, and insurance companies.
Maintain accurate and confidential patient records in EHR/EMR systems.
SnappyCX provides remote clinical care coordination and administrative support to U.S.-based healthcare practices. The company values independence and professionalism, with a small, distributed team focused on HIPAA compliance and patient-centered care.
Conduct outbound calls to members to schedule Annual Wellness Visits, preventive screenings, and primary care consultations.
Educate members about available healthcare benefits and the importance of completing recommended visits.
Coordinate with provider offices and internal teams to secure appointment availability and maintain accurate documentation.
This company provides population health and care coordination programs, helping members access preventive and primary care services. The team operates as a remote, performance-driven call-center environment focused on member outreach and appointment scheduling.
Manage referral and case activity to ensure timely follow-up and response to hospitals.
Provide 24/7 remote oversight of new and open referrals and dispatch staff to donor sites.
Collaborate with critical care teams and interpret electronic medical records to assess donor suitability.
New England Donor Services (NEDS) coordinates organ and tissue donation across New England and Bermuda, working with over 200 hospitals to save and heal lives. The organization employs 399 staff members and has been recognized as a top workplace and women-led business in Massachusetts, fostering a mission-driven culture of respect and collaboration.
Oversee referral and authorization processing, ensuring accuracy and compliance with performance standards.
Coordinate team workloads, serve as a resource for associates, and resolve complex operational issues.
Provide coaching, training, and performance management to support professional development and team success.
The company provides healthcare administration services, managing referrals and authorizations for healthcare-related requests. The organization supports a remote team and emphasizes operational performance, professional development, and employee well-being.
Build relationships with patients and caregivers through in-person re-engagement in southern New Jersey.
Support re-enrollment, onboarding, app setup, and telephonic outreach to reconnect families to care.
Partner with interdisciplinary teams and local resources to address barriers to care and social needs.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. It provides 24/7 virtual-first and in-home medical, behavioral, and social care, with a culture centered on compassion and creativity.
Conduct high-volume outbound calls to schedule patients for services like mammograms, bone density screenings, and primary care visits.
Coordinate care end-to-end and connect patients to community resources addressing social determinants of health barriers.
Manage multiple workflows with accurate documentation and collaborate across teams to ensure seamless patient experiences.
Sprinter Health is building the clinical and technological infrastructure to expand access to healthcare by delivering care at home powered by technology. They are a rapidly growing team backed by prominent VCs and led by former executives from Google, Facebook, LabCorp, and Disney, with a culture that values flexibility, humility, and humor.
Take inbound calls from patients, providers, and members, handling everything from routine questions to emergent situations.
Support members with insurance needs, including changing primary care physicians, locating urgent care clinics, and getting prescription authorizations.
Provide 24/7 Triage Support and assign priority for a Registered Nurse to deliver health advice.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily to deliver positive healthcare experiences and improve outcomes. For over 30 years, the company has combined clinical expertise with data-driven technology, fostering a collaborative and innovative culture that empowers growth through trust, opportunity, and accountability.