Medical Billing Freshers For Any Stream Graduates Jobs

ABOUT US Nestem Technologies is ISO 9001:2008 Certified and Govt Registered Leading Healthcare BPO Service Provider. Medical Coding and Billing Job offered For US Healthcare BPO. MEDICAL BILLING Medical Billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs Self Supportive Training will be provided for Freshers with Placement. PLACEMENTS & PAY DETAILS FOR TRAINED After successful completion of the Training job offer will be provided in Leading MNC's. Placements will be in Chennai. 9500/- to 12000/- PM initially with assured career growth (Excluding Special Allowances & Other Benefits). For further Information Call us on 9791196983

ABOUT US Nestem Technologies is ISO 9001:2008 Certified and Govt Registered Leading Healthcare BPO Service Provider. Medical Coding and Billing Job offered For US Healthcare BPO. MEDICAL BILLING Medical Billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs Self Supportive Training will be provided for Freshers with Placement. BILLING INDUSTRY Employment is expected to grow faster than average. Job prospects is very good; persons with a strong background in medical billing and coding will be particularly high demand. PLACEMENTS & PAY DETAILS FOR TRAINED After successful completion of the Training job offer will be provided in Leading MNC's. Placements will be in Chennai. 9000/- to 12000/- PM initially with assured career growth (Excluding Special Allowances & Other Benefits). For further Information Call us on 979 1196 983 / 044-2481 4757.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.</sp

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.</sp

AGENT ALSO WELCOME AGE LIMIT - 50 YEARS CV SELECTION OR IF COMPANY REQUIRED THEN TAKING INTERVIEW IN SKYPE. ALL PERMIT IS :- S- PASS AND E- PASS SALARY DEPENDS ON CANDIDATE PROFILE. RESTAURANT SUPERVISOR 1 TO 2 YEARS EXPERIENCE REQUIRED / FLOOR ATTENDANT 1 TO 2 YEARS EXPERIENCE REQUIRED NETWORK ADMINISTRATOR 1 TO 2 YEARS EXPERIENCE REQUIRED / CIVIL ENGINEER 1 TO 2 YEARS EXPERIENCE REQUIRED ELECTRICAL ENGINEER 1 TO 2 YEARS EXPERIENCE REQUIRED PACKAGING SUPERVISOR 0 TO 1 YEARS EXPERIENCE REQUIRED HELPER HARD WORKING REQUIRED CANDIDATE HR MANAGER 2 TO 4 YEARS EXPERIENCE REQUIRED ADMIN ASSISTANT 1 TO 2 YEARS EXPERIENCE REQUIRED ACCOUNTANT 1 TO 2 YEARS EXPERIENCE REQUIRED COMPUTER OPERATOR 1 TO 2 YEARS EXPERIENCE REQUIRED BILLING ASSISTANT 1 TO 2 YEARS EXPERIENCE REQUIRED BUSINESS DEVELOPMENT MANAGER 1 TO 2 YEARS EXPERIENCE REQUIRED ALL PROCESS DONE IN 45 DAYS r ** ** WORK PERMIT PROFILE NO INTERVIEW DIRECT SELECTION ON CV. WELDER QTY - 10 SALARY 1200 SGD OT + FOOD + ACC + MEDICAL CARPENTER QTY - 15 SALARY 1300 SGD OT + FOOD + ACC + MEDICAL MASON QTY - 17 SALARY 1000 SGD OT + FOOD + ACC + MEDICAL ELECTRICIAN QTY - 20 SALARY 1500 SGD OT + FOOD + ACC + MEDICAL RIGGER QTY - 18 SALARY 1300 SGD OT + FOOD + ACC + MEDICAL HELPER QTY - 15 SALARY 900 SGD OT + FOOD + ACC + MEDICAL PIPE FITTER QTY - 22 SALARY 1000 SGD OT + FOOD + ACC + MEDICAL FABRICATOR QTY - 22 SALARY 1100 SGD + FOOD + ACC + MEDICAL DRIVER (LIGHT & HEAVY) - 35 SALARY 1100 SGD OT + FOOD + ACC + MEDICAL FOREMAN QTY - 30 SALARY 1600 SGD OT + FOOD + ACC + MEDICAL SERVICE CHARGE APPLICABLE HERE FEES ONLY REQUIRED BALANCE DEDUCTION IN YOUR SALARY AFTER YOUR JOINING. NO MEDICAL COST. NO AGENT FEES. NO REJECTION ONLY HERE PAY DOCUMENTATION FEES 10 WORKING DAYS YOU GET { IPA } IN PRINCIPAL OF APPROVAL. DOCUMENTS REQUIRED :- 1 PASSPORT COLOR COPY(FRONT & BACK SIDE) 2 EDUCATION QUALIFICATION CERTIFICATE 3 EXPERIENCE CERTIFICATE (IF ANY) 4 PHOTO P/P SIZE WHITE BACK GROUND 5 PREVIOUS VIS

