Submit and manage prior authorization requests for surgical and procedural services
Review patient charts and clinical documentation to ensure medical necessity requirements are met
Work directly within payer portals including Availity to process and track authorization requests
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 70 clinics across 8 states and a Net Promoter Score of 93, we are building the future of vein care.
Verify patient insurance eligibility, benefits, and coverage while communicating with insurance providers.
Obtain and track prior authorizations, and resolve coverage or authorization issues by phone.
Document insurance information in EHR systems and explain self-pay options to patients and families.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities across the globe. They embrace a remote working environment and an international team collaborating from home.
Ensure accurate verification of patient insurance benefits and authorizations.
Meet quantity and quality benchmarks for production and denial rates.
Utilize knowledge of medical terminology and insurance processes.
Gastro Health is one of the largest gastroenterology multi-specialty groups in the US with over 130 locations. They have a collaborative team and offer a great work/life balance.
Serve as primary point of contact for patients and families regarding insurance coverage for services.
Obtain, verify, and accurately enter all required patient and insurance information into the registration system.
Identify pre-authorization needs, make insurance eligibility decisions using online systems, and follow up on verification issues in a timely manner.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents across 29 counties. The organization values excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for patients and each other.
Verify patient insurance eligibility, benefits, authorization requirements, and referral needs prior to services.
Obtain referrals from primary care providers and ensure all referral requirements are met before scheduling.
Communicate insurance coverage, financial responsibility, and estimated costs to patients in a clear and empathetic manner.
Oshi Health is a virtual digestive health practice on a mission to transform GI care. As a startup, they offer a remote-first, mission-driven environment with a focus on improving patient lives.
Investigate mental health benefits and verify eligibility, authorization, and insurance requirements via phone, portals, or fax.
Contact patients to clearly communicate cost estimates, financial options, and liability including copays, coinsurance, and deductibles.
Collaborate with front office, billing, and intake teams to resolve insurance issues and correct errors in the practice management system.
Mindpath Health is a national leader in mental health services, providing psychiatric and therapy services across six states via in-person and telehealth appointments. The team is deeply committed to compassionate, collaborative care and supporting total health.
Act as a liaison between patients, providers, and insurance companies to ensure accurate data collection and compliance.
Verify insurance benefits, eligibility, and prior authorization requirements for scheduled patients.
Notify patients of estimated liability and act as a financial counselor regarding insurance and payment options.
Vail Health is the world's most advanced mountain healthcare system, providing exceptional care through a 56-bed hospital and various outpatient services. It is a nonprofit organization committed to patient-centered care and community well-being.