Support member onboarding and care coordination in a remote healthcare environment.
Maintain accurate health records and assist with clinical and administrative tasks.
Collaborate with care teams to improve patient outcomes and operational workflows.
The partner company is a technology-driven healthcare organization focused on improving chronic disease outcomes. It operates with a collaborative global team and offers opportunities for professional growth.
Verify insurance eligibility, benefits, and network status, and create pre-service liability estimates.
Secure prior authorizations for outpatient imaging and office services, following up on delayed or denied requests.
Act as a liaison between payers and clinic schedulers, ensuring accurate documentation and issue resolution.
University of Utah Health enhances health and well-being through patient care, research, and education. With five hospitals and eleven clinics, it is nationally ranked and fosters a culture of collaboration, excellence, leadership, and respect.
Communicate with insurance companies and clinician offices to facilitate medication prior authorizations.
Assist patients with financial assistance resources and navigate pharmacy systems for claims processing.
Support medication adherence through direct patient communication and accurate documentation.
Shields Health Solutions is a healthcare solutions company specializing in specialty pharmacy services. The company fosters a collaborative culture focused on patient care and operational excellence.
Support clinicians with patient coordination tasks including pharmacy communication, referrals, and scheduling.
Provide empathetic, patient-centered communication and document tasks accurately in the electronic health record.
Ensure compliance with HIPAA and confidentiality standards while participating in team huddles and quality initiatives.
Curai is a healthcare company that harnesses artificial intelligence and clinical expertise to make high-quality primary care more affordable, accessible, and effective. They are a mission-driven, remote team committed to diversity and inclusion.
Manage medication-assisted treatment workflows, including refills, fulfillment coordination, and adherence support.
Coordinate prior authorization workflows across prescribed medications, from submission to appeals.
Communicate directly with members, providers, pharmacies, and internal teams to ensure timely access to medications.
Pelago is the leading virtual clinic for substance use management, providing personalized treatment for tobacco, alcohol, opioid, cannabis, and stimulant use based on individual health and goals. The company has helped over 750,000 members, raised over $151 million, and is backed by leading global investors, fostering a culture of innovation and impact.
Review and process prior authorizations for biologics, oncology, and specialty therapies with timely and accurate completion.
Manage clinical documentation, submit and track authorization requests, and resolve issues with insurance providers.
Communicate effectively with patients, clinical staff, and insurance representatives to ensure compliance and workflow efficiency.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. They are a rapidly growing company focused on patient comfort and employee empowerment, with core values of kindness, integrity, and continuous improvement.
Facilitate medication approvals by communicating with insurance companies and healthcare providers regarding prior authorizations.
Navigate pharmacy systems to enter data, adjudicate claims, process refills, and document patient interactions.
Assist patients with insurance claims, medication access challenges, and promote adherence through phone support.
Shields Health Solutions is a healthcare company dedicated to helping patients access life-changing medications through prior authorization and financial assistance support. They foster a collaborative, patient-focused culture with opportunities for professional growth in a fully remote setting.
Engage patients and help them navigate their care, improving communication with their medical practice.
Accurately document patients' medical history and issues in the electronic health record.
Utilize effective communication modalities to engage and schedule high-risk patients.
Guidehealth is a data-powered healthcare company using AI to make healthcare affordable and improve patient outcomes. They are a physician-led, remote-first company with a culture focused on accountability, growth, collaboration, and empathy.
Manage insurance authorization workflows from initial request through final approval.
Verify insurance eligibility, benefits, and authorization requirements.
Collaborate with clinical and billing teams to ensure timely processing.
The company is a healthcare operations organization focused on managing insurance authorization processes to support patient care. They offer a collaborative remote work environment with cross-functional teams.
Eligibility Review: Review patient records and clinical documentation to determine eligibility for Form Health.
Record Collection: Manage requesting, faxing, and tracking medical records from external providers while ensuring HIPAA compliance.
File Communication: Maintain clear communication with patients and colleagues to keep them updated throughout the eligibility process.
Form Health is a virtual obesity medicine clinic that provides multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, it is a venture-backed startup with an experienced clinical and leadership team, committed to a culture of inclusion and patient-first values.
Assist patients with connecting to telehealth video visits and troubleshooting technical issues.
