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• Contacts insurance companies to determine pre-authorization requirements.
• Obtains pre-certification or pre-authorization before service.
• Liaisons with physicians to obtain clinical information.

Piedmont Healthcare is a company focused on healthcare services. The job posting does not contain information about the company's size, employees, or culture.

• Performs claims processing, insurance and charge verification, payment posting, account resolution, customer service and follow up.
• Educates staff and physicians on CPT/HCPCS/ICD-10 codes and appropriate documentation requirements to reduce errors and remain compliant.
• Works directly with staff when needed for insurance authorization assistance, IPA guidance and insurance optimization.

Community is committed to providing the highest standard of care. They value their diverse team members and offer various opportunities for growth and development.

• Acts as initial service ambassador to referral sources, physicians, patients, caregivers and other external customers providing the highest quality service.
• Responsible for the initial entry, verification, and maintenance of information regarding new patients in all applicable software programs.
• Processes private insurance verifications, verifies eligibility of Medicare, Medicaid and third party payers and any other duties as directed.

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, they are committed to finding new ways to improve the health of their patients and the health of the communities they serve.

• Review incoming referral orders to assess patient’s needs based on diagnosis, insurance coverage or lack thereof, and previous treatments.
• Verify patient information including demographics, insurance coverage and financial status; confirm patient eligibility for health care coverage and clarify any managed care arrangements.
• Contact the patient prior to service to inform them of their estimate and collect any pre-payments at that time.

OHSU is Oregon's only public academic health center, caring for patients and leading groundbreaking research. As Portland's largest employer, they offer opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.

• Responsible for the direct supervision of the centralized managed care activities.
• Leads the team by recruiting, training, mentoring, and managing the work queues of direct reports.
• Serves as the first line of communication with the practices/departments to answer questions and trouble shoot issues.

OHSU is Oregon's only public academic health center. In addition to caring for patients, they lead groundbreaking research and train the next generation of health care professionals. As Portland's largest employer, OHSU provides opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.

• Manage end-to-end case activities throughout the insurance verification and authorization process.
• Serve as the single point of contact between the internal/external team, client, provider, payor, facility, and patient.
• Provide support across multiple client programs, ensuring effective oversight, operational excellence, and consistent delivery of quality service.

PRO-spectus has created a culture that is supportive, dedicated, and teamwork driven. They celebrate each other’s joys in personal life and professional accomplishments, promoting meaningful relationships and friendships, with humility and compassion at our core.

• Develop collaborative relationships with insurance companies/payors to verify benefits and eligibility.
• Enter and update patient demographics, guarantor, and insurance information in company systems.
• Respond to inquiries from insurance companies and internal team members.

Equip is a virtual, evidence-based eating disorder treatment program ensuring everyone can access treatment. Founded in 2019, Equip has been fully virtual since its inception and is proud of their highly engaged team, with recognition from Time, Linkedin, and Lattice.

• Provide front-line customer service, including scheduling appointments and verifying insurance benefits using electronic telephone and EHR systems
• Obtain, evaluate, and accurately record patient information in the Electronic Health Record (EHR) system
• Conduct patient outreach via text, email, mail, or phone using LSCC’s navigation center call platform

They strive for exceptional, equitable patient care that leads to healthier communities. It appears to be a friendly and fun environment to work in.

• Ensure coordination of provider invoice activities to support timely reimbursement.
• Research and resolve claim denials that fail payer edits, preparing corrections and appeals.
• Verify patient eligibility, benefits, and health‑plan information using payer databases.

CareCentrix supports value-based care by providing care management and transition of care services. They focus on improving patient outcomes and managing healthcare costs through a range of programs and services. The company values caring, doing the right things and striving for excellence.

• Under the direction of the Patient Accounts Manager, the Patient Accounts Specialist is involved in medical billing and follow-up.
• Participates in training and auditing of Patient Account Representatives.
• Identifies delinquent accounts to expedite resolution.

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. They are committed to transforming the health care experience with high-quality care for every stage of life.

• Understands organizational goals for timely account resolution.
• Performs demographic and financial assessments.
• Communicates patient's financial responsibility and requests payment.

Prisma Health is a not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Their 32,000 team members are dedicated to supporting the health and well-being of the community.