Schedule patient appointments across clinics based on provider availability and patient needs.
Manage referrals end-to-end, ensuring accurate patient, insurance, and documentation details.
Deliver a high-quality, patient-first experience by communicating updates and resolving issues.
PT Solutions is a clinician-founded, mission-driven physical therapy practice dedicated to expanding access to quality care. With a nationwide presence and recognized as a USA Today Top Workplace for five years, the company fosters a supportive culture with ongoing training and mentorship.
Coordinate with healthcare providers, specialty pharmacies, and payers to ensure patients gain access to prescribed medication and understand cost support options.
Guide patients and caregivers through the post-prescription process including enrollment, benefits verification, prior authorization, and therapy initiation.
Manage assigned patient cases from referral through therapy initiation, ensuring timely, accurate, and compliant case progression.
Inizio Engage is a strategic, commercial, and creative engagement partner specializing in healthcare. With over 7,000 experts across more than 20 countries, the company offers a collaborative culture and comprehensive benefits, and has been recognized as a Best Place to Work in BioPharma.
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.
Serve as the primary point of contact for patients after their intake visit, guiding them through their care plan.
Help patients schedule appointments, find in-network providers, and navigate Medicare benefits.
Document all patient interactions accurately and maintain confidentiality.
Mira Mace is a venture-backed company that helps Medicare patients navigate healthcare with clarity and confidence. They deliver Community Health Integration and Principal Illness Navigation services through affiliated provider organizations, with a small, patient-focused team.
Contact patients by phone, email, and text to collect missing insurance information before appointments.
Verify insurance eligibility and benefits using Waystar, Availity, and other payer resources.
Document all insurance verification details accurately and assist patients with payment methods and forms.
Backpack Medical Group is a healthcare organization dedicated to making healthcare more accessible by ensuring accurate insurance and billing processes. They are a growing, mission-driven team focused on patient experience and collaboration.
Communicate directly with insurance companies to facilitate medication approvals and prior authorizations.
Navigate pharmacy systems to enter data, adjudicate claims, and document patient interactions across multiple databases.
Provide compassionate phone support to patients, helping them manage refills, medication adherence, and pharmacy-related questions.
Shields Health Solutions partners with health systems to provide specialty pharmacy services, helping patients access complex medications. As a growing organization, they emphasize a collaborative culture and patient-centered care, employing pharmacy professionals dedicated to improving medication adherence and health outcomes.
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.
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.
Act as a liaison between patients, providers, and insurance companies to ensure accurate data collection and compliance.
Verify insurance benefits, eligibility, and prior authorization requirements for scheduled patients.
Notify patients of estimated liability and act as a financial counselor regarding insurance and payment options.
Vail Health is the world's most advanced mountain healthcare system, providing exceptional care through a 56-bed hospital and various outpatient services. It is a nonprofit organization committed to patient-centered care and community well-being.
Serve as the first point of contact for patients and families, managing referrals and coordinating information to connect them with appropriate services.
Ensure accurate documentation and communication with clinical teams, referral sources, and community partners to support seamless patient care.
Thrive in a fast-paced healthcare environment, using organizational skills and attention to detail to manage the intake process from referral to transition.
Optimal Care is a clinician-owned organization providing Physician Services, Home Health, and Hospice care. They have been recognized as a Top Workplace for 12 consecutive years and certified as a Great Place to Work for 6 years, fostering a culture of collaboration and clinical excellence.
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.
Conduct outbound phone outreach and answer inbound calls to connect eligible members to RightMove's virtual MSK care.
Educate patients on available care options, verify eligibility, and schedule initial clinical evaluations.
Accurately document all patient interactions in CRM systems and escalate complex issues to internal teams.
RightMove is a fast-growing digital health startup delivering best-in-class musculoskeletal (MSK) care through a value-based, virtual model. We are backed by the #1 orthopedic hospital in the world and focus on improving outcomes and reducing unnecessary healthcare costs.
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.
Reviews payor denials and audits for potential lost revenue and writes comprehensive appeal arguments using clinical criteria.
Functions as a hospital liaison with external third-party payors and works with Physician advisor team to facilitate appeals.
Monitors and reports payor trends to management, ensuring compliance with regulatory and accrediting requirements.
Jefferson Health is a nationally ranked not-for-profit health care system reimagining health care and higher education to create unparalleled value. With more than 65,000 employees, it serves patients through millions of encounters annually at 32 hospital campuses and over 700 outpatient locations in the greater Philadelphia region, Lehigh Valley, and southern New Jersey.
Verify patient insurance eligibility and benefits prior to services and document findings accurately.
Post insurance and patient payments, research variances, and follow up on outstanding claims.
Perform provider documentation and coding audits to ensure CPT, ICD-10-CM, and modifier accuracy.
Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.
Act as a trusted liaison between patients and healthcare providers, providing expert guidance on pharmacy benefits.
Own patient cases end-to-end, resolving coverage, prior authorization, and appeals issues.
Collaborate with stakeholders to ensure members navigate the healthcare system with confidence.
AffirmedRx is a pharmacy benefit management company on a mission to improve healthcare outcomes by bringing clarity, integrity, and trust to the industry. They are a mission-driven organization committed to patient-centered care and ethical practices.
Manage high volume of outbound and inbound new patient onboarding calls.
Build trust with patients and clinical care team through exceptional omnichannel customer service.
Collaborate with interdisciplinary care team to schedule visits and support patient goals.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing, innovative organization focused on interdisciplinary teamwork and improving patient outcomes.
Convert referrals into active clients by guiding families through Hera's onboarding process.
Coordinate between families and the care team to ensure a clean handoff to their matched Hero.
Identify and fix friction in the intake process to improve scalability and family experience.
Hera helps families navigate geriatric care management for their aging parents, making the process seamless and supported. They are an early-stage, fast-growing company with a mission-driven culture focused on redefining how we care for our parents.
Processes referral requests and authorizations for patients, ensuring timely and accurate scheduling.
Communicates with physicians, employers, and payors to coordinate specialist referrals and obtain necessary information.
Maintains high standards of quality and patient experience while meeting production requirements.
Concentra operates over 500 medical centers and 130 onsite clinics nationwide, focusing on providing high-quality healthcare to improve the health of America's workforce. The company emphasizes a culture of outstanding patient experience and customer service.