Field inbound inquiries regarding release of information (ROI) requests for patient medical records while maintaining excellent customer service standards.
— Function as a peer knowledge and support resource, provide issue resolution, status updates, assist with escalations, and post corrective actions to facilitate timely processing.
— Maintain strong knowledge of HIPAA, HITECH, and state/federal rulings, and participate in meetings to assess trends and training opportunities.
Accurately label and index files to ensure correct patient attribution
Identify missing or incomplete documentation and escalate appropriately
Aledade empowers independent primary care practices. They are the largest network of independent primary care in the country with a remote-first culture.
Work closely with the Ancillary Services team to identify opportunities to drive ordering and collection workflow improvements at care centers.
Collaborate with vendor partners and internal departments to optimize care center workflows and utilize performance reports to drive revenue growth.
Train physicians, providers, and office staff on processes and technologies while providing best-in-class customer service to ensure client satisfaction.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient care. The company is led by top industry talent and exceptional physician leadership, utilizing scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.
Facilitating the analysis and research of EOB’s to problem solve outstanding accounts.
Analyze credit balances and issues refunds as necessary.
CommonSpirit Health is a healthcare organization with over 700 care sites across the U.S., offering services from clinics and hospitals to home-based and virtual care. They are committed to building healthy communities and advocating for those who are poor and vulnerable.
Oversee and prioritize work queues for overdue and expiring patient orders and test results.
Manage patient communications, and process Regional Medication Prior Authorizations.
Collaborate closely with clinic teams to ensure timely follow-up and seamless coordination of patient care tasks.
UnityPoint Health is committed to its team members and has been recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row. They champion a culture of belonging where everyone feels valued and respected and equip you with support and development opportunities.
Review patient records to ensure documentation aligns with medical, legal, regulatory, and insurance standards.\n- Abstract appropriate supporting documentation into abstraction tool.\n- Collaborate with healthcare providers or internal staff to clarify unclear or incomplete documentation.
Capital Blue Cross promises to go the extra mile for its team and community, and its employees consistently vote it one of the “Best Places to Work in PA”. The company offers a flexible environment where health and wellbeing are prioritized and invests in training and continuing education.
Connect with customers via phone/email/chat/social media to resolve questions/concerns.
Calmly attempt to resolve and de-escalate any issues.
Respond to requests for assistance and/or possible processing payments.
TP is a global, digital business services company that delivers advanced, digitally powered business services. With over 500,000 employees speaking 300+ languages, they emphasize community support, client satisfaction, and environmental responsibility.
Serve as a key point of contact for patients regarding billing questions, payment plans, and account resolution
Respond to inbound calls and proactively reach out to patients to collect past-due balances and arrange payments
Review and explain Explanation of Benefits (EOBs) to patients in a clear and supportive manner.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are transforming the way care is delivered with a focus on patient comfort and convenience, empowering their team to thrive while living their core values.
Act as a primary point of contact for customer inquiries across support channels.
Troubleshoot and resolve first-line issues with accuracy, empathy, and efficiency.
Own and manage escalated cases, including sensitive issues such as medical complaints, ensuring timely and appropriate resolution.
Roo's mission is to empower animal healthcare professionals with opportunities to earn more and achieve greater flexibility in their careers and personal lives. They have built the industry-leading veterinary staffing platform, connecting Veterinarians, Technicians, and Assistants with animal hospitals for relief work and hiring opportunities, with over 20,000 veterinary professionals in their network.
Manage daily data entry requirements and Intake process for new and existing patients
Oversee daily operations of incoming document fax server along with identify and file documentation within customer relationship management (CRM) system
Provide review and quality check of incoming documents, associated data entry and organization
Cala Health is dedicated to freeing people from the burden of chronic disease by creating non-invasive prescription therapies. They have a pioneering technology that can be applied across neurology, cardiology, and so much more.
Perform outbound calls to obtain appropriate information and document accurately.
Answer in-bound calls and assist customers with pharmacy related services.
Contact insurance companies for benefit investigation and coverage eligibility.
IQVIA is a global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. They create connections that accelerate the development and commercialization of innovative medical treatments to improve healthcare and patient outcomes.
Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools.
Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024.
Obtain and review records received from other educational institutions
Assist with verification of enrollment for students
Learning Network is an innovative educational services company focused on customer satisfaction. They value their employees and provide a supportive community where they can make a difference in bringing education to students.
Schedule patient appointments and manage consults.
Provide high-quality customer service to Veterans, families, and staff.
Maintain accurate patient records within VA systems.
Arrow ARC supports Veterans Health Administration facilities and offices across the U.S. with health care staffing and program support via the 10-year Integrated Critical Staffing Program (ICSP). Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, two award-winning companies that share an agile, mission-focused, results driven approach in the federal sector.
Using excellent communication and multitasking skills, responds timely to customer inquiries and process requests
Research customer issues and find workable solutions
Provide response to inquiries including scheduling appointments, referral inquiries
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Efficiently triage incoming phone calls with professional phone etiquette.
Provide support for call center staff and resolve issues promptly.
Effectively communicate issues and solutions to members and pharmacies.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.
Expeditiously and professionally respond to all communications from internal and external users regarding the compliance system.
Train internal and external users on compliance system functionality and requirements for engaging consultants, and fulfill ad hoc data requests.
Manage the Professional Affairs inbox, update invoice statuses, prepare monthly reconciliation reports, and assist in developing new processes for continuous improvement.
Enovis is an innovation-driven medical technology growth company focused on developing clinically differentiated solutions that improve patient outcomes and transform workflows. The company operates globally with a culture of continuous improvement and a focus on empowering active lifestyles in orthopedics and beyond.
Guiding them toward scheduling their care assessments.
Giving them the encouragement they need to take that next step.
Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value the expertise and dedication of their team members and show it through a competitive and supportive package.
Enjoy making outbound calls and reaching out to patients, members, and customers.
Have a passion for helping patients make decisions that will enhance their healthcare experience.
Make welcome calls and assist members and patients with benefits and insurance information.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes. Carenet Health fosters collaboration, creativity and innovation and looks for people who want to work with an entrepreneurial spirit and deliver market-leading performance!
Conduct research and provide problem-solving support to the Customer Service Department, Brokers and Sales.
Provide efficient, courteous, professional quality service to Groups, Plan personnel and Brokers/Sales in a timely manner.
Ensure compliance with organizational and regulatory requirements.
They promise to go the extra mile for their team and community. Capital Blue Cross values your professional and personal growth by investing heavily in training and continuing education.