Coordinate reimbursement support activities and ensure timely resolution of patient requests.
Manage case intake, documentation, and tracking to maintain accurate service records.
Monitor workflows, identify improvements, and collaborate with stakeholders to enhance service delivery.
The company is a healthcare partner focused on ensuring patient access to essential services. The culture is inclusive and collaborative, with a remote-first approach and emphasis on purpose.
Provide friendly, accurate, and timely service to customers through inbound and outbound interactions across multiple channels, resolving issues and educating on healthcare benefits.
Conduct outbound outreach for program enrollment and clinical quality calls, using consultative listening to overcome objections and guide customers.
Document all interactions thoroughly, adhere to HIPAA and regulations, and meet or exceed performance goals for customer satisfaction and quality.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, making healthcare affordable, and improving patient health. It is a physician-led, growing organization with a collaborative, agile culture emphasizing cross-training and ongoing development.
Handle first notice of loss reports for non-complex auto and property claims while ensuring accurate information collection.
Provide exceptional customer service by guiding customers through their claim experience and explaining options clearly.
Work efficiently in a high-volume remote environment while maintaining accuracy and customer satisfaction.
The company provides insurance claims services and supports customers through the initial stages of their claims journey. The company culture emphasizes empathy, collaboration, and employee growth, with a focus on delivering high-quality customer service.
Research, review, and respond to inquiries from members and providers with active listening and empathy.
Manage escalations, handle complaints, and coordinate problem solving with internal teams.
Meet production and quality standards, assist with member portal navigation, and excel in a virtual work environment.
Evry Health is on a mission to bring humanity to health insurance, offering high-technology health plans that expand benefits and provide personalized service. As the major medical division of Globe Life, it has 16.8 million policies in force, over 3,000 corporate employees, and an A (Excellent) rating from A.M. Best for 45+ years.
Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.
Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.
Engage with health plan members to schedule care assessments and provide encouragement.
Utilize strong listening and communication skills to build trust and handle challenging calls.
Multitask efficiently while using technology to maintain a human-centered conversation.
Carenet Health is a healthcare company that transforms patient interactions into meaningful connections. The company fosters a culture of empathy and support, with a focus on team member expertise and dedication.
Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
Assist participants via email and online messaging, and accurately document all participant communications.
Work independently and in a team environment with strong customer service skills; no experience required as training is provided.
Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.
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.
Provide telephone support to patients, healthcare professionals, and funding organizations regarding access, reimbursement, compliance, and support programs.
Manage assigned patient cases and projects while following established operational processes and service standards.
Maintain accurate case documentation within program databases, ensuring all activities and interactions are properly recorded.
This role is posted on behalf of a partner company, which manages all applications and next steps. The company focuses on healthcare support and improving patient access to therapies, with a collaborative culture and opportunities for professional growth.
Respond timely to customer inquiries via phone, email, and chat, researching issues and providing workable solutions.
Assist with scheduling, insurance questions, medication requests, and general information, building customer trust.
Thrive in a remote environment by maintaining a consistent workspace, ensuring security, and using available resources effectively.
Carenet Health pioneers advancements in healthcare consumer journeys, interacting with 1 in 3 Americans daily. For over 30 years, they have combined human touch with data-driven technology, fostering a collaborative and innovative culture that empowers growth through trust and accountability.
Handle incoming calls in a fast-paced call center environment, assisting members with benefits, eligibility, and claims inquiries.
Maintain composure and positivity while de-escalating challenging situations and managing relationships with members.
Apply standard operating procedures and recommend process improvements for a better member experience.
Blue Cross and Blue Shield of Minnesota is a nonprofit health insurance company committed to transforming healthcare. It is one of the most recognized healthcare brands in Minnesota with a large network of doctors and a culture based on collaboration and integrity.
Act as the primary point of contact for patients, healthcare providers, and program stakeholders.
Manage patient access, reimbursement, and therapy support processes.
Build trusted relationships with healthcare professionals and ensure coordinated care.
A healthcare services organization that partners with patients and providers to navigate complex treatment processes. The culture is purpose-driven, collaborative, and inclusive, with an emphasis on improving health outcomes.
Handle inbound calls and chat boxes from members regarding Sidecar Health's products and services.
Provide excellent customer service in a timely and positive manner, building rapport and maintaining positive relationships.
Handle issues and complaints, maintaining policies and standard operating procedures.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible for everyone. The team consists of passionate individuals from tech, policy, and healthcare backgrounds, working in a fast-moving startup environment.
Manage high-volume inbound and outbound calls professionally, scheduling appointments and assisting patients.
Verify patient information, document interactions, and escalate complex issues while following HIPAA regulations.
Collaborate with clinical and administrative teams to ensure seamless patient experience and meet performance goals.
C2Q Health Solutions offers management services tailored to healthcare providers, drawing on leadership experience in administrative solutions for managed long-term care, home care, and community health plans. The company supports organizational growth with a range of functions, operating as a remote team.
Conduct outbound and inbound calls to support patients recently discharged from the ER and schedule appointments.
Assist with administrative tasks and coordinate patient care with team members and provider networks.
Become an expert with software like EMR, Slack, and Five9 to deliver high quality customer service.
Fuze Health is a digital health company that empowers patients to connect with care providers and health resources. It combines capabilities from LetsGetChecked, Truepill, and Alto Pharmacy, with a growing team focused on next-generation healthcare solutions.
Provide member-centered support by answering inbound calls and chats with empathy and clarity.
Resolve core member issues including benefits coverage, cost-sharing concepts, and network provider searches.
Own issues end-to-end using established workflows and document interactions accurately.
Included Health is a healthcare company delivering integrated virtual care and navigation. They are remote-first and focus on raising the standard of healthcare for everyone.
Handle inbound calls and chat boxes from members regarding Sidecar Health’s products and services.
Provide excellent customer service in a timely manner while building rapport and maintaining positive relationships.
Handle issues and complaints, and maintain policies and standard operating procedures.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible for everyone. The team consists of passionate individuals from diverse backgrounds including tech leaders and healthcare professionals, all driven to fix a broken system.
Serve as the vital link between members and their dental care by answering 40-60 inbound calls daily, addressing inquiries with compassion and expertise.
Capture member information accurately, investigate unresolved issues, and collaborate with internal teams to ensure timely resolutions.
Maintain flexibility and compliance with HIPAA, while navigating multiple software systems in a high-volume call center environment.
Avēsis has been providing essential ancillary benefit solutions since 1978, developing and administering programs covering over 8.5 million members. They strive for excellence in member satisfaction and client retention, fostering a culture of inclusivity and diversity.
Deliver high-quality customer service in a healthcare environment, handling inbound and outbound calls to resolve claims, benefits, and coverage inquiries.
Research and document member and provider issues, escalate complex cases, and ensure timely follow-up across systems.
Maintain strict confidentiality of sensitive information while adapting communication for diverse audiences including members, clinics, and vendors.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies efficiently. It operates as a partner recruiting organization, facilitating applications and next steps for roles like this one.
Handle and problem solve customer inquiries via phone, email, and chats, ensuring a great customer experience.
Develop strong knowledge of Horace Mann Life and Retirement insurance products and proactively upsell and cross-sell solutions.
Maintain quality and compliance by adhering to all applicable company and state rules and regulations.
Horace Mann helps educators protect what they have today and prepare for tomorrow, offering insurance and financial products tailored to their needs. Founded in 1945, we serve over 4,100 school districts, are publicly traded on the NYSE, and have more than $12 billion in assets.