Deliver a respectful, compassionate experience for every caller, aiming for one-call resolution.
Complete crisis screening assessments and coordinate with crisis teams when immediate intervention is needed.
Manage and track referrals in Salesforce, including conducting outbound follow-up calls.
Centerstone is a nonprofit behavioral health system providing mental health and substance use disorder treatments. With thousands of employees, it is a dynamic, well-established organization focused on delivering care that changes people's lives.
Make outbound calls to eligible health-plan members using an automated dialing system.
Follow established scripts and enrollment procedures accurately.
Engage members in professional, friendly, and conversational discussions.
Five Star Solutions provides healthcare enrollment services for eligible health-plan members. The company values diversity and cultivates a professional, diverse workforce.
Answer inbound calls from Medicare Advantage members and providers with empathy and professionalism.
Handle inquiries regarding benefit eligibility, enrollment, and claims status while conducting thorough research.
Navigate multiple systems to resolve issues and advocate for members, ensuring first-call resolution.
Johns Hopkins Health Plan provides health insurance services to members. It is part of the Johns Hopkins Health System, a large organization with a diverse team of healthcare professionals.
Manage multiple channel interactions professionally and efficiently.
Address provider inquiries with accuracy and focus on first call resolution.
Maintain positive relationships and exceed quality and productivity goals.
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association focused on improving the health and well-being of its members and communities. It has been consistently voted one of the Best Places to Work in PA and fosters a flexible, supportive culture with emphasis on professional growth and community involvement.
Conduct educational telephone calls to advise members of benefits, complete health needs assessments, and refer to population health management programs.
Reach out to members with gaps in care, encourage compliance, and assist with locating providers and scheduling appointments.
Manage system work queues, screen members for eligibility and history, and assign to clinical teams for intervention.
BlueCross BlueShield of Tennessee is the state's largest health benefit plan company, helping Tennesseans find paths to good health since 1945. They are a remote-first organization with many employees working from home, fostering a culture of innovation and collaboration.
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.
Serve as the primary point of contact for incoming calls and after-hours HHA and PDN cases, ensuring clear communication between patients, families, caregivers, and staff.
Monitor caregiver attendance, respond to call-outs and missed visits, and coordinate coverage to maintain continuity of patient care.
Accurately document calls, attendance updates, and case-related information in HHA Exchange and other systems while maintaining HIPAA compliance.
One of our clients, a home care agency, is seeking a reliable and experienced Bilingual Receptionist / On-Call Weekend Coordinator to manage high call volumes and time-sensitive staffing matters. The company prioritizes patient care and efficiency, supporting a remote team environment.
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.
Engage with prospective clients through 60-100 outbound calls daily, recording interactions in CRM.
Review medical charts and support clients in completing psychosocial assessments.
Apply evidence-based practices like Motivational Interviewing and Trauma-Informed Care in all interactions.
Vynca provides comprehensive care for individuals with complex needs, aiming for more quality days at home. They are a close-knit community guided by values of Excellence, Compassion, Curiosity, and Integrity.
Provide high quality, prompt assistance with triaging and coordination of transfers from other facilities.
Monitor and respond to triage needs, completing direct referral acceptance process.
Collaborate closely with referral sources, physicians, and nurses to ensure effective communication.
PAM Health provides specialty healthcare services for chronically and critically ill patients requiring extended hospital care. They have over 80 hospital locations and employ over 11,000 people, fostering a collaborative and compassionate culture.
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.
Handle inbound and outbound calls to resolve patient issues, process reorders, and ensure accurate billing.
Obtain and process authorizations while maintaining patient confidentiality and documentation.
Maximize patient retention through cross-selling and provide cross-functional support across business units.
CCS is a healthcare company specializing in chronic care management through its LivingConnected® platform, using data-driven insights to improve patient outcomes. It supports over 200,000 people annually and is recognized as a Great Place to Work®, fostering a patient-centric culture.
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.
Respond to inbound and outbound calls to address customer inquiries about benefits and claims in a polite manner.
Forward inquiries as directed for priority resolution and document each encounter in the tracking system.
Multi-task in several computer applications while holding a conversation with a customer.
We are focused on delivering engaging interactions and positive experiences that leave a lasting impression. We are an equal opportunity employer committed to creating job opportunities and helping people pursue their total vocation.
Engages members proactively and reactively to build trust and drive benefit and program engagement through motivational interviewing.
Develops individualized care plans based on comprehensive clinical, psychosocial, and SDOH assessments, coordinating resources across the care continuum.
Educates members and providers on benefits, digital health solutions, and self-management strategies while supporting utilization review and documentation.
Evry Health is a digital-first health plan focused on delivering comprehensive, member-centered care coordination for its fully insured commercial population. The company operates as a fully remote team with headquarters in Dallas, Texas, emphasizing a technology-forward and collaborative culture.
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.
Serve as a primary resource for clinicians, hospitals, and referral partners across the region.
Develop and maintain strong professional relationships with behavioral healthcare providers.
Provide ethical, clinically appropriate placement guidance and consultation on complex cases.
Altior Healthcare operates distinct mental health treatment programs, including a specialized program for US Veterans. With over 15 locations and 500+ employees, they provide compassionate, evidence-based care across five states.
Deliver exceptional customer service in a fast-paced call center environment, managing patient registration, scheduling, and provider communications.
Handle inbound and outbound calls and emails with empathy and solution-focused support while navigating multiple systems.
Accurately collect and document patient demographics, insurance, and appointment details, adapting to changing processes and technology.
Luna redefines physical therapy with award-winning technology and proven clinical models, connecting patients and providers through a tech-enabled platform. Operating in 28 states with 25+ partners, the company values care, impact, and continuous improvement.
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.
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.