Perform scheduling, cancellations, and rescheduling of appointments and surgeries while entering orders and completing full pre-registration.
Document demographics, verify insurance, determine patient liability, and collect payments electronically for self-pay and out-of-network patients.
Obtain prior authorizations, monitor medical necessity compliance, and collaborate with OR and ancillary departments to ensure continuity of care.
Southcoast Health is a not-for-profit, charitable health system operating multiple hospitals, clinics, and facilities across Southeastern Massachusetts and Rhode Island. With a workforce of highly skilled caregivers, they have been voted 'Best Place to Work' for seven consecutive years, fostering an inclusive and ethical workplace culture.
Reviews, analyzes, and validates diagnostic and procedural codes for reimbursement and billing purposes.
Abstracts accurate information from the electronic health record to support patient care evaluation and administrative decision making.
Ensures compliance with established coding guidelines, third-party reimbursement policies, and regulatory requirements.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care, from primary and specialty care to virtual care, pharmacy, and health insurance, across Michigan and around the world. With 12 hospitals and hundreds of ambulatory care locations, the organization is grounded in purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.
Review and abstract professional medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.
Maintain coding quality metrics, participate in audits, and stay current with coding guidelines.
Ensure confidentiality and adhere to HIPAA and compliance standards while working independently.
Sprinter Health reimagines how people access care by bringing it directly into their homes, using technology to deliver care where people are. Backed by over $125M from top investors like a16z, General Catalyst, GV, and Accel, the team of clinicians, technologists, and operators has supported 2 million patients across 22 states with a 92 NPS.
Collects and verifies patient demographic and insurance information prior to scheduled appointments.
Ensures smooth registration process and accurate financial clearance to support timely access to services.
Maintains compliance with regulatory and confidentiality standards while performing other assigned duties.
Kettering Health is a healthcare system serving communities in Ohio, dedicated to patient-centered care. With multiple facilities and a large workforce, it emphasizes a culture of safety, compliance, and operational excellence.
Accurately process inbound healthcare documentation and data from multiple sources.
Maintain patient and program records with strict attention to detail and confidentiality.
Collaborate with internal teams to resolve discrepancies and ensure timely intake.
A healthcare operations company focused on patient documentation and data processing. They maintain a remote team with a culture of accuracy and confidentiality.
Coordinate with providers, insurance companies, and hospital staff to secure pre-authorizations and address denials.
Review daily schedules, obtain authorizations via phone/fax/portals, and verify CPT/ICD-10 code alignment.
Communicate with patients about approvals, reschedules, or cancellations while maintaining HIPAA compliance.
Cardiac Study Center is a dedicated team at the forefront of cardiovascular medicine, empowering patients with the knowledge and treatment they need to lead heart-healthy lives. As a growing organization with deep roots in the Pacific Northwest, we foster continuous learning and collaboration among passionate professionals.
Transcribe clinical notes and document patient encounters accurately in the EHR system.
Upload medical records and supporting documents to payer portals as needed.
Communicate clearly with physicians and clinical staff in English and participate in regular check-ins.
Skilled Wound Care is a wound care medical services company that supports physicians across the United States. It is a Great Place to Work-Certified organization for the third year in a row, with 95% of employees reporting it as a great place to work.
Conduct educational telephone calls to advise members of benefits, complete health needs assessments, and refer to population health management programs.
Reach out to members with gaps in care, encourage compliance, and assist with locating providers and scheduling appointments.
Manage system work queues, screen members for eligibility and history, and assign to clinical teams for intervention.
BlueCross BlueShield of Tennessee is the state's largest health benefit plan company, helping Tennesseans find paths to good health since 1945. They are a remote-first organization with many employees working from home, fostering a culture of innovation and collaboration.
Monitor and maintain assigned referral WorkQueues in Epic EMR, updating referral status, scheduling, and benefit details.
Identify and escalate referrals missing information or requiring additional action to the clinical team.
Conduct ineligibility notification calls and maintain accurate documentation in EHR and Aviary Health systems.
Aviary Health is redesigning heart health by delivering exercise and wellness for older adults with cardiovascular disease via telemedicine. The team is comprised of mission-driven clinicians, engineers, and professionals dedicated to evidence-based cardiovascular rehabilitation.