Piedmont Healthcare is a healthcare organization providing patient care services across Georgia. It fosters diverse teams, shared purpose, and schedule flexibility, with wellness programs and comprehensive benefits.
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.
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.
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.
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 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.
Contact insurance companies to check claim status and appeal submissions via payer portals and phone calls.
Manage administrative tasks such as gathering medical records, processing mail, and maintaining filing systems.
Build foundational knowledge of healthcare claims, ERISA regulations, and Commercial and Managed Care insurance policies.
Ternium specializes in resolving complex healthcare insurance claim denials and delays, helping hospitals and health systems optimize their revenue cycles. We are a growing, mission-driven team focused on professional development, inclusion, and improving healthcare outcomes.
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.
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 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.
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.
Coordinates utilization review and prior authorization requests, ensuring accurate entry into the UM platform.
Provides customer service to providers and members, confirming benefits and answering authorization questions.
Facilitates communication between reviewers, hospitals, and physicians to ensure timely decisions.
University of Utah Health Plans is a patient-focused organization that enhances health through patient care, research, and education. It is part of a nationally ranked academic medical center with five hospitals and eleven clinics, fostering a culture of collaboration and excellence.
Coordinate denial and appeal follow-up activities to ensure timely resolution of insurance denials and appeals.
Investigate payment issues with insurance carriers, maintain tracking systems, and document follow-up actions.
Analyze performance data and collaborate with revenue integrity teams to improve billing accuracy and recovery.
This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.
Manage prior authorization requests, reviewing clinical documentation and verifying ICD-10 and CPT codes.
Submit requests via payer portals, monitor pending cases, and follow up with insurers.
Investigate denials, prepare appeals, and coordinate with providers to prevent care delays.
Jobgether is an AI-powered job platform that matches candidates with relevant opportunities through objective review processes. It focuses on efficient recruitment and data privacy, using technology to support hiring decisions.
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.
Design, build, test, validate, and support Epic clinical and revenue cycle applications for Piedmont Healthcare.
Obtain and maintain Epic certification while implementing configuration changes and future-state workflows.
Provide tier III support on a 24/7 on-call basis and build relationships with physicians, co-workers, and clinical stakeholders.
Piedmont Healthcare is a leading healthcare system in Georgia. As a large corporate organization, it emphasizes collaboration and teamwork across interdisciplinary workgroups.
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.
Review and respond to phone and fax inquiries from members, providers, and pharmacies for prior authorization.
Use multiple applications and follow procedures to accurately document and resolve inquiries.
Provide excellent customer service and meet or exceed call center metrics.
The Cigna Group is dedicated to improving the health and vitality of those we serve through Cigna Healthcare and Evernorth Health Services. We are a major healthcare organization focused on enhancing the lives of our clients, customers, and patients.
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.
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.