CrewBloom

Medical Billing and Coding

• Review clinical documentation and assign accurate medical billing and procedure codes.
• Process insurance claims and ensure compliance with payer guidelines and coding regulations.
• Verify coding accuracy and resolve billing discrepancies or claim denials.
• Maintain accurate patient billing records and documentation.
• Collaborate with healthcare providers and administrative staff to support efficient billing operations.
• Stay current on coding updates, payer policies, and industry regulations.
• Assist with audits and implement best practices to improve billing accuracy and compliance.

Medical Billing and Coding Specialist

Patient Scheduler

• Create and maintain client and provider schedules based on service needs and staffing availability.
• Monitor daily schedules and resolve cancellations, call-outs, and scheduling conflicts promptly.
• Coordinate with internal teams to ensure timely scheduling of new and existing clients.
• Maintain accurate scheduling records and track service utilization using scheduling systems.
• Generate scheduling and utilization reports for leadership.
• Communicate scheduling updates professionally in both English and Spanish.
• Escalate staffing or scheduling issues when necessary.
• Provide additional operational and administrative support as assigned.

Patient Scheduler – Spanish/English

Care Coordinator

• Coordinate therapist-to-client scheduling based on availability, location, language, and clinical needs.
• Maintain accurate therapist and client schedules while managing cancellations and scheduling changes.
• Track client authorization hours and coordinate with clinical and billing teams regarding upcoming expirations.
• Maintain accurate records in scheduling and case management systems.
• Communicate with therapists, clinical staff, and families regarding scheduling, appointments, and service updates.
• Support new client onboarding by coordinating schedules following authorization approval.
• Escalate scheduling conflicts, staffing gaps, and authorization issues as needed.
• Generate scheduling reports and monitor scheduling trends to support operational efficiency.

ABA Care Coordinator, Spanish/English

General

• Support healthcare providers by handling both administrative and clinical duties
• Respond to patient portal messages related to medication side effects and usage
• Assist with basic nursing triage and patient inquiries
• Provide support to ensure smooth patient communication and care coordination
• Respond to patient inquiries with professionalism and empathy, ensuring excellent patient experience
• Adhere to HIPAA and all relevant healthcare privacy and safety regulations

Medical Assistant

• Manage daily review of assigned pending sales receipt submissions
• Maintain high quality while balancing speed of review
• Protect against fraudulent activity
• Ensure short wait times of <24hrs for end users
• Prevent backlogs of pending submissions/rewards
• Daily communication to the client's Slack Channels to clarify discrepancies and uncover new insights

Receipt Reviewer – Part-time

• - Track shipments using TMS, carrier portals, GPS tools, and driver updates.
• - Collect and record real-time location updates, ETAs, and delivery confirmations.
• - Communicate proactively with carriers, drivers, and internal teams about shipment status.
• - Identify potential delays or service issues and escalate them to the operations team immediately.
• - Update customers with shipment progress and delivery confirmations.
• - Verify documentation such as BOLs and PODs for completion and accuracy.
• - Maintain detailed shipment logs and ensure data accuracy within the tracking system.

Dispatcher

• Perform hands-on configuration of the platform according to documented specifications and member requirements.
• Own the critical operational steps for bringing new members live, including managing and executing necessary tasks like member file uploads and full onboarding setup within the system.
• Provide essential support during User Acceptance Testing phases. This involves preparing test environments, assisting members with test execution, documenting feedback, and ensuring all configurations meet quality standards before go-live.
• Act as the technical liaison for basic integration setup. You will assist with troubleshooting configuration-related aspects of integrations and provide operational support that bridges the gap between the member and our engineering teams.

Configuration and Technical Setup Specialist

• Member Outreach & Relationship Building: Execute phone-based engagement strategies to increase member retention. You will build trust through regular, empathetic communication.
• Strategic Execution: Implement tailored engagement plans designed to improve member participation in health plan benefits and wellness initiatives.
• Feedback & Insight Gathering: Actively listen to members to identify pain points, gather feedback on services, and pinpoint opportunities to improve our provider network and care delivery.
• Cross-Functional Collaboration: Work closely with Marketing, Operations, and Clinical teams to ensure engagement strategies are aligned with broader company goals.
• Issue Resolution: Serve as a professional first point of contact to address member concerns, questions, or complex issues with speed and empathy.

