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• 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.

• 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.

• Submit and track prior authorization requests across multiple insurance payers
• Gather and review clinical documentation required to support authorization requests
• Follow up with payers on pending requests and monitor authorization status through resolution

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company operates with a fully remote workforce and emphasizes a detail-oriented, collaborative culture.

• 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.

• Respond to client inquiries and provide timely updates on prescription status
• Monitor prescription workflows and proactively flag delays or discrepancies
• Assist with reshipments and coordinate issue resolution with internal teams

Precision Medicine is revolutionizing healthcare by providing accessible, personalized, and efficient healthcare solutions. They have a dynamic team that values expertise, ideas, and diverse perspectives, fostering an environment for innovation and meaningful impact on patient care.

• 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.

• Lead a team of pharmacy technicians in the end-to-end prior authorization and financial assistance processes.
• Drive team performance by monitoring service levels, conducting audits, and providing ongoing feedback.
• Oversee daily operations, including scheduling, workload distribution, and collaboration with hospital stakeholders.

Shields Health Solutions is a patient support center specializing in specialty pharmacy services. The company culture emphasizes leadership, performance, and patient outcomes, with a team-oriented environment.

• Handle inbound and outbound member and provider inquiries via phone, email, and chat with professionalism and empathy.
• Provide accurate information on benefits, eligibility, claims, prior authorization, billing, and provider portal support.
• Collaborate with internal teams to resolve complex cases, identify process improvements, and meet performance goals.

XO Health is the first health plan designed by and for self-insured employers, delivering a unified health experience for members, providers, and payers. We are growing a multi-disciplinary team of diverse and digitally empowered employees committed to rebuilding trust in healthcare through transformation.

• Support the execution of workflows and operational processes to expedite medication access.
• Collaborate with doctors, insurance companies, and pharmacies to process prescriptions.
• Master proprietary software tools to optimize operational workflows.

Generator Health is a company that expedites access to critical medications through operational workflows. They are an equal opportunity employer focused on efficiency and quality in healthcare.

• Provide high-quality scheduling and administrative support for patients and clinical teams.
• Manage complex coordination activities, including registrations, prior authorizations, and documentation.
• Ensure seamless healthcare access through strong communication and attention to detail.

Jobgether is a job platform using AI to match candidates with roles. They focus on fair hiring processes and provide tools for application management.

• Serve as a primary contact for medication inquiries, triaging calls and portal messages with empathy and urgency.
• Facilitate prior authorizations and coordinate follow-up appointments to ensure continuity of care.
• Document all interactions using SBAR standards and educate patients on refill policies and adherence.

Mindpath Health is redefining how mental health care is delivered, operating in more than 100 locations across six states with in-person and telehealth services. The team is deeply committed to compassionate, collaborative care and values diversity and inclusion.

• Provide medication prior authorization support for assigned clinics using the Epic In Basket system.
• Manage prior authorizations from clinic to pharmacy, including submission, tracking, and follow-up.
• Communicate with clinics, pharmacies, and insurance payers to ensure timely approvals and patient access.

UnityPoint Health is a healthcare system delivering medical services across the Midwest. Recognized as a Top 150 Place to Work in Healthcare, it fosters a culture of belonging and supports team members with development and well-being.

• Serve as a trusted advisor and primary customer advocate, building strong relationships.
• Lead customer onboarding, training, and adoption to ensure value realization.
• Proactively identify customer needs and partner with cross-functional teams to improve retention.

DrFirst empowers providers and patients through intelligent medication management solutions. They are a successful Healthcare IT company experiencing significant growth, with a collaborative culture of smart colleagues.

• Resolve clinic inquiries via phone, email, and chat, coordinating cross-functionally to troubleshoot orders and escalations.
• Assist clinics with product selection, ordering guidance, and documentation to ensure smooth workflows.
• Act as a voice for clinics and patients, delivering high-empathy communication and advocating for process improvements.

We are building the modern software infrastructure to make hospital-quality care accessible everywhere. We're a well-funded Series C company backed by General Catalyst, SignalFire, and Sapphire Ventures, growing fast and driven by our mission.

• Submit and track prescription orders to compounding pharmacies using LifeFile.
• Communicate professionally with patients via phone, email, or chat regarding order statuses and updates.
• Maintain strict confidentiality and adhere to all HIPAA guidelines while updating patient records.

SnappyCX is a company that provides support services, likely in healthcare operations. Their size and culture are not specified in the posting.

• 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.

• 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.

• Provide high-touch operational support and specialized coordination across customer workflows.
• Manage complaint and escalations investigations and resolution end to end.
• Collaborate cross functionally with internal teams to resolve issues and advocate for clients.

Lyra Health provides evidence-based mental health care, serving over 20 million people globally. The company has published more than 35 peer-reviewed studies and delivered unmatched outcomes.

• Work with ABA/behavioral health providers to collect patient information and communicate authorization decisions
• Verify patient eligibility and benefits with insurers and complete prior authorizations via portals or calls
• Manage multiple authorizations and collaborate with product team to automate parts of the process

Silna Health is obsessed with optimizing the broken healthcare system by automating prior authorizations and eligibility checks. Backed by Accel and Bain Capital Ventures, they are a fast-growing company working across behavioral health, physical health, ambulatory care, and post-acute care.

• Serve as a compassionate point of contact for patients and family caregivers, using social work skills to connect them with resources.
• Support clinical operations including scheduling, intake, onboarding, and documentation follow-up.
• Maintain accurate patient records and escalate clinical concerns as needed.

We are a healthcare company dedicated to providing personalized, clinically-supported, and virtual-first services for older adults and their family caregivers. We are a mission-driven startup focused on transforming caregiving, with a small but growing team.