Verify insurance eligibility and benefits using online systems and phone, ensuring accurate input for primary and secondary coverage. - Obtain pre-authorization and retro-certification for inpatient and scheduled procedures, and communicate with Utilization Management. - Maintain current knowledge of third-party billing requirements and refer patients to Financial Counselors as needed.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight community hospitals serving over half a million residents. They value excellence, teamness, positivity, and creativity, and are committed to exceptional experiences for patients and each other.
Obtain managed care authorizations and verify patient insurance benefits prior to services.
Review office schedules daily and update EHR systems with authorization and insurance details.
Coordinate with staff and providers on denials, peer-to-peer reviews, and monthly re-verification of coverage.
Surgery Partners operates a network of surgical facilities and provides healthcare services across the United States. The company fosters a diverse and inclusive workplace, offering comprehensive benefits and professional development opportunities.
Coordinate insurance clearance for inpatient and outpatient services, verifying eligibility and benefits.
Review scheduled appointments, obtain authorizations, and document progress in EPIC.
Assist patients with payment options and refer uninsured patients for Medicaid or charity screening.
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. Nearly 29,000 healthcare professionals, researchers, and educators work within its family of organizations, fostering a collaborative and compassionate environment.
Manage end-to-end case activities for insurance verification, authorization, and reimbursement.
Serve as the single point of contact among patients, providers, payors, and internal teams.
Prioritize competing demands to ensure timely patient access to therapy.
PRO-Spectus supports patient services programs by navigating patient access from benefit verification through claims and reimbursement resolution. The company fosters a supportive, teamwork-driven culture focused on improving patients' lives.
Process referrals and prior authorizations, ensuring accurate and timely documentation.
Collaborate with clinical teams, physician offices, and insurance companies to resolve authorization issues.
Monitor denial reports, manage referral tracking, and communicate decisions to providers, staff, and patients.
Baystate Health is an integrated healthcare system serving western Massachusetts. With 12,000 employees and a community-focused culture, it includes five hospitals and offers career growth.
Piedmont Healthcare is a healthcare organization providing patient care services across Georgia. It fosters diverse teams, shared purpose, and schedule flexibility, with wellness programs and comprehensive benefits.
Handle high-volume inbound and outbound calls to support patients with financial responsibilities, insurance coverage, and payment options.
Verify insurance eligibility, register patients, and coordinate pre-authorizations while maintaining accurate records.
Collaborate with clinical and administrative teams to ensure a seamless patient experience and meet productivity standards.
Our partner is a healthcare organization focused on improving patient access to financial and administrative support. They foster a compassionate, patient-centered culture and operate a fast-paced call center environment with a collaborative team.
Serve as the first point of contact for patients in person and by phone, delivering excellent customer service.
Process new orders, verify insurance, obtain authorizations, and gather documentation for accurate billing.
Perform data entry, collect payments, and make outbound satisfaction calls to patients and referrals.
Accendra Health makes essential healthcare products and services accessible outside traditional settings. With over 6,000 teammates in 250+ locations under Apria and Byram Healthcare, it offers meaningful work focused on personalized, long-term care.
Prepare and submit insurance claims for home infusion services, including medications, nursing services, and supplies.
Process electronic pharmacy claims for Medicare Part D, Medicaid, and commercial insurance plans.
Review documentation to ensure alignment with billed services, coding, and expected reimbursement.
LUX Infusion reimagines infusion care to be more human, supportive, and connected, guiding patients through complex therapies with clarity and compassion. As a clinician-led, U.S.-based organization, they prioritize inclusion, diversity, and empowerment, ensuring every team member feels valued.
Conduct thorough insurance eligibility verification and resolve discrepancies.
Analyze and resolve claim errors, including coding and billing discrepancies.
Ensure timely and accurate financial clearance of patient accounts.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company fosters a collaborative culture where every employee contributes to improving patient outcomes.
Coordinate hospice room and board invoice processing, validate billing information, and ensure accurate reimbursement and timely payments.
Collaborate with healthcare facilities and cross-functional teams to resolve billing discrepancies and maintain reliable financial records.
Track outstanding items, analyze reporting data, and identify opportunities to improve workflows in a remote healthcare setting.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. The company focuses on fair and objective application review and partners with hiring companies to streamline recruitment.
Contacts insurance companies to determine pre-certification, pre-authorization, and medical necessity requirements for complex outpatient services.
Obtains pre-certification or pre-authorization prior to scheduled procedures and notifies payers of admittance when required.
Liaises with physicians and office staff to collect additional demographic, insurance, or clinical information.
Piedmont Healthcare is a healthcare system delivering comprehensive medical services across Georgia. It fosters a culture of diverse teams, shared purpose, and schedule flexibility, supported by wellness programs and total rewards.
Piedmont Healthcare is a health system providing comprehensive medical services across Georgia. It operates multiple hospitals and employs thousands of healthcare professionals, focusing on patient-centered care and innovation.
Manage prior authorization requests and coordinate specialty medication processes for a fully remote healthcare team.
Act as a liaison between pharmacies, prescribers, members, and vendors to resolve complex medication-related issues.
Support single case agreements, member financial assistance, and compliance with contractual and regulatory requirements.
The hiring company is a healthcare organization that administers specialty pharmacy and medical benefit programs. It operates fully remotely, fostering a collaborative and customer-focused culture that prioritizes compliance, member support, and process improvement.
Help members navigate US health insurance, including billing questions, denied claims, and appeals.
Coordinate with providers, insurers, and members to resolve coverage issues and prior authorizations.
Translate complex insurance benefits into clear guidance and identify trends to improve the member experience.
This company provides a global safety net for remote workers, offering health, income, and travel coverage. It operates as a remote-first organization with a culture of empathy, integrity, and a mission to improve access to healthcare worldwide.