Respond to patient inquiries through chat, email, and internal messaging with clarity, warmth, and professionalism.
Break down complex topics (billing, CPT codes, coverage, device returns) into simple, patient-friendly explanations.
Document all interactions clearly and accurately, ensuring consistent follow-up until issues are fully resolved.
Salvo Health takes a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions. Backed by leading health care investors, Salvo's team includes board-certified physicians, dietitians, nurses, and therapists who provide evidence-based, continuous care.
Address patient and DPOA inquiries via phone and patient portal, and assist with scheduling follow-up appointments.
Manage electronic health records, maintain patient rosters, and facilitate provider orders and prior authorizations.
Collaborate with the Curana interdisciplinary care team and handle incoming calls professionally.
Curana Health is a national leader in value-based care for senior living, offering on-site primary care and Medicare Advantage plans. Founded in 2021, it has grown to serve 200,000+ seniors in 1,500+ communities, with a team of 1,000+ clinicians and staff, ranking #147 on the Inc. 5000.
Prepare and review credentialing and recredentialing applications, provider updates, termination letters, and TIN change documents.
Conduct biweekly follow-up with payers, track application progress, and maintain detailed records in internal systems and dashboards.
Support team projects such as new provider onboarding, payer roster updates, and quality reviews while protecting confidential information.
Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontics, and oral surgery practices across the country, empowering teams with technology, resources, and support. The company values a people-first culture, collaboration, continuous learning, and creating positive experiences for providers, practices, and employees.
Conduct outbound calls to members to schedule Annual Wellness Visits, preventive screenings, and primary care consultations.
Educate members about available healthcare benefits and the importance of completing recommended visits.
Coordinate with provider offices and internal teams to secure appointment availability and maintain accurate documentation.
This company provides population health and care coordination programs, helping members access preventive and primary care services. The team operates as a remote, performance-driven call-center environment focused on member outreach and appointment scheduling.
Coordinates utilization review and prior authorization requests, ensuring accurate entry into the UM platform.
Provides customer service to providers and members, confirming benefits and answering authorization questions.
Facilitates communication between reviewers, hospitals, and physicians to ensure timely decisions.
University of Utah Health Plans is a patient-focused organization that enhances health through patient care, research, and education. It is part of a nationally ranked academic medical center with five hospitals and eleven clinics, fostering a culture of collaboration and excellence.
Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.
Process referrals and prior authorizations, ensuring accurate and timely documentation.
Collaborate with clinical teams, physician offices, and insurance companies to resolve authorization issues.
Monitor denial reports, manage referral tracking, and communicate decisions to providers, staff, and patients.
Baystate Health is an integrated healthcare system serving western Massachusetts. With 12,000 employees and a community-focused culture, it includes five hospitals and offers career growth.
Communicate with patients regarding appointments, treatment plans, and follow-ups.
Coordinate patient care between providers, specialists, and insurance companies.
Maintain accurate and confidential patient records in EHR/EMR systems.
SnappyCX provides remote clinical care coordination and administrative support to U.S.-based healthcare practices. The company values independence and professionalism, with a small, distributed team focused on HIPAA compliance and patient-centered care.
Handle inbound calls, chats, emails, and faxes from healthcare providers, resolving questions on authorizations, claims, and provider services.
Document each interaction, research issues, and ensure accurate, timely follow-up with providers.
Guide providers through processes like checking authorization status, submitting claims, and navigating the provider portal.
Curana Health is a national leader in value-based care, offering senior living and skilled nursing facilities solutions such as on-site primary care, ACOs, and Medicare Advantage plans. Founded in 2021, it serves 200,000+ seniors in 1,500+ communities across 32 states with 1,000+ clinicians.
Respond to service requests from internal and external customers accurately and on time.
Maintain case documentation with precision to keep records audit-ready.
Compile and distribute monthly reports and data summaries for leadership.
Personify Health offers a personalized health platform combining health plan administration, wellbeing solutions, and care navigation. The company serves employers and health plans with data-driven solutions, fostering a mission-driven culture focused on improving health outcomes.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.
Greet patients professionally in person and over the telephone, setting a positive tone for their visit.
Obtain and verify all required patient and insurance information, entering it accurately into the registration system.
Schedule patient appointments, including return visits, referrals, and diagnostic procedures.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals serving over half a million residents across 29 counties. They emphasize a culture of excellence, teamwork, positivity, and creativity, with a focus on exceptional patient experiences.
Provide warm client interactions, manage phone triage, and schedule/reschedule appointments.
Collect insurance information, verify benefits, and manage copays and payment balances.
Answer client questions and stay organized in a fast-paced, collaborative environment.
Diana Health is a network of modern women's health practices partnering with hospitals to reimagine maternity and women's healthcare. Our interdisciplinary team shares a commitment to transform women's health and fosters a collaborative, growth-oriented culture.
Serve as the first point of contact for patients in person and by phone, delivering excellent customer service.
Process new orders, verify insurance, obtain authorizations, and gather documentation for accurate billing.
Perform data entry, collect payments, and make outbound satisfaction calls to patients and referrals.
Accendra Health makes essential healthcare products and services accessible outside traditional settings. With over 6,000 teammates in 250+ locations under Apria and Byram Healthcare, it offers meaningful work focused on personalized, long-term care.
Review and respond to phone and fax inquiries from members, providers, and pharmacies for prior authorization.
Use multiple applications and follow procedures to accurately document and resolve inquiries.
Provide excellent customer service and meet or exceed call center metrics.
The Cigna Group is dedicated to improving the health and vitality of those we serve through Cigna Healthcare and Evernorth Health Services. We are a major healthcare organization focused on enhancing the lives of our clients, customers, and patients.
Maintain excellent quality standards for client programs and adhere to program scripts and guidelines.
Effectively communicate and manage calls with empathy, accurately collecting information and explaining medical terminology.
Exhibit organizational skills by handling multiple projects simultaneously and safeguarding patient privacy under HIPAA.
Inizio Engage is a strategic healthcare engagement partner that helps clients improve treatment outcomes by reimagining how they engage with patients, payers, and providers. With over 7,000 experts worldwide, the company fosters a collaborative culture and has been recognized as a Best Place to Work.
Process and transmit electronic and paper claims to insurance companies, patients, and other responsible parties.
Follow up on unpaid claims, review rejections, and resolve payment questions with insurance providers.
Verify insurance benefits, analyze charges and payments, and support coordination of benefits for patient accounts.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals across 29 counties. The organization values excellence, teamness, positivity, and creativity, and is committed to creating exceptional experiences for patients and staff.
Serve as the primary non-clinical contact for members, providing timely and empathetic assistance via phone, email, and other channels.
Explain healthcare benefits and programs, coordinate appointments, and manage cases from intake through resolution.
Collaborate with clinical teams and providers to remove barriers to care and ensure a seamless healthcare journey.
The company provides healthcare navigation and member support services, helping members access essential healthcare services. The culture emphasizes customer service, remote work, and professional development in a technology-driven healthcare environment.
Handle inbound and outbound customer inquiries related to third-party liability and subrogation matters.
Conduct professional interviews to collect, verify, and document insurance and claims information.
Navigate multiple computer systems while maintaining accurate records and meeting productivity targets.
This company focuses on improving healthcare payment accuracy and helping individuals navigate complex insurance-related inquiries. It operates with a customer-focused team in a fast-paced, technology-driven environment.