Guide patients through the virtual intake process, collecting vital signs, medical history, and medication reconciliation.
Handle inbound calls, assess patient needs, and escalate clinical concerns to Registered Nurses as needed.
Everlywell is a digital health company that leverages AI to deliver personalized health insights through at-home testing and virtual care. They have provided nearly one billion health insights to over 60 million people and are the leading at-home testing company in the US, fostering a culture of innovation and scale.
Act as the clinical and administrative lead for Cooper 365, handling phone matters, patient check-in/out, and appointment scheduling.
Provide medical assistant support including vital screening, EHR maintenance, document scanning, and ensuring patient paperwork is completed.
Manage referrals, recertifications, prior authorizations, and escalate and resolve patient complaints independently.
Cooper University Health Care is a healthcare provider committed to delivering extraordinary care through clinical innovation and advanced technologies. It offers a comprehensive benefits program and opportunities for professional growth, positioning itself as a top employer in South Jersey.
Complete administrative tasks for medical staff, including data entry, faxing, and scheduling.
Maintain and update patient medical records and monitor medical team messaging channels.
Coordinate care with outside providers and work cross-functionally to support patients.
Equip is a virtual, evidence-based eating disorder treatment program. Founded in 2019, they have a highly-engaged, diverse team operating across all 50 states.
Verifies patient insurance coverage and submits prior authorizations to insurance plans.
Troubleshoots prior authorization submissions and prescription processing with healthcare providers.
Documents activities and works with Customer Support team to ensure patient success.
PHIL is a health-tech startup pioneering the first Software Therapy Deployment Platform for Specialty Pharmaceuticals. The company employs over 120 individuals and expects to double its employee base in the coming year.
Collect, verify, and maintain provider credentials such as education, licensure, and malpractice insurance.
Enroll providers with Medicare, Medicaid, and commercial insurance payers.
Maintain provider profiles in CAQH and track credential expiration dates for timely renewals.
Foodsmart is a telenutrition and foodcare solution backed by a network of Registered Dietitians, guiding 2.2 million members toward healthier food choices. The company is a remote-first team with a mission-driven culture and recently secured a $200 million investment from TPG's Rise Fund.
Build trusting relationships with patients and providers to support whole-person care through remote engagement.
Identify and address medical, behavioral, and social needs using clinical insight and motivational interviewing.
Support value-based care by closing gaps, improving quality measures, and reducing avoidable utilization.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Physician-led and driven by empathy, the company leverages AI and predictive analytics to improve patient health and restore provider fulfillment.
Monitor patient vitals daily and initiate timely outreach for abnormal readings, escalating urgent concerns to the care manager.
Oversee RPM and CCM documentation in eClinicalWorks to ensure audit-ready compliance with CMS billing guidelines.
Moderate weekly virtual cardiac exercise classes and assist with patient onboarding and chart preparation.
Movn Health is a leading virtual cardiac rehabilitation provider, helping heart disease patients recover through a personalized program developed with Stanford University. The company is a mission-driven team working at the intersection of cardiac care and technology.
Determine patient qualification for financial assistance programs and payment arrangements using confidential financial information.
Verify insurance coverage, obtain authorizations, and provide price estimates for scheduled procedures.
Serve as a liaison between patients, providers, and internal departments to coordinate benefits and collect patient portions.
CommonSpirit Health is a large healthcare system with over 700 care sites across the U.S., serving nearly one in four Americans. The culture emphasizes compassion, community health, and employee commitment to a greater cause.
Review patient records and clinical documentation to determine eligibility accurately.
Communicate with patients, clinicians, and providers to ensure a smooth onboarding process.
Maintain records in EMR systems and manage multiple cases simultaneously.
Our partner is a healthcare organization focused on improving patient access to specialized services. They operate with a remote, patient-focused team committed to efficient and compassionate care delivery.
Review and verify insurance coverage, obtain authorizations, and create patient liability estimates while working closely with internal and external stakeholders.
Serve as a liaison between patients, providers, and insurance companies to ensure accurate financial services and resolve managed care issues.
Provide backup support and cross-coverage for the Centralized Managed Care & Price Estimates Department, including handling trauma admissions and third-party liability.
OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training the next generation of healthcare professionals. As Portland's largest employer, it offers a diverse and inclusive culture with opportunities for growth and advancement.