Medical Canvassing Specialist
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Ethos Risk Services
Lafayette, LA, US
Summary
The Medical Canvassing Specialist contacts medical facilities to gather patient and treatment information for insurance claims. They are responsible for documenting findings in the client database and collaborating with colleagues to resolve ongoing investigations.
Job Description
About Us:
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.
Job Summary:
We're seeking a self-starting, detail-oriented team member to join us as a full-time Medical Canvassing Specialist (REMOTE). In this position, you'll operate as a medical records detective and researcher and will serve as a liaison between insurance providers and medical facilities, including hospitals, clinics, and pharmacies.
Key Responsibilities:
- Contacting medical facilities (via outbound calls) to gather essential patient and treatment information
- Documenting findings and information in Ethos' client database
- Partnering with colleagues and clients to resolve and guide ongoing insurance claims and fraud investigations
Qualifications:
- Education: High School Degree/GED (required).
- Experience: Previous experience in call center, medical or insurance environment (preferred).
- Skills: Proficiency with Microsoft Word, Interpersonal Skills, Microsoft Word, Time Management, Organization
- Bonus: Fluent in Spanish and English
Working Conditions:
This position is remote with preference for candidates in CST or EST timesone. Office environment where temperatures are constant. Frequent prolonged periods of a stationary position. Constant operation of a computer and other office productivity machinery, such as a calculator, copy machine/printer. Frequent communication via telephone and in person with clients, customers and co-workers.
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic protected by law.
A background check will be conducted, in accordance to the local state law and regulations.
Ethos Risk Services is a technology-backed, full-service claims management company. We bring clarity to a world of uncertainty through investigation and verification resources aimed at delivering optimal solutions to our clients. Services include surveillance, OSINT/digital investigations, SIU, and claims investigations. We also provide a full suite of medical management solutions that includes utilization management, field case management, IME, bill review, and Medicare services (MSP).
Our coverage includes all 50 states and over 80 countries. We are SOC 2 Type 2 and HIPAA compliant.
Our vision is to be the most tech-enabled, customer-centric claim management company that makes verification a matter of certainty.
You want to be sure your claims are verified with all the facts. To do that you need all the facts, and delays increase costs. That’s why we’ve developed the technology and training to keep your claims on track for optimal outcomes. With our solutions you’ll save time and money with the peace of mind of having 100% surety.
More Coverage. More Accountability. More Consistency.
Founded
2006
Company size
1,001-5,000 employees
Industry
Insurance
Org type
Privately Held
Headquarters
Saint Petersburg, Florida
Ethos Risk Services is a technology-backed, full-service claims management company. We bring clarity to a world of uncertainty through investigation and verification resources aimed at delivering optimal solutions to our clients. Services include surveillance, OSINT/digital investigations, SIU, and claims investigations. We also provide a full suite of medical management solutions that includes utilization management, field case management, IME, bill review, and Medicare services (MSP).
Our coverage includes all 50 states and over 80 countries. We are SOC 2 Type 2 and HIPAA compliant.
Our vision is to be the most tech-enabled, customer-centric claim management company that makes verification a matter of certainty.
You want to be sure your claims are verified with all the facts. To do that you need all the facts, and delays increase costs. That’s why we’ve developed the technology and training to keep your claims on track for optimal outcomes. With our solutions you’ll save time and money with the peace of mind of having 100% surety.
More Coverage. More Accountability. More Consistency.
Founded
2006
Company size
1,001-5,000 employees
Industry
Insurance
Org type
Privately Held
Headquarters
Saint Petersburg, Florida