Verify patient insurance eligibility, benefits, authorization requirements, and referral needs prior to services.
Obtain referrals from primary care providers and ensure all referral requirements are met before scheduling.
Communicate insurance coverage, financial responsibility, and estimated costs to patients in a clear and empathetic manner.
Oshi Health is a virtual digestive health practice on a mission to transform GI care. As a startup, they offer a remote-first, mission-driven environment with a focus on improving patient lives.
Manage incoming phone calls and fax requests to schedule outpatient tests, ensuring a seamless patient experience.
Complete pre-registration of scheduled patients and verify all valid provider orders are accurately obtained.
Maintain scheduling system, check insurance eligibility, and demonstrate knowledge of medical insurances.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. With a large workforce, they are committed to building healthy communities and advocating for the poor and vulnerable.
Serve as the primary financial contact for caregivers during onboarding, explaining insurance benefits and estimated costs.
Collaborate with care coordination and clinical teams to ensure a seamless onboarding experience.
Maintain accurate documentation of all caregiver interactions while upholding HIPAA and privacy standards.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has a collaborative culture focused on delivering transformative care through technology.
Investigate mental health benefits and verify eligibility, authorization, and insurance requirements via phone, portals, or fax.
Contact patients to clearly communicate cost estimates, financial options, and liability including copays, coinsurance, and deductibles.
Collaborate with front office, billing, and intake teams to resolve insurance issues and correct errors in the practice management system.
Mindpath Health is a national leader in mental health services, providing psychiatric and therapy services across six states via in-person and telehealth appointments. The team is deeply committed to compassionate, collaborative care and supporting total health.
Support patients with payment processing, billing education, insurance verification, and claims-related inquiries.
Accurately process payments, create payment plans, and interpret claim notes and billing outcomes.
Research account history to resolve billing issues and educate patients on insurance concepts.
Five Star Solutions is a staffing company connecting talent with roles in customer service and healthcare. They foster a remote work culture with a focus on compliance, empathy, and professional development.
Accurately process inbound healthcare documentation and data from multiple sources.
Maintain patient and program records with strict attention to detail and confidentiality.
Collaborate with internal teams to resolve discrepancies and ensure timely intake.
A healthcare operations company focused on patient documentation and data processing. They maintain a remote team with a culture of accuracy and confidentiality.
Coordinates all patient scheduling activities including appointments, procedures, and exams for multiple hospital, physician practice, and outpatient departments.
Collects clinical information, verifies insurance, and educates patients regarding protocols and procedures to ensure appropriate scheduling.
Serves as a resource for staff and referring offices, utilizing scheduling software to facilitate patient access and reduce errors.
Lehigh Valley Health Network is a nationally recognized health network providing advanced, compassionate healthcare to the community. With nearly 20,000 professionals, it is the region's largest employer and has been repeatedly recognized for excellence in patient safety and outcomes.
Answer inbound calls, schedule appointments, and provide excellent customer service in a centralized access center environment.
Verify and update patient demographics, insurance, and electronic health records while maintaining confidentiality.
Adhere to call quality and scheduling guidelines, achieving minimum call standards and 95%+ quality threshold.
This is a physician-led, patient-centric network simplifying healthcare with primary, multispecialty, and urgent care services. They serve millions of patients across traditional practices, homes, and virtually, fostering a compassionate and innovative community.
Manage patient refund and credit workflows, ensuring accurate processing in compliance with policies.
Serve as the primary contact for refund resolution and Salesforce case management.
Reconcile patient accounts, investigate discrepancies, and coordinate with insurance companies as needed.
Privia Health is a technology-driven national physician enablement company that optimizes physician practices and improves patient experiences. The company is led by top industry talent and offers a collaborative culture focused on reducing healthcare costs and improving outcomes.
Determine patient qualification for financial assistance programs and payment arrangements using confidential financial information.
Verify insurance coverage, obtain authorizations, and provide price estimates for scheduled procedures.
Serve as a liaison between patients, providers, and internal departments to coordinate benefits and collect patient portions.
CommonSpirit Health is a large healthcare system with over 700 care sites across the U.S., serving nearly one in four Americans. The culture emphasizes compassion, community health, and employee commitment to a greater cause.
