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The Virtual Primary Care Physician Assistant provides care to incarcerated patients remotely via a secure telemedicine platform. Responsibilities include conducting history and physical exams, managing sick call visits, and documenting in the EMR. The PA collaborates with onsite clinical staff and ensures care follows clinical protocols and HIPAA compliance standards. This role includes patient and staff education and participation in quality assurance initiatives. The PA may also support acute care and psychiatric evaluations in conjunction with supervising physicians.
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The Virtual Primary Care Nurse Practitioner provides care to incarcerated patients via a telemedicine platform. Responsibilities include conducting history and physical assessments, managing sick call visits, and collaborating with onsite healthcare teams. The NP documents findings in the EMR, delivers care per clinical protocols, and ensures patient privacy and compliance. They participate in quality review activities and may provide coverage or support for other services. This role requires clinical judgment, remote communication, and adherence to HIPAA and security procedures.
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The Claims Specialist is responsible for the accurate and timely processing of medical claims in accordance with established rules, coding standards, payer guidelines, and regulatory requirements. The role focuses on reviewing, verifying, and analyzing claim information to determine appropriate payment or denial. This position involves processing new, pended, edited, and returned claims to ensure resolution and completion. The Claims Specialist analyzes and resolves denials, rejections, and payment discrepancies while maintaining quality and turnaround standards. The role also includes communicating with internal teams, providers, payers, and Claims Leadership to support efficient and accurate claim processing.
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The Account Support Specialist provides operational and administrative support for assigned Federal Bureau of Prisons (FBOP) accounts. This role coordinates patient scheduling, referral management, medical records administration, and data maintenance to support daily account operations. Working closely with the Account Manager, the position helps ensure referrals are processed accurately, appointments are scheduled timely, and required documentation is maintained in accordance with contractual and operational requirements. The Account Support Specialist also serves as backup support for the Account Manager to help maintain continuity of service and client support.
