• Perform Telemedicine Consults/E-Consults/Curbside Consults • Remove barriers to accessing specialty care

• Provide professional medical services supporting the AMWD since the agency functions as the Department of the Air Force (DAF) medical certification and waiver authority. • Conduct occupational suitability risk assessments and analysis for all individuals applying for enlistment, commissioning, flying training, and other AF special operational duty accession programs. • Assist in formulation of responses and dispositions to individual cases and making recommendations for the development of policies that guide decisions made by the AMWD/CMO. • Act as the subject matter expert, with oversight and guidance from AMWD personnel, to generate and review medical documentation. • Track cases using the HQ AFAC database through the entire review process, keeping staff, base, and interested parties informed of case status.

• You’ll prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals • You’ll prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers • You’ll initiate investigation with payers regarding provider enrollment denials and errors • You’ll review correspondence received from payers and action appropriately for resolution • You’ll work as a liaison between the RCM department and Strategy & Operations team to discuss, investigate, and resolve enrollment tasks • You’ll interact with our customers through excellent written and verbal communication • You’ll maintain up-to-date and accurate enrollment records within the Candid Health product • You’ll meet and maintain KPIs/metrics for production and quality • You’ll maintain working knowledge of workflow, systems, and tools used in the department • You’ll maintain HIPAA guidelines

• Conduct surveillance on Liability and Work Comp Insurance claims • Prolonged periods of sitting in a vehicle or other stationary positions during surveillance – up to 12 hours per day • Ability to travel to different locations for investigations, which may involve driving, walking, or using public transportation • Maintain visual focus during surveillance activities, often for extended periods • Ability to navigate various environments, including urban, rural, and indoor settings • Ability to review and dissect comprehensive reports, as well as Police reports • Ability to write a detailed surveillance report to Company Standards • Ability to review video in order to properly prepare reports • Ability to covertly document a Subject without being detected • Ability to search, locate and utilize Social Media throughout the investigative process • Ability to react quickly and use good judgement to scenarios that may arise during surveillance • Knowledge of pretexting is preferable • Ability to think outside the box