Engagement Specialist

• Perform public record searches via select databases and county court sites
• Follow policies, procedures, and assigned workflows set by the VP of Compliance
• Sort public records to determine which we are able to report to our clients
• Understand and apply guidelines in search criteria
• Analyze data appropriately while following strictly regulated procedures and quality standards
• Learn and retain complex information and how to apply it to specific job situations
• Communicate and provide support in a team-based environment, both within your team and across multiple teams
• Interfacing with clients/applicants as needed

Public Records Specialist

• Receive, verify, and process medical records requests from patients, providers, and insurance companies.
• Retrieve and securely transmit records internally and externally.
• Maintain accurate documentation of all requests and communications.
• Ensure compliance with HIPAA and privacy regulations.

Medical Records Specialist

• Maintain CRM and internal systems with complete, accurate, and up-to-date records
• Draft and send routine client communications in a clear and professional manner
• Monitor contractor attendance and ensure proper documentation
• Maintain organized and audit-ready client files
• Track task completion and provide weekly progress reports
• Coordinate with Talent, Strategy & Growth, and People Operations teams to ensure timely execution of deliverables
• Proactively follow up internally to prevent delays and bottlenecks
• Escalate risks or issues early to appropriate stakeholders
• Ensure adherence to Standard Operating Procedures (SOPs)
• Identify workflow gaps and support process improvement documentation

Client Enablement Specialist

• Patient Communication and Coordination: Facilitate effective patient engagement by scheduling appointments, addressing inquiries, and maintaining accurate patient records using OpenDental and other relevant software.
• Insurance Claims Processing: Leverage expertise in insurance claim procedures to assist in processing claims accurately and efficiently, ensuring timely reimbursement for dental services.
• Software Proficiency: Utilize OpenDental, Dentrix, EagleSoft, CurveDental, Denticon, or other applicable software platforms to manage patient information, appointments, billing, and insurance details.
• Appointment Scheduling: Coordinate patient appointments, optimizing the scheduling system to manage patient flow and provider availability.
• Billing and Financial Support: Collaborate with patients to explain treatment costs, billing inquiries, and insurance coverage, ensuring a clear understanding of financial responsibilities.
• Patient Education: Educate patients about recommended treatments, oral hygiene practices, and post-treatment care, enhancing patient understanding and compliance.
• Workflow Optimization: Contribute to practice efficiency by streamlining administrative processes, maintaining accurate records, and supporting the dental team's needs.
• Documentation: Maintain thorough and organized records, including patient histories, treatment plans, and insurance documentation.
• Collaboration: Liaise with the dental team to ensure seamless patient care coordination and efficient practice operations.
• Customer Service Excellence: Deliver outstanding customer service by addressing patient concerns, maintaining a positive demeanor, and fostering a welcoming and friendly environment.

Patient Engagement Specialist

• Document Patient Encounters: Accurately and efficiently transcribe medical histories, physical examinations, diagnoses, procedures, and treatment plans during patient visits.
• Manage Electronic Health Records (EHR): Update and maintain patient records in the EHR system, ensuring all information is complete and accurately recorded.
• Real-Time Data Entry: Enter patient information into the EHR system in real-time, supporting healthcare providers during consultations.
• Coordinate with Medical Team: Communicate effectively with physicians, nurses, and other healthcare staff to ensure seamless patient care and accurate documentation.
• Assist with Chart Reviews: Review and edit patient charts for completeness and accuracy, ensuring all documentation meets regulatory and compliance standards.
• Maintain Confidentiality: Handle patient information with the utmost confidentiality and in compliance with HIPAA regulations.
• Administrative Support: Perform various administrative tasks as needed to support the healthcare team, including scheduling appointments and managing correspondence.

Medical Billing and Coding Specialist

Patient Scheduler – Spanish/English

ABA Care Coordinator, Spanish/English

Medical Assistant

Receipt Reviewer – Part-time

Dispatcher

Configuration and Technical Setup Specialist

Engagement Specialist

Engagement Specialist

Engagement Specialist

Public Records Specialist

Medical Records Specialist

Client Enablement Specialist

Patient Engagement Specialist

Medical Scribe