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.
Obtain detailed benefit information using payer portals, phone, or fax for all insurance companies.
Validate and document payor information in EMR and reduce write-offs by clearly documenting deductibles and co-pays.
Monitor task flow for insurance issues including Medicare eligibility, authorizations, and re-verifications.
Graham Healthcare Group designs business and technology solutions for home health and hospice companies, driving better care and outcomes. As a subsidiary of Graham Holdings, they have over 20 years of experience and offer competitive benefits in a collaborative, patient-focused culture.
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 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 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 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.
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.
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.
Prepare, review, and submit accurate prior authorization requests to PBMs and health plans for anti-obesity medications.
Act as an escalation point to resolve complex coverage inquiries from Medical Providers, Member Services, and Client Success.
Maintain HIPAA compliance and accurately document hours using designated ADP pay codes.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. It is trusted by Fortune 100 companies and fosters a diverse, inclusive culture.
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.
Manage pre-service authorization denials and coordinate reconsiderations, appeals, peer-to-peer reviews, and payer exception requests within applicable timeframes.
Interpret payer policies, medical necessity criteria, and coverage requirements to determine appropriate resolution pathways and obtain supporting documentation.
Collaborate with providers, payers, and internal teams to resolve complex cases, identify denial trends, and support process improvement.
IVX Health is a national provider of infusion and injection therapy for patients managing complex chronic conditions. They are a growing healthcare organization with a culture built on collaboration, innovation, and purpose, offering professional development and meaningful work.
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.
Manage referral workflows from intake through closure, ensuring accurate and efficient progress.
Coordinate the full prior authorization lifecycle including submission, tracking, follow-up, and appeals.
Facilitate patient scheduling and care coordination across providers, clinics, specialists, and payers.
Indigenous Pact is committed to improving access to quality healthcare services through innovative, patient-centered care coordination. They are an equal opportunity employer dedicated to fostering an inclusive and barrier-free work environment.
Process and coordinate patient referrals, ensuring timely approvals and documentation.
Act as a liaison among patients, physicians, insurers, and specialists.
Manage insurance authorizations, schedule appointments, and support patient communication.
A healthcare organization is seeking a Referral Coordinator to manage patient access and care coordination. It offers a patient-focused, collaborative culture with remote work flexibility.
Manage incoming patient referrals and insurance authorizations for diagnostic imaging procedures.
Serve as a point of contact between patients, healthcare providers, and insurance companies to ensure timely processing.
Maintain accurate documentation and uphold patient confidentiality and compliance standards.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use a remote-first culture and a small, inclusive team focused on leveraging technology to streamline recruitment.
Help members navigate US health insurance, including billing questions, denied claims, and appeals.
Coordinate with providers, insurers, and members to resolve coverage issues and prior authorizations.
Translate complex insurance benefits into clear guidance and identify trends to improve the member experience.
This company provides a global safety net for remote workers, offering health, income, and travel coverage. It operates as a remote-first organization with a culture of empathy, integrity, and a mission to improve access to healthcare worldwide.
Act as a patient and family advocate to obtain necessary information from providers and fulfill payers' referral/authorization requirements.
Collaborate with providers and staff to promote success of obtaining referrals and authorizations, and ensure timely clearance of authorization claims edits.
Investigate and resolve insurance issues, and coordinate with contracting to obtain letters of agreements for patients with non-LPCH contracted coverage.
Lucile Packard Children's Hospital Stanford combines advanced technologies with family-centered care to provide world-renowned pediatric healthcare. We are a large community committed to healing humanity.
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.
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.
Handle high-volume inbound and outbound calls to support patients with financial responsibilities, insurance coverage, and payment options.
Verify insurance eligibility, register patients, and coordinate pre-authorizations while maintaining accurate records.
Collaborate with clinical and administrative teams to ensure a seamless patient experience and meet productivity standards.
Our partner is a healthcare organization focused on improving patient access to financial and administrative support. They foster a compassionate, patient-centered culture and operate a fast-paced call center environment with a collaborative team.