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Business Support Services

Business Support Services


Increased workloads or changes in strategy can have a major impact on your organization's productivity. Our dedicated team of recruiters and project managers partner with customers to provide the most qualified and reliable staff to locations all over the country, with a low turn-over rate and the best benefits available. Our experience spans several industries, including: Medical and Dental, Administrative and Professional positions.

We retain top professionals who work hand-in-hand with our customers to exceed expectations by providing superior staff, managing issues timely, providing recommendations for cost cutting measures, and providing feedback for continuous improvement.

CNI excels at business back office production work. When we perform on a program which requires repetitive work, we outshine others by developing standard processes with corresponding performance metrics and expectations, look for process improvements, and implement innovative technologies where possible. When we can perform in our own facility, we are an optimally priced choice due to our location in Oklahoma.

Core Services

Back Office Support

  • Records Management & Retention
  • Imaging & Document Management
  • Customized Training
  • Medical Coding
  • Medical Record Auditing
  • Debt Repayment
  • Clerical Support


  • Professional Staffing
  • Dental Staffing
  • Ancillary Staffing
  • Medical Support Staffing
  • Administrative Staffing

Past Performance

Trust Beneficiary Call Center (TBCC)

Trust Beneficiary Call Center (TBCC)

The Trust Beneficiary Call Center (TBCC) is a nationwide, toll free call center that enables Native American beneficiaries to conveniently access information regarding their trust assets, check the status of a trust service or update Individual Indian Money (IIM) account information. We also provide services to Beneficiary tribes and DOI field personnel. The TBCC is located within the Office of the Special Trustee – Field Operations, Albuquerque, New Mexico, and is staffed with personnel trained in fiduciary management who have direct access to callers’ trust asset data. Implementation of the centralized Trust Beneficiary Call Center has become a significant component in meeting Department of the Interior’s goal of communicating and fulfilling its responsibilities to American Indians.  The TBCC recently celebrated their 12th anniversary of operation and has responded to over 1.9 million beneneficary inquiries with a first line resolution of 97%.

Many of our staff have worked supporting both the Bureau of Indian Affairs and the Office of the Special Trustee for American Indians for over a decade.  We offer services based on experience, and provide mechanisms for measuring performance to improve Beneficiary services.  We operate the call center while monitoring for quality and accuracy by enhancing and subsequently maintaining a comprehensive Quality Control process to assure all communication with individual Beneficiaries, Tribes, and DOI field personnel are consistent with the DOI fiduciary responsibilities.  Our primary goal within the TBCC is to provide Beneficiaries and stakeholders with excellence in customer service.


Job Listings

Division Contact

Susan Carlson
Executive Vice President, HHC Division

Susan was a key member of the A+ executive leadership team and was instrumental in the transition of A+ to a successful CNI wholly owned subsidiary.  She has 25+ years of Government contracting experience gained from leading multi-disciplinary project teams that provided information technology and communications solutions for civilian and defense agencies. She developed and led innovative projects for several HHS operating divisions, including CDC, CMS, NIH, SAMHSA, and the Office of the Surgeon General. Prior to joining A+, in 2009,  she served as a Sr.

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