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.
Collect, abstract, and code complex clinical data from multiple sources for research subjects.
Record information into study-specific electronic data-capture systems and resolve data queries.
Maintain databases, assist with data acquisition forms, and ensure protocol adherence.
Fred Hutchinson Cancer Center is an independent nonprofit providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. It operates eight clinical care sites and is the only NCI-designated cancer center in Washington, with a reputation for global leadership in bone marrow transplantation, immunotherapy, and COVID-19 vaccines.
Collect, abstract, and code complex trauma clinical data from medical records using AIS, ICD-10, and other standards.
Ensure compliance with ACS, NTDB, TQIP, and state reporting requirements.
Collaborate with multidisciplinary teams to support quality improvement and performance initiatives.
Baystate Health is a leading integrated healthcare organization in western Massachusetts, serving nearly one million people. With over 12,000 employees and a history spanning more than 145 years, it offers a collaborative culture focused on compassionate care.
Review and abstract professional medical records to ensure accurate code assignment.
Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers following national and payer-specific guidelines.
Maintain coding quality metrics and participate in coding audits.
We reimagine how people access care by bringing it directly into their homes. We have supported over 2 million patients across 22 states, completed over 130,000 in-home visits, and raised over $125M from top investors.
Handle inbound and outbound calls, emails, and chats for healthcare-related inquiries.
Gather accurate patient information and verify insurance coverage and eligibility.
Guide patients through the intake process with clarity, empathy, and professionalism.
We are a healthcare organization dedicated to providing patient intake services. We offer a supportive remote work culture with team engagement events and leadership development programs.
Prepares and submits hospital, physician, and clinic claims to third-party insurance carriers electronically or by hard copy.
Follows up with insurance carriers on unpaid claims and secures needed medical documentation.
Processes rejections by correcting billing errors and resubmitting claims to insurance carriers.
TruBridge provides innovative solutions that support the financial and clinical sides of healthcare delivery, connecting providers, patients, and communities. They foster a remote team culture that encourages pushing boundaries and thinking differently.
Act as a patient and family advocate to obtain necessary information and fulfill payer authorization requirements.
Collaborate with providers and staff to ensure successful referral and authorization processes.
Track, follow up, and resolve authorization issues to minimize financial risks.
Lucile Packard Children's Hospital Stanford provides world-renowned pediatric care combining advanced technologies with family-centered care. It is a major children's hospital dedicated to caregiver education and state-of-the-art facilities.
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.
Assign and sequence ICD-10-CM, ICD-10-PCS, and CPT-4 codes for inpatient, outpatient, ambulatory, and emergency room records.
Review medical records for DRG/APC assignment, verify charge accuracy, and abstract clinical data.
Collaborate with providers and hospital departments to ensure proper documentation and regulatory compliance.
Logan Health is a growing health system in Northwest Montana that provides quality, compassionate care through connection, service, and innovation. As a healthcare organization, they employ a team-oriented staff and value kindness, trust, collaboration, and excellence.
This advanced inpatient coder codes and abstracts medical records for reimbursement, research, and data analysis.
Uses 3M encoder and demonstrates competency in ICD-10, CPT-4, and HCPCS coding systems.
Meets quality and productivity standards while working in a remote, collaborative environment.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. With a focus on building healthy communities and advocating for the vulnerable, they employ a supportive, team-oriented workforce.