Clinical Coordinators deliver comprehensive virtual care and support, ensuring seamless communication between patients, providers, and healthcare facilities. They manage clinical and hospital lines, coordinate pre-visit preparations, make reminder calls, transcribe and reconcile lab results, relay results, facilitate follow-ups, handle referrals, and conduct post-discharge follow-ups to ensure patients understand and have access to necessary resources.

Medical Billers oversee the entire patient billing process, ensuring accurate claims and effective communication with patients and insurance companies to support the practice’s financial health. Their responsibilities include processing medical claims for timely submission and payment, correcting denied claims, regularly reviewing accounts, discussing balances with patients, handling payments via phone and online, resolving discrepancies with insurance companies, and assisting patients in understanding their billing statements and charges.

Prior Authorization Specialists facilitate timely access to medications and imaging services by expertly managing the authorization process. They handle prescription and imaging prior authorizations, coordinating with pharmacies and insurance companies while serving as a liaison to ensure clear communication. Their role includes maintaining accurate records, proactively resolving issues, and implementing efficient organizational practices to streamline workflow and minimize delays.

Eligibility Checkers ensure clients receive accurate insurance benefits by thoroughly verifying eligibility and assisting in the billing process, which includes confirming insurance coverage details, conducting comprehensive coverage analysis, supporting accurate billing and claims, resolving issues through effective communication with insurance companies, maintaining meticulous records, and collaborating with the billing team to enhance process efficiency and implement best practices.

Patient Advocates provide exceptional support to customers and healthcare providers through effective communication and problem-solving, which includes managing a high volume of inbound calls professionally, assisting with appointment scheduling, medication coordination, and insurance claims, focusing on customer satisfaction by addressing concerns promptly, utilizing problem-solving skills to resolve issues, employing empathetic communication to build trust, and maintaining accurate documentation of interactions for compliance and future reference.

Referral Coordinators manage patient referrals by ensuring seamless communication between patients, providers, and specialists, which involves maintaining detailed tracking and documentation of referrals, accurately registering patients and verifying their insurance details, gathering and compiling comprehensive clinical background and referral needs, providing specialists with necessary clinical information, coordinating with review organizations and insurance companies to meet prior approval requirements, and liaising with the financial services department to optimize reimbursement and resource allocation.