Verify patient insurance coverage, eligibility, and benefits prior to services.
Obtain required prior authorizations from payers for services, procedures, or medications.
Monitor and track pending authorizations; follow up to prevent delays.
Prompt is revolutionizing healthcare with modern software for rehab therapy businesses. As the fastest-growing company in the therapy EMR space, Prompt is setting a new standard in healthcare technology with a team of exceptionally talented individuals.
Monitors and verifies insurance information for patient visits.
Communicates with patients about co-pays, benefits, coverage, and care authorization.
Aviary is an organization in the healthcare sector. We value employees who are rigorous analytical thinkers and problem solvers with a strong work ethic.
Responsible for the review and processing of claims within the claims transactional system, according to plan benefits and contractual reimbursement terms.
Follows established policies and procedures to pay, pend for additional information, or deny claims.
Accountable to meet and maintain established department production and quality standards.
Evry Health is on a mission to bring humanity to health insurance by expanding benefits, increasing access and transparency, and featuring a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL) with more than 3,000 corporate employees and 15,000 agents.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Answer inbound patient calls promptly and professionally, scheduling and confirming appointments.
Accurately collect patient demographic and insurance information, verifying eligibility using EMR systems.
Collaborate with teams to support patient care, process pre-authorizations, and maintain patient records adhering to HIPAA standards.
Apex Skin provides high-quality dermatology and dermatologic surgery care to patients across Northeast Ohio, emphasizing patient experiences and same-day appointments. Their team is dedicated to creating a supportive, patient-focused environment where excellence, empathy, and teamwork thrive in their rapidly growing physician-led practice.
Conducting collection activity on appealed claims by contacting government agencies and third party payers.
Requesting additional information from Patients, Medical Records, and others as needed.
Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
Sutherland helps strengthen brands by improving customer experiences. They're a global company with nearly 40,000 employees across over 100 countries, focusing on customer care and delivering extraordinary service.
Serve as the primary financial and billing contact for caregivers during the onboarding process into behavioral health services.
Explain insurance benefits, coverage details, and estimated out-of-pocket costs in a clear and compassionate manner.
Respond to initial billing, insurance, and payment-related questions, escalating complex inquiries to appropriate insurance providers or internal teams.
Jobgether helps partner companies find candidates for their open positions. They use an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.
Manage insurance verification, authorization processes, and referral coordination to ensure patients receive timely access to covered medical services.
Work closely with insurance providers, clinical documentation, and internal systems to ensure accuracy and compliance across all steps.
Verify active insurance coverage and review patient benefits in detail.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against core role requirements. The system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
Review provider documentation and assign accurate codes per ICD-10-CM, CPT, and HEDIS/quality reporting guidelines.
Maintain and contribute to the internal billing rules matrix (payer, state, provider type, modifiers).
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care. They enhance existing care teams with compassion, creativity, and an unwavering commitment to children with medical complexity.
Obtain and manage insurance authorizations for residents receiving skilled nursing and rehabilitation services.
Monitor authorization status, track expiration dates, and submit timely extension requests to prevent coverage gaps.
Collaborate with clinical, admissions, and payer representatives to ensure timely approvals and accurate documentation.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging a global network, they connect clients with qualified professionals and offer tailored services to meet unique business needs.
Provide clinical leadership and subject-matter expertise to support analysis and configuration of medical policy content within claims processing systems.
Ensure accurate implementation of medical policies, review criteria, and authorization requirements while maintaining system infrastructure integrity.
Serve as an expert resource for medical policy configuration and PGE coding, mentoring Coding Specialists and providing training to operational partners.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota. We are motivated by the well-being of our members, not profits, and we are committed to sustainability and innovation.
Conduct coding audits to ensure accuracy and compliance with coding guidelines.
Identify compliance risks and recommend corrective action plans.
Provide education and training to physicians and staff on coding best practices.
Theoria Medical is at the forefront of healthcare innovation and quality, offering a blend of medical excellence and technological advancements, primarily serving the post-acute sector. Their network includes multispecialty physician services across skilled nursing facilities nationwide, fostering a mission-driven culture that values expertise and innovation.