Remote Process improvement Jobs • Medical Billing

Responsible for building and maintaining collaborative relationships with internal and external stakeholders to support eligibility verification and prior authorization processes; and managing revenue cycle projects, driving operational performance related to reimbursement, and overseeing processes impacting cash collections. The role involves conducting thorough prior authorization case reviews and follow-ups, ensuring all attempts are exhausted before escalating to vendors and/or internal teams.

This position will help directly improve our Pre-Service operations and expand access to care. You will be responsible for all aspects of our eligibility processes to ensure client coverage is verified prior to care. You will report directly to a Team Lead on our Eligibility team to streamline eligibility workflows, identify opportunities for improved processes, and ensure care is covered prior to service.