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.
Define and lead the overarching revenue cycle strategy, aligning with company growth objectives and market expansion.
Provide executive oversight of all revenue cycle functions including patient access, coding, billing, denials, and collections.
Drive cross-functional alignment with clinical, product, engineering, finance, and operations teams to ensure seamless end-to-end revenue workflows.
General Medicine is building a healthcare store that makes it radically simpler and more transparent for people to access care. We are a growing virtual medical practice focused on innovation and scalability, serving patients across multiple states.
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.
Process medical records requests and manage incoming payer mail with timely and accurate turnaround.
Process billing-team refunds, payer reconsiderations, and manual 837 claim pulls and postings.
Collaborate with the Internal Audit & Compliance Associate to support audit-related documentation and identify process inefficiencies.
Ophelia helps people end their opioid use and restore their quality of life by providing evidence-based treatments for opioid use disorder through a telehealth platform. It is a venture-backed healthcare startup operating in 14 states for almost six years, with a team of physicians, scientists, entrepreneurs, researchers, and White House advisors.
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.
Lead peer-reviewed and white-paper publications, turning complex clinical and claims data into evidence of Vida's impact for commercial growth and payer strategy.
Design and execute health-outcomes analyses using biometric, claims, and clinical data, applying advanced methods like multilevel modeling and survival analysis.
Partner with growth, strategy, and clinical teams to generate economic and clinical evidence supporting enterprise sales, client retention, and value-based care contracting.
Vida is a virtual, personalized obesity care provider using evidence-based treatment to help patients manage obesity and related conditions. It is trusted by Fortune 100 companies and aims to break down barriers to healthcare access through advanced technology and top-notch providers.
Own and manage multi-state provider licensing, ensuring zero lapsed licenses.
Run the full new-state licensing process, including vendor and board communication.
Maintain a real-time system of record for provider license status and compliance.
Honeydew builds clinical infrastructure to connect patients with providers quickly and reliably. They have helped over 40,000 patients and are growing 5x year over year.
Manage and resolve claims rejections and denials, escalating trends as identified.
Verify patient eligibility and benefits, and coordinate with insurance payers.
Maintain compliance with HIPAA regulations and meet productivity standards.
Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care for addiction. They are a growing company with a dedicated team passionate about making judgment-free care accessible.
Manage referral management portals and process incoming referrals.
Perform insurance benefit verifications and coordinate admissions.
Respond to inquiries about facilities within policy timeframes.
Acadia Healthcare is a national leader in treating individuals with acute co-occurring mood, addiction, and trauma. They emphasize admissions and intake functions to help every possible person in need.
Provide strategic leadership and operational oversight for care management functions across the assigned region.
Ensure alignment with systemwide standards and regulatory requirements for hospital Care Management.
Collaborate with leadership to formulate strategies that drive organizational objectives and patient-centered outcomes.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services through a network of hospitals, clinics, and care sites across 24 states. With over 157,000 employees and 25,000 physicians, it is one of the largest nonprofit healthcare systems, committed to creating a more just and equitable healthcare delivery system.