Previous call center or medical experience required., High School Diploma required, Bachelor's preferred., Strong organization and time management skills., Proficient in Microsoft Office..
Key responsabilities:
Make calls to medical facilities for information.
Obtain records and document findings.
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Ethos Risk Services is a technology-backed, full-service claims management company. We bring clarity to a world of uncertainty through investigation and verification resources aimed at delivering optimal solutions to our clients. Services include surveillance, OSINT/digital investigations, SIU, and claims investigations. We also provide a full suite of medical management solutions that includes utilization management, field case management, IME, bill review, and Medicare services (MSP).
Our coverage includes all 50 states and over 80 countries. We are SOC 2 Type 2 and HIPAA compliant.
Our vision is to be the most tech-enabled, customer-centric claim management company that makes verification a matter of certainty.
You want to be sure your claims are verified with all the facts. To do that you need all the facts, and delays increase costs. That’s why we’ve developed the technology and training to keep your claims on track for optimal outcomes. With our solutions you’ll save time and money with the peace of mind of having 100% surety.
More Coverage. More Accountability. More Consistency.
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.
EthosPLUS is a premium extension of our core services offered to our prestigious clientele focused on higher-level investigation cases. This high-performing team focuses on complex litigations, claims investigations, and urgent situations that call for every detail to be uncovered with rapid delivery.
Job Summary
We are seeking a full-time Medical Canvassing Specialist(REMOTE) with prior experience in call center/medical setting/insurance claims. The Medical Canvass Specialist will be responsible for canvassing of medical facilities such as hospitals, clinics, and pharmacies. This individual will call on behalf of insurance providers and must conduct themselves in a professional manner. The goal of canvassing is to obtain information relevant to an open insurance claim/investigation. This individual will also be responsible for obtaining records from various medical facilities in an effort to document a claimant's full medical history.
Key Responsibilities
Make phone calls on behalf of insurance providers to medical facilities to ascertain dates of service.
Obtain records from medical facilities.
Document all information gathered into detailed report.
Provide weekly updates to clients regarding progress of files.
Additional duties as assigned
Qualifications
Experience: Previous call center or medical (insurance) related experience required.
Education: High School Diploma Required. Bachelor's Degree preferred.
Skills: Organization, Time Management, Phone and Interpersonal Skills, Microsoft Office
Working Conditions
This position is remote (US) and calls for an office-like environment where temperatures are constant.
Frequent prolonged periods of a stationary position.
Constant operation of a computer and other office productivity machinery, such as a calculator, copy machine/printer. Frequent communication via telephone and in person with clients, customers and co-workers.
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic protected by law.
Salary: $16 - $17 per hour
Job Posted by ApplicantPro
Required profile
Experience
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.