Lead the IVS team by providing daily guidance and training.
Develop collaborative relationships with insurance companies to verify benefits and eligibility.
Work collaboratively with the RCM, finance, accounting, admissions, and utilization management departments.
Equip is a virtual, evidence-based eating disorder treatment program ensuring everyone with an eating disorder can access treatment. Founded in 2019, Equip has been a fully virtual company since its inception and is proud of its highly-engaged, passionate, and diverse team.
Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
Creates cases, tasks, and completes assessments in Case Management module for all Hospital and SNF discharges
Works as a team with the Case Manager to engage and manage a panel of SNP members
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
Contacts insurance companies to determine pre-certification requirements.
Obtains pre-authorization prior to the scheduled complex service.
Liaisons with physicians to obtain additional information.
Piedmont Healthcare is a company focused on healthcare services. They appear to be a large corporate entity, offering a range of opportunities within the revenue cycle and healthcare sectors.
Receive and respond to prescription refill requests through various communication channels.
Verify the validity and accuracy of prescription refill requests, ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Coordinate day-to-day virtual Business Office workflow for revenue cycle operations.
Maintain documentation and organized records for survey review.
Verify insurance eligibility, confirm authorizations, and document financial clearance processes.
Signet Health provides management and consulting services for hospitals and health systems. They focus on improving financial, operational, and clinical performance. The company emphasizes a collaborative and supportive work environment.
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles
Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers
Expressable is a virtual speech therapy practice with a mission to transform care delivery and expand access to high-quality services. They are passionate advocates of parent-focused intervention, serving thousands of clients since their inception in late 2019.
Manage multiple channel interactions professionally and efficiently.
Effectively present products/services to providers with integrity, understanding, and accuracy.
Focus on provider retention through first call resolution and maintain positive relationships.
Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.
Manage end-to-end provider contracting and credentialing processes.
Maintain accurate and up-to-date provider records and documentation.
Assist with billing setup for newly credentialed providers.
Understood Care helps older adults by providing them with Medicare-covered patient advocacy services. They pair each person with a dedicated advocate who helps them navigate care, reduce costs, and make confident healthcare decisions.
Receive and document customer concerns in a timely manner.
Ensure all company procedures are followed and accurate trip data is input.
Review and educate members on our services and their insurance coverage.
Modivcare connects people with care, wherever they are. They facilitate non-emergency medical transportation and personal and home care to enable greater access to care, reduce costs and improve outcomes. Modivcare is an equal opportunity employer.
Monitor incoming faxes for authorization requests, enter UM authorizations review requests, and verify eligibility and claims history.
Ensure all necessary documentation is submitted, contact providers for required medical records, and generate correspondence for notifications.
Initiate appeal cases, meet deadlines, assist UM Nurses, and handle inquiries from call centers and other sources.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly and fairly. While the company size is not mentioned, they seem to have a modern approach by utilizing AI tools in the hiring process to identify top-fitting candidates for their client companies.
Makes decisions supported by policy based on confidential financial information.
Utilizes scheduling and registration information to verify coverage and authorization.
Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit Health has more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. 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.
Strengthening the connection between the patient and their primary care physician/medical practice staff, as well as improving the patient’s health and well-being.
Engaging patients and helping them navigate their care, solve their healthcare issues, and improves communication with their medical practice.
Assisting the patient in achieving better health outcomes by addressing their questions and concerns, connecting them with the medical practice.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Their goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.
Take inbound calls from patients, providers and members
Support members with their insurance needs, questions or concerns
Answer inquiries on benefit claims, appeals, and authorizations
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Manages the entire lifecycle of payer enrollment, credentialing, and re-enrollment of healthcare providers and facilities.
Maintains provider databases, ensuring accurate, timely submission of documentation to secure billing privileges and network participation.
Resolves claim denials, verifying insurance and performing billing related tasks to ensure timely and accurate reimbursement.
Plumas District Hospital (PDH) provides compassionate care with exceptional customer service. They are located in Quincy, California with a team that puts community first.
Own end-to-end provider credentialing and enrollment across Medicaid, Medicare, Medicare Advantage.
Ensure credentialing policies and documentation meet payer and regulatory requirements.
Build and continuously improve credentialing infrastructure, including SOPs and policies/procedures.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. They partner with health plans, providers, and community organizations to deliver culturally competent care; they are scaling rapidly across states and populations.
Responsible for review and analysis of underwriting data to expand and maintain a profitable book of business under direct supervision.
Manages agency relationships through continued customer service and supports marketing activities led by marketing manager.
Possess knowledge, critical analytical and strategic decision making skills to make independent underwriting decisions within letter of authority
Crum & Forster (C&F) provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. They have more than 2000 employees and is increasingly winning recognition as a great place to work, earning several workplace and wellness awards.
Process new patient referrals and accurately enter patient information.
Communicate with payors, referral sources, and patients regarding documentation and eligibility.
Verify eligibility and benefits in a timely manner and maintain active authorizations.
Immersiv is a new medical infusion clinic company designed to enhance the experiences of providers and patients as they navigate the healthcare system. They aim to offer more than just medication, also providing access to vaccines and outcomes assessments.
Act as the first contact for new patients and discuss service offerings with a supportive approach.
Coordinate patient/provider matching, assist in scheduling patient evaluations, and ensure insurance eligibility.
Maintain a customer service mindset and demeanor to ensure positive patient experiences.
Rivia Mind is a psychiatrist-owned mental health practice rooted in New York City, serving individuals across multiple states through virtual and hybrid appointments. They provide compassionate, science-based care with an interdisciplinary care model grounded in collaboration, personalization, and clinical integrity.
Provides telephonic assessments of members’ medical, psychosocial, physical and spiritual needs.
Develops, implements, and monitors person centered service plan and ensures continuity of care across all healthcare settings.
Educates members on disease processes, preventative health, and quality of life interventions.
MJHS is a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. They foster collaboration, celebrate achievements, and promote fairness for all with comprehensive compensation and benefits.
Answer incoming patient calls promptly and professionally.
Schedule, reschedule, and confirm patient appointments.
Accurately register and update patient information in the system.
SnappyCX is seeking an experienced Medical Receptionist to support a health practice. This is a part-time, remote role focused on front-desk and patient coordination responsibilities.