Serve as the first point of contact for patients, scheduling appointments and coordinating referrals.
Verify insurance and demographic information, ensuring accuracy and compliance.
Document interactions in electronic medical records and escalate complex issues appropriately.
This role is posted on behalf of a partner company, and managed through Jobgether's AI-powered matching process. The company is a healthcare support provider that values compassion and efficiency in patient access services.
Manage referral and clinical documentation workflows to ensure patient records are complete and available for coordinated care.
Obtain and review clinical documentation from network providers, resolve missing records, and maintain accurate recordkeeping.
Collaborate with clinicians, Military Treatment Facilities, and internal teams to support efficient referral and documentation processes.
International SOS Government Medical Services supports healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, the company operates in more than 90 countries and delivers healthcare, medical assistance, emergency response, and workforce support services worldwide.
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.
Interpret clinical documentation to accurately assign diagnosis and procedure codes for outpatient encounters.
Maintain current knowledge of ICD-10 and CPT coding systems and ensure documentation supports assigned codes.
Manage daily work queues and perform data and charge entry within patient accounting systems.
This partner company operates within an academic medical environment, providing healthcare services and supporting accurate outpatient coding. Their culture is supportive and collaborative, with a focus on high-quality healthcare operations and continuous learning.
Serves as the primary point of contact for members and providers, managing inbound and outbound calls and emails with professionalism.
Researches and resolves inquiries on benefits, eligibility, claims, and billing to ensure first-contact resolution and meet department metrics.
Supports escalation intake, collaborates with internal teams, and assists members with portal navigation to promote digital self-sufficiency.
Evry Health is on a mission to bring humanity to health insurance with high-technology health plans. It is the major medical division of Globe Life, which has 16.8 million policies in force, over 3,000 corporate employees, and an A (Excellent) rating from A.M. Best for 45+ years.
Address patient and DPOA inquiries via phone and patient portal, and assist with scheduling follow-up appointments.
Manage electronic health records, maintain patient rosters, and facilitate provider orders and prior authorizations.
Collaborate with the Curana interdisciplinary care team and handle incoming calls professionally.
Curana Health is a national leader in value-based care for senior living, offering on-site primary care and Medicare Advantage plans. Founded in 2021, it has grown to serve 200,000+ seniors in 1,500+ communities, with a team of 1,000+ clinicians and staff, ranking #147 on the Inc. 5000.
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.
Review inpatient and outpatient records and assign accurate ICD-10, CPT, and HCPCS codes.
Maintain a minimum coding accuracy of 95% while meeting turnaround and quality standards.
Work fully remotely within the US supporting multiple medical facilities.
This position is listed on behalf of a partner company within a large healthcare network. They focus on health information management and clinical coding accuracy, offering a fully remote environment.
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.
Process Release of Information requests remotely using electronic data systems.
Validate requests and authorizations according to HIPAA guidelines.
Communicate with team members and clients to resolve issues and prevent backlog.
MRO specializes in Release of Information (ROI) services for healthcare clients, ensuring accurate and HIPAA-compliant medical record release. They support a remote workforce focused on quality, productivity, and client satisfaction.
Manage the full lifecycle of PIP and Medical Payments claims, from coverage verification and investigation to settlement or denial.
Apply medical cost-containment strategies, coordinate experts, and identify subrogation opportunities while meeting compliance standards.
Work remotely within the US, maintaining accurate claim files and communicating professionally with claimants and stakeholders.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The partner company is seeking a remote Associate PIP Claims Rep to handle Personal Injury Protection claims across multiple states in a structured, compliance-focused environment.
Review and abstract professional medical records to ensure accurate code assignment.
Assign ICD-10-CM, CPT, HCPCS, and modifiers per national and payer-specific guidelines.
Maintain coding quality, compliance, and productivity standards while staying current on updates.
Sprinter Health reimagines access to care by bringing it directly to patients' homes via technology. It has supported 2M+ patients across 22 states, completed 130,000+ visits, raised over $125M, and maintains a 92 NPS.
Greet patients professionally in person and over the telephone, setting a positive tone for their visit.
Obtain and verify all required patient and insurance information, entering it accurately into the registration system.
Schedule patient appointments, including return visits, referrals, and diagnostic procedures.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals serving over half a million residents across 29 counties. They emphasize a culture of excellence, teamwork, positivity, and creativity, with a focus on exceptional patient experiences.
Responsible for the organized flow of patients throughout the department by accurately inputting surgical procedures and preference cards.
Acts as the key contact within the department for coordinating the admission process and scheduling surgical procedures.
Handles a high volume of incoming and outgoing communication from the unit while providing excellent customer service.
Virtua Health is a health system devoted to building a healthier community, offering wellness, prevention, and life-changing care. It employs over 14,000 colleagues, including more than 2,850 doctors and advanced practitioners, and is a Magnet-recognized system ranked by U.S. News and World Report.
Accurately transcribe client data from Electronic Medical Records (EMRs) into required electronic formats.
Monitor shared inboxes and internal dashboards, documenting incoming communications and following up with clients or teams.
Export and upload documents within CorroHealth's proprietary system and support cross-functional departmental tasks.
CorroHealth provides healthcare revenue cycle solutions and clinical expertise to help providers meet their financial health goals. They invest in team member development and leverage technology to deliver scalable, accountable services.
Verify insurance eligibility, benefits, and patient liability to ensure accurate financial clearance.
Collaborate with providers, authorization teams, and payers to resolve coverage questions.
Maintain accurate records and communicate financial expectations to patients.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. They partner with companies to manage applications and provide a collaborative hiring process.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.
Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.
Review and verify assigned medical codes for accuracy.
Enter demographic and insurance information into the billing system.
Respond to inquiries and assist with audits to ensure accurate billing.
Virtual Firm LLC provides medical data entry, coding, and billing services for healthcare providers. The company operates as a virtual firm, offering remote work opportunities and an entry-level friendly environment.