Review and verify insurance coverage, obtain authorizations, and create patient liability estimates while working closely with internal and external stakeholders.
Serve as a liaison between patients, providers, and insurance companies to ensure accurate financial services and resolve managed care issues.
Provide backup support and cross-coverage for the Centralized Managed Care & Price Estimates Department, including handling trauma admissions and third-party liability.
OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training the next generation of healthcare professionals. As Portland's largest employer, it offers a diverse and inclusive culture with opportunities for growth and advancement.
Review emergency department medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes.
Ensure compliance with coding guidelines, CMS regulations, and payer-specific requirements.
Collaborate with coding leadership and participate in quality reviews and audits.
Sutherland works with iconic brands worldwide, providing market-leading technology and business process excellence. The company has created over 200 unique inventions and focuses on AI, automation, and cloud engineering.
Serve as a critical gateway to patient care by ensuring timely and accurate processing of medical referrals.
Collaborate with providers and clinical teams to review, prioritize, and route referrals in a fully remote setting.
Apply administrative expertise and medical knowledge to support patient safety and operational excellence.
The company is a leading academic healthcare organization dedicated to patient care, research, and education. It offers a fully remote, inclusive work environment with opportunities for career growth.
Accurately correct coding-related denials for billing in Epic, including writing appeal letters.
Abstract operative reports in 3M and/or Epic while maintaining 95% accuracy or greater.
Ensure timely completion of patient accounts to meet department standards and goals.
Applied Medical Systems is a trusted partner for medical billing services, helping healthcare providers thrive through expert medical billing, coding, and practice management for over 45 years. The company has a stable, growing organization with a strong future and values a diverse and inclusive workplace.
Identify and lead Revenue Cycle Operational Effectiveness and performance improvement initiatives.
Serve as an internal consultant and knowledge expert, using Lean methodology for process improvement.
Collaborate with stakeholders to design operational changes that create revenue opportunities and enhance patient experiences.
Piedmont Healthcare is a healthcare system providing comprehensive medical services. It fosters a culture of shared purpose and employee recognition, with a focus on wellness and professional development.
Process and resolve insurance claims, denials, and appeals accurately and timely using Epic and other systems.
Verify patient insurance eligibility, update demographics, and communicate with payors to ensure proper coverage.
Analyze and correct claim issues, perform write-offs, and contribute to workflow improvements for optimal AR outcomes.
Exact Sciences helps change how the world prevents, detects and guides treatment for cancer. The company offers an inclusive culture, purpose-driven careers, and robust benefits.