MedWatch, LLC

Customer Support

• Accurately service and satisfy customers
• Respond to customer inquiries regarding benefits and healthcare
• Document all calls received in system-based call log
• Negotiate with providers for network agreements or out of network providers
• Assist members with benefits and healthcare questions

Bilingual Concierge Customer Service Representative, Spanish

Bookkeeper

• Receive checks, lockbox notices and wire detail from bank
• Record revenue in MWCMS system and/or QuickBooks
• Save all deposit detail and journal entries to G drive on server
• Perform other administrative and accounting tasks as may be required sometimes on short notice
• Accounts Receivable-Maintenance and Collections
• Medical Bill review and Dialysis invoicing
• Enter invoices for Accounts payable
• Run weekly report for Director to approve invoices for check run
• Select chosen invoices for payment
• Assist with Year-end audit

Accounting Assistant

• Maintain an understanding of MedWatch products and services, and objectives
• Resource for team setting up New Groups
• Review New Group setups in MedWatch system with efficiency and accuracy
• Understand and facilitate group renewals
• Assist in preparation and distribution of fee schedules
• Audit monthly renewals for accuracy, and timely distribution
• Communicate with clients and internal staff via telephonic and email communications
• Resource for accounting assisting in resolving outstanding invoice issues
• Work in a team environment to knowledge share and follow standard processes
• Maintain an understanding of standard MedWatch reporting
• Provides additional administrative support to the organization for various tasks and projects
• Provide support to other areas of the Company as requested or assigned

Operations Support Specialist

Manager

• Manage an individual caseload using the case management process
• Authorization of services
• Review of treatment plans for medical necessity
• Ongoing communication with all members of the health care team
• Review all medical data to establish, update and maintain accountability for a case management plan
• Assess problems and determine goals and actions designed to meet patient needs
• Work in conjunction with the Case Management Assistant to manage case management files
• Maintain case in computer system documenting case actions for each patient

Case Manager – Specialty, RN

• Respond to telephone and email inquiries received from members and providers within defined service standards
• Negotiate with providers to gain acceptance for plans without network agreements and/or out-of-network providers
• Assist members with benefits and healthcare questions
• Document all calls received in system-based call log

Bilingual Concierge – Customer Service Representative

• The Chronic Condition Case Manager will have direct responsibility for managing an individual caseload using Complex and Chronic Condition Management constructs.
• This individual is expected to accurately service and satisfy customers by responding to customer inquiries, communicate benefit and healthcare questions/answers.
• Collect and document patient information to facilitate the initial assessment and formulation of an initial plan of care.
• Continuously gather, update and review information to include (but not limited to) collecting medical records, history, assessment information.
• Guide, coach and encourage the patient in following the plan of care.
• Instruct the participant regarding both short and long-term goals and offer guidance as to how to meet those goals.
• Document actions taken and interventions provided throughout the process.
• Collaborate with providers, payers, and participants to ensure that the participant has access to appropriate resources.
• Maintain documentation in the computer system.
• Complete all aspects of case in the computer.
• Prepare timely reports to the payer to summarize case actions, the results of those actions, and the continuing disease management plan.
• Maintain billing as appropriate in computer system.

Bilingual Concierge Customer Service Representative, Spanish

Accounting Assistant

Operations Support Specialist

Case Manager – Specialty, RN

Bilingual Concierge – Customer Service Representative

Chronic Condition Case Manager, RN