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.
Obtain and manage insurance authorizations for residents receiving skilled nursing and rehabilitation services.
Monitor authorization status, track expiration dates, and submit timely extension requests to prevent coverage gaps.
Collaborate with clinical, admissions, and payer representatives to ensure timely approvals and accurate documentation.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging a global network, they connect clients with qualified professionals and offer tailored services to meet unique business needs.
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.
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.
Verify insurance eligibility and benefits for all new Boulder Care commercial enrollments.
Answer incoming questions from patients about balances due and non-covered charges.
Serve as subject matter expert for internal insurance training and identify billing errors.
Boulder Care is an award-winning digital clinic for addiction medicine, recognized for innovation and high quality of patient care. Named by Fortune as one of the Best Workplaces in Healthcare, Boulder fosters a culture of kindness, respect, and meaningful work.
Ensures accuracy and timeliness of patient financial records, including payment posting, insurance follow-up, and revenue integrity.
Monitors work queues, resolves payer discrepancies, and supports provider enrollment and revalidation activities.
Assists with charge review and correction using Epic workflows to improve reimbursement accuracy and cash flow.
This position is listed on behalf of a partner company that manages all applications and next steps for a healthcare revenue cycle environment. The role supports multiple Patient Financial Services functions within a large, process-driven healthcare organization.
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.
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.
Handle inbound and outbound calls to ensure patient satisfaction, troubleshoot concerns, and explain insurance coverage.
Obtain and process authorizations for reorders, resolve patient issues, and ensure accurate reorder processing via phone and document processing.
Maintain patient documentation, insurance requirements, and company procedures with high confidentiality.
CCS is a strategic partner addressing America's healthcare challenges through intelligent chronic care management, focusing on diabetes and chronic conditions. Recognized as a Great Place to Work®, they support over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals.
Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.
Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.
Collaborate with a multidisciplinary care team to ensure quality, member-centered care and assist members with navigating and applying for entitlement benefits.
Become an expert on available insurance and social service resources within assigned region, and provide cross-state coverage support as needed.
Maintain timely documentation in electronic health records and participate in ongoing continuing education.
Groups provides assistance to members in accessing Medicaid, Marketplace, and Medicare insurance and other entitlement benefits. The company values member-centered care and harm-reduction practices, with a team-oriented and entrepreneurial culture.
Perform billing data entry and verification using 10-key skills to ensure accuracy.
Research and resolve missing or incorrect billing information through communication with clients and patients.
Verify insurance information and update demographic data to prompt timely payment from insurers.
Labcorp is a global leader in diagnostic testing and drug development solutions, providing insights that help healthcare providers, researchers, and patients make informed decisions. With nearly 70,000 employees serving clients in more than 100 countries, the company fosters a culture of innovation and continuous improvement.
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.
Serve as a key point of contact for patients scheduling diagnostic imaging and other services across multiple departments.
Manage high-volume inbound and outbound interactions with empathy and accuracy while documenting in CRM systems.
Adhere to HIPAA standards and follow established workflows to ensure efficient patient care coordination.
Carenet Health provides healthcare support services including patient scheduling and coordination. They foster a collaborative culture with a focus on growth and accountability, employing a team-oriented workforce.
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 the full medical billing and Revenue Cycle Management (RCM) process, including AR follow-up and claim denial resolution.
Complete provider credentialing and recredentialing, verify insurance eligibility, and maintain accurate records within Athena.
Ensure HIPAA compliance and communicate with insurance companies regarding claims, credentialing, and payment issues.
SnappyCX connects skilled professionals with growing healthcare practices. They seek self-motivated individuals to support financial and administrative operations in a remote, fast-paced environment.
Process referrals to MTM team and schedule appointments for patients.
Provide phone support and document patient information in electronic health records.
Assist with prior authorizations and billing to help patients access affordable medications.
UnityPoint Health is a healthcare system providing medical services. It is recognized as a Top 150 Place to Work in Healthcare and offers a supportive culture for team members.
Manages essential administrative and clinical-adjacent functions such as medication prior authorizations and scheduling.
Ensures tasks comply with organizational standards and regulatory requirements to promote a seamless care experience.
Supports clinical and operational scheduling and provides flexible administrative support to Care Teams.
This organization provides operational support for healthcare member care. They focus on ensuring accuracy and efficiency in workflows like prior authorizations and toxicology result entry.
Facilitate client calls related to contracting and payer enrollments.
Run and analyze client KPIs, providing regular reports.
Manage the full contracting and payer enrollment process.
Experity transforms on-demand healthcare across the U.S. by empowering urgent care clinics with industry-leading software. The company fosters a team-first culture with opportunities for flexible work and career development.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and government programs.
Perform primary source verification services including license, malpractice, and work history verification.
Maintain CAQH profiles and credentialing databases, partner with client liaisons, and follow up with payers on submitted applications.
BerryDunn is a client-centered, people-first professional services firm providing tax, advisory, and consulting services since 1974. The firm is led by CEO Sarah Belliveau and is recognized for its diverse and inclusive workplace culture and focus on learning, development, and well-being.