Obtain and verify patient and insurance information, entering data into the registration system accurately.
Schedule patient appointments including return visits, referrals, and diagnostic procedures.
Greet patients professionally over the phone and respond effectively to their needs.
Munson Healthcare is a healthcare system in northern Michigan, operating eight award-winning community hospitals and serving over half a million residents. The company values excellence, teamness, positivity, creativity, and commitment to exceptional experiences, fostering a supportive culture with opportunities for growth and well-being.
Support front-end and back-end billing operations for a fully virtual care delivery model.
Ensure accurate charge entry, claims submission, and denial resolution.
Serve as a billing point of contact for families, explaining insurance processes with empathy.
InStride Health delivers specialty anxiety and OCD care for children, teens, and young adults through a combination of research-backed clinical care and innovative technology. The team is mission-driven, focused on expanding access to insurance-based care, and values heart, smart work, humility, and community.
Verify patient insurance eligibility, benefits, and coverage while communicating with insurance providers.
Obtain and track prior authorizations, and resolve coverage or authorization issues by phone.
Document insurance information in EHR systems and explain self-pay options to patients and families.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities across the globe. They embrace a remote working environment and an international team collaborating from home.
Verify and collect patient demographic and insurance information through direct data entry into the electronic medical record.
Conduct face-to-face or telephonic interviews with patients to secure information for requested services.
Demonstrate customer-centric focus and achieve performance standards defined by Integrated Patient Scheduling Management.
NAH is a healthcare network serving Northern Arizona, providing a range of medical services. It is a large organization with thousands of employees, focused on patient-centered care and innovation.
Responsible for daily billing functions including claim edits, insurance review, and follow-up on unpaid claims.
Must display knowledge retention through scheduled competency assessments and work independently or collaboratively.
Requires high school diploma or equivalent, with Microsoft Office experience; preferred patient billing and Epic experience.
Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Their mission is to live God’s love by promoting and restoring health, with a commitment to safety and integrated healthcare.
Post insurance and patient payments into billing software according to explanation of benefits or patient pay stubs.
Perform research of unidentified payments and credit balances, and process refunds as needed.
Prepare daily bank deposits, download electronic remittances, and maintain file retention for all facilities.
Munson Healthcare is northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents. The company values excellence, teamness, positivity, creativity, and commitment to exceptional experiences, and offers a supportive culture with benefits like tuition reimbursement and wellness programs.
Collects and verifies patient demographic and insurance information prior to scheduled appointments.
Ensures smooth registration process and accurate financial clearance to support timely access to services.
Maintains compliance with regulatory and confidentiality standards while performing other assigned duties.
Kettering Health is a healthcare system serving communities in Ohio, dedicated to patient-centered care. With multiple facilities and a large workforce, it emphasizes a culture of safety, compliance, and operational excellence.
Collect, verify, and submit information necessary for enrollment of hospitals/physicians with Out-of-State Medicaid payers.
Develop and maintain ongoing policies and procedures specific to each state for new hospital/physician enrollments.
Manage work queue to ensure all timely submissions and deadlines of payor-specific forms and documents.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM platform. The company is a multi-year recipient of the Top Workplaces award, recognized as Black Book's #1 Specialty Revenue Cycle Management provider in 2024, and has been among the top one percent of Inc. 5000 fastest-growing private companies for eleven years.
Provide direct support to customers navigating healthcare reimbursement, claims, and insurance processes.
Assist with verifying benefits, reviewing claims documentation, and maintaining compliant records.
Collaborate with internal teams to resolve complex reimbursement issues and improve workflows.
This partner company provides customer reimbursement coordination services for healthcare. They operate remotely and offer a collaborative environment with opportunities for professional development.
Handle high volume of calls regarding insurance plans and dental treatment scheduling.
Make outbound follow-ups to patients with incomplete care and missed or cancelled appointments.
Navigate systems to educate patients on available plans and services while meeting KPI targets.
Western Dental & Orthodontics provides dental and orthodontic care to patients across the United States. As part of Sonrava Health, the company offers a collaborative, high-energy work environment with accessible leadership and a focus on patient satisfaction.