Verify insurance, obtain benefits, calculate estimates, and secure prior authorizations for outpatient services.
Act as liaison between payers and clinic staff; follow up on denied or delayed authorizations.
Maintain detailed documentation and resolve issues with physicians, nurses, and financial advocates.
University of Utah Health is a patient-focused organization enhancing health through care, research, and education. It operates five hospitals and eleven clinics with a culture of collaboration, excellence, leadership, and respect.
Verify insurance eligibility and coverage for patients using online systems and phone calls.
Input and update insurance information, identify primary and secondary coverage, and manage COB order.
Obtain pre-authorizations and communicate necessary information to Utilization Management.
Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents across 29 counties. The culture emphasizes excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for patients and each other.
Review and process prior authorization requests for various medications.
Communicate prior authorization criteria to providers and act as a help desk.
Process requests via phone, fax, and web submission while maintaining HIPAA compliance.
Lumicera Health Services is a specialty pharmacy focused on optimizing patient well-being through transparency and stewardship. It fosters a diverse and creative work environment as part of the Navitus organization.
Coordinates utilization review and prior authorization requests, ensuring accurate entry into the UM platform.
Provides customer service to providers and members, confirming benefits and answering authorization questions.
Facilitates communication between reviewers, hospitals, and physicians to ensure timely decisions.
University of Utah Health Plans is a patient-focused organization that enhances health through patient care, research, and education. It is part of a nationally ranked academic medical center with five hospitals and eleven clinics, fostering a culture of collaboration and excellence.
Verify insurance eligibility, benefits, and patient liability to ensure accurate financial clearance.
Collaborate with providers, authorization teams, and payers to resolve coverage questions.
Maintain accurate records and communicate financial expectations to patients.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. They partner with companies to manage applications and provide a collaborative hiring process.
Serve as the first point of contact, greeting patients and handling inbound calls.
Verify insurance, update demographics, and register patients in EMR (EPIC).
Document patient concerns, triage messages, and escalate emergent issues promptly.
U.S. Urology Partners provides urology and specialty services, including surgery and cancer treatment. It has over 50 offices across the East Coast and Midwest, with values of compassion, collaboration, respect, and accountability.
Leads enterprise authorization operations with direct impact on revenue protection, patient access, and reimbursement performance.
Manages a team responsible for insurance verification, pre-authorization, and timely processing of assigned services.
Collaborates with billing, registration, revenue cycle, clinical, and administrative teams to reduce preventable payment denials.
The partner company is a healthcare organization focused on revenue protection, patient access, and reimbursement performance. They provide a collaborative and mission-driven environment for teams working across complex healthcare operations.
Manage patient intake processes by scheduling, rescheduling, and canceling appointments.
Verify and update patient demographics, insurance eligibility, and collect payments.
Process referrals and authorizations while responding to patient inquiries with professional communication.
A comprehensive healthcare network serving the Puget Sound region with a full spectrum of health care services, from routine wellness to complex disease management. It includes 10 hospitals and nearly 300 care sites, fostering a culture of compassionate care and shared purpose.
Review and verify healthcare claims for accuracy, coding, eligibility, and coverage.
Approve or deny claims according to policy terms and regulations, and resolve discrepancies.
Process claims efficiently, meet performance targets, and maintain accurate records.
Blue Cross and Blue Shield of Kansas is a health insurance company providing coverage to Kansans. With over 80 years in the community, it fosters an inclusive, family-first culture and supports professional growth.