Performs an accurate search for patient in EPIC data base, thus, reducing the number of duplicate patient records.
Assesses the patient’s financial ability to pay for services, referring patients to financial counseling staff when appropriate.
Sends eligibility requests to all payors to verify accurate and current coverage.
Ohio State University Physicians (OSUP) has over 100 cutting-edge outpatient center locations and is dedicated to providing exceptional patient care. Their buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders.
Understands organizational goals for timely account resolution.
Performs demographic and financial assessments.
Communicates patient's financial responsibility and requests payment.
Prisma Health is a not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Their 32,000 team members are dedicated to supporting the health and well-being of the community.
Discuss insurance coverage, balance estimates, and financial obligations with patients.
Identify and enroll eligible patients in financial aid programs.
Accurately document all financial communications in the EMR and practice management platform.
IVX Health provides infusion and injection therapy for individuals managing chronic conditions. They focus on patient comfort and believe in empowering their team to thrive while living their core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride.
Determine and verify insurance coverage and coordination of benefits.
Ensure proper, adequate, and timely billing for prompt payment.
Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
UAB St. Vincent’s is a trusted healthcare provider that has been serving Alabama for over 125 years. They have five hospitals and numerous clinics, and their 4,800+ employees are committed to providing compassionate, personalized care and improving the health and lives of those they serve.
Accountable for making decisions supported by policy based on confidential financial information to determine qualification for CICP, Charity programs, or payment arrangements.
Verify coverage and authorization for all scheduled procedures using scheduling and registration information; populate price estimate tool to decide patient portion.
Act as a liaison between patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit has over 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services and is accessible to nearly one out of every four U.S. residents. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Verify insurance eligibility and benefits, ensuring accurate coverage details are documented prior to services.
Support members in navigating employer-sponsored benefits, helping them understand financial responsibility and access to care.
Own assigned worklists ensuring completion within established productivity, quality, and SLA expectations.
Headspace provides access to lifelong mental health support. They combine evidence-based content, clinical care, and innovative technology to help millions of members around the world get support that’s effective, personalized, and truly accessible whenever and wherever they need it.
Performs claims processing, insurance and charge verification, payment posting, account resolution, customer service and follow up.
Educates staff and physicians on CPT/HCPCS/ICD-10 codes and appropriate documentation requirements to reduce errors and remain compliant.
Works directly with staff when needed for insurance authorization assistance, IPA guidance and insurance optimization.
Community is committed to providing the highest standard of care. They value their diverse team members and offer various opportunities for growth and development.
Under the direction of the Patient Accounts Manager, the Patient Accounts Specialist is involved in medical billing and follow-up.
Participates in training and auditing of Patient Account Representatives.
Identifies delinquent accounts to expedite resolution.
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. They are committed to transforming the health care experience with high-quality care for every stage of life.
Review incoming referral orders to assess patient’s needs based on diagnosis, insurance coverage or lack thereof, and previous treatments.
Verify patient information including demographics, insurance coverage and financial status; confirm patient eligibility for health care coverage and clarify any managed care arrangements.
Contact the patient prior to service to inform them of their estimate and collect any pre-payments at that time.
OHSU is Oregon's only public academic health center, caring for patients and leading groundbreaking research. As Portland's largest employer, they offer opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
Educate and enroll new and existing patients into our specialty services and programs
Manage the enrollment process, including collecting necessary information and documentation
Communicate with patients to explain the benefits of enrollment
Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Their mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death.
Serve as a key point of contact for patients regarding billing questions, payment plans, and account resolution
Respond to inbound calls and proactively reach out to patients to collect past-due balances and arrange payments
Review and explain Explanation of Benefits (EOBs) to patients in a clear and supportive manner.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are transforming the way care is delivered with a focus on patient comfort and convenience, empowering their team to thrive while living their core values.
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. They are backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members.
Acts as initial service ambassador to referral sources, physicians, patients, caregivers and other external customers providing the highest quality service.
Responsible for the initial entry, verification, and maintenance of information regarding new patients in all applicable software programs.
Processes private insurance verifications, verifies eligibility of Medicare, Medicaid and third party payers and any other duties as directed.
CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better is in their own home. As a faith-based organization, they are committed to finding new ways to improve the health of their patients and the health of the communities they serve.
Responsible for insurance follow-up and resolving denials.
Assists with resolving unpaid self-pay accounts.
Completes reports and assists with special projects.
Vail Health is the world’s most advanced mountain healthcare system. It consists of a 520,000-square-foot, 56-bed hospital that provides exceptional care to patients with the most beautiful views in the area in Vail.
Enrolling practitioners in health plans in a timely and effective fashion.
Monitoring progress and ensuring timeliness of enrollment completion.
Maintaining provider enrollment goals for all divisions.
Pediatrix Medical Group provides specialized health care for women, babies, and children. Since 1979, Pediatrix has grown into a national, multispecialty medical group committed to coordinated, compassionate, and clinically excellent services.
Acts as a resource for collection issues and ensures patient accounts are accurate.
Monitors patient A/R, sends statements, and posts payments according to standards.
Documents all activity on accounts and prepares data needed for court-related circumstances.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They are a team that delivers outstanding care in one of the most beautiful regions in the country.
Submit accurate enrollment applications to multiple public and private payers.
Manage enrollments across multiple states and provider types, ensuring timely follow-up.
Maintain up-to-date provider information in CAQH and resolve enrollment discrepancies.
Seven Starling is a virtual provider of women's behavioral health services, supporting every stage of motherhood. They combine therapy, peer support, and medication management with 94% of patients seeing improvement. They partner with OBGYN clinics and health plans to make care accessible.
Manage inbound and outbound calls, emails, and other communications related to post-purchase voucher inquiries.
Research and resolve patient billing and provider payment issues.
Utilize Salesforce as the primary case management tool to track cases, notes, and resolutions.
Tendo is a fast-growing, mission-driven company focused on improving the care journey for patients, clinicians, and caregivers by creating software that provides seamless, intuitive, and user-friendly experiences. Their team-driven culture and rapid growth have earned them recognition as one of Forbes’ Top Startup Employers for 2024, 2025, and 2026.
Contacts insurance companies to determine pre-authorization requirements.
Obtains pre-certification or pre-authorization before service.
Liaisons with physicians to obtain clinical information.
Piedmont Healthcare is a company focused on healthcare services. The job posting does not contain information about the company's size, employees, or culture.