
201 - 500 employees
Founded 1988
đź’Ľ Consulting
📦 Logistics
🛡️ Insurance
Consulting • Logistics • Insurance
MedWatch, LLC is a healthcare services company that provides utilization management, case management, disease management, member advocacy and concierge care coordination to payers, TPAs, and self‑insured employers. For over 35 years it has delivered clinically driven care management, precertification and claims solutions, direct contracting and ancillary services backed by URAC accreditations and proprietary in‑house technology to improve clinical outcomes and reduce plan and member costs.
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201 - 500 employees
Founded 1988
đź’Ľ Consulting
📦 Logistics
🛡️ Insurance
Consulting • Logistics • Insurance
MedWatch, LLC is a healthcare services company that provides utilization management, case management, disease management, member advocacy and concierge care coordination to payers, TPAs, and self‑insured employers. For over 35 years it has delivered clinically driven care management, precertification and claims solutions, direct contracting and ancillary services backed by URAC accreditations and proprietary in‑house technology to improve clinical outcomes and reduce plan and member costs.
• Handle all incoming MedWatch calls, including starting cases, completing call logs, forwarding calls, providing case status, and providing claims phone numbers • Make outgoing calls for demos, case-completion information, Bill to Dates, and Discharge dates • Complete incoming electronic Webcerts • Send CM Reports/Invoices and Path letters for MedWatch cases • Handle incoming Path letter responses • Attach and distribute 100 to 200 faxes per day, sometimes opening cases from faxes • Make calls to DMTHR patients, introduce the nurse and program, and transfer cases to the DM nurse • Take calls from DMTHR patients, explain the program, and transfer them to the DM nurse • Review nurse emails for miscellaneous case requests, case openings, and information changes • Review the CM Inbox and address emails regarding new CM cases and UR procedures • Verify, correct, and complete patient and provider demographics • Handle fax failures by researching fax numbers and manually re-faxing when necessary • Fax PA Reviews for nurses • Create cheat sheets, documents, spreadsheets, and correspondence • Set follow-up dates for HRAs in DM • Handle mailing for UR, CM, and DM • Perform other duties or responsibilities as assigned
• High School Diploma • Excellent data entry and typing skills • Basic computer skills and proficiency in relevant computer applications • Knowledge of medical terminology • Ability to handle multiple complex tasks simultaneously with attention to detail and accuracy • Knowledge of customer service principles and practices • Some experience in a call center or customer service environment • Verbal, written, and listening communication skills • Stress tolerance and teamwork • Good organizational skills and time management • Excellent verbal and written communication skills • Ability to handle difficult situations tactfully and diplomatically • Effective problem-solving and decision-making skills • Strong computer skills with proficiency in MS Office Suite products, including Word, Excel, and PowerPoint • Ability to work in the United States for any employer without sponsorship • Dedicated, quiet workspace in the home
• Paid time off • Medical insurance • Dental insurance • Vision insurance • Short-term disability • Long-term disability • Life insurance • AD&D insurance • 401(k) with match • Critical illness coverage • Legal plan • Identity theft coverage • Pet insurance • Discount programs
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51 - 200
đź’Ľ Consulting
⚖️ Legal
🛡️ Insurance
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