<p>We are looking for a skilled Clinical Consultant to join our team on a contract basis.This role focuses on supporting a strategic benefit digitization initiative, ensuring consistent and accurate coding practices across diverse markets. As part of a healthcare organization advancing its digital transformation, you will play a vital role in optimizing member and provider experiences while ensuring compliance with regulatory standards.</p><p><br></p><p>Responsibilities:</p><p>• Apply standardized coding practices to interpret and digitize benefit structures effectively.</p><p>• Develop and manage groupings of procedures and service codes to ensure accurate alignment with benefit plans.</p><p>• Maintain and update industry-standard codes quarterly and annually, along with benefit plan modifications throughout the year.</p><p>• Execute coding solutions for benefit administration across multiple markets, including customized coding for nonstandard requests.</p><p>• Ensure coding practices comply with regulatory mandates and support updates as needed.</p><p>• Provide expert consultation on coding inquiries to project teams and business partners.</p><p>• Collaborate with cross-functional project teams to contribute coding expertise for successful implementations.</p><p>• Support benefit digitization initiatives by leveraging advanced coding methodologies and tools.</p><p>• Assist in designing and implementing digital capabilities that align with organizational goal</p>
<p>The Medical Front Desk Representative serves as the first point of contact for patients and plays a critical role in delivering an exceptional patient experience. This individual is responsible for front desk operations including patient check‑in/check‑out, appointment scheduling, insurance verification, and administrative support to ensure smooth clinic operations.</p><p>Key Responsibilities</p><ul><li>Greet and check in patients in a professional, friendly, and compassionate manner</li><li>Schedule, reschedule, and confirm patient appointments</li><li>Verify patient demographics, insurance coverage, and benefits accuracy</li><li>Collect copays, deductibles, and outstanding balances at time of service</li><li>Answer incoming phone calls and route messages appropriately</li><li>Maintain accurate and up‑to‑date patient records in the EMR/EHR system</li><li>Scan, upload, and manage patient documentation</li><li>Ensure compliance with HIPAA and patient privacy standards</li><li>Coordinate with clinical staff to support efficient patient flow</li><li>Resolve patient questions related to appointments, paperwork, or billing at a basic level</li><li>Perform general administrative tasks as needed to support the clinic</li></ul><p><br></p>