Source Job

• Verify patient insurance eligibility, benefits, and referral requirements prior to services.
• Communicate coverage and financial responsibility to patients in a clear and empathetic manner.
• Collaborate with cross-functional teams to improve patient access and reduce claim denials.

Oshi Health is a virtual digestive health practice that provides multidisciplinary care for chronic digestive conditions. It is a remote-first, mission-driven company focused on transforming GI care.

• 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.

• 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.

• 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.

• Manage high-volume inbound communications across phone, email, chat, and SMS as the first point of contact for patients.
• Schedule appointments and coordinate with GI Providers, Registered Dietitians, and Behavioral Health Providers.
• Respond to billing and insurance questions, triage clinical inquiries, and de-escalate challenging interactions with empathy.

Oshi Health is a virtual digestive health practice transforming GI care by combining compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions. It is a remote-first, mission-driven high-growth startup with a focus on patient-centered care and team collaboration.

• Process and resolve insurance claims, denials, and appeals accurately and timely using Epic and other systems.
• Verify patient insurance eligibility, update demographics, and communicate with payors to ensure proper coverage.
• Analyze and correct claim issues, perform write-offs, and contribute to workflow improvements for optimal AR outcomes.

Exact Sciences helps change how the world prevents, detects and guides treatment for cancer. The company offers an inclusive culture, purpose-driven careers, and robust benefits.

• Serve as the first point of contact for members, triaging communication and coordinating with Maternity Navigators.
• Schedule and confirm visits, verify insurance, and maintain real-time visibility into care team schedules.
• Build ongoing relationships with members through proactive outreach and help them access non-clinical supports like transportation and WIC.

Nadia Care is reimagining maternity care to improve pregnancy, birth, and postpartum outcomes for underserved communities, with a focus on Black, Brown, and Indigenous families. They are a small startup building trust-based engagement and wrap-around support for expectant mothers.

• Handle referral coordination, appointment scheduling, insurance verification, and medical records requests for members.
• Communicate updates to providers and members, ensuring world-class service and access to high-quality doctors.
• Work collaboratively in a fast-paced virtual care team, managing multiple priorities with excellent attention to detail.

Included Health is a healthcare company that delivers integrated virtual care and navigation, breaking down barriers to provide high-quality care for everyone. The company offers care guidance, advocacy, and access to virtual and in-person care across various health needs.

• Coordinate care for adolescent and young adult patients, including outreach, chart scrubbing, and panel management.
• Provide medical assistant duties and support the care team with referrals, follow-ups, and documentation.
• Communicate with patients and families via phone, MyChart, and email to ensure compliance and care coordination.

Oregon Health & Science University is a public academic health center in Portland, Oregon, providing patient care, groundbreaking research, and training for healthcare professionals. It is the largest employer in Portland, operating hospitals and clinics across Oregon and Southwest Washington, and is committed to being an anti-racist, multicultural institution.

• Collaborate with a multidisciplinary team to manage referrals, prior authorizations, and medical records for whole-person member care.
• Apply knowledge of CPT/ICD-10 codes and insurance requirements to obtain authorizations, appeals, and follow up for positive outcomes.
• Assist members with accessing services, provide personalized customer service, and track data to refine operational processes.

Oshi Health is a virtual digestive health practice transforming GI care with compassionate, multidisciplinary care and innovative technology. It is a mission-driven, remote-first startup focused on personalized care plans and building a diverse team.

• 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.

• Coordinates all patient scheduling activities including appointments, procedures, and exams for multiple facilities.
• Collects clinical information, verifies insurance and demographics to ensure appropriate scheduling.
• Serves as a resource for staff, physicians, and referring offices to improve patient access.

Lehigh Valley Health Network is a nationally recognized health network with multiple hospitals and facilities in Pennsylvania. It employs nearly 20,000 health care professionals and has a culture of trust, collaboration, and excellence, certified as a Great Place to Work.

• Verify patient insurance eligibility, benefits, and coverage prior to treatment.
• Secure prior authorizations from insurance companies for scheduled medical services.
• Maintain accurate records of authorizations, approvals, denials, and follow-up activities.

A-DTS is a healthcare services company focused on supporting patient access to care through insurance verification and authorization processes. The company is detail-oriented and emphasizes timely coordination in a remote work environment.

• Ensure timely processing of paperwork for insurance authorizations and billing to prevent delays.
• Conduct daily touch points with central operations teams to address therapy placement or appeals.
• Manage multiple accounts, handle complaints professionally, and train staff on medical documentation processes.

Advanced Oxygen Therapy, Inc. (AOTI) transforms wound care with breakthrough technologies like Topical Wound Oxygen (TWO2) therapy and the NEXA NPWT system. They are a growing company with a global team, backed by a world-class leadership team and robust infrastructure.

• 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.

• 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.

• Ensure admissions are coordinated from start to finish, maintaining knowledge of census and bed board for efficient patient flow.
• Coordinate with patients, families, referral sources, UR, and finance to ensure expedited access to care.
• Collect and present medical and psycho-social documentation to clinical staff to support timely admissions.

ERC Pathlight is a leading national provider of treatment for eating disorders, mood, anxiety, and trauma-related conditions. Founded in 2008, the organization supports over 6,000 patients annually with multiple locations and virtual programming.

• Verify and process daily billing charges, including insurance verification and pre-certification.
• Complete billing and pre-arrival duties such as input, tracking, and verification of transactions.
• Maintain communication with providers, insurance companies, and respond to inquiries.

Washington University in St. Louis is a research university dedicated to advancing knowledge through research, teaching, and patient care. It is a large institution with a diverse community of staff, faculty, and trainees committed to collaboration and innovation.

• 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.

• 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.