Responsible for aiding in the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members.
Conducts telephonic and video chat outreach to complete analysis of members' medication regimens.
Performs outbound calls to members, fielding inbound calls, and facilitating communication regarding clinical programs.
Navitus is an alternative to traditional pharmacy benefit manager (PBM) models, committed to removing cost from the drug supply chain to make medications more affordable. The company has a team that celebrates diversity, fosters creativity, and encourages growth.
Contact physician offices for refill authorizations and verify orders.
Process new and refill prescriptions, ensuring accurate data entry and maintaining productivity.
Answer incoming calls promptly and provide high standard of customer service.
Symbria Rx Services is a 100% employee-owned healthcare company that provides patient-centered care to the geriatric population in senior-living and post-acute settings. For over 20 years, they have been delivering an outstanding work environment for talented employees.
Efficiently triage incoming calls and resolve member and pharmacy issues with professional phone etiquette.
Identify, document, and escalate concerns to appropriate internal teams to ensure quality care and safety standards.
Support fraud, waste, and abuse programs by reviewing pharmacy claims and communicating findings to internal staff.
Judi Health is a health technology company providing comprehensive health benefit management solutions for employers and health plans. They are rebuilding trust in healthcare with a platform that consolidates claim administration workflows.
Respond to patient inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy, including answering inbound calls and conducting status checks.
Make outbound patient refill phone calls, coordinate medication refills including data entry and pharmacy claim adjudication, and resolve adjudication error messages.
Manage, organize, and update relevant data using database applications, identify trends, and participate in process improvement initiatives.
Shields Health Solutions is a healthcare company that partners with health systems to deliver specialty pharmacy services. They focus on patient engagement and medication adherence through integrated care models.
Collect and document clinical information from providers, pharmacies, and members.
Assist pharmacists with utilization management and appeals processing.
Communicate with prescribers and pharmacies regarding authorization status and coverage requirements.
The OccuNet Company is an innovative company striving to reduce the cost of healthcare through negotiations-driven levers and an experience-centric approach. We have an ambitious vision and are growing quickly, with a tight-knit culture based on the outward mindset philosophy emphasizing empathy and mutual respect.
Provide expert-level medication therapy consultations to patients and providers, including Medication Therapy Management (MTM) services like Comprehensive Medication Reviews (CMRs) and Targeted Medication Reviews (TMRs).
Collaborate with the Engineering team and leadership to improve Arine's software platform and guide the Clinical Support team, while managing a consistent volume of patient interactions.
Meet individual and team performance metrics related to outreach, engagement, documentation quality, and clinical outcomes, and adapt to evolving clinical projects and assignments.
Arine is a rapidly growing healthcare technology and clinical services company that uses data science and AI to optimize medication management and reduce healthcare costs. The company manages over 18 million lives, was ranked #236 on the 2024 Inc. 5000 list, and has a strong culture focused on innovation and patient outcomes.
Answer emergency and non-emergency calls, dispatch responses, and monitor medical alerts with compassion.
Provide exceptional customer support using scripted and non-scripted responses in high-pressure situations.
Record call details accurately, troubleshoot alarms, and recommend preventative healthcare services.
VRI connects people with care through non-emergency medical transportation and personal home care services. They serve the underserved to improve access and outcomes, with a focus on compassionate support.
Perform remote order entry and CPOE evaluation and verification for acute-care hospitals.
Utilize clinical skills including monitoring, dosing, and reviewing patient medication therapy.
Collaborate with physicians and nurses to ensure continuity of care and regulatory compliance.
Cardinal Health distributes pharmaceuticals and provides medical products and data solutions for healthcare facilities. With over 45 years of experience, it is one of the largest employers of acute-care pharmacists in the United States, fostering an inclusive workplace that values diversity.
Troubleshoot product, service, and enrollment issues with sensitivity and urgency while maintaining compliance.
iRhythm is a leading digital healthcare company that creates trusted solutions to detect, predict, and prevent disease. The company combines wearable biosensors and cloud-based data analytics with proprietary algorithms, and is experiencing rapid growth with opportunities across the globe.
Respond promptly and professionally to customer inquiries via phone, email, and chat.
Assist customers with order management, troubleshooting, and complaint resolution while documenting interactions in CRM systems.
Maintain professionalism, empathy, and compliance with HIPAA and data security standards in a remote call center environment.
SleepRes is a venture-backed medical device startup revolutionizing sleep apnea and sleep-therapy technology. They are a small, agile, mission-driven team preparing for commercial launch of their innovative Kricket APAP device.
Answer calls and resolve questions, routing to appropriate departments.
Complete documentation in EMR and marketing systems, including initial prescreening.
Schedule new and returning patients and complete follow-up duties.
Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.
Provide consistent, quality customer service to internal staff and external patients, taking ownership of each call to enhance the customer experience.
Manage patient requests including appointment scheduling, electronic messaging to clinical teams, and answering questions regarding medication refills.
Demonstrate proficient data entry skills, knowledge of insurance billing, and maintain confidentiality while performing other assigned duties.
Community Health Center, Inc. (CHC) is a creative and dynamic provider of primary medical, dental, and behavioral health services, with offices in Connecticut, Colorado and California. The organization employs several hundred providers, delivers over 500,000 patient visits annually, and is recognized for its Weitzman Institute research and practice transformation.
Serve as a primary contact for incoming DME referrals, providing clear information on pricing, order status, timelines, and qualification requirements.
Advance referrals by reviewing documentation, identifying gaps, and securing clinical or insurance information.
Verify insurance eligibility, maintain patient accounts, and coordinate intake workflows across multiple communication channels.
CarepathRx advances pharmacy and care delivery alongside hospitals and health systems nationwide. The team is ambitious, compassionate, and invested in curious, resilient individuals who are motivated to grow, keeping patients at the heart of everything they do.
Serve as a primary point of contact for clients, managing inbound and outbound communications to resolve inquiries.
Connect with customers via phone, email, chat, or social media to de-escalate issues and track call data.
Upsell when required and escalate interactions as necessary.
TP is a leading global provider of digital business services, partnering with prominent brands to optimize operations through technology and sustainability. With a workforce of 500,000 across 300 languages, they foster a culture of inclusion and diversity.
Make outbound calls to schedule appointments for preventative health screenings and assess high-risk patients.
Assist members with benefits, insurance information, and conduct surveys to enhance their healthcare experience.
Work remotely from home in a role that requires strong computer skills, empathy, and excellent customer service.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They have over 30 years of experience and foster a collaborative, innovative culture focused on growth and accountability.
Answer 2-3 incoming customer chats concurrently using NICE CXOne platform, totaling roughly 40 chats per shift.
Consult customers on the best value for their contact lens purchases and drive sales revenue per chat.
Provide world-class customer service in a fast-paced environment and resolve problems to create positive experiences.
SeekWell is the parent company of 1-800 Contacts, Framery, and Luna, focused on making vision care simple and accessible. The company is owned by KKR, one of the world's largest private equity firms, and maintains a customer-first culture with high employee engagement.