Makes decisions supported by policy based on confidential financial information.
Utilizes scheduling and registration information to verify coverage and authorization.
Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
Receiving phone calls and fax requests to schedule patients for outpatient tests.
Completing pre-registration of scheduled patients.
Ensuring a valid provider order is obtained.
CommonSpirit is a healthcare organization with more than 700 care sites across the U.S. They are committed to building healthy communities and advocating for those who are poor and vulnerable.
Enjoy making outbound calls and reaching out to patients, members, and customers
Outreach to patients to schedule appointments for preventative health screenings
Assist members and patients with benefits and insurance information
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.
Responsible for collecting and verifying demographic, guarantor and insurance information, educate patients, physicians, staff, etc. on the financial process.
Will be involved in extensive utilization of the Hospitals revenue systems and constant interaction with patients, physicians, insurance companies, donors and other members of the Hospitals' staff.
Advise and counsel patients and guarantors regarding patient rights, responsibilities and procedures as it relates to payment for Hospital and ProFee care
They are a comprehensive academic medical center. They have many employees and maintain a collaborative culture.
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 their team members and show it through a competitive and supportive package.
Take inbound calls from patients, providers and members
Support members with their insurance needs, questions or concerns
Answer inquiries on benefit claims, appeals, and authorizations
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Process new patient referrals and accurately enter patient information.
Communicate with payors, referral sources, and patients regarding documentation and eligibility.
Verify eligibility and benefits in a timely manner and maintain active authorizations.
Immersiv is a new medical infusion clinic company designed to enhance the experiences of providers and patients as they navigate the healthcare system. They aim to offer more than just medication, also providing access to vaccines and outcomes assessments.
Communicate clearly, empathetically, and professionally with patients and families.
Shriners Children’s respects, supports, and values each other. They are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. Shriners Children's was named as the 2025 best mid-sized employer by Forbes.
Outbound calls, calling members to inform them of their Specialist Management Solutions benefits and act as a care guide on behalf of the customer helping them receive treatment from a network of high-quality surgeons
Receive inbound calls from members to educate them on their Specialist Management Solutions benefits and provide guidance with appointment scheduling
Assist in the coordination of care across a variety of settings, while maintaining strict confidentiality and the highest level of professionalism
Lantern is a specialty care platform connecting people with the best care when they need it most. They curate a Network of Excellence comprised of the nation’s top specialists for surgery, cancer care, infusions and more, delivering excellent care with significant cost savings to employers and their workforces.
Engaging patients to deliver services on behalf of their health plan.
Managing a consistent volume of outbound and inbound calls.
Accurately documenting all interactions, interventions, and outcomes.
Arine is a healthcare technology and clinical services company that ensures individuals receive the safest and most effective treatments for their unique healthcare needs. They are a rapidly growing company backed by leading healthcare investors and collaborating with top healthcare organizations and providers.
Contacts insurance companies to determine pre-certification requirements.
Obtains pre-authorization prior to the scheduled complex service.
Liaisons with physicians to obtain additional information.
Piedmont Healthcare is a company focused on healthcare services. They appear to be a large corporate entity, offering a range of opportunities within the revenue cycle and healthcare sectors.
Conduct thorough research on attributed patients to better understand their healthcare needs and utilization.
Perform telephonic outreach to the caregivers of attributed patients with the goal of enrolling their child in care and ensuring a seamless onboarding experience.
Collaborate with Provider Engagement Specialists to conduct embedded outreach to support the enrollment process.
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 to break down barriers to quality care.
Receive and resolve patient correspondence regarding insurance billing.
Answer all correspondence relating to billing questions.
Verify insurance status, eligibility and general account information.
MANA Administration provides support services for 27 physician-owned medical practices in Northwest Arkansas. Their Administrative team are independent and work together, to help their physicians and clinics provide compassionate, comprehensive, quality health care while maintaining a healthy work-life balance.
Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
Creates cases, tasks, and completes assessments in Case Management module for all Hospital and SNF discharges
Works as a team with the Case Manager to engage and manage a panel of SNP members
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
Serve as the first point of contact for incoming calls from patients and internal teams.
Deliver clear explanations of insurance benefits, out-of-pocket costs, and payment options.
Review patient accounts and resolve billing-related concerns with professionalism and urgency.
Metro Vein Centers specializes in state-of-the-art vein treatments, with a mission to improve patients' quality of life. With over 60 clinics across 7 states, they deliver compassionate, results-driven care in a modern, patient-first environment and maintain a high patient satisfaction score.
Responsible for managing patient registration and insurance-related tasks, including verifying insurance benefits and providing cost estimates.
Acts as a liaison between practice operations and financial advocates, addressing registration, insurance issues, patient concerns and billing questions.
Explains financial obligations, billing processes, collects payments, and establishes payment arrangements with patients as necessary.
Lucile Packard Children’s Hospital Stanford combines advanced technologies and breakthrough discoveries with family-centered care. They provide their caregivers with continuing education and state-of-the-art facilities. They strongly value diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment.
Conduct patient outreach using telephonic and other communication methods.
Accurately document patient communications, outreach activities, and relevant clinical information in the Electronic Health Record (EHR).
Educate patients on wellness, preventive care, and recommended screenings.
Lone Star Circle of Care (LSCC) strives for exceptional, equitable patient care that leads to healthier communities. They offer a friendly and fun environment for their employees.
Strengthening the connection between the patient and their primary care physician/medical practice staff, as well as improving the patient’s health and well-being.
Engaging patients and helping them navigate their care, solve their healthcare issues, and improves communication with their medical practice.
Assisting the patient in achieving better health outcomes by addressing their questions and concerns, connecting them with the medical practice.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Their goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.
Coordinates scheduling and referrals to other healthcare providers and services.
Obtains approval for schedule changes or cancellations as appropriate.
Ensures that all medical appointments and patient information are entered into the electronic medical system.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Jobgether identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Team members will perform outbound calls to enroll the person into their food box program or to reauthorize the person into the program.
Have a passion for helping members make decisions that will enhance their healthcare experience
You will be making a difference in someone’s life!
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility.
Respond and assist members with Primary Care Provider (PCP) assignments and explain OHP or Medicare benefit coverage.
Collaborate with providers, Division of Medical Assistance Programs (DMAP), and members to ensure effective customer service and the resolution of any health plan issues that arise.
CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. We are an equal opportunity employer that greatly encourages military veterans to apply and considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.