Act as the first contact for new patients, discussing services with a supportive approach and coordinating patient/provider matching.
Conduct insurance eligibility verification and update patient charts with benefit information like copay and deductible.
Manage patient intake via phone, email, and text, schedule evaluations, and handle tasks like waitlist management and processing referrals.
Rivia Mind is a psychiatrist-owned mental health practice providing compassionate, science-based care through virtual and hybrid appointments across multiple US states. The company cultivates a collegial, growth-oriented culture rooted in shared values, curiosity, and authentic connection.
Build caring connections with every member by always leading with empathy, patience, and respect, ensuring members feel heard, supported, and valued.
Own each member interaction end-to-end, taking accountability to resolve inquiries during the initial contact and ensuring clear follow-through when additional steps are required.
Accurately respond to member inquiries regarding benefits, eligibility, services, policies, and procedures in a clear, confident, and member-friendly manner.
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and the chronically ill. It is a fast-growing company with a team passionate about transforming lives through high-quality, low-cost care.
Manage day-to-day credentialing and re-credentialing workflows for Tia’s provider network.
Support medical licensing workflows for MDs, DOs, NPs, PAs, and RNs across multiple states, including tracking requirements, deadlines and renewals.
Track onboarding progress and help ensure providers are licensed, credentialed, enrolled, and compliant before go-live.
Tia is building a new model for women’s healthcare, one that treats women as whole people. They are a Series D, venture-backed company trusted by more than 120,000 women across four markets, building a culture of excellence in people, process, and product.
Works with field staff and Manager, Clinical Services (MCS) to appropriately schedule clinicians for cases in assigned areas of responsibility.
Communicates appropriately regarding changes in schedule or service delivery.
Demonstrates the ability to be efficient and productive by organizing job duties and responsibilities.
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, we are committed to finding new ways to improve the health of our patients and the health of the communities we serve.
Evaluates medical records to provide clinical and surgical abstraction for complex professional services, ensuring coding accuracy and compliance with national guidelines.
Consults with medical providers to clarify record information and accurately code diagnostic and procedural data using ICD-10-CM and CPT-4.
Works independently in a remote setting, utilizing coding software to maintain productivity and quality standards while supporting department projects and validation edits.
Banner Health is one of the largest nonprofit health care systems in the country, providing hospital services, primary care, research, and more across its network. It is a Great Place To Work® Certified organization with a large, skilled workforce committed to patient care and employee wellbeing.
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.
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.
Answer calls and resolve questions, routing to appropriate departments.
Complete documentation in EMR and marketing systems, including initial prescreening.
Schedule new and returning patients and complete follow-up duties.
Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.
Perform accurate code assignments for ED records (facility and profee) while working remotely.
Be flexible, detail-oriented and have the ability to work independently.
Meet client productivity targets while maintaining coding quality of 95% or greater.
UASI is a company that values its employees! They have been awarded the Top Workplace award by the Cincinnati Enquirer in 2022 and 2023. Their 40 years in business contributes to the long tenure of their team.
Provide health assessments and treatment solutions via telephone, video, or chat functions.
Receive inbound phone calls from patients seeking answers to various medical conditions.
Stay up to date with current health trends and recommendations.
PWNHealth is a national clinician network improving early disease detection and prevention using advanced diagnostics and telehealth, serving all 50 states and Puerto Rico. They are a mission-driven company with a positive culture, backed by leading growth equity firms Spectrum Equity and the Blue Venture Fund (BVF).
Performs utilization review to determine medical necessity criteria compliance and facilitates resolution of escalated cases.
Collaborates with clients and physician reviewers, ensuring adherence to all HIPAA, state, federal, and regulatory standards like URAC & NCQA.
Utilizes various computer systems to manage cases, engages in provider communication, and participates in quality management programs while prioritizing independent work.
WNS, part of Capgemini, is an AI-powered leader in intelligent operations and transformation, serving over 700 clients across industries like Healthcare and Financial Services. It is a large global company with over 66,000 employees, combining deep domain expertise with AI platforms to create lasting business value.
Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program.
Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
Managing case assignments which includes outreach, documentation, monitoring for case progression, and case closure.
Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine. Guidehealth is a growing and innovative organization and employees are expected to adapt to evolving business needs.
Accurately code diagnoses, procedures, and other services to ensure medical records and billing are accurate.
Work with providers to ensure documentation is clear and complete, resulting in accurate coding.
Review all claim edits and correct errors in a timely fashion, coding for practice and hospital charges for all departments supported by the Professional Billing Office.
ProMedica is a mission-driven, not-for-profit health care organization that provides acute and ambulatory care, a dental plan, and academic business lines across nine states. The organization operates 10 hospitals and employs over 1,300 healthcare providers through ProMedica Physicians, with a culture committed to improving health and well-being, earning national recognition for clinical excellence.
Conduct face-to-face telemedicine evaluations in a timely and professional manner
Document patient encounters accurately and thoroughly
Support compliance and clinical care requirements associated with telemedicine services
PeteDME is seeking a qualified Physician Assistant on behalf of a supervising physician for a part-time telemedicine opportunity. The company seems to value professionalism, reliability, and high-quality patient care.
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.
Conduct outbound calls and virtual outreach to provide information and education about Accompany Health services.
Support patients by answering questions, addressing concerns, and providing guidance.
Document interactions and maintain accurate records of patient outreach activities.
Accompany Health provides dignified, high-quality primary, behavioral, and social care to patients with complex needs, offering at-home and virtual care, plus 24/7 support. Their teams are distributed across the country and are committed to evidence-based practice, focusing on the health outcomes most important to their patients.
Drive quality, safety, and compliance through systems by identifying issues and implementing process improvements.
Execute order management and EMR workflows by reviewing and approving new orders and supporting clinical escalations.
Manage end-of-episode processes, hospital holds, and monitor patient status and quality compliance through dashboards and alerts.
They are building an AI-native physical care platform to fix US healthcare, starting with home health. The company has assembled a team of AI experts from leading firms and paired them with healthcare veterans to operate at the speed of an AI company.
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.
Conduct IOP orientations for new patients, introducing program structure, expectations, and resources.
Lead discharge planning beginning at admission, ensuring linkage to outpatient providers, community resources, and payor-approved step-down services.
Track engagement, discharge, and readmission metrics; report trends to the Clinic IOP Director for quality-improvement initiatives.
Salma Health is reimagining brain healthcare by bringing together advanced diagnostics, evidence-based treatments, and continuous support under one connected system. Their multidisciplinary team delivers personalized care for people living with brain and mental health conditions.