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.
Build and lead Zócalo Health’s prior authorization function.
Design and implement scalable processes for authorization intake, submission, tracking, and follow up.
Hire, develop, and manage a team responsible for authorization operations.
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. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.
Act as the first contact for new patients and discuss service offerings with a supportive approach.
Coordinate patient/provider matching, assist in scheduling patient evaluations, and ensure insurance eligibility.
Maintain a customer service mindset and demeanor to ensure positive patient experiences.
Rivia Mind is a psychiatrist-owned mental health practice rooted in New York City, serving individuals across multiple states through virtual and hybrid appointments. They provide compassionate, science-based care with an interdisciplinary care model grounded in collaboration, personalization, and clinical integrity.
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.
Own the day-to-day tracking and progress of clinician credentialing and payer enrollment workflows.
Identify and resolve blockers across credentialing, enrollment, and re-credentialing processes.
Support clinicians directly by guiding them through credentialing and enrollment requirements.
Wheel is evolving the traditional care ecosystem by equipping companies with a premier platform to deliver virtual care at scale. They offer strategies and technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Help patients access care more quickly by ensuring referrals are processed smoothly.
Support Midi’s rapidly growing network of health system partnerships.
Directly improve the experience for referred patients.
Midi Health is expanding its health system and provider partnerships. They're committed to pay equity and ensuring that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Collaborate with hospital marketers to ensure patients are well taken care of
Coordinate with the clinical team to confirm that necessary medical services are in place before accepting patient referrals
Manage the referral process and maintain accurate, up-to-date patient documentation
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.
Answer incoming calls and schedule patient appointments.
Verify patient dental insurance benefits by contacting insurance carriers.
Assist with onboarding new staff and manage employee schedules.
20four7VA connects offshore independent contractors with clients worldwide, particularly in developed markets. They focus on providing high-quality, task-specific services to improve business efficiency for their clients.
Serve as primary contact for patients, families, and providers
Schedule and coordinate medical appointments
Manage patient documentation and EMR updates
Pine Park Health is a value-based primary care practice redesigning how residents of senior living communities get or stay healthy and lead a life they love. They aim to dramatically improve healthcare for seniors by building a new model of care designed around everyone involved.
Serve as the primary point of contact for administrative care support inquiries via phone, email, and chat.
Assist students with navigating online portals, activating care, scheduling appointments, and supporting their continuity of care process.
Collaborate with clinical providers, technical support, partner success and other internal teams to resolve complex issues and ensure seamless patient care.
Mantra Health is a digital mental health provider that partners with colleges and universities to offer comprehensive virtual mental health services. They support over 900,000 students across 125+ campuses and have raised over $34m from leading investors.
Monitor incoming faxes for authorization requests, enter UM authorizations review requests, and verify eligibility and claims history.
Ensure all necessary documentation is submitted, contact providers for required medical records, and generate correspondence for notifications.
Initiate appeal cases, meet deadlines, assist UM Nurses, and handle inquiries from call centers and other sources.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly and fairly. While the company size is not mentioned, they seem to have a modern approach by utilizing AI tools in the hiring process to identify top-fitting candidates for their client companies.
Conduct insurance verification for new referrals and ongoing patients.
Initiate and obtain prior authorizations for home health services.
Maintain insurance, authorization, and eligibility information in real-time.
VitalCaring is a leading provider of home health and hospice services. Founded in 2021, they have over 65 locations across the country and are committed to fostering a culture of support, growth, and excellence for their team, ensuring exceptional patient care.
Conduct outbound telephone outreach to patients and engage patients in pharmacist-led consultations.
Serve as a liaison between patients and pharmacies to resolve medication barriers.
Collaborate closely with Care Management Pharmacists to support medication adherence initiatives.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home.
Proactively outreach to patients via phone to educate them on the care services available to them.
Meet or exceed performance targets defined as “completed first visits” on a daily basis.
Research and update patient information, leveraging internal and external data platforms, including EHRs and local market resources.
Strive Health strives to transform the broken kidney care system through early identification, engagement, and comprehensive coordinated care. They are an organization that embraces diversity and supports each other and is the destination for top talent in healthcare.
Deliver compassionate, personalized service to support each member’s unique therapy journey.
Manage new and ongoing therapy cases, ensuring accurate documentation and coordination.
Resolve inquiries quickly and accurately, using critical thinking to address complex issues.
VIVIO Health helps make data the basis for clinical decision-making. Their evidence-based, data-driven specialty drug management and cost control solution has improved healthcare outcomes and lowered costs for large, self-insured employers since 2016.
Outbound calls, calling members to inform them of their Specialist Management Solutions benefits and act as a care guide on behalf of the customer helping them receive treatment from a network of high-quality surgeons
Receive inbound calls from members to educate them on their Specialist Management Solutions benefits and provide guidance with appointment scheduling
Assist in the coordination of care across a variety of settings, while maintaining strict confidentiality and the highest level of professionalism
Lantern is a specialty care platform connecting people with the best care when they need it most. They curate a Network of Excellence comprised of the nation’s