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.
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.
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.
Perform scheduling, cancellations, and rescheduling of appointments and surgeries while entering orders and completing full pre-registration.
Document demographics, verify insurance, determine patient liability, and collect payments electronically for self-pay and out-of-network patients.
Obtain prior authorizations, monitor medical necessity compliance, and collaborate with OR and ancillary departments to ensure continuity of care.
Southcoast Health is a not-for-profit, charitable health system operating multiple hospitals, clinics, and facilities across Southeastern Massachusetts and Rhode Island. With a workforce of highly skilled caregivers, they have been voted 'Best Place to Work' for seven consecutive years, fostering an inclusive and ethical workplace culture.
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.
Ensure accurate verification of patient insurance benefits and authorizations.
Meet quantity and quality benchmarks for production and denial rates.
Utilize knowledge of medical terminology and insurance processes.
Gastro Health is one of the largest gastroenterology multi-specialty groups in the US with over 130 locations. They have a collaborative team and offer a great work/life balance.
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.
Respond to medical records requests and payer audit inquiries.
Conduct benefit checks and verify insurance coverage for patients.
Review and process claims in the EHR system, ensuring accuracy and billing compliance.
NuvoAir Medical is a technology-enabled pulmonary care organization that improves outcomes for patients with chronic respiratory diseases through remote monitoring and clinical engagement. The company values patient obsession, ownership, and learning, and fosters a culture of confident humility.
Coordinate with providers, insurance companies, and hospital staff to secure pre-authorizations and address denials.
Review daily schedules, obtain authorizations via phone/fax/portals, and verify CPT/ICD-10 code alignment.
Communicate with patients about approvals, reschedules, or cancellations while maintaining HIPAA compliance.
Cardiac Study Center is a dedicated team at the forefront of cardiovascular medicine, empowering patients with the knowledge and treatment they need to lead heart-healthy lives. As a growing organization with deep roots in the Pacific Northwest, we foster continuous learning and collaboration among passionate professionals.
Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.
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.
Provides high-quality customer service to patients and providers, managing high-volume phone calls, scheduling, and managed care authorizations.
Processes referrals, verifies insurance, and prepares materials for clinic visits and ancillary procedures.
Triages and documents patient calls in EPIC, communicates with providers, and handles administrative tasks to support the Pediatric Neurology practice.
OHSU is Oregon's only public academic health center, providing patient care, leading research, and training health care professionals. As Portland's largest employer, it offers opportunities to learn and advance across a system of hospitals and clinics.
Supervise and develop Patient Connection Center staff handling imaging order accuracy, insurance verification, and authorizations.
Monitor performance, coach employees, and ensure high-quality patient access and scheduling processes.
Collaborate with leadership to meet revenue cycle goals and maintain compliance with healthcare reimbursement standards.
Piedmont Healthcare is a not-for-profit health system that provides comprehensive medical services across Georgia. With a focus on patient-centered care, the organization operates multiple hospitals and employs a large, dedicated workforce.
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.
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.
Guide new patients through the sales and healthcare reimbursement process.
Investigate insurance benefits, review clinical records, and secure prior authorizations.
Partner with field sales representatives and maintain CRM documentation.
Cala creates non-invasive prescription therapies for chronic diseases, starting with hand tremor treatment. They are a mission-driven company with products used by thousands, focusing on neurology and cardiology, and offer stock options and benefits.
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.
Manage patient billing episodes, prior authorizations, and claim submissions.
Review and resolve claims issues, appeals, and eligibility with payors.
Ensure timely follow-up on outstanding accounts and document activities.
Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) nationwide, serving more than 74,000 patients daily. As the leading provider of medication-assisted treatment in the nation, our team is at the forefront of the battle against the opioid epidemic.