Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.
CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.
Conduct benefit investigations, insurance verification, and prior authorizations to secure timely patient access to therapies.
Manage patient case files, coordinate product ordering and shipment with pharmacies and prescribers.
Handle inbound inquiries, report adverse events, and educate stakeholders on program requirements.
Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, objective candidate screening and share top-fitting shortlists with employers.
Complete billing tasks daily and monitor assigned accounts to minimize write offs.
Submit clean claims to insurance companies electronically or by paper according to guidelines.
Research, correct, and resubmit rejected and denied claims, and prepare appeals.
Enhabit Home Health & Hospice provides home health and hospice services. It is a large corporate agency with a focus on employee growth and competitive benefits.
Act as a patient and family advocate to obtain necessary information and fulfill payer authorization requirements.
Collaborate with providers and staff to ensure successful referral and authorization processes.
Track, follow up, and resolve authorization issues to minimize financial risks.
Lucile Packard Children's Hospital Stanford provides world-renowned pediatric care combining advanced technologies with family-centered care. It is a major children's hospital dedicated to caregiver education and state-of-the-art facilities.
Provide exceptional customer service and build rapport with patients.
Serve as the new patient scheduling liaison for 16 clinics and telehealth visits across 20+ states.
Manage and schedule new patient appointments and promptly respond to patient inquiries.
Aligned Modern Health is changing the face of healthcare with a holistic, multi-disciplinary model offering evidence-based solutions. The company has 16 clinics across Chicago and suburbs, provides telehealth services in over 20 states, and prides itself on outstanding clinical outcomes and a five-star patient experience.
You process patient payments and manage payment plans with accuracy and empathy.
You handle insurance verification, claims support, and billing education for patients.
You research account issues and resolve billing discrepancies while maintaining professionalism.
Privia provides healthcare billing and payment solutions, helping patients with insurance claims and financial responsibilities. They operate with a remote team and emphasize compassionate, compliant service.
Support patients across outpatient, inpatient, and surgical care settings by explaining insurance coverage and financial responsibilities.
Assess patient financial situations and determine eligibility for assistance programs like Medicaid and charity care.
Collaborate with clinical teams and administrative leadership to support discharge planning when financial concerns arise.
The company provides patient financial counseling services to healthcare organizations, helping patients navigate insurance and financial barriers. Its size and culture are not specified in the posting.
Schedule, track, and coordinate patient appointments and process community care consults using required systems.
Validate patient data, screen inquiries, and communicate with providers on community care rules.
Support quality customer service and follow scheduling, referral, privacy, and compliance standards.
International SOS Government Medical Services delivers healthcare, medical assistance, and emergency response worldwide, supporting organizational safety and workforce wellbeing. Founded in 1984 with operations across over 90 countries, the company emphasizes a commitment to operational readiness and compliance with federal programs.
Manage patient accounts and collections for medical services.
Communicate with patients and insurance companies to resolve billing issues.
Determine collectability and assist with financial assistance programs.
Air Methods provides air medical transport and patient billing services. The company is a large employer with a focus on compliance and patient financial counseling.
Take inbound calls from patients, providers, and members to assist with healthcare needs, insurance questions, and triage support.
Provide empathetic, patient-focused service in a remote environment, managing calls that may involve emergent situations.
Support members with insurance navigation, including changing primary care physicians, locating urgent care clinics, and obtaining prescription authorizations.
Carenet Health has pioneered healthcare consumer engagement for over 30 years, interacting with 1 in 3 Americans daily to deliver positive experiences and improve outcomes. We foster a culture of collaboration, creativity, and accountability, empowering growth through trust and opportunity.
Verify and update patient demographic and insurance information with high accuracy.
Perform benefits and eligibility verification, and initiate authorization and pre-certification processes.
Communicate clearly with patients regarding financial responsibility, next steps, and required documentation.
Advocate Health is a nonprofit integrated health system formed from the combination of Advocate Aurora Health and Atrium Health, providing care under multiple regional brands. They employ 155,000 teammates across 69 hospitals and over 1,000 care locations, with a focus on clinical innovation, equitable care, and community benefit.
