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• Requests records and information from providers.
• Responds to telephone inquiries promptly, professionally, and efficiently to provide resolution.
• Analyzes provider questions to determine best use of resources to resolve the situation.

Empower AI provides federal agency leaders with tools to elevate their workforce's potential for transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.

• Oversee daily workflow functions for Periscope requests and assessments
• Assist health plan partners and clients with service requests
• Maintain accurate record keeping of client communications

Founded in 1997, The Periscope Group is a privately held consulting company providing accurate, timely, and objective reports that help medical management teams serve their most vulnerable populations. Their services now reach all demographics and lines of business across 46 states.

• Serve as the primary point of contact for healthcare clients and delivering patient-focused assistance.
• Create, update, and maintain comprehensive documentation on client interactions and appointments.
• Coordinate with healthcare professionals and internal teams to schedule appointments.

They are a company posting jobs powered by AI-powered matching process to ensure your application is reviewed quickly and objectively. They use AI tools to support parts of the hiring process, which assists their recruitment team, but does not replace human judgment.

• Review and enter occupational and industry data into designated systems.
• Apply standardized coding instructions under supervision.
• Follow established procedures and government-provided guidelines.

TBS Investment & Management Company is a certified SDVOSB and ISO-certified organization. They are a growing company delivering impactful language access services focused on operational excellence and community impact.

• Possess strong oral and written communications skills.
• Exhibit excellent interpersonal skills using tact, patience, and courtesy.
• Thoroughly and efficiently gather customer information, assess, and fulfill customer needs and educate customers where applicable.

SMI is a leading provider in government payment solutions, developing state-of-the-art solutions and running complex human services operations. With over 53 years in operation as a family-owned business, SMI has grown to over 600 employees across the country, and considers its employees and customers as part of their extended family.

• Communicate with medical providers and ensure timely client treatment.
• Collect and organize medical records, providing updates to the legal team.
• Guide clients through their medical process and answer basic questions.

Solvo Global is a company that does not provide a company description in this job posting. It appears they are hiring for a medical case coordinator.

• Play a vital part in ensuring patients receive timely and accurate scheduling for their medical services.
• Direct data entry of patient information into our electronic medical records, conducting interviews to gather necessary information.
• Maintain compliance with healthcare regulations.

This position is posted by Jobgether on behalf of a partner company. They are currently looking for a Patient Scheduling Representative.

• Relaying general instructions to patients or making referrals to other MEPS sections.
• Obtaining updates and filing medical records as needed.
• Organizing and researching patient records, extracting needed information, and reviewing records for completeness, accuracy, and consistency within established guidelines.

International SOS Government Medical Services delivers customized medical and security risk management and wellbeing solutions. They operate in 92 countries providing integrated medical solutions to organizations with international operations and have 12,000 staff.

• Request medical records and billing statements from healthcare providers.
• Conduct continuous follow-ups via phone, email, and provider portals.
• Prepare and submit requests in compliance with HIPAA regulations.

Solvo Global is a company that provides healthcare operations support. The company seems to have a relaxed culture and they embrace remote work opportunities.

• Provides support to the Network Provider Operations department with daily operations, project initiatives, system updates, special projects, and all regulatory reporting and analysis.
• Audits departmental operations with a focus on data integrity, improving accuracy, and identifying training opportunities for department.
• Leads system upgrades and implementations for the department, and provide technical support as needed.

Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that are expanding services in response to patients' and members' needs. They are part of MJHS, a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.

• Support Shields operations team at health system partners with day-to-day operations.
• Organize and maintain required documentation to enable operational success.
• Partake in liaison audit process, including conducting audits and providing feedback to Manager of Patient Services.

Shields Health Solutions partners with health systems to develop specialty pharmacies. We provide integrated pharmacy solutions to improve patient care, drive growth, and reduce costs.

• Reaching out to health plan members.
• 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 their team members and show it through a competitive and supportive package.

• Enroll and revalidate doctors and facilities with payors.
• Process applications for licensing, permits, certifications, insurances, and relevant credentialing documents.
• Review incoming insurance correspondence and mail and maintain and update credentialing spreadsheets accordingly.

CHOICE is the largest provider of pediatric dental care in the Southwest United States. They pride themselves on delivering high quality care to children in their communities.

• Support large, complex customer implementations through the end-to-end implementation process.
• Assist with the delivery of the solution, ensuring that each project is executed seamlessly within the scope, timelines, and contractual requirements.
• Serve as an additional point of contact for customers and internal stakeholders, managing communications, addressing challenges, and ensuring that milestones are met successfully.

Turquoise Health is making healthcare pricing simpler, more transparent, and lower cost for everyone. They are a Series B startup backed by top VCs a16z, Box Group, Bessemer Venture Partners, Tiger Global, Adams Street, and Yosemite, with an accomplished group of folks with a passion for improving healthcare.

• Make outbound calls to patient homes to complete short satisfaction surveys about their care experience.
• Verify each patient’s Primary Care Provider (PCP) information.
• Document all findings accurately in HHAExchange : Enter survey responses in the patient’s notes section and Update PCP details in the patient’s profile.

Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging an extensive global network, they connect clients with highly qualified professionals, offering tailored services to meet their clients' unique business needs.

• Handle inbound and outbound calls to support our healthcare client.
• Expected to deliver exceptional customer service by adhering to established protocols and guidelines.
• Utilize various web-based systems to efficiently address and resolve customer inquiries.

Senture is a global company that embraces diversity and never discriminates against employees or applicants based on gender identity or expression, sexual orientation, race, religion, age, national origin, citizenship, disability, pregnancy status, veteran status, or other differences. They have employees from various backgrounds and lifestyles.

• Acquire and set up new meetings with target clients through cold calls and emails
• Research companies, identify key decision-makers, and develop qualified leads for account executives
• Maintain an accurate and up-to-date log of all prospect interaction in the CRM

PerfectServe offers Best in KLAS clinical communication and physician scheduling solutions and is a Leader in the Gartner Magic Quadrant for Clinical Communication and Collaboration. They have seen an 88% growth rate over the past three years and need strong team members to help them continue to grow!

• Educate recipients about the Pathways Program offerings and enrollment options.
• Introduce managed care choices to recipients and aid in navigating health care and dental plans.
• Cultivate positive relationships with county staff, state agencies, community groups, and recipients.

Knowledge Services is a company that provides workforce management solutions. They are committed to working with individuals with disabilities and providing reasonable accommodations.

• Collaborate with implementation teams and external customers to ensure data integrity and interface validation for symplr software solutions.
• Analyze and manage patient healthcare data for consistency and accuracy while configuring system software during implementation projects.
• Leverage analytical, technical, and communication skills to define processes for clinical data management and assist customers in achieving their organizational goals.

Symplr is revolutionizing healthcare operations with a first-of-its-kind platform that drives effective, efficient, and connected workflows, increasing operational benefits and scaling clinical, financial, and quality outcomes. We are a remote-first company with employees across the United States, India, and the Netherlands.

• Accurately enter team International’s data into Salesforce and construct and format basic reports.
• Draft, edit, and submit error-free briefing materials for external donor meetings.
• Track next steps and ensure completion for select projects or meetings, including support of regional donor circles.

The Obama Foundation aims to inspire, empower, and connect people to change their world and build an active democratic culture. They are building a global center for change in Chicago with coordinated programming, community outreach events, and educational moments.