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities. The Manager provides direct people leadership, establishes operational priorities, ensures consistent application of coding and billing requirements, and is accountable for team productivity, quality, service levels, compliance, and employee development. This role partners closely with the W&E team lead, who provides day-to-day technical guidance and subject matter support to the coding team. The Manager retains accountability for staffing, performance management, workload oversight, escalations, audit readiness, process improvement, and delivery of business outcomes. The position also represents the team in discussions with senior leadership, Medical Directors, Legal, Compliance, Analytics, Operations, and other Payment Integrity partners. Primary Responsibilities People Leadership & Team Development Lead, coach, and develop a team of Certified Coding Analysts and Senior Certified Coding Analysts. Establish clear role expectations, performance goals, productivity standards, quality requirements, and accountability measures. Conduct regular perfor

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Position Overview The Pre-Analytical Laboratory Technician II is responsible for preparing samples for analysis, recording, and/or verifying patient’s information. This role is primarily responsible for performing duties related to accessioning, sample management, problem resolution, data entry, and specimen storage with high degree of proficiency. A successful candidate would be expected to have the ability to swiftly pick up new laboratory process that they are trained in due to experience gained in previous laboratory roles. Potential candidates should be able to demonstrate that they have good documentation practices (GDP) knowledge. Shift: Monday-Friday: 11am-7:30pm PST Essential Duties Include, but are not limited to, the following: Perform laboratory tasks, as assigned. Clean and organize common lab areas and take responsibility for all housekeeping tasks being completed on time. Receive, sort, and unpack incoming samples regularly. Unpack, log and track incoming samples using specified software regularly. Perform administrative duties required for incoming samples; including, but not limited to scan needed paperwork, such as pathology reports and requisitions and file physical paperwork per required procedures. Perform order entry and order processing such as in lieu of; including, but not limited to reviewing patient demographics and sample collection. Evaluate insurance and verify billing information. Transcri

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Position Overview The Pre-Analytical Laboratory Technician II is responsible for preparing samples for analysis, recording, and/or verifying patient’s information. This role is primarily responsible for performing duties related to accessioning, sample management, problem resolution, data entry, and specimen storage with high degree of proficiency. A successful candidate would be expected to have the ability to swiftly pick up new laboratory process that they are trained in due to experience gained in previous laboratory roles. Potential candidates should be able to demonstrate that they have good documentation practices (GDP) knowledge. Shift: Monday-Thursday, Saturday: 9am-5:30pm PST Essential Duties Include, but are not limited to, the following: Perform laboratory tasks, as assigned. Clean and organize common lab areas and take responsibility for all housekeeping tasks being completed on time. Receive, sort, and unpack incoming samples regularly. Unpack, log and track incoming samples using specified software regularly. Perform administrative duties required for incoming samples; including, but not limited to scan needed paperwork, such as pathology reports and requisitions and file physical paperwork per required procedures. Perform order entry and order processing such as in lieu of; including, but not limited to reviewing patient demographics and sample collection. Evaluate insurance and verify billing information. <

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Position Overview The Pre-Analytical Laboratory Technician II is responsible for preparing samples for analysis, recording, and/or verifying patient’s information. This role is primarily responsible for performing duties related to accessioning, sample management, problem resolution, data entry, and specimen storage with high degree of proficiency. A successful candidate would be expected to have the ability to swiftly pick up new laboratory process that they are trained in due to experience gained in previous laboratory roles. Potential candidates should be able to demonstrate that they have good documentation practices (GDP) knowledge. Shift: Monday-Friday: 11am-7:30pm PST Essential Duties Include, but are not limited to, the following: Perform laboratory tasks, as assigned. Clean and organize common lab areas and take responsibility for all housekeeping tasks being completed on time. Receive, sort, and unpack incoming samples regularly. Unpack, log and track incoming samples using specified software regularly. Perform administrative duties required for incoming samples; including, but not limited to scan needed paperwork, such as pathology reports and requisitions and file physical paperwork per required procedures. Perform order entry and order processing such as in lieu of; including, but not limited to reviewing patient demographics and sample collection. Evaluate insurance and verify billing information. Transcri

