HOW IT WORKS

Clinical Coordinators provide comprehensive care and support to patients through virtual means, ensuring seamless communication between patients, providers, and healthcare facilities by managing clinical and hospital lines, coordinating pre-visit preparations, making reminder calls, transcribing and reconciling lab results, relaying results and facilitating follow-ups, managing referrals, and conducting follow-up communications with discharged patients to ensure understanding and access to necessary resources.

Medical Billers manage patient billing processes, ensuring claim accuracy and effective communication with patients and insurance companies to maintain the practice's financial health and deliver exceptional service. This includes processing medical claims for timely submission and payment, reviewing and correcting denied claims, regularly reviewing accounts and communicating with patients about balances, handling payments both over the phone and online, coordinating with insurance companies to resolve discrepancies, and assisting patients with understanding their billing statements and charges.

ensure patients receive timely access to medications and imaging services by managing the authorization process with precision, which involves handling prescription and imaging prior authorizations by coordinating with pharmacies and insurance companies, serving as a liaison to maintain clear communication, keeping accurate records, resolving issues proactively, 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.