Source Job

• Handles telemedicine requests & gathers patient information.
• Communicates patient information to the team for call prioritization.
• Maintains accurate documentation in EPIC consult queues.

iCIMS is a software company that provides recruiting software to businesses.

• Assists with medical record documentation requests and leverages medical management system to initiate case and/or authorization to support clinical processes.
• Conducts fax and telephonic outreach; and written communications to members and/or providers to communicate status of UM/CM processes.
• Actively participates in supporting department compliance and performance through administrative activities such as report monitoring/distribution, and other tasks as assigned by leadership.

Capital Blue Cross promises to go the extra mile for their team and community. Employees consistently vote it one of the “Best Places to Work in PA”.

Answer high volume of incoming calls and place outbound calls, responding to patient inquiries related to healthcare services. Act as primary point of contact for patients via phone, email and chat systems. Convert calls to scheduled appointments for CHOICE clinics.

CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities.

• Answers calls and route all incoming correspondence to appropriate staff.
• Maintains up to date patient health records in the Electronic Medical Record system and Vynca data systems.
• Coordinates transportation for patient medical appointments with contracted transportation companies and payers.

Vynca is passionate about transforming care for individuals with complex needs and is focused on providing comprehensive care for more quality days at home.

• Coordinate care between VA and community providers.
• Schedule appointments and coordinate care.
• Process administrative notes for consults.

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.

This role acts as a 'Telehealth Concierge'. Interviews patients to collect required data including demographic and financial information. Communicates mandated patient information and verifies all information for accuracy.

Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond.

• Manages referrals both into and out of the clinic, including prior authorizations and medical records.
• Efficiently calls patients, schedules appointments, verifies insurance, and confirms demographics.
• Requires excellent customer relationship skills and the proven ability to communicate effectively and accurately.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents.

• Lead the preparation and submission of comprehensive provider rosters to Managed Medicare, Medicaid, and commercial payers.
• Audit internal provider data against database records to ensure 100% accuracy before submission.
• Serve as the primary point of contact for health plans to resolve roster discrepancies, rejections, or paneling delays.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs.

• Provide care navigation support for patients, helping them find providers and connect with care or social services.
• Monitor the member support phone line and address patient inquiries.
• Manage patient scheduling, including prioritization, reminders, and provider schedule optimization.

Pomelo Care is the national leader in evidence-based healthcare for women and children, delivering personalized, high-quality clinical interventions.

Request, receive, process, and track medical and billing records from healthcare providers. Organize, scan, upload, and maintain medical and legal documents within designated firm systems. Review and verify medical records and billing statements for accuracy, completeness, and consistency.

Keller Postman represents a broad array of clients in class and mass actions, individual arbitrations, and multidistrict litigation matters.

• Support patients through the denial and appeal process.
• Coordinate with healthcare providers and insurance companies.
• Ensure seamless access to our innovative DME device.

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Their team is dedicated to delivering prescription-grade therapy with an outstanding user experience and has pioneered the world’s first drug-free wearable therapy.

• Answer incoming inquiries from patients, answer questions, and schedule appointments
• Make outbound phone calls to patients, pharmacies, and insurance companies
• Create and triage tickets in ServiceNow

Talkiatry transforms psychiatry with accessible, human, and responsible care. They’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.

The Provider Enrollment Specialist is responsible for timely and effectively enrolling practitioners in health plans. The Specialist will monitor progress, ensure timeliness of enrollment completion, and provide updates. The Specialist will maintain accurate provider profiles in IntelliCred and CAQH.

Pediatrix Medical Group is one of the nation’s leading providers of specialized health care for women, babies and children since 1979.

Contacts insurance companies to determine pre-certification requirements. Obtains pre-certification prior to the scheduled complex service being performed. Liaisons with physicians to obtain additional information.

Piedmont Healthcare contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements.

• Manage all aspects of provider licensing, credentialing, and payer enrollment.
• Coordinate end-to-end licensing workflows and maintain accurate records.
• Act as a key liaison between clinicians, state boards, payers, and internal stakeholders.

They are committed to providing safe, discreet medication abortion treatment and offer a range of reproductive and sexual health care services. The in-house clinical care team composed of board-certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away.

• Help patients understand provider instructions.
• Ensure orders and documentation are accurate.
• Route clinical questions to providers appropriately.

LumiMeds is a fast-growing telehealth platform focused on weight management and long-term metabolic health. They work with a fully remote, globally distributed team and pride themselves on moving quickly, communicating clearly, and building systems that actually work.

• Responsible for verifying, importing, prepping, scanning and maintaining patient health information in the electronic medical record.
• Validates completeness of medical record content through a review of documents and provides notification to provider(s) of incomplete status.
• Monitors the status of incomplete medical records and notifies providers of pending and delinquent medical records to support timely record completion.

St. Luke's is committed to excellence in patient care. They foster a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being, creating an environment where their team can thrive both personally and professionally.

• Handle communications via phone, email, voicemail, faxes, and chat.
• Conduct thorough intake assessments to understand patient needs and match them with an appropriate provider.
• Ensure all patient interactions and transactions are accurately documented in the Electronic Health Record (EHR) system.

LifeStance Health is a mental healthcare provider striving to help individuals, families, and communities with their mental health needs. They are the fastest-growing mental health practice group in the country, valuing belonging, empathy, courage, and teamwork.

Acts as key point of contact for the processing of enrollment applications for all providers. Works with System Credentialing and local medical staff contacts. Responsible for completing the ongoing review and attestation of all Munson Healthcare provider enrollment records.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents.

• Ensure timely and accurate payment of medical claims, following health plan policies and procedures.
• Maintain accurate and up-to-date notes of all claims processed.
• Process appeals and disputes by gathering and verifying claim information and communicating outcomes.

Sana Benefits aims to create an easy healthcare experience. They focus on providing seamless care and affordable benefits to small businesses.