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.
Informs and assists patients with financial obligations for healthcare services.
Conducts screenings to determine available funding sources including commercial insurance and government programs.
Works with agencies and payers to process applications and assists with financial hardship applications.
University of Utah Health is a patient-focused organization that enhances the health and well-being of people through patient care, research, and education. It seeks staff committed to compassion, collaboration, innovation, responsibility, integrity, quality, and trust, with five hospitals and eleven clinics providing comprehensive services and medical advancement.
Accurately coordinate, schedule and complete registration for ambulatory outpatient visits.
Collect patient demographic and insurance information, verifying and communicating liabilities.
Explain patient preparation requirements and coordinate with clinical departments regarding protocols.
Southcoast Health is a not-for-profit, charitable health system with multiple hospitals, clinics, and facilities throughout Southeastern Massachusetts and Rhode Island. They provide inclusive, ethical workplaces where their highly skilled caregivers offer world-class, comprehensive healthcare close to home.
Verify insurance eligibility and benefits, ensuring accurate coverage details are documented prior to services.
Support members in navigating employer-sponsored benefits, helping them understand financial responsibility and access to care.
Own assigned worklists ensuring completion within established productivity, quality, and SLA expectations.
Headspace provides access to lifelong mental health support. They combine evidence-based content, clinical care, and innovative technology to help millions of members around the world get support that’s effective, personalized, and truly accessible whenever and wherever they need it.
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.
Determine and verify insurance coverage and coordination of benefits.
Ensure proper, adequate, and timely billing for prompt payment.
Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
UAB St. Vincent’s is a trusted healthcare provider that has been serving Alabama for over 125 years. They have five hospitals and numerous clinics, and their 4,800+ employees are committed to providing compassionate, personalized care and improving the health and lives of those they serve.
Provide pre-service support and verify patient insurance benefits.
Contact insurance payers, confirm coverage details, and identify patient responsibilities.
Document all findings to facilitate accurate billing and address potential financial barriers.
CHI Health Clinic offers various healthcare services, including primary and specialty care, walk-in, and virtual services, with over 20 specialties and 100 convenient locations. They focus on providing better access to healthcare so individuals can prioritize their health.
Piedmont Healthcare serves as front line support for the Patient Connection Center. They focus on reviewing orders for outpatient hospital services to ensure completeness prior to scheduling and preparing for the patient visit by verifying patient insurance.
Guiding them toward scheduling their care assessments.
Giving them the encouragement they need to take that next step.
Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value the expertise and dedication of their team members and show it through a competitive and supportive package.
Provides high quality customer service to both external and internal customers via verbal and written communication.
Maintains current working knowledge of managed care, insurance verification, and patient estimate practices and policies.
Coordinates with employment supervisor for pre-hire and onboarding processes to ensure all required training is completed.
OHSU is Oregon's only public academic health center which provides patient care, leads groundbreaking research, and trains health care professionals. As Portland's largest employer, they offer opportunities for learning and advancement across Oregon and Southwest Washington.
Perform outbound calls to obtain appropriate information and document accurately.
Answer in-bound calls and assist customers with pharmacy related services.
Contact insurance companies for benefit investigation and coverage eligibility.
IQVIA is a global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. They create connections that accelerate the development and commercialization of innovative medical treatments to improve healthcare and patient outcomes.
Accurately register patients and verify insurance coverage.
Deliver high-quality customer service and address patient inquiries.
Support appointment scheduling and general administrative tasks.
Abax Health delivers high-quality customer service. While company information about culture/size is not mentioned, the role involves directly impacting patient experiences and requires strong communication and customer service skills.
Contacts insurance companies for status on outstanding claims.
Processes and follows up on appeals to insurance companies.
Works outstanding accounts receivable from assigned work queues.
US Anesthesia Partners is a company focused on revenue cycle management. They provide equal employment opportunities to all employees and applicants and value diversity based factors.
Enrolling practitioners in health plans in a timely and effective fashion.
Monitoring progress and ensuring timeliness of enrollment completion.
Maintaining provider enrollment goals for all divisions.
Pediatrix Medical Group provides specialized health care for women, babies, and children. Since 1979, Pediatrix has grown into a national, multispecialty medical group committed to coordinated, compassionate, and clinically excellent services.
Accountable for making decisions supported by policy based on confidential financial information to determine qualification for CICP, Charity programs, or payment arrangements.
Verify coverage and authorization for all scheduled procedures using scheduling and registration information; populate price estimate tool to decide patient portion.
Act as a liaison between patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit has over 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services and is accessible to nearly one out of every four U.S. residents. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Manage multiple channel interactions with excellent communication skills.
Effectively present and discuss products and services to providers.
Establish and maintain positive relationships with providers.
Capital BlueCross is an independent licensee of the Blue Cross Blue Shield Association. We are an equal opportunity employer committed to a culture of diversity and inclusion.
Utilize telephonic outreach to contact families and help them get enrolled with Imagine’s app-based technology.
Effectively communicate Imagine services and overcome parent/family objections.
Support telephonic outreach to non-engaged and engaged patients.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.
Serve as a key point of contact for patients regarding billing questions, payment plans, and account resolution
Respond to inbound calls and proactively reach out to patients to collect past-due balances and arrange payments
Review and explain Explanation of Benefits (EOBs) to patients in a clear and supportive manner.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are transforming the way care is delivered with a focus on patient comfort and convenience, empowering their team to thrive while living their core values.
Responsible for daily billing functions and claim edits.
Reviews insurance claims for accuracy and identifies non-payment issues.
Contacts parties for claim information and works first-level appeals.
Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Their mission is to live God’s love by promoting and restoring health.