Respond to patient inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy, including answering inbound calls and conducting status checks.
Make outbound patient refill phone calls, coordinate medication refills including data entry and pharmacy claim adjudication, and resolve adjudication error messages.
Manage, organize, and update relevant data using database applications, identify trends, and participate in process improvement initiatives.
Shields Health Solutions is a healthcare company that partners with health systems to deliver specialty pharmacy services. They focus on patient engagement and medication adherence through integrated care models.
Responsible for aiding in the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members.
Conducts telephonic and video chat outreach to complete analysis of members' medication regimens.
Performs outbound calls to members, fielding inbound calls, and facilitating communication regarding clinical programs.
Navitus is an alternative to traditional pharmacy benefit manager (PBM) models, committed to removing cost from the drug supply chain to make medications more affordable. The company has a team that celebrates diversity, fosters creativity, and encourages growth.
Lead and manage a team of Patient Engagement members to ensure timely medication refill support and high-quality patient care.
Proactively manage support in assigned hospitals and clinics to ensure patients receive medications on time and service level goals are met.
Provide ongoing coaching, performance management, and professional development to drive team success and adoption of best practices.
Shields Health Solutions provides patient engagement and pharmacy support services to hospitals and clinics. It is a fast-growing company with a focus on high quality and accountability.
Contact physician offices for refill authorizations and verify orders.
Process new and refill prescriptions, ensuring accurate data entry and maintaining productivity.
Answer incoming calls promptly and provide high standard of customer service.
Symbria Rx Services is a 100% employee-owned healthcare company that provides patient-centered care to the geriatric population in senior-living and post-acute settings. For over 20 years, they have been delivering an outstanding work environment for talented employees.
Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases.
Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support.
Meet all departmental goals including schedule adherence, attendance, and quality monitoring.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are building trust in healthcare in the U.S. and deploying infrastructure for better care.
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.
Receive and respond to prescription refill requests through various communication channels, verifying validity and accuracy while ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately, adhering to established protocols and providing exceptional customer service to stakeholders.
Collaborate with interdisciplinary teams and provide administrative support to clinical staff and managers for medication refill programs and special projects.
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. The company interacts with 1 in 3 Americans every day and integrates the power of human touch with data-driven technology in its mission to make healthcare better for all.
Lead and manage a team of Patient Support Associates, providing coaching and performance development.
Ensure medication access through refills, prior authorizations, and financial assistance.
Oversee pharmacy workflows, conduct system audits, and collaborate with hospital stakeholders.
Shields Health Solutions specializes in specialty pharmacy services and patient support for hospitals and clinics. The company fosters a culture of patient-focused care and team collaboration, with a remote and onsite workforce.
Grow the number of new patients filling at Shields partner pharmacies.
Lead, coach, and inspire a team of outreach coordinators.
Develop new patient engagement strategies and optimize outreach workflows.
Shields Health Solutions partners with health systems to build specialty pharmacy programs. They are a growing organization focused on operational excellence and a winning culture.
Serve as a primary contact for incoming DME referrals, providing clear information on pricing, order status, timelines, and qualification requirements.
Advance referrals by reviewing documentation, identifying gaps, and securing clinical or insurance information.
Verify insurance eligibility, maintain patient accounts, and coordinate intake workflows across multiple communication channels.
CarepathRx advances pharmacy and care delivery alongside hospitals and health systems nationwide. The team is ambitious, compassionate, and invested in curious, resilient individuals who are motivated to grow, keeping patients at the heart of everything they do.
Oversee daily operations for medication refill administration and inbound pharmacy patient inquiries.
Manage productivity and quality of 50+ team members, including supervisors and regional leads.
Partner with leadership to develop staffing plans, launch new services, and drive continuous improvement.
Shields Health Solutions is a fast-growing company focused on patient medication refill administration and pharmacy patient inquiries. While exact employee count is not given, it supports a large team of 50+ employees and emphasizes high quality, performance accountability, and employee development.
Conduct high-volume inbound and outbound patient outreach via phone to educate, engage, and enroll eligible patients in care management programs.
Accurately document patient interactions and enrollment outcomes in a timely manner, collaborating with care teams for a seamless patient experience.
Follow established outreach workflows and compliance requirements while adapting conversations to meet individual patient needs and escalating concerns as needed.
Jaan Health is a leading AI-based care management company serving healthcare providers with its proprietary Phamily platform that enables high-quality proactive care. As an early-stage company, it values a growth mindset, ownership, and collaboration among its smart and humble team.
Follow scripts to educate patients and coordinate care needs.
Aledade empowers independent primary care practices by building value-based care networks that improve patient outcomes and physician sustainability. Founded in 2014, they are the largest network of independent primary care in the country, fostering a collaborative, inclusive, and remote-first culture.
Assists with patient medication management and facilitates medication renewal requests.
Acts as a liaison between providers, patients, and pharmacies for prescriptions and prior authorizations.
Monitors prior authorization status and updates relevant parties throughout the process.
Mass General Brigham is a not-for-profit integrated health care system supporting patient care, research, teaching, and community service. They employ a diverse team of professionals including doctors, nurses, and tech experts, fostering a collaborative culture focused on exceptional care.
Conduct outbound and inbound calls to support patients recently discharged from the ER and schedule appointments.
Assist with administrative tasks and coordinate patient care with team members and provider networks.
Become an expert with software like EMR, Slack, and Five9 to deliver high quality customer service.
Fuze Health is a digital health company that empowers patients to connect with care providers and health resources. It combines capabilities from LetsGetChecked, Truepill, and Alto Pharmacy, with a growing team focused on next-generation healthcare solutions.
Manage high-volume inbound communications across phone, email, chat, and SMS as the first point of contact for patients.
Schedule appointments and coordinate with GI Providers, Registered Dietitians, and Behavioral Health Providers.
Respond to billing and insurance questions, triage clinical inquiries, and de-escalate challenging interactions with empathy.
Oshi Health is a virtual digestive health practice transforming GI care by combining compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions. It is a remote-first, mission-driven high-growth startup with a focus on patient-centered care and team collaboration.
Provide telephone support to patients, healthcare professionals, and funding organizations regarding access, reimbursement, compliance, and support programs.
Manage assigned patient cases and projects while following established operational processes and service standards.
Maintain accurate case documentation within program databases, ensuring all activities and interactions are properly recorded.
This role is posted on behalf of a partner company, which manages all applications and next steps. The company focuses on healthcare support and improving patient access to therapies, with a collaborative culture and opportunities for professional growth.
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.
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.
Serve as the first point of contact, guiding patients through initial consultations and assessments.
Coordinate care journeys by scheduling sessions with patients, caregivers, and medical teams.
Reach out to interested patients to explain services and schedule appointments.
Isaac Health improves brain health at the population level by providing access to specialty brain health and dementia care services. Since launching in 2022, they have scaled across the US with support from leading healthcare investors and a focus on clinical quality and safety.