Create a welcoming experience by authentically engaging every caller and providing a world-class experience.
Thoroughly and accurately answer questions about customers' healthcare accounts and provide appropriate solutions.
Handle 35-50+ inbound and outbound phone calls per day and work closely with claim staff to adjust claims.
Point C Health is a national third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company with a focus on partnership, innovation, and a supportive culture.
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.
Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.
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 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.
Manage concierge referral activities from start to finish, including research, provider selection, and scheduling coordination.
Research provider options and present appropriate choices to members based on their needs and coverage.
Collaborate with cross-functional teams to resolve issues and ensure seamless member support.
This company helps members find high-quality healthcare providers through a concierge referral service. It fosters a collaborative, mission-driven environment focused on member support.
Own the full customer lifecycle for SME clients, including onboarding, engagement, expansion, and renewal.
Build rapport with decision-makers and drive adoption of best practices to maximize member utilization.
Present data-driven business reviews to senior HR executives and collaborate cross-functionally to enhance the patient experience.
Spring Health is a global mental health company providing an AI-native platform for personalized care across coaching, therapy, and medication management. Reaching over 170 million people, it leverages technology to expand access and quality of mental healthcare.
Handle inbound sales and service calls to enhance customer experience.
Provide thoughtful advice and resolve customer issues with a positive attitude.
Maintain high performance metrics including revenue per call, quality, and dependability.
SeekWell is the parent company of 1-800 Contacts, The Framery and Luna, aiming to simplify access to vision care. Maintained by a legendary culture started nearly 30 years ago, the company is owned by KKR and values diversity and inclusion.
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.
Provide personalized onboarding and ongoing adherence support to patients and caregivers throughout their treatment journey.
Coordinate insurance coverage verification, reimbursement support, and financial assistance enrollment for eligible patients.
Serve as the primary point of contact for healthcare providers, resolving access barriers and ensuring seamless coordination with internal teams.
The partner company provides comprehensive non-clinical patient support for individuals managing rare and ultra-rare diseases. They foster a collaborative, patient-focused culture with a remote work environment and a commitment to improving healthcare access.
Manage customer relationships and support the field sales team to resolve issues and drive satisfaction.
Perform sales and administrative tasks, negotiate contracts, and present solutions to customers.
Work with the field sales team on customer roadmap and renewal strategy, spending majority of time at customer sites.
McKesson is a Fortune 10 healthcare company that delivers insights, products, and services to make quality care more accessible and affordable. As a Fortune 10 company with thousands of employees, we foster a culture of growth, impact, and empowerment, focusing on the health and well-being of our people and communities.
Engage with members via phone, email, and live chat to answer questions and provide excellent service.
Assist participants in qualifying for and selecting the right health or wellness programs.
Resolve inquiries, disputes, and escalations with professionalism and empathy.
Solera Health transforms lives through innovative, connected healthcare solutions by connecting people with programs to improve well-being and prevent chronic disease. We are a fast-growing company that values teamwork, integrity, and opportunity.
Provides active care management and coordinates action plans for members.
Evaluates outcomes and ensures accurate documentation of clinical information.
Serves as member advocate and promotes enrollment in care management programs.
BlueCross BlueShield of South Carolina is a leading health insurance company and administrator of government contracts. With an A+ rating and a diverse family of subsidiaries, they are the largest insurer in South Carolina and employ a dedicated team focused on outstanding customer service.
Serve as the central telephonic point of contact for prospective participants, building trust-based relationships from the first conversation.
Make outbound follow-up calls to prospects and support inbound campaigns by educating about PACE services and eligibility.
Coordinate warm handoffs to on-the-ground Enrollment Specialists and ensure a seamless transition from central touchpoint to local engagement.
Habitat Health empowers older adults through the Program of All-Inclusive Care for the Elderly (PACE), providing comprehensive medical care and support for daily needs. They are a growing organization supported by leading healthcare investors, focused on mission-driven care.
Conduct 40–60 outbound calls daily to U.S. healthcare facilities to identify decision-makers and introduce care services.
Pre-qualify potential referrals regarding discharge timing, care needs, and insurance status, then schedule appointments for the field-based liaison team.
Maintain accurate CRM records of all outreach interactions, referrals, and appointments while working toward daily and weekly performance targets.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through objective, skills-based evaluation. The company focuses on ensuring fair and efficient recruitment processes for remote and flexible roles.
Connect with customers via phone/email/chat/social media to resolve questions or concerns.
Calmly de-escalate issues and escalate interactions when necessary.
Track call information for auditing and reporting, and upsell if required.
TP is a leading global provider of digital business services, partnering with top brands to optimize operations through technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion and diversity where every employee feels valued.
Guide beneficiaries through health insurance options by listening to their needs, answering questions, and recommending suitable coverage solutions.
Conduct phone consultations to help customers understand plans and make informed purchasing decisions while meeting sales targets.
Maintain accurate customer information and documentation while navigating multiple systems and applications.
Amplify helps individuals make informed decisions about their health insurance coverage through personalized support and education. The company operates a remote call center environment with a focus on customer service and sales, offering paid training and career growth opportunities.
Make high-volume outbound calls to members to verify and gather information from health plan referrals.
Accurately document member interactions and update records in the system before case assignment.
Collaborate with the Client Services team to ensure smooth handoff and thorough information transfer.
We are a client services team focused on member outreach for health plans. Our team is detail-oriented and process-driven, with a commitment to accuracy and professionalism.
Conduct warm intake calls, manage panel adherence, and deploy multi-channel outreach to maximize program completion and appointment attendance.
Rapidly respond to last-minute cancellations and no-shows, filling open slots to minimize idle clinical time.
Track engagement metrics and build outreach playbooks to lay the foundation for a future team.
Movn Health is the leading national provider of virtual cardiac rehabilitation and cardiovascular care, developed in partnership with Stanford University. We are a small, mission-driven team where every person has a direct impact on patient outcomes and company success.
Conduct telephonic outreach to prospective members and help them enroll in Imagine's app-based technology.
Effectively communicate Imagine services and overcome parent/family objections to engagement.
Leverage reporting and dashboards to prioritize outreach and meet monthly engagement targets.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that provides 24/7 virtual-first and in-home care for children with special health care needs. They are a startup with a mission-driven culture, committed to diversity and inclusion.