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.
Serve as the primary point of contact for providers and Medicare contractors, responding to inquiries via phone, written, and electronic channels.
Maintain knowledge of contract requirements, develop professional relationships, and educate providers on proper protocols and appeal rights.
Perform research, due diligence, and data entry to resolve complex issues, while notifying management of escalated concerns.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, the company combines an AI-powered platform with best-in-class expertise.
Handle inbound and outbound consumer inquiries across multiple channels (phone, chat, email, web) in a timely and professional manner.
Resolve non-clinical issues and complaints while ensuring a positive and empathetic customer experience.
Build and maintain effective relationships with consumers, healthcare providers, and internal teams to support issue resolution.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies by analyzing applications against core requirements. They serve as an intermediary, leveraging technology to streamline the recruitment process.
Deliver exceptional member support via phone, chat, and email.
Educate members on their healthcare benefits and claims, helping them maximize their Garner benefit.
Handle complex and sensitive conversations with professionalism, empathy, and patience.
Garner Health is a healthcare technology company reimagining how healthcare works in the U.S. by partnering with employers to redesign benefits using data-driven insights. It is one of the fastest-growing healthcare technology companies in the country, building a team of mission-driven individuals focused on making a meaningful impact on healthcare at scale.
Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
Assist participants via email and online messaging, and accurately document all participant communications.
Work independently and in a team environment with strong customer service skills; no experience required as training is provided.
Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.
Provide effective and timely customer service for members, providers, and insurers regarding health care claims.
Ensure timely follow-up and organize health insurance paperwork and medical records.
Communicate status updates, negotiate with providers, and appeal claim denials on behalf of plan members.
Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone, offering care guidance, advocacy, and personalized virtual and in-person care.
Assess, identify, and resolve dental provider inquiries regarding claims, eligibility, and benefits via phone in a timely and professional manner.
Research and handle complex requests, manage personal inventory, and ensure effective follow-up to meet quality and business metrics.
Communicate clearly with providers, peers, and leadership, and contribute to divisional and corporate goals while fostering a team-based environment.
Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston, serving 2.8 million members for over 75 years. We are consistently ranked among the nation's best health plans and are dedicated to creating an inclusive, wellness-focused culture that promotes work-life balance.
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.
Handle inbound and outbound calls in a fast-paced call center environment.
Manage patient communications via SMS, chat, and email.
Maintain patient records, ensure HIPAA compliance, and resolve concerns with first contact resolution.
Herself Health is a primary care startup focused on women aged 65 and older. With a team of 100+ colleagues, they are dedicated to providing specialized, patient-centric care.
Handle incoming calls in a fast-paced call center environment, assisting members with benefits, eligibility, and claims inquiries.
Maintain composure and positivity while de-escalating challenging situations and managing relationships with members.
Apply standard operating procedures and recommend process improvements for a better member experience.
Blue Cross and Blue Shield of Minnesota is a nonprofit health insurance company committed to transforming healthcare. It is one of the most recognized healthcare brands in Minnesota with a large network of doctors and a culture based on collaboration and integrity.
Serve as key support contact for providers, resolving inquiries and maintaining positive relationships.
Manage provider listings, procedure additions/deletions, and customer requests following established processes.
Monitor customer activity, identify improvement opportunities, and provide guidance on Marketplace tools.
Tendo is a mission-driven company building software to improve the care journey for patients, clinicians, and caregivers. It is a fast-growing company with a diverse team and hubs in several US cities, fostering a culture of innovation and collaboration.
Handle inbound calls in a high-volume environment supporting SLA objectives.
Provide high quality service and support to callers, efficiently meeting their needs from start to finish.
Collaborate across departments with clinical and non-clinical colleagues to ensure seamless care and positive member outcomes.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. With expertise, scale, compassion, and vision, the company sets the industry standard and employs a mission-driven team committed to helping patients live their best lives.
Handle member and provider inquiries via phone, email, and chat with empathy and professionalism.
Process, research, and adjudicate medical claims, ensuring accuracy and compliance with policy guidelines.
Collaborate cross-functionally with internal teams and vendors to resolve complex cases and improve service delivery.
XO Health is the first health plan designed by and for self-insured employers, delivering a unified health experience. We are a growing multi-disciplinary team of diverse and digitally empowered employees committed to rebuilding trust in healthcare.
Respond timely to customer inquiries via phone, email, and chat, researching issues and providing workable solutions.
Assist with scheduling, insurance questions, medication requests, and general information, building customer trust.
Thrive in a remote environment by maintaining a consistent workspace, ensuring security, and using available resources effectively.
Carenet Health pioneers advancements in healthcare consumer journeys, interacting with 1 in 3 Americans daily. For over 30 years, they have combined human touch with data-driven technology, fostering a collaborative and innovative culture that empowers growth through trust and accountability.
Facilitate telephonic enrollment by presenting benefit information and assisting prospects with completing the enrollment process.
Follow CMS guidelines and use approved scripts to ensure compliance with state and regulatory requirements.
Support field sales representatives by assigning in-home appointments and managing CRM work lists to meet sales quotas.
SCAN is a nonprofit health organization dedicated to improving care for older adults. With over 500,000 members and $8 billion in annual revenue, it has a values-driven culture focused on compassion and innovation.
Handle inbound and outbound calls from patients, physicians, and referral sources to ensure patient satisfaction and resolve issues.
Obtain and process authorizations for reorders, audit supply configurations, and maintain accurate documentation for billing.
Maximize patient base through retention efforts and cross-selling via phone while maintaining a high degree of confidentiality.
CCS is a strategic partner in chronic care management, tackling diabetes and chronic conditions affecting over 133 million Americans. Recognized as a Great Place to Work®, the company supports over 200,000 people annually with home-delivered medical supplies and pharmaceuticals.
Handle inbound calls and chat boxes from members regarding Sidecar Health's products and services.
Provide excellent customer service in a timely and positive manner, building rapport and maintaining positive relationships.
Handle issues and complaints, maintaining policies and standard operating procedures.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible for everyone. The team consists of passionate individuals from tech, policy, and healthcare backgrounds, working in a fast-moving startup environment.
Conducts administrative and clinical intake of calls for clinical review.
Provides quality customer service and telephonic support to providers and office staff.
Maintains high confidentiality and documentation standards while performing data entry.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With 66,000+ employees across 13 countries, they combine deep domain expertise with AI platforms to drive business resilience and sustainable outcomes.
Manage referrals and guide participants through the enrollment process with compassion and accuracy.
Provide empathetic communication and support to participants via phone, text, and other channels.
Collaborate with clinical and operational teams to track performance and improve engagement.
The partner company is a healthcare organization that provides participant success services. It offers a supportive, mission-driven culture with a focus on quality and empathy.
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.