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.
Maintains current information regarding surgery schedules for service site providers.
Triages and documents accurately telephone calls from patients including requests for medication refills, complaints, general information inquiries, and urgent health care concerns.
Schedules new patient appointments on line, and manually if necessary.
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.
Triages and documents accurately telephone calls from patients.
Schedules new patient appointments on line, and manually if necessary.
Provides high quality customer service to both external and internal customers.
OHSU is Oregon's only public academic health center. As Portland's largest employer, it offers opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
Responsible for the direct supervision of the centralized managed care activities.
Leads the team by recruiting, training, mentoring, and managing the work queues of direct reports.
Serves as the first line of communication with the practices/departments to answer questions and trouble shoot issues.
OHSU is Oregon's only public academic health center. In addition to caring for patients, they lead groundbreaking research and train the next generation of health care professionals. As Portland's largest employer, OHSU provides opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
Build trusting relationships with patients, families, and providers, addressing health questions and care needs.
Identify medical, behavioral, social, emotional, and financial needs to support whole‑person care.
Strengthen the connection between patients and healthcare providers by addressing barriers and facilitating communication.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, with the goal to make great healthcare affordable, improve patient health, and restore fulfillment for providers. They leverage remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
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.
Accurately coordinate, schedule and complete registration for ambulatory outpatient visits.
Collect patient demographic and insurance information, verifying and communicating liabilities.
Explain patient preparation requirements and coordinate with clinical departments regarding protocols.
Southcoast Health is a not-for-profit, charitable health system with multiple hospitals, clinics, and facilities throughout Southeastern Massachusetts and Rhode Island. They provide inclusive, ethical workplaces where their highly skilled caregivers offer world-class, comprehensive healthcare close to home.
Assist clinicians with gathering medical information for patients.
Report any medical concerns monthly for patients.
Completion of PCM as assigned and as needed.
MTC Care is the nation’s leading telemedicine provider of behavioral health care to skilled nursing, assisted living and independent living facilities. Their clinical team includes trained psychiatry and psychology providers, and they are committed to delivering top-notch behavioral health services.
Identifying caregiver availability and staffing new cases efficiently.
Updating all relevant systems with caregiver availability and case details.
Assigning caregivers to cases and verbally reviewing all patient details, duties, special requirements, travel time, and expectations.
SnappyCX is a dynamic and innovative company at the forefront of the BPO industry providing talent outsourcing. They redefine the benchmarks for excellence in talent-centric solutions.
Supports the affiliate-level Utilization Management and denials processes by coordinating incoming requests for information from multiple payer sources.
Conducts maintenance and utilization of EPIC work queues that support obtaining authorization for patient stays; communicates with payers via telephone, fax, or email.
Acquires an understanding of third party authorizations, verification, and denials, and proceeds with notification/documentation to appropriate parties.
UnityPoint Health is committed to its team members and recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row. They champion a culture of belonging where everyone feels valued and respected, honoring the ways people are unique and embracing what brings us together.
Take inbound calls from patients, providers and members
Support members with their insurance needs, questions or concerns
Provide 24/7 Triage Support and assign priority for a Registered Nurse to provide health advice
Carenet Health pioneers advancements in healthcare consumer experience, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.
Provides non-clinical administrative support to Case Managers and Care Coordinators.
Obtains and manages medical documents, ensuring accurate record retrieval.
Prioritizes tasks based on expedited requests with attention to detail.
Spectrum Healthcare Resources (SHR) delivers systems and processes designed to meet the unique needs of Military and VA Health Systems. They provide physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies.
Oversee and prioritize work queues for overdue and expiring patient orders and test results.
Manage patient communications, and process Regional Medication Prior Authorizations.
Collaborate closely with clinic teams to ensure timely follow-up and seamless coordination of patient care tasks.
UnityPoint Health is committed to its team members and has been recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row. They champion a culture of belonging where everyone feels valued and respected and equip you with support and development opportunities.
Schedules diagnostic tests, procedures, and surgeries and provides patients with preparation instructions.
Prepares and manages patient documentation, acting as a liaison between patients and the billing department.
Coordinates schedules for staffing, revising and updating them as necessary, and may assist in routine clerical functions.
University of Utah Health is a patient-focused organization committed to enhancing health and well-being through patient care, research, and education. They are a Level 1 Trauma Center nationally ranked and recognized for academic research, quality standards, and patient experience.
Support day-to-day coordination of staff requests across travel, software access, procurement, and vendor management.
Track timelines, deliverables, and dependencies across operational workstreams, surfacing gaps early.
Support updates to the internal knowledge management system and maintain operational documentation, guides, and resources.
The Patrick J McGovern Foundation supports teams to work at the speed the mission requires by providing infrastructure and resources. They focus on service-focused work, strategic problem solving, and process optimization.