Efficiently triage incoming calls and resolve member and pharmacy issues with professional phone etiquette.
Identify, document, and escalate concerns to appropriate internal teams to ensure quality care and safety standards.
Support fraud, waste, and abuse programs by reviewing pharmacy claims and communicating findings to internal staff.
Judi Health is a health technology company providing comprehensive health benefit management solutions for employers and health plans. They are rebuilding trust in healthcare with a platform that consolidates claim administration workflows.
Perform outbound calls to enroll individuals into a food box program or reauthorize them in the program.
Help members make decisions that enhance their healthcare experience with empathy and compassion.
Make a positive difference in people's lives by supporting their health journey through tailored nutrition.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily to improve healthcare outcomes. With over 30 years of experience, they integrate human touch with data-driven technology and foster a collaborative, innovative culture focused on empowering growth through trust and accountability.
Provide consistent, quality customer service to internal staff and external patients, taking ownership of each call to enhance the customer experience.
Manage patient requests including appointment scheduling, electronic messaging to clinical teams, and answering questions regarding medication refills.
Demonstrate proficient data entry skills, knowledge of insurance billing, and maintain confidentiality while performing other assigned duties.
Community Health Center, Inc. (CHC) is a creative and dynamic provider of primary medical, dental, and behavioral health services, with offices in Connecticut, Colorado and California. The organization employs several hundred providers, delivers over 500,000 patient visits annually, and is recognized for its Weitzman Institute research and practice transformation.
Manage high-volume inbound and outbound calls professionally, scheduling appointments and assisting patients.
Verify patient information, document interactions, and escalate complex issues while following HIPAA regulations.
Collaborate with clinical and administrative teams to ensure seamless patient experience and meet performance goals.
C2Q Health Solutions offers management services tailored to healthcare providers, drawing on leadership experience in administrative solutions for managed long-term care, home care, and community health plans. The company supports organizational growth with a range of functions, operating as a remote team.
Handle high-volume inbound patient inquiries in English and Spanish via phone and digital channels.
Schedule appointments, register new patients, and maintain accurate EHR records.
Verify insurance, screen for financial assistance, and follow HIPAA-compliant procedures.
Jobgether uses AI-powered matching to review applications quickly and fairly, sharing top candidates with hiring companies. It is a platform that connects job seekers with roles, focusing on efficiency and data privacy.
Serve as a primary point of contact for clients, managing inbound and outbound communications to resolve inquiries.
Connect with customers via phone, email, chat, or social media to de-escalate issues and track call data.
Upsell when required and escalate interactions as necessary.
TP is a leading global provider of digital business services, partnering with prominent brands to optimize operations through technology and sustainability. With a workforce of 500,000 across 300 languages, they foster a culture of inclusion and diversity.
Deliver high-quality customer service in a healthcare environment, handling inbound and outbound calls to resolve claims, benefits, and coverage inquiries.
Research and document member and provider issues, escalate complex cases, and ensure timely follow-up across systems.
Maintain strict confidentiality of sensitive information while adapting communication for diverse audiences including members, clinics, and vendors.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies efficiently. It operates as a partner recruiting organization, facilitating applications and next steps for roles like this one.
Identify, outreach, engage, and enroll individuals into the program virtually through phone, text, and email.
Offer education about Pair Team's services and explain the benefits of Enhanced Care Management to eligible members.
Manage the end-to-end enrollment funnel and provide consistent updates on stages including delays and blockers.
Pair Team is a tech-enabled medical group reimagining Medicaid and Medicare for underserved populations, delivering whole-person care. They are one of the largest Enhanced Care Management providers in California, with a workforce of nurses, social workers, and medical professionals, and have demonstrated a 58% reduction in emergency department visits.
Provide friendly, accurate, and timely service to customers through inbound and outbound interactions across multiple channels, resolving issues and educating on healthcare benefits.
Conduct outbound outreach for program enrollment and clinical quality calls, using consultative listening to overcome objections and guide customers.