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As the Senior Lead Coordinator you will be responsible for implementing and maintaining comprehensive billing review processes. You will identify and quantify trends/issues and effectively communicate/report them to the appropriate members of the management team and payer business partners along with the potential impact. You will assist leadership in building and maintaining a high performing highly engaged team. In this role you will also provide excellent mentorship and support to your colleagues as well as design and implement training classes. The key responsibilities of the Medical Revenue Cycle Senior Lead Coordinator are: Review and analyze patient profiles, benefits, and prior authorizations to identify potential issues affecting clean claims. Collaborate with clinical and administrative teams to ensure accurate documentation is maintained and available for claims processing. Monitor claims submissions and follow up on pending claims to expedite resolution and payment. Identify trends in claims denials and develop strategies for improvement. Conduct training sessions for staff on best practices for claims submissions and compliance. Maintain up-to-date knowledge of insurance policies, regulations, and healthcare trends that impact claims

SINGAPORE REQUIREMENT AGENT ALSO WELCOME AGE LIMIT - 40 YEARS CV SELECTION OR IF COMPANY REQUIRED THEN TAKING INTERVIEW IN SKYPE. ALL PERMIT IS: - S- PASS AND E- PASS SALARY DEPENDS ON CANDIDATE PROFILE. RESTURENT SUPERVISOR 1 TO 2 YEARS EXPERINCE REQUIRED FLOOR ATTANDENT 1 TO 2 YEARS EXPERINCE REQUIRED NETWORK ADMINISTRATOR 1 TO 2 YEARS EXPERINCE REQUIRED CIVIL ENGINEER 1 TO 2 YEARS EXPERINCE REQUIRED ELECTRICAL ENGINEER 1 TO 2 YEARS EXPERINCE REQUIRED PACKEGING SUPERVISOR 0 TO 1 YEARS EXPERINCE REQUIRED HELPER HARD WORKING REQUIRED CANDIDATE HR MANAGER 2 TO 4 YEARS EXPERINCE REQUIRED ADMIN ASSISTANT 1 TO 2 YEARS EXPERINCE REQUIRED ACCOUNTANT 1 TO 2 YEARS EXPERINCE REQUIRED COMPUTER OPERATOR 1 TO 2 YEARS EXPERINCE REQUIRED BILLING ASSISTANT 1 TO 2 YEARS EXPERINCE REQUIRED BUSSINESS DEVLOPMENT MANAGER 1 TO 2 YEARS EXPERINCE REQUIRED ALL PROCESS DONE IN 45 DAYS WORK PERMIT PROFILE NO INTERVIEW DIRECT SELECTION ON CV. WELDER QTY - 10 SALARY 1200 SGD OT + FOOD + ACC + MEDICAL CARPENTER QTY - 15 SALARY 1300 SGD OT + FOOD + ACC + MEDICAL MASON QTY - 17 SALARY 1000 SGD OT + FOOD + ACC + MEDICAL ELECTRICIAN QTY - 20 SALARY 1500 SGD OT + FOOD + ACC + MEDICAL RIGGER QTY - 18 SALARY 1300 SGD OT + FOOD + ACC + MEDICAL HELPER QTY - 15 SALARY 900 SGD OT + FOOD + ACC + MEDICAL PIPE FITTER QTY - 22 SALARY 1000 SGD OT + FOOD + ACC + MEDICAL FABRICATOR QTY - 22 SALARY 1100 SGD + FOOD + ACC + MEDICAL DRIVER (LIGHT & HEAVY) - 35 SALARY 1100 SGD OT + FOOD + ACC + MEDICAL FOREMAN QTY - 30 SALARY 1600 SGD OT + FOOD + ACC + MEDICAL SERVICE CHARGE APPLICABLE HERE FEES ONLY REQUIRED BALANCE DEDUCTION IN YOUR SALARY AFTER YOUR JOINING. NO MEDICAL COST. NO AGENT FEES. NO REJECTION ONLY HERE PAY DOCUMENTATION FEES 10 WORKING DAYS YOU GET {IPA} IN PRINCIPALE OF APPROVEL. DOCUMENTS REQUIRED: - 1 PASSPORT COLOR COPY (FRONT & BACK SIDE) 2 EDUCATION QUALIFICATION CERTIFICATE 3 EXPERIENCE CERTIFICATE (IF ANY) 4 PHOTO P/P SIZE WHITE BACKGROUND 5 PREVIOUS VISA

