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.
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.
Serve as the primary point of contact for inbound membership inquiries, delivering a high-touch experience via phone, email, and text.
Conduct discovery conversations to understand prospective members' needs and educate them on Sollis' care model and benefits.
Guide qualified prospects through the enrollment process and maintain accurate records in Salesforce.
Sollis Health is a premier medical membership providing on-demand 24/7 concierge care with ER-trained medical teams and comprehensive services. They have locations in major US cities and foster a high-end, member-centric culture focused on exceptional service.
Own complex or high-impact brand tickets through resolution, applying judgment beyond macros within established frameworks.
Serve as the first escalation point for issues, guiding them through active tickets and chats.
Identify root causes behind recurring issues and recommend fixes, not just workarounds.
ShopMy is transforming e-commerce by building the infrastructure for human-led curation at scale, helping brands run performance-driven creator programs while enabling top creators to monetize their influence. It recently became a unicorn, raising at a $1.5B valuation with backing from Bessemer Venture Partners, Avenir Growth Capital, and Bain Capital Ventures, and offers a fast-paced, high-growth environment with accomplished teammates.
Serve as the first point of contact, resolving member needs with warmth and professionalism in a single interaction.
Guide members through enrollment, eligibility, device setup, and scheduling with genuine care.
Maintain compliance, record interactions accurately, and provide operational support across multiple platforms.
Twin Health empowers people to prevent and reverse chronic metabolic diseases like type 2 diabetes and obesity using AI Digital Twin technology. The team is passionate, united by a shared purpose, and has raised over $100 million, named a Newsweek Top Most Loved Workplace.
Own end-to-end handling of appeals and grievances, investigating cases and delivering resolutions within regulatory timelines.
Work directly with members and providers, coordinating with internal teams to address concerns.
Apply plan documents and regulations to make accurate determinations and draft compliant communications.
Sidecar Health is redefining health insurance by making healthcare affordable and accessible. The team is composed of passionate individuals from diverse backgrounds including tech, policy, and healthcare, all united by a mission to fix a broken system.
Ensure timely and accurate adjudication and payment of medical claims.
Process appeals and disputes by gathering and verifying claim information.
Work independently and as part of a team to meet daily processing quotas.
Sana is a health plan solution built for small and midsize businesses, designed around integrated primary care. Founded in 2017, Sana is remote-first with a fully distributed team across the U.S., valuing curiosity, ownership, and speed.
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.
Handle high volume of user support requests via email, phone, and social media.
Triage incoming issues, accurately diagnose, and escalate bugs to engineering team.
Act as advocate for users, identify trends to enhance support process.
Promenade is a software company that helps local businesses with online and offline solutions, specializing in floral and food industries. The company is profitable, rapidly growing, and backed by top investors, with a fun, fast-paced culture.
Manage complete and timely processing of claims, including reviewing daily correspondence and resolving issues through SalesForce.
Oversee accounts receivable functions such as worklists, zero pay, and denials to ensure timely resolution.
Serve as an escalation point and subject matter expert on internal sub-teams, driving toward daily and monthly KPIs.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups and health systems to optimize practices and reduce costs. They are a national organization with top industry talent and a focus on high-value care.
Handle incoming calls with professional phone etiquette, triaging issues and resolving concerns promptly.
Identify and document member, pharmacy, and medical claims concerns, escalating to appropriate teams.
Communicate effectively with internal and external customers to ensure first-call resolution and quality care.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans. We are an intelligence platform powering benefits plans for millions of Americans, focused on operational efficiency and service.
Research and follow up on unpaid insurance claims via mail and phone.
Review and appeal underpaid or rejected claims, coordinating with collection agencies as needed.
Respond to customer inquiries, resolve billing discrepancies, and maintain accurate records.
Accendra Health simplifies healthcare by delivering essential products and services beyond traditional settings, with a focus on home-based care. With over 6,000 teammates across 250 locations nationwide under the Apria and Byram Healthcare brands, we are dedicated to personalized care and accessible health solutions.
Act as primary support contact, managing Intercom Livechat and troubleshooting product issues.
Provision accounts, manage permissions, and assign or refresh sales territories.
Build and grow the help center, automation, and knowledge base to enable customer self-service.
We empower MedTech commercial teams with data, insights, and tools to deliver life-changing medical innovations. We're a remote-first startup building an intuitive revenue acceleration platform for medical device and diagnostic sales professionals.
Own net revenue retention for large employer accounts, driving enrollment, renewal, and expansion.
Deliver data-driven business reviews translating clinical outcomes into quantifiable ROI for C-suite stakeholders.
Partner cross-functionally with Sales, Renewals, Product, and Analytics to protect and grow Maven's revenue.
Maven Clinic is the world's largest virtual clinic for women and families, partnering with over 2,300 employers and health plans. Founded in 2014, the company has raised over $425 million and is recognized with numerous workplace and innovation awards.
Conducting first phone calls with new members to assess fit for Brightline services.
Scheduling appointments and ensuring member paperwork has been completed.
Supporting providers with administrative tasks and answering admin-related questions.
Brightline is a therapy and psychiatry practice delivering expert pediatric, teen, and parental mental health care to families and kids up to age 18. Founded in 2019, Brightline has delivered care to tens of thousands of families with industry-leading results and is backed by investors including Google Ventures and KKR.
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.
Manage patient refund and credit workflows, ensuring accurate processing in compliance with policies.
Serve as the primary contact for refund resolution and Salesforce case management.
Reconcile patient accounts, investigate discrepancies, and coordinate with insurance companies as needed.
Privia Health is a technology-driven national physician enablement company that optimizes physician practices and improves patient experiences. The company is led by top industry talent and offers a collaborative culture focused on reducing healthcare costs and improving outcomes.
Maximize reimbursement by collecting outstanding balances from insurance companies through claim follow-up and appeals.
Resolve aged claims via payer portals and outbound calls, escalating for reconsideration and up to three levels of appeals.
Identify denial trends and collaborate cross-functionally to improve upstream processes and prevent future denials.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company partners with healthcare providers and biopharma organizations to improve patient outcomes through molecular diagnostics and digital health solutions.
Manage complex pre-bill functions and investigate claim rejections to ensure accurate resolution.
Partner with cross-functional teams to analyze trends and optimize revenue cycle workflows.
Provide guidance to offshore teams and monitor automated processes for operational efficiency.
Rula is a mental health company dedicated to treating the whole person and eliminating stigma. They are a remote-first organization with a growing team that values diversity, equity, and inclusion.