Document all interactions thoroughly, adhere to HIPAA and regulations, and meet or exceed performance goals for customer satisfaction and quality.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, making healthcare affordable, and improving patient health. It is a physician-led, growing organization with a collaborative, agile culture emphasizing cross-training and ongoing development.
Handle inbound and outbound communications with healthcare providers and members via phone, email, chat, and portals.
Provide accurate and empathetic support by researching and resolving inquiries, reviewing claims, and verifying coverage.
Document all interactions in CRM systems and collaborate with internal teams to ensure efficient issue resolution.
Our partner is a healthcare services company focused on improving provider and member experiences. They offer a supportive culture with professional training and development opportunities for their remote team.
Communicate with employees by phone, email, and web portal in both English and Spanish.
Review submitted dependent verification documents and determine eligibility against audit requirements.
Accurately enter notes, update records, and handle confidential information securely.
DependentsAudit is a fast-growing AI-native startup reinventing dependent eligibility verification for employer health plans. It is a small, remote-friendly company focused on detail-oriented operations.
Provide outstanding customer service to families over the phone, educating them about evaluation, treatment, and insurance processes.
Accurately enter patient registration information and schedule appointments, identifying potential conflicts.
Coordinate information between referring physicians, insurance companies, and treatment clinics, handling 40-70 calls daily.
Cranial Technologies is the only company globally dedicated to researching and treating plagiocephaly (flat head syndrome) and providing non-invasive ear shape correction. With over 300,000 babies successfully treated, they are a leader in pediatric cranial shaping and foster a compassionate, family-oriented culture.
Provide inbound customer care primarily over the phone and email, resolving billing issues and troubleshooting streaming problems.
Utilize active listening and rapport-building skills to deliver exceptional service and guide customers to the best entertainment solutions.
Work remotely with provided equipment, requiring a quiet workspace and reliable internet connectivity.
Sutherland is a digital transformation company that helps global brands improve customer experiences. With over 35 years of experience and a Great Place to Work certification, we employ a diverse team and promote a culture of growth and recognition.
Make outbound calls to schedule appointments for preventative health screenings and assess high-risk patients.
Assist members with benefits, insurance information, and conduct surveys to enhance their healthcare experience.
Work remotely from home in a role that requires strong computer skills, empathy, and excellent customer service.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They have over 30 years of experience and foster a collaborative, innovative culture focused on growth and accountability.
Respond promptly and professionally to customer inquiries via phone, email, and chat.
Assist customers with order management, troubleshooting, and complaint resolution while documenting interactions in CRM systems.
Maintain professionalism, empathy, and compliance with HIPAA and data security standards in a remote call center environment.
SleepRes is a venture-backed medical device startup revolutionizing sleep apnea and sleep-therapy technology. They are a small, agile, mission-driven team preparing for commercial launch of their innovative Kricket APAP device.
Provide member-centered support by answering inbound calls and chats with empathy and clarity.
Resolve core member issues including benefits coverage, cost-sharing concepts, and network provider searches.
Own issues end-to-end using established workflows and document interactions accurately.
Included Health is a healthcare company delivering integrated virtual care and navigation. They are remote-first and focus on raising the standard of healthcare for everyone.
Serve as the vital link between members and their dental care by answering 40-60 inbound calls daily, addressing inquiries with compassion and expertise.
Capture member information accurately, investigate unresolved issues, and collaborate with internal teams to ensure timely resolutions.
Maintain flexibility and compliance with HIPAA, while navigating multiple software systems in a high-volume call center environment.
Avēsis has been providing essential ancillary benefit solutions since 1978, developing and administering programs covering over 8.5 million members. They strive for excellence in member satisfaction and client retention, fostering a culture of inclusivity and diversity.
Receive and respond to prescription refill requests via phone, email, fax, and Telephone Encounter.
Verify validity and accuracy of refill requests, ensuring compliance with regulatory guidelines.
Provide exceptional customer service and collaborate with interdisciplinary teams to optimize workflow.
Carenet Health pioneers advancements in healthcare consumer experience, interacting with 1 in 3 Americans daily to improve outcomes. They foster a collaborative, innovative culture with an entrepreneurial spirit.