SINGAPORE REQUIREMENT AGENT ALSO WELCOME AGE LIMIT - 40 YEARS CV SELECTION OR IF COMPANY REQUIRED THEN TAKING INTERVIEW IN SKYPE. ALL PERMIT IS :- S- PASS AND E- PASS SALARY DEPENDS ON CANDIDATE PROFILE. RESTURENT SUPERVISOR 1 TO 2 YEARS EXPERINCE REQUIRED FLOOR ATTANDENT 1 TO 2 YEARS EXPERINCE REQUIRED NETWORK ADMINISTRATOR 1 TO 2 YEARS EXPERINCE REQUIRED CIVIL ENGINEER 1 TO 2 YEARS EXPERINCE REQUIRED ELECTRICAL ENGINEER 1 TO 2 YEARS EXPERINCE REQUIRED PACKEGING SUPERVISOR 0 TO 1 YEARS EXPERINCE REQUIRED HELPER HARD WORKING REQUIRED CANDIDATE HR MANAGER 2 TO 4 YEARS EXPERINCE REQUIRED ADMIN ASSISTANT 1 TO 2 YEARS EXPERINCE REQUIRED ACCOUNTANT 1 TO 2 YEARS EXPERINCE REQUIRED COMPUTER OPERATOR 1 TO 2 YEARS EXPERINCE REQUIRED BILLING ASSISTANT 1 TO 2 YEARS EXPERINCE REQUIRED BUSSINESS DEVLOPMENT MANAGER 1 TO 2 YEARS EXPERINCE REQUIRED ALL PROCESS DONE IN 45 DAYS WORK PERMIT PROFILE NO INTERVIEW DIRECT SELECTION ON CV. WELDER QTY - 10 SALARY 1200 SGD OT + FOOD + ACC + MEDICAL CARPENTER QTY - 15 SALARY 1300 SGD OT + FOOD + ACC + MEDICAL MASON QTY - 17 SALARY 1000 SGD OT + FOOD + ACC + MEDICAL ELECTRICIAN QTY - 20 SALARY 1500 SGD OT + FOOD + ACC + MEDICAL RIGGER QTY - 18 SALARY 1300 SGD OT + FOOD + ACC + MEDICAL HELPER QTY - 15 SALARY 900 SGD OT + FOOD + ACC + MEDICAL PIPE FITTER QTY - 22 SALARY 1000 SGD OT + FOOD + ACC + MEDICAL FABRICATOR QTY - 22 SALARY 1100 SGD + FOOD + ACC + MEDICAL DRIVER (LIGHT & HEAVY) - 35 SALARY 1100 SGD OT + FOOD + ACC + MEDICAL FOREMAN QTY - 30 SALARY 1600 SGD OT + FOOD + ACC + MEDICAL SERVICE CHARGE APPLICABLE HERE FEES ONLY REQUIRED BALANCE DEDUCTION IN YOUR SALARY AFTER YOUR JOINING. NO MEDICAL COST. NO AGENT FEES. NO REJECTION ONLY HERE PAY DOCUMENTATION FEES 10 WORKING DAYS YOU GET { IPA } IN PRINCIPALE OF APPROVEL. DOCUMENTS REQUIRED :- 1 PASSPORT COLOR COPY(FRONT & BACK SIDE) 2 EDUCATION QUALIFICATION CERTIFICATE 3 EXPERIENCE CERTIFICATE (IF ANY) 4 PHOTO P/P SIZE WHITE BACK GROUND 5 PREVIOUS VI

