Performs clinical evaluations on disability claims to substantiate medical necessity for absence.
Communicates with employees and providers to discuss clinical status and provides follow-up recommendations.
Acts as a clinical resource to claims examiners, ensuring accurate medical terminology and claim decisions.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with AI-enabled technology and expertise. With over 33,000 colleagues and 10,000 clients across 80 countries, they've been recognized as a Great Place to Work and offer a caring culture.
Schedule, track, and manage appointments while completing required pre-appointment and follow-up communications.
Process and monitor referrals and coordinate authorized care with community healthcare providers.
Maintain accurate patient demographic, insurance, emergency-contact, and administrative information.
International SOS Government Medical Services supports healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, International SOS operates in over 90 countries, delivering healthcare, medical assistance, emergency response, and workforce support services worldwide.
Proactively monitor patient insurance eligibility and authorization status to prevent therapy interruptions.
Work directly with patients, sales teams, and physicians to obtain updated insurance or clinical documentation.
Serve as primary point of contact for patients, providers, and field partners, answering benefits and authorization questions.
LUX Infusion reimagines infusion care to be more human, supportive, and connected. It is a clinician-led, U.S.-based organization committed to inclusion, diversity, equity, and advancement.
Act as a liaison between patients, providers, and insurance companies to ensure accurate data collection and compliance.
Verify insurance benefits, eligibility, and prior authorization requirements for scheduled patients.
Notify patients of estimated liability and act as a financial counselor regarding insurance and payment options.
Vail Health is the world's most advanced mountain healthcare system, providing exceptional care through a 56-bed hospital and various outpatient services. It is a nonprofit organization committed to patient-centered care and community well-being.