Responsible for accurately entering group and member enrollment data into Facets and eGEMS within specified time frames.
Responds to phone and written inquiries from internal and external customers regarding enrollment and billing.
Analyzes group payments, reconciles invoices, and ensures correct payment amounts.
Capital Blue Cross is a health insurance company and an independent licensee of the Blue Cross Blue Shield Association. They are consistently voted one of the 'Best Places to Work in PA' and prioritize employee well-being and community involvement.
Accurately enter and update clinical and operational data into internal systems, ensuring data integrity.
Review data for completeness and accuracy, identifying and resolving discrepancies.
Collaborate with cross-functional teams to support data validation and quality control processes.
Sarah Cannon Research Institute (SCRI) is one of the world's leading oncology research organizations conducting community-based clinical trials. Founded over 30 years ago, SCRI's research network includes more than 1,300 physicians and over 200 locations across 20+ states in the U.S., and is a subsidiary of McKesson.
Manage patient collections and financial arrangements via calls and account review.
Inform patients of coverage options including Government programs and Financial CARE.
Perform skip tracing and resolve accounts with uninsured or residual balances.
Air Methods provides air medical transport services. The company is an EEO/AA employer with a focus on patient billing and collections, and maintains a culture of compliance and compassion.
Manage mailouts and release medical records and imaging in paper or electronic format.
Coordinate courier services, notaries, and provide status updates to requesters.
Monitor inventory, escalate issues, and handle patient walk-ins as needed.
MRO provides medical records and imaging release services to healthcare organizations. They are a full-time employer with a focus on confidentiality, compliance, and customer service.
Handle customer enquiries and emergency situations over the phone with professionalism.
Meet service delivery targets by resolving queries in a timely and consistent manner.
Use multiple systems to accurately record interactions and build customer trust.
Capita is an outsourcer that helps clients across the public and private sectors run complex business processes more efficiently, creating better consumer experiences. Operating across 8 countries, we support primarily UK and European clients with people-based services underpinned by market-leading technology.
Serve as the primary point of contact for providers and Medicare contractors, responding to inquiries via phone, written, and electronic channels.
Maintain knowledge of contract requirements, develop professional relationships, and educate providers on proper protocols and appeal rights.
Perform research, due diligence, and data entry to resolve complex issues, while notifying management of escalated concerns.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, the company combines an AI-powered platform with best-in-class expertise.
Contact employers and insurers via phone, email, or fax to verify information and obtain claim documentation.
Manage inbound and outbound calls, compile billing packets, and file insurance claims.
Perform accurate data entry in several systems while handling confidential patient health information under HIPAA guidelines.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM platform. The company is a multi-year Top Workplaces award recipient and has been on the Inc. 5000 list for eleven years.
Monitor shipment exceptions and escalate issues to logistics managers.
Manage inbound calls and route communications to appropriate departments.
Handle external communications with carriers and clients throughout shipments.
Cryoport Systems is a comprehensive supply chain partner for the life sciences industry, delivering specialized solutions for biopharmaceutical, cell and gene therapy, reproductive medicine, and animal health markets. As part of a broader family of companies, it provides temperature-controlled supply chain expertise and employs dedicated personnel to support life and health through advanced technologies.
Schedule, track, and coordinate patient appointments and process community care consults using required systems.
Validate patient data, screen inquiries, and communicate with providers on community care rules.
Support quality customer service and follow scheduling, referral, privacy, and compliance standards.
International SOS Government Medical Services delivers healthcare, medical assistance, and emergency response worldwide, supporting organizational safety and workforce wellbeing. Founded in 1984 with operations across over 90 countries, the company emphasizes a commitment to operational readiness and compliance with federal programs.
Collaborate with Nurse Coordinators to support patients and manage testing logistics.
Assess patient needs with a focus on customer support, problem solving, and relationship management.
Use business system tools like QlikView and Salesforce to influence ongoing testing and drive revenue.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions, caring deeply for their work and each other.
Request and process medical records and medical bills through external portals.
Provide light administrative legal support and make outbound client calls.
Job Duck connects ambitious individuals with remote job opportunities at US-based employers. The company has earned the Great Place to Work Certification every year since 2022, emphasizing a supportive and enjoyable culture.
Support the Engagement Center Operations team with day-to-day operations, new site implementations, and strategic initiatives.
Organize and maintain documentation such as workflows, action plans, and KPI reports to enable operational success.
Assist with performance metric tracking, audit processes, and troubleshooting growth opportunities.
Shields Health Solutions partners with health systems to improve patient care through specialty pharmacy services. The company fosters a collaborative, data-driven culture with a close-knit team.
Handle incoming customer requests via phone, email, and website with urgency and attention to detail.
Process, monitor, and manage critical customer shipments using the proprietary logistics management platform.
Communicate with customers and agents professionally and courteously while meeting team metrics.
Marken is a clinical and advanced therapy logistics provider within UPS Healthcare. As part of UPS, which employs over 500,000 people globally, it offers a rewarding culture and opportunities for growth.
Manage document workflows, including processing, quality assurance, and adherence to internal procedures.
Conduct incoming claim reviews, assign statuses, organize data, ensure accuracy, and route files to auditors.
Collaborate with internal teams to maintain the import queue, reconcile balances, validate charges, correct errors, and manage claim routing.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, they foster a collaborative culture focused on innovation and results.
Assist Direct Sales Representatives with order entry, scheduling, customer education, and issue resolution.
Handle administrative duties, qualify new accounts, and coordinate installations and service calls.
Maintain knowledge of company products and systems, and escalate complex issues as needed.
Sparklight provides cable and internet services to residential customers. The company values diversity and offers a collaborative work environment with advancement opportunities.
Coordinate care for adolescent and young adult patients, including outreach, chart scrubbing, and panel management.
Provide medical assistant duties and support the care team with referrals, follow-ups, and documentation.
Communicate with patients and families via phone, MyChart, and email to ensure compliance and care coordination.
Oregon Health & Science University is a public academic health center in Portland, Oregon, providing patient care, groundbreaking research, and training for healthcare professionals. It is the largest employer in Portland, operating hospitals and clinics across Oregon and Southwest Washington, and is committed to being an anti-racist, multicultural institution.
Manage customer interactions and resolve service requests with professional communication.
Handle inbound and outbound calls for scheduling, billing, and account support using internal systems.
Collaborate with internal teams to ensure timely resolution of customer issues and maintain accurate records.
Our partner is a company that provides customer care solutions for residential customers. The organization values reliability, teamwork, and service excellence, offering a supportive culture with career growth opportunities.
Coordinates all patient scheduling activities including appointments, procedures, and exams for multiple facilities.
Collects clinical information, verifies insurance and demographics to ensure appropriate scheduling.
Serves as a resource for staff, physicians, and referring offices to improve patient access.
Lehigh Valley Health Network is a nationally recognized health network with multiple hospitals and facilities in Pennsylvania. It employs nearly 20,000 health care professionals and has a culture of trust, collaboration, and excellence, certified as a Great Place to Work.