Role Description - Verifies patient insurance coverage timely utilizing phone or online resources. - Submits prior authorizations to insurances in a timely manner via payer specific portals and vendors. - Ensures all pertinent medical documentation is accurate and present prior to authorization submission. - Follows up with pending authorizations on a regular basis to obtain the current status or to be informed of any action needed in order to obtain the authorization approval. - Communicates any authorization denials to the appropriate staff. - Handles any discrepancies, errors, or omissions of authorization denials and files appeals when necessary for overturn of adverse decision. - Participates in educational activities and attends regular staff and department meetings. - Exhibits and manages excellent turn-around time in order to ensure timely authorizations. - Consistently works in a positive and cooperative manner with fellow team members and management. - Demonstrates flexibility to perform duties wherever volume deems it necessary. - Collaborates with other departments to assist in obtaining pre-authorizations in a cross-functional manner. - Documents activities appropriately in process notes. - Participates in the Quality Assurance plan. - Complies with applicable CLIA and HIPAA regulations. - Stays up to date with SOPS. - Complies with all company and department policies and procedures. - Contributes to a positive work and team culture. Qualifications - High school diploma or GED equivalent required. - 3-5 years of experience working in medical billing, health insurance, or collections with demonstrated results. - Insurance billing experience is preferred. - Good problem solving and decision-making skills. - Excellent customer service and phone skills. - Excellent time management, organizational, communication, multitasking, and teamwork skills. - Working knowledge of ICD-10, CPT, and HCPCS coding (preferred but not required). - Ability to successfully navigate between multiple systems throughout the course of the workday, including billing software, written Standard Operating Procedures, and payer portals. - Preferred authorization experience. Requirements - Lifting Requirements – light work or exerting up to 20 pounds of force frequently. - Physical Requirements – stationary positioning, moving, operating, ascending/descending, communicating, and observing. - Use of equipment and tools necessary to perform essential job functions. Company Description Ready to transform the future of patient care through the power of genetics? For more than 30 years, Myriad Genetics has led the way in precision medicine by delivering important insights to help people make informed health decisions. As a leading molecular diagnostic testing and precision medicine company, we are dedicated to advancing health and well-being for all. Our innovative genetic tests are used across specialties including oncology, women’s health, and mental health, empowering clinicians to personalize treatment and help their patients take proactive steps toward better outcomes. What inspires us – and you – is simple: Every test, every insight, and every patient story emphasizes our commitment to improving lives through science, innovation, and care. If you’re ready to help shape the future of medicine, your work will have a meaningful impact, and your dedication can change lives. We are an equal opportunity employer and place high value on inclusion and belonging. We prohibit discrimination and harassment on the basis of any protected characteristic, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. Since 1991, millions of patients have benefited from our tests. If you’re inspired by science, motivated by purpose, and ready to make a difference, you belong at Myriad Genetics.

Role Description The C3 Patient Access Resource Staff is responsible for providing the highest level of customer service while handling all aspects of the scheduling of clinic appointments, referral management, visit preparation, patient eligibility, and financial clearance for the Connected Care Center clinical services. This position promotes OHSU’s mission statement by delivering high quality, cost effective, patient centered, service excellence. Qualifications - One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments, and may require experience obtaining managed care authorizations (dependent on position description). - OR one and a half years of work experience in a high volume direct public contact position and 6 months experience in a medical office setting. - Thorough knowledge of PAS policies and procedures. - Demonstrated advanced PAS user skills and extensive knowledge of integrated care at OHSU. Requirements - Basic computer skills including word processing, Windows applications, online scheduling, and a preference for database skills. - Excellent verbal and written communications skills. - Strong customer service orientation. - Demonstrated effectiveness in confrontational customer interactions. Benefits - Monday-Friday during normal hours of operation. - This position works in a busy environment with many interruptions, multiple demands, and interactions. - This position will handle a high volume of patient phone calls, high level of multitasking, and scheduling. - This position requires sitting for at least 2 hours at a time. - Heavy use of computers and multi-line phones. - Ability to lift and carry 25 pounds. - Ability to speak clearly, demonstrate patience, and understanding of customer needs. - Must be able to deal with competing needs and priorities of internal customers. - Must be able to work independently from a remote location.

Role Description Under the direction of the Associate Director of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for ensuring the accurate and timely processing of all assigned claims. This role includes: - Promptly addressing daily correspondence from physician practices. - Reviewing and appealing insurance claim denials. - Following up on aged claims. - Taking necessary steps to resolve all claim issues or questions that escalate to the RCM team, including Salesforce case management. Primary Job Duties: - Management of the accounts receivable (AR), including analysis of the aged AR, looking for root cause issues; suggesting billed rules/edits when appropriate to stop errors from occurring. - Denial management - investigate denial sources, resolve and appeal denials which may include contacting payer representatives. - Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques. - Collaborate with internal teams (Performance, Operations, Sales) as well as care center staff when appropriate. - Support large care center go lives when applicable, which may include overnight travel. - Work closely with our Revenue Optimization team to support efforts to ensure reimbursement is in line with payer contract agreements. Perform denial analysis utilizing the Trizetto platform. - Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality. - Drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs). - Other duties as assigned. Qualifications - High School Graduate. - 3+ years experience in a medical billing office or equivalent claims experience. - Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims. - Experience with athenaHeath and/or athenaOne required. - Orthopedic medical claims billing experience required. - Advanced Microsoft Excel skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) preferred. - Experience with California payers and portals preferred. - Must comply with HIPAA rules and regulations. Requirements - The hourly range for this role is $24/hr to $26.45/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). - This role is also eligible for an annual bonus targeted at 10%. - The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Benefits - All your information will be kept confidential according to EEO guidelines. - Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

Role Description - Perform all tasks related to processing special handling invoices for large, complex commercial customers - Maintain third party billing portals - Communication with cross functional internal teams related to customer account status will be required - Communication with various large commercial customers regarding account status - Maintain strong customer relationships through effective communication - Perform and maintain account billing reconciliations for customers - Investigate and resolve any irregularities or inquiries timely and accurately - Provide documentation to customers or cross functional teams requesting invoices, statements, etc. - Maintain sensitive customer financial information and organized financial records, electronically - Recommend improvements for invoicing processes - Research and resolves second and third level customer inquiries - Develop key relationship with cross functional teams to mitigate invoicing errors Company Description eClerx is a global leader in productized services, bringing together people, technology and domain expertise to amplify business results. Our mission is to set the benchmark for client service and success in our industry. Our vision is to be the innovation partner of choice for technology, data analytics and process management services. Since our inception in 2000, we've partnered with top companies across various industries, including financial services, telecommunications, retail, and high-tech. Our innovative solutions and domain expertise help businesses optimize operations, improve efficiency, and drive growth. With over 18,000 employees worldwide, eClerx is dedicated to delivering excellence through smart automation and data-driven insights. At eClerx, we believe in nurturing talent and providing hands-on experience. eClerx is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, or any other legally protected basis, per applicable law.