Role Description Provides in office patient outreach, care coordination, documentation and EPIC management. Schedules follow-up appointments, reviews discharge instructions with the patient and being the main point of contact for any post-procedure follow-up questions. Residents from the following states would be considered: - Alabama - Delaware - Florida - Georgia - Pennsylvania - Tennessee - Texas - Maryland Essential Functions - Conducts patient outreach calls for various programs: Chronic Care Management (CCM), Principal Care Management (PCM), and Remote Patient Monitoring (RPM). - Coordinates and schedules patient follow-up appointments, reviews discharge instructions with the patient. - Documents patient interactions and care activities in EPIC. - Reviews and updates patient medications, labs and patient information. - Assists with Remote Patient Monitoring (RPM) to include patient support and documentation. - Monitors provider in-baskets and assists with patient communication. Note: The intent of this list of primary duties is to provide a representative summary of the major duties and responsibilities of this job. Incumbents perform other related duties as assigned. Specific duties and responsibilities may vary based upon departmental needs. Qualifications - High school diploma or general education degree (GED) required. - Graduation from an accredited training program (school) or 5 plus years of supervised work experience in a medical setting. Exemptions will be vetted by Human Resources Director and Department Director. - Medical Assistant certification (such as NAHP, NCCT, AAMA, NHA, AMT, etc.) is required. - Prior outpatient clinic or physician practice experience is required. - EPIC experience is required. - Experience with CCM, PCM, or Remote Patient Monitoring (RPM) preferred but not required. - Working knowledge of software used by department. - Knowledge of general customer service practices. - Ability to deal effectively and diplomatically with team members and public. - Ability to work in a team environment. Must be self-motivated and self-starter. - Attention to details. - Self-starter and ability to work independently in a dynamic and rapid changing environment. Benefits - The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. - University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement. - More information can be found here: Employee Benefits

• Interact with Plan Members and their chosen dental and paramedical healthcare providers via phone, email, and online chat • Create engaging and efficient customer experiences • Discuss the details of benefits plan coverage and the status of claim submissions

• Process and submit dental, orthodontic, and oral surgery insurance claims accurately and on time. • Ensure claims are complete, compliant, and submitted correctly to maximize reimbursement. • Review unpaid, denied, or rejected claims and take appropriate corrective action. • Prepare and submit appeals for denied claims. • Monitor claim status and follow up with insurance companies until resolution. • Maintain accurate billing documentation and patient financial records. • Work with Denti-Cal (California Medicaid) and commercial dental insurance plans. • Verify dental insurance eligibility and benefits prior to treatment. • Confirm patient coverage, deductibles, copays, and treatment limitations. • Obtain benefit information and communicate coverage details when necessary. • Follow up with insurance carriers regarding pending claims and authorizations. • Maintain detailed documentation of insurance communications and claim updates. • Answer overflow inbound calls professionally. • Assist new patients with scheduling appointments and responding to general inquiries. • Route calls appropriately and provide excellent customer service. • Support front desk operations during high patient volume. • Maintain HIPAA compliance while handling patient information. • Assist with billing questions and account inquiries. • Support administrative functions across two dental office locations. • Maintain organized patient records and billing documentation. • Collaborate with in-office staff to ensure efficient daily operations. • Participate in cross-training to support multiple office workflows.

Role Description The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. This role requires candidates to live in Dallas, TX with internet upload and download speeds of at least 80Mbps. Essential Functions & Responsibilities: - Answer phone calls, return phone calls - Answer emails from clients, providers and internal referring offices - Review previous history of the provider in MedCheck, Scheck and SalesCloud - Consult with Supervisor or other departments to clarify answers to inquiries - Contact provider to discuss findings at the appropriate level - Maintain reports and spreadsheets as needed - Additional duties as assigned Qualifications - Knowledge of Workers Compensation fee schedules and regulations - Effective verbal and written communication skills - Good organizational skills and ability to multitask - Detail oriented - Proficiency with Microsoft applications - Medical terminology and coding knowledge Requirements - High school diploma or equivalent - Customer service experience working in the Managed Care and Benefit Administration industries Benefits - Comprehensive benefits package for full-time regular employees - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401K - ROTH 401K - Paid time off Company Description CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).