Working closely with an Implementation Coordinator to exceed client expectation leading up to the go live of moderate to highly complex accounts and large hospital systems
Managing client timelines and deliverables in a fast-paced environment
Analyzing test data to find root cause, trends and gaps to prepare the client for a successful go-live
Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. At Availity, they're pioneers reshaping the future of healthcare, with headquarters in Jacksonville, FL, and an office in Bangalore, India, plus a remote workforce across the United States.
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Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries and are known for investing in their people and new advanced technologies.
Responsible for accurately and respectfully responding to inquiries from employees/members, providers and clients in a high volume call center.
Seamlessly navigate multiple system applications/screens and resources to accurately respond to inquiries.
Thoroughly and accurately document all inquiries and actions taken using applicable software applications.
Luminare Health helps clients and brokers design custom self-funded healthcare plans providing innovative solutions, flexibility, complete data transparency, and member-centered support. They rely on their decades of industry experience and proven, data-driven results to deliver optimal benefits solutions, customized to meet our clients’ needs.
Perform daily revenue integrity audits and charge reconciliation.
Monitor patient board and review census and discharges.
Collaborate with care providers to resolve missing documentation.
UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers and nearly 200 physician practice locations.
Prepares Refund Request Forms and supporting documentation regarding overpayment calculations.
Performs follow-up on checks that have not cleared the bank, and research’s checks that are returned for insufficient address.
US Anesthesia Partners validates and tracks credits due to insurance companies, patients and other payers. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska and provides equal employment opportunities to all employees and applicants for employment.
Conduct thorough reviews of medical records for accurate coding compliance.
Identify opportunities for documentation improvement to enhance code accuracy.
Educate healthcare providers on proper coding practices and HEDIS measures.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Execute payer enrollment applications from credentialing approval through payer confirmation.
Coordinate CAQH profile maintenance and attestations in alignment with Medallion workflows and payer requirements.
Track enrollment status, follow up with payers, and escalate delays or issues to the Payer Enrollment Manager.
Spring Health aims to eliminate barriers to mental health by delivering the right care at the right time through their clinically validated technology, Precision Mental Healthcare. They partner with over 450 companies and are valued at $3.3 billion.
Provide high-level customer service to patients and fellow employees.
Review and update billing, codes, and account information.
Ensure accurate billing for all services provided, adhering to compliance.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products. With 160 years of clinical excellence, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.
Manages client denials and concerns through analytic review of clinical documentation.
Delivers final determination based on skillsets and partnerships with Humana parties.
Investigates and resolves member and practitioner issues via phone or face to face to support quality goals.
Humana Inc. is committed to putting health first for teammates, customers, and the company. Through Humana insurance services and CenterWell healthcare services, they strive to make it easier for millions to achieve their best health, delivering needed care and service.
Provide support across our full customer base via various channels, addressing complex product and technical inquiries with accuracy and efficiency.
Guide customers on best practices for revenue cycle management, claims submission, payment processing, collections, and denial management within our platform.
Meet or exceed established performance metrics, including customer satisfaction, resolution time, and quality benchmarks; handle a high volume of inbound calls daily, ensuring timely and accurate responses to customer inquiries.
Tebra is the digital backbone for practice well-being, formed by the merging of Kareo and PatientPop. They aim to unlock better healthcare by helping independent practices bring modernized care to patients everywhere, serving over 100,000 providers.
Handle inbound customer inquiries in a timely manner via phone, video, email, or chat and track inquiries in a ticketing system.
Collaborate with the Product, Sales, Clinical and Customer Experience teams to ensure the best customer experience and high NPS.
Work with third party vendors to resolve healthcare device related issues and troubleshoot, triage, and escalate support issues across multiple areas.
Twin Health empowers people to improve and prevent chronic metabolic diseases with AI Digital Twin technology. They have been recognized for their innovation and culture and are scaling rapidly across the U.S. and globally.
Showcase customer service and data entry skills as part of the healthcare team.
Involved in claims adjudication and/or provider credentialing.
Support customers by phone, email and chat.
Sutherland helps customers globally achieve greater agility and transform automated customer experiences. As a digital transformation company they have been in business for over 35 years and are Great Place to Work certified with nearly 40,000 employees.