Provide expertise in prior authorization and implement the Inspire Prior Authorization Program.
Support patient intake, verify insurance, and manage prior authorization requests.
Train sites on program requirements and assist with appeals through External Medical Review.
Inspire Medical Systems is a medical device company dedicated to treating Obstructive Sleep Apnea with an innovative FDA-approved device. The company values a people-first culture, offering excellent benefits, 401k matching, and flexible time off, and is committed to diversity and patient outcomes.
Manage the complete revenue cycle for Wisconsin payors, including claim submission, denial resolution, and follow-up.
Investigate and resolve claim denials and payment discrepancies by collaborating with internal teams and payors.
Prepare weekly AR reports and support departmental KPIs to optimize reimbursement.
LEARN Behavioral is a national organization dedicated to nurturing children with autism and special needs through evidence-based applied behavior analysis. With 20 years of clinical insights, the company focuses on personalized treatment plans and is an Equal Opportunity Employer.
Handle inbound and outbound communications for up to 6 ambulatory practices, including patient inquiries and scheduling.
Document and relay patient information to practices, following established guidelines for medication reconciliation and insurance verification.
Utilize Epic and multiple communication tools to provide accurate appointment details and home instructions.
Boston Medical Center is a nationally-recognized leader in health equity, nursing, and initiatives to combat climate change, dedicated to providing exceptional and equitable care to all. We are a large hospital with a strong sense of teamwork and support, recognized as a top employer and best place to work.
Schedule and confirm primary care, specialty, and community care appointments, verifying demographics and clinical details.
Work in CPRS and VistA, route consults via HSRM, and process referral documentation using REFDOC and EPSI.
Document every contact and collaborate with VA staff and the care coordination team to support veteran care.
CLF Consultants is a federal contractor providing healthcare staffing and language access services across U.S. federal, state, and local agencies. With a network of 500+ healthcare professionals and 200+ interpreters, CLFC is a Self-Certified Small Disadvantaged Business committed to mission-aligned placements.
Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
Assist participants via email and online messaging, and accurately document all participant communications.
Work independently and in a team environment with strong customer service skills; no experience required as training is provided.
Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.
Serve as a liaison between OHSU providers and patients, scheduling clinic visits and ancillary procedures while managing referrals and authorizations.
Handle high-volume incoming calls, faxes, and mail, ensuring prompt and professional communication with patients and referring providers.
Verify patient insurance eligibility, process prior authorizations, and follow up on denied claims to ensure smooth care coordination.
OHSU is Oregon's only public academic health center, providing patient care, research, and education. As Portland's largest employer, it fosters a multicultural and anti-racist workplace.
Process Community Care consult intake, conduct outreach to Veterans and providers, schedule appointments, document actions, and escalate issues per VHA directives.
Maintain appointment schedules, use Electronic Waiting List, and schedule appointments with patient input by phone or in person.
Provide professional front-line service by answering inquiries, addressing concerns, screening calls, and directing patients to appropriate resources.
International SOS Government Medical Services supports healthcare delivery, operational readiness, and workforce wellbeing across the U.S. and internationally. Founded in 1984, the company operates in more than 90 countries, providing healthcare, medical assistance, emergency response, and workforce support services worldwide.
Assist with reimbursement processes and manage coverage-related requests.
Coordinate case documentation, follow-up activities, and resolve routine issues.
Maintain accurate records and support process improvement initiatives.
This position is listed on behalf of a partner company that manages applications and next steps. They focus on improving patient access to essential therapies, and the role offers a purpose-driven healthcare environment with opportunities for professional growth.
Build trusting relationships with patients and providers to address health barriers and coordinate care.
Navigate medical, behavioral, and social systems to connect patients with appropriate resources.
Support value-based care outcomes through proactive outreach, documentation, and quality measures.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. As a growing and innovative organization, we operate with a high degree of agility.