Provide Level III customer service through phone, chat, email, and administrative channels supporting multiple healthcare products and states.
Research and resolve complex member and provider issues involving eligibility, benefits, claims, premiums, authorizations, appeals, contracting, credentialing, and related matters.
Handle escalated and highly complex calls, including issues raised on behalf of leadership, while applying appropriate risk-based escalation protocols.
Serve as a key point of contact for members seeking support with healthcare and wellness programs via phone, email, and live chat.
Help participants understand their eligibility, benefits, and available resources while resolving inquiries and escalations.
Support outbound outreach campaigns and accurately document member interactions across multiple systems.
This company connects individuals with healthcare and wellness programs and provides member support services. The team is collaborative and performance-oriented, with a focus on professional development and growth opportunities.
Provide support to participants and clients regarding eligibility, benefits, claims, and general plan inquiries via phone and email.
Document all customer interactions accurately in the call tracking system and navigate multiple systems to assist customers.
Maintain confidentiality in accordance with HIPAA standards and contribute to a positive, team-oriented environment.
Point C is a National third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company focused on innovative cost containment strategies.
Manage order release, billing setup, and documentation follow-up to support accurate and timely revenue realization.
Review pending orders, resolve issues with cross-functional teams, and prioritize worklists to minimize billing delays.
Provide responsive customer service and identify process improvements to enhance operational quality and efficiency.
The company provides healthcare operational support, focusing on order management and billing to ensure timely revenue realization. It fosters a remote-first culture with an emphasis on collaboration, diversity, and employee wellbeing.
Provide direct support to customers navigating healthcare reimbursement, claims, and insurance processes.
Assist with verifying benefits, reviewing claims documentation, and maintaining compliant records.
Collaborate with internal teams to resolve complex reimbursement issues and improve workflows.
This partner company provides customer reimbursement coordination services for healthcare. They operate remotely and offer a collaborative environment with opportunities for professional development.
Serve as a key point of contact for community members, managing inbound inquiries with empathy and professionalism.
Resolve non-clinical needs accurately and efficiently, aiming for first-contact resolution.
Collaborate with internal teams to troubleshoot complex issues and ensure appropriate member support.
This company provides support services for individuals navigating complex healthcare needs. It operates with a focus on empathy, professionalism, and high-quality service, though specific size and culture details are not provided.
Provide first-level support to health insurance agents and clients via phone, email, and chat.
Efficiently categorize and prioritize incoming requests to ensure timely resolution or escalation.
Accurately document interactions and gather feedback to improve processes and service delivery.
Spark Advisors builds healthcare tech for a system that desperately needs it, helping independent Medicare advisors guide seniors through complex coverage decisions. We are the fastest-growing Medicare platform in the country, backed by top investors and recognized as one of Inc. Magazine's Best Workplaces of 2025.
Handle incoming calls with professional phone etiquette, triaging issues and resolving concerns promptly.
Identify and document member, pharmacy, and medical claims concerns, escalating to appropriate teams.
Communicate effectively with internal and external customers to ensure first-call resolution and quality care.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans. We are an intelligence platform powering benefits plans for millions of Americans, focused on operational efficiency and service.
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.
Handle inbound and outbound calls to schedule no-cost In-Home Health Assessments, engaging members professionally and identifying their needs.
Use active listening, empathy, and strong communication to address concerns, de-escalate difficult interactions, and guide callers to appropriate solutions.
Meet performance metrics, follow call scripts and procedures, and accurately document interactions using contact center software and databases.
This partner company connects members with no-cost In-Home Health Assessments through a remote contact center. The team is target-driven and service-oriented, offering a flexible remote work environment with ongoing training and support.
Serves as a senior member of the Contact Center team, providing first-line support and mentoring to specialists.
Assists supervisors with day-to-day operations, training, and handling escalated calls.
Balances leadership duties with at least 50% of time actively answering calls to maintain frontline expertise.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. The company fosters a culture of transparency and data-driven solutions, offering a robust rewards program.
Manage partner communications, shared inboxes, and ServiceNow support for the Claims team within the HQR contract.
Coordinate operational activities across Product, Engineering, and CMS stakeholders to ensure inquiries are routed and resolved.
Develop knowledge management documentation and process improvements to streamline recurring support needs.
Bellese is a mission-driven digital services company committed to pioneering innovative technology solutions in civic healthcare. Operating with a collaborative, remote-first culture, they focus on making a meaningful impact on public health outcomes through service design and product thinking.
Respond to member and provider inquiries about Medicare benefits, claims, and enrollment via phone and email.
Analyze issues, document outcomes, and maintain accurate records in internal systems.
Collaborate across departments to resolve service issues and support contact center documentation.
Curana Health provides value-based primary care services for the senior living industry, including skilled nursing facilities and assisted living communities. With over 1,000 clinicians serving more than 1,500 communities across 34 states, the company has experienced rapid growth since 2021 and participates in innovative CMS programs.
Provide responsive and professional customer support via phone, email, and chat for patients and healthcare professionals.
Resolve inquiries efficiently, follow established processes, and document interactions accurately.
Manage service levels, exercise sound judgment, and adapt to evening and weekend shifts.
They are a pediatric healthcare company focused on improving access to convenient, high-quality care. They value reliability, optimism, adaptability, and continuous learning in a collaborative remote environment.
Conduct scheduled member consultations via Zoom and phone to understand needs and provide personalized guidance.
Provide clear information about life, accident, and supplemental health insurance options and help members evaluate coverage.
Guide members through applications, enrollment, and follow-up processes while maintaining accurate records.
The company connects individuals and families with insurance benefits. It offers a remote work environment, training, mentorship, and career advancement opportunities.
Act as primary support contact, managing Intercom Livechat and troubleshooting product issues.
Provision accounts, manage permissions, and assign or refresh sales territories.
Build and grow the help center, automation, and knowledge base to enable customer self-service.
We empower MedTech commercial teams with data, insights, and tools to deliver life-changing medical innovations. We're a remote-first startup building an intuitive revenue acceleration platform for medical device and diagnostic sales professionals.
Provide virtual support to clients via Zoom and other platforms, assisting with benefits inquiries and enrollment.
Build positive client relationships through professional communication and attentive service.
Work independently in a remote environment while collaborating with a virtual team and participating in training.
The partner company focuses on delivering personalized service to clients, helping them understand their available benefits. It operates as a fully remote organization with a collaborative virtual team and opportunities for professional development.
Support member meetings, maintain accurate records, and compile reports to track member health indicators.
Coordinate with cross-functional teams to gather updates, track projects, and assist with member transitions.
Participate in a structured apprenticeship program, shadow experienced professionals, and progressively assume greater responsibility.
The company is a healthcare technology organization that provides member success services to healthcare organizations nationwide. It offers a structured apprenticeship program with mentorship and professional development opportunities.
Resolve complex participant inquiries and escalated cases, providing consultation and guidance to team members.
Identify process improvement opportunities through case reviews and support the implementation of improved processes.
Create and maintain team metrics and dashboards to improve operational visibility and efficiency.
The partner company provides healthcare benefit account administration and complex issue resolution. They offer a fully remote work environment with a focus on operational excellence and customer service.
Serve as the primary financial contact for caregivers during onboarding, explaining insurance benefits and estimated costs.
Collaborate with care coordination and clinical teams to ensure a seamless onboarding experience.
Maintain accurate documentation of all caregiver interactions while upholding HIPAA and privacy standards.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has a collaborative culture focused on delivering transformative care through technology.