SINGAPORE REQUIREMENT GET PERMIT IN 30 WORKING DAYS NO HIDDEN CHARGES NOT MORE COSTLY W.P (WORK PERMIT) COST - ( 1.7 LAKH WITH DOCUMENTS 35 THOUSAND REQUIRED ) S PASS COST - ( 2.5 LAKH WITH DOCUMENTS 40 THOUSAND REQUIRED ) E PERMIT COST - (3.2 LAKH WITH DOCUMENTS 50 THOUSAND REQUIRED ) IF ANY ONE INTERESTED THEN CONTACT ME AS SOON AS POSSIBLE. WORK PERMIT,S PASS, E PERMIT COMPANY DRIVER ( LIGHT ) INDIAN LICENCE HOLDER CAN APPLY - W.P BIKE RIDER FOR FOOD DELIVERY - W.P ADMIN CUM RECEPTIONIST - W.P & S PASS BOTH LABORATORY TECHNICIAN - S PASS ADMIN ASSISTANT - W.P SITE SUPERVISOR - S PASS OPERATIONS EXECUTIVE - S PASS LOGISTIC COORDINATOR - W.P F&B TEAM LEADER - S PASS CLERK - W.P PART TIME CASHIER - W.P ELECTRICAL ISTRUMENTATION ENGINEER - S PASS MECHANICAL SUPERVISOR - S PASS HR & ADMIN EXECUTIVE - S PASS DELIVER VEHICLE DRIVER - W.P HUMAN RESOURCE / ADMIN OFFICER - S PASS DATA ENTRY ASSISTANT - W.P BILLING & ADMIN ASSISTANT - W.P & S PASS BOTH ASSI... BENEFITS - FOOD AND ACCOMMODATION PROVIDED BY COMPANY MEDICAL PROVIDED BY COMPANY TRAVELLING ALLOWANCES BY COMPANY DRESS CODE PROVIDED BY COMPANY VISA IS EXTENDED AFTER COMPLETED YOUR CONTRACT PERIOD ALL PROCESSING TIME 30 WORKING DAYS ( 50 DAYS ) AFTER APPLIED POSITION 12 WORKING DAYS GET IPA ( IN PRINCIPLE OF APPROVAL ISSUED BY SINGAPORE IMMIGRATION )

Overview: We are seeking a dedicated and detail-oriented Account Receivables Clerk to join our finance team. The successful candidate will be responsible for providing excellent customer service, assisting customers with inquiries, and maintaining accurate records. This position will work closely with the Finance team based in Greece. Shift Timing – 11:00 am IST to 7:30 pm IST What You’ll Do: Collections: Make outbound collection calls/emails professionally while maintaining and improving customer relations. Collect customer payments in accordance with payment due dates. Customer Service: Communicate with clients about billing discrepancies and questions, applying good customer service promptly. Send correspondence to customers to encourage payment of delinquent accounts. Record Keeping: Capture data via correspondence and maintain the accuracy of client billing systems records. Post collections to clients’ accounts and verify the accuracy of calculations, balances, and supporting documents. Reconciliation: Perform account reconciliations and review and monitor assigned accounts and all applicable collection reports. Assist with daily cash collections report. Issue Resolution: Identify issues contributing to account delinquency and discuss them with management. Provide timely follow-up on payment arrangements. Compliance: Adhere to policy and procedure to maintain confidentiality and ensure compliance with company standards and regulations. What You Have: Experience: +2 years of experience in account receivables. Strong attention to detail and accuracy. Excellent customer service and communication skills. Proficient in Microsoft Office Suite, particularly Excel. Familiarity with accounting software (e.g., NetSuite, SAP). What We Offer: Competitive compensation Employee medical coverage Central office location Entrepreneurial environment, autonomy, and fast decisions Casual work environment About Guidepoint: Guidep

Become a part of our caring community The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Management Support Assistant performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. The Care Management Support Assistant will review inbound referrals and correspondence for processing, fulfilment or resolution utilizing all appropriate software systems and resources. Screen physician’s orders and documentation to identify that all qualifying medical documentation and required information is included. When necessary, request additional applicable information from referring entity. Perform verification of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures for approving request or referring request for further review. Provide referral management education to members and providers regarding medical benefits, referral status and prior authorizations. Communicate with patient to confirm demographics and explain the details of the services/care requested. Coordinate the timely delivery of care and services with providers. Also communicate with referring entities, providers, and members regarding final referral determination while maintaining detailed documentation to record patient, physician, referral source and provider interactions and communications. Work with Pre-Authorization, Utilization Management, Billing, Pharmacy, and Home Care r