Execute the full BV and PA lifecycle for Spravato, TMS, and other interventional treatments.
Conduct phone- and portal-based verification and end-to-end PA submission and follow-up.
Provide clear written communication to the practice, ensuring patients can be scheduled with confidence.
Osmind is a technology, services, and data company focused exclusively on psychiatry. They serve a network of 1,000+ independent psychiatry practices across the country, helping them provide high-quality care, scale as businesses, and contribute to research with their purpose-built EHR, software solutions, clinician community, and managed services.
Oversee prior authorization technicians and administrative PA functions.
Analyze data and provide staffing, workflow, and system enhancement recommendations.
Investigate/resolve escalated issues from clients and providers.
Judi Health is an enterprise health technology company providing a suite of solutions for employers and health plans. They have a comprehensive Enterprise Health Platform that consolidates all claim administration-related workflows in one scalable, secure platform.
Triage calls by understanding callers’ purpose, needs and urgency.
Collects and records client information in the customer relationship management system, Salesforce.
Provide exceptional customer service by listening and responding to client requests and building rapport with clients, their family members, and clinical professionals.
Acadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of behavioral healthcare facilities and is the largest stand-alone behavioral health company in the U.S with over 23,000 employees.
Responsible to secure outpatient accounts by performing insurance verification and obtaining benefit information.
Calculates patient estimates and obtains prior authorization before services are rendered.
Works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process.
University of Utah Health is a patient-focused organization that enhances the health and well-being of people through patient care, research, and education. They have five hospitals and eleven clinics which provide excellence in comprehensive services, medical advancement, and overall patient outcomes.
Verify patient insurance coverage, eligibility, and benefits prior to services.
Obtain required prior authorizations from payers for services, procedures, or medications.
Monitor and track pending authorizations; follow up to prevent delays.
Prompt is revolutionizing healthcare with modern software for rehab therapy businesses. As the fastest-growing company in the therapy EMR space, Prompt is setting a new standard in healthcare technology with a team of exceptionally talented individuals.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Manage end-to-end delegated credentialing operations across an assigned portfolio of payors.
Prepare, coordinate, and execute both pre-delegation and annual credentialing audits.
Build and deliver reporting packages for submission to delegated entities & payors.
Grow Therapy is a company that serves as a trusted partner for therapists growing their practice, and patients accessing high-quality care. They are powered by technology as a three-sided marketplace that empowers providers, augments insurance payors, and serves patients with over ten thousand therapists and hundreds of thousands of clients across the country.
Take incoming requests for appeals ensuring customer service and maximizing productivity.
Work with appeals team for multiple lines of business ensuring appeal submission for review.
Maintain quality standards, remain current on updated processes, and follow SOPs and HIPAA guidelines.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They have full-service health benefit management solutions to employers, TPAs, and health plans.
Serve as the first point of contact, creating a welcoming experience for patients.
Partner with the branch team to coordinate timely equipment delivery and solutions.
Secure health plan authorizations, ensure compliance, and maximize patient health plan benefits.
Accendra Health simplifies healthcare by delivering care beyond traditional settings. They provide essential products and services, promoting health outside hospitals with brands like Apria and Byram Healthcare, aiming for personalized, long-term patient care.
Build on and formalize existing VOB processes, including SOPs, training materials, QA workflows, and escalation paths for complex benefit scenarios.
Jump into claims work when the team needs coverage including payer follow-up, and root-cause analysis.
Work directly with the Product team to embed RCM logic across the full patient funnel.
Happy Health is a one-stop comprehensive sleep medicine platform. In just 5 days, patients can get an FDA-cleared sleep test, see a Sleep Medicine provider, and begin personalized care – all from the comfort of their own home.
Lead and inspire a team of Patient Support Specialists.
Establish and refine team KPIs related to outreach volume and scheduling conversions.
Partner with clinical, engagement, and product teams.
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. They are developing a new approach to care that is designed around shared and lived experiences and brings care to the community. The company was founded in 2021 and is backed by leading healthcare and social impact investors.
Provide cross-line operational support across service lines.
Answer client and caregiver calls and handle schedule changes.
Review visit notes and execute recurring operations tasks.
Tandem Care delivers home care via Continuous Care, Targeted Care, and On Demand service lines. We value collaboration, communication, and clear expectations in our fully remote team that emphasizes quality of care.
Plan, direct, and evaluate potential patients through assigned referral system.
Establish consistent communication with admitting hospitals to ensure a best-in-class admission process for patients, families, and NPH team members.
Build a positive relationship with physicians, physician office staff, and hospitals to help market facilities and their services.
NeuroPsychiatric Hospitals (NPH) is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. With locations in Indiana, Michigan, Texas, and Arizona, they’re expanding access to our unique model of care across the United States.
Enrolls providers new to Privia with all commercial health plans specific to the market.
Updates and maintains provider enrollment status in credentialing system, CredentialStream.
Performs follow up with health plans according to designated timeline, until Provider is PAR.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. Privia Health consists of scalable cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Handle approximately 500–600 tickets per week, addressing inquiries from therapists with efficiency and accuracy.
Identify trends or recurring issues and collaborate with internal teams to recommend process improvements or resource updates.
Collaborate with other departments to streamline workflows and enhance the overall therapist experience.
BetterHelp's mission is to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, they are now the world’s largest online therapy service with over 30,000 licensed therapists.
Manage complex provider roster creation, submission, and record reconciliation for multiple payers.
Oversee resolution of moderate-scope issues by prioritizing tasks and escalating issues with solutions.
Proactively identify areas for operational improvement and efficiency enhancement.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Primarily responsible for making outbound calls to healthcare providers.
Accepting inbound calls from healthcare providers.
Answer questions about participation requirements, registration, assessment completion and scoring results.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With over 66,000 employees, we combine scale, expertise and execution to create meaningful, measurable impact.
Oversee, manage, and continue to iterate on end-to-end delivery of Devoted’s card-based and supplemental benefit offerings to drive a compliant and financially optimal member experience.
Set and monitor KPIs for card-based and supplemental benefit administration and delivery.
Partner cross-functionally with Devoted Member Experience, Guide, Integration Ops, and tech teams to drive improvement.
Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. Founded in 2017, they've grown fast and now serve members across the United States.
Handle calls (inbound/outbound) as assigned, responding as appropriate within their scope of practice, and consulting with other clinicians, including on-call providers
Coordinate telehealth meetings between participants and clinicians
Support the clinical care and home health teams to manage smooth care transitions between settings (hospitals, skilled nursing facilities, etc.), escalating changes in participants’ conditions as appropriate
WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. The company serves the most vulnerable seniors with better quality and compassion in a value-based model.