Conduct structured outreach to patients and caregivers throughout the treatment journey, providing program-approved education and support.
Identify barriers to treatment initiation and adherence, develop practical strategies, and escalate clinical or safety concerns as needed.
Accurately document interactions and outcomes while managing an assigned caseload and collaborating with case management teams.
We provide patient support programs that deliver individualized clinical education, treatment-support services, and care coordination to patients and caregivers. Our culture is supportive, dedicated, and teamwork-driven, and we are proud of our relentless focus on improving the lives of the patients we support.
Oversee daily operations of the Central Infusion Referral Center, managing referrals, prior authorizations, and intake processes.
Lead and develop a team while performing intake coordinator duties at least 50% of the time.
Drive performance improvement initiatives and ensure compliance with payer requirements and accreditation standards.
UnityPoint Health is a healthcare system delivering comprehensive care, including infusion therapy, across Iowa, Illinois, and Wisconsin. It is recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging, employee recognition, and professional development.
Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for allergy and asthma services.
Prepare and submit clean claims electronically, monitor claim status, and process insurance and patient payments.
Ensure compliance with payer guidelines, HIPAA, and federal regulations while supporting revenue cycle performance.
Modena Health is a leading, rapidly growing physician-led medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona. The team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research.
Perform line-by-line review of high-dollar facility itemized bills and claim forms to identify billing errors.
Apply coding and reimbursement expertise to validate accuracy and ensure claims are paid correctly.
Serve as a subject matter expert for complex billing issues and drive payment integrity improvements.
Oscar is a health insurance company built on a full-stack technology platform with a focus on serving members. Founded in 2012, it fosters a culture of transparency and collaboration, working to change health care.
Review referred accounts to validate underpayments and analyze reimbursement variance reports.
Request additional payment from insurance companies and perform timely follow-up on all assigned accounts.
Escalate unresolved appeals, prepare monthly denial logs, and collaborate to recover underpayments.
Lucile Packard Children's Hospital Stanford provides world-renowned pediatric care, combining advanced technologies and breakthrough discoveries with family-centered care. We support our caregivers with continuing education and state-of-the-art facilities, fostering a caring and committed team culture.
Assigns ICD-10-CM, CPT/HCPCS codes and modifiers for outpatient encounters such as clinic, diagnostics, and EMS.
Ensures compliance with official coding guidelines, payer policies, and facility requirements while meeting quality benchmarks.
Collaborates with CDI, billing, and revenue integrity teams to improve documentation and optimize reimbursement.
Capital Health is a dynamic healthcare network that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. With more than 600 physicians and providers, the organization is accredited by DNV and emphasizes attracting top talent through competitive compensation and a collaborative culture.
Manage prior authorization requests, reviewing clinical documentation and verifying ICD-10 and CPT codes.
Submit requests via payer portals, monitor pending cases, and follow up with insurers.
Investigate denials, prepare appeals, and coordinate with providers to prevent care delays.
Jobgether is an AI-powered job platform that matches candidates with relevant opportunities through objective review processes. It focuses on efficient recruitment and data privacy, using technology to support hiring decisions.
Develop and implement education programs to improve coding and documentation practices.
Audit clinical documentation for compliance with AMA and CMS guidelines.
Provide training and guidance to providers, clinical staff, coders, and billing specialists.
UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It is recognized as a top workplace in healthcare and promotes a culture of belonging, support, and professional development.
Resolve disputed claims by gathering, verifying, and providing additional information.
Resolve discrepancies by examining and evaluating data and selecting corrective steps.
Maintain work operations by following policies and procedures and reporting compliance issues.
Surgery Partners is a healthcare services organization providing surgical care. It is committed to equal employment opportunity and workforce diversity.
Lead and manage the coding team, setting productivity and quality standards for documentation and coding operations.
Oversee pre-encounter review workflows, query auditing, and vendor performance to drive compliance and risk adjustment outcomes.
Collaborate with clinical, operations, compliance, and finance stakeholders on program objectives and process improvements.
WellBe Senior Medical provides healthcare services focused on seniors, with an emphasis on documentation accuracy, coding compliance, and risk adjustment. The company operates in a remote, cross-functional environment and values compliance, quality, and continuous improvement.