Communicate and provide education to members and providers on insurance plan benefits and digital health solutions.
Employ active listening & motivational interviewing skills, and can handle difficult calls tactfully, professionally and document accordingly that can build patient trust and engagement.
Accurately track and document work on a variety of internal software tools and platforms.
Evry Health is on a mission to bring humanity to health insurance. They provide high-technology health plans that expand benefits, increase access and transparency, and feature a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL), which has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents.
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
Assist individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups
Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, they deliver whole-person care, and leverage AI and automation to reduce administrative burden. They are deeply collaborative with nurses, social workers, community health workers, and medical professionals.
Provides after hours support to members and leaders seeking services.
Problem-solves and assists with high touch and escalated/sensitive calls.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies, from startups to multinational Fortune 500 corporations, providing care for 10 million people.
Own all patient communication, including outreach, engagement, data entry into internal and external systems, scheduling, appointment coordination, pre-authorizations, and billing follow-up
Schedule virtual visits and outpatient procedures (such as stress tests, echocardiograms, and cardiac calcium scoring) with both Heartbeat and third parties
Follow up with patients via email, phone, and/or text to drive patient engagement
Heartbeat Health is a virtual-first cardiovascular care company, providing patients with convenient, high-quality heart care. They leverage real-time data and AI-powered insights, empowering providers and patients with personalized treatment plans.
Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
Creates cases, tasks, and completes assessments in Case Management module for all Hospital and SNF discharges
Works as a team with the Case Manager to engage and manage a panel of SNP members
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
Play an active role in member registration and enrollment, including organizing community engagement and outbound outreach calls/texts.
Engage with a panel of assigned members to provide care navigation, appointment logistics, prescription drug support, lab support, referral coordination, care plan adherence support, and resource sharing.
Serve as the primary relationship holder for members with behavioral health needs; provide consistent outreach, follow-up, and re-engagement support, including after ED/inpatient discharge when applicable.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. They combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.
Collaborate with international teams and provider acquisition to move providers efficiently.
Partner with the team to pilot performance improvement projects and other projects as directed.
Call, text and email with Providers to encourage their activation and growth.
BetterHelp's mission is to remove the traditional barriers to therapy and make mental health care more accessible. Founded in 2013, they are the world’s largest online therapy service, providing affordable and convenient therapy across the globe.
Engage and enroll eligible health plan members in supportive care services.
Educate members on Tuesday Health’s service offerings and support ongoing engagement.
Provide ongoing telephonic customer service to members and their caregivers.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers and are shaping the future of community-based palliative care nationwide.
Own high-volume inbound patient and provider communication queues.
Serve as the first point of contact for patients, resolving inquiries in real time.
Act as a reliable liaison between patients and their care teams.
Oshi Health is revolutionizing GI care with a digital clinic model, providing convenient access to an integrated and multidisciplinary care team. They are dedicated to creating a workplace that prioritizes their team and fosters inclusivity, reflected in their "Best Place to Work" awards.
Build trusting relationships with patients, families, and providers, addressing health questions and care needs.
Identify medical, behavioral, social, emotional, and financial needs to support whole‑person care.
Strengthen the connection between patients and healthcare providers by addressing barriers and facilitating communication.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, with the goal to make great healthcare affordable, improve patient health, and restore fulfillment for providers. They leverage remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Provide management consultation to enhance employee wellbeing and workplace effectiveness.
Coordinate critical incident response requests and deliver virtual support.
Complete management referral intakes and provide guidance regarding EAP protocols to counselors.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier. They partner with over 450 companies and have a $3.3 billion valuation, aiming to make mental healthcare accessible to everyone.
Guide older adults and their caregivers through the intake process.
Match patients with the right therapist with warmth and clarity.
Help each new patient navigate the journey into care.
Sailor Health is revolutionizing mental health care for older adults. They aim to provide seamless access to compassionate, effective, and personalized mental health care for seniors and has a thoughtful, collaborative team rooted in purpose.
Provide education and training opportunities to clinical audiences on AAC and Lingraphica’s products and services.
Conduct educational demos, clinical conversations, and webinars to a clinical audience.
Develop relationships with prospective SLPs and identify SLPs interested in AAC continuing education.
Lingraphica is dedicated to enhancing communication for individuals with impairments through speech-generating devices. They foster a fast-paced, goal-oriented environment for employees committed to improving lives on their communication journey.
Enjoy making outbound calls and reaching out to patients, members, and customers
Outreach to patients to schedule appointments for preventative health screenings
Assist members and patients with benefits and insurance information
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.
You will answer a high volume of inbound calls; transfer and directs calls; provide exceptional customer service via telephone
You’ll be responsible for all front office patient coordination; to be completed in a timely manner (e.g. appointment scheduling, transport coordination)
Accurately input data into both Carenet and EMR (Electronic Medical Records) databases
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Maintain full ownership and accountability for initiating phone contact to potential study participants.
Conduct phone-based pre-screening interviews for potential study participants to determine pre-qualification status.
Consistently provide outstanding customer service with every patient interaction.
M3 Wake Research is an integrated network of premier investigational sites meeting clinical research needs. They have close to 30 owned and managed research sites across the country and continue to grow through acquisitions.
Answer a high volume of inbound calls; transfer and directs calls; provide exceptional customer service via telephone
You’ll be responsible for all front office patient coordination; to be completed in a timely manner (e.g. appointment scheduling, transport coordination)
Communicate clearly and effectively (both oral and written) with patients, clients, Team Members, peers and Leadership.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Complete all documentation associated with client calls.
Complete all required reports associated with Needs Assessment/Referral Development.
Pyramid Healthcare is dedicated to offering high-quality care in addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and comprehensive behavioral healthcare, supporting clients at every recovery stage.
Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility.
Respond and assist members with Primary Care Provider (PCP) assignments and explain OHP or Medicare benefit coverage.
Collaborate with providers, Division of Medical Assistance Programs (DMAP), and members to ensure effective customer service and the resolution of any health plan issues that arise.
CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. We are an equal opportunity employer that greatly encourages military veterans to apply and considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Consult with clients to discover and document needs, provide insight and guidance as clinical communication experts, and propose best practice solutions.
Design and configure high-quality applications that balance the needs of clinicians, patients, and PerfectServe.
Prioritize and manage many tasks simultaneously in a fast-paced environment.
PerfectServe offers Best in KLAS clinical communication and physician scheduling solutions and is a Leader in the Gartner Magic Quadrant for Clinical Communication and Collaboration. They have seen an 88% growth rate over the past three years, striving to accelerate speed to care by optimizing provider schedules and dynamically routing messages to the right person at the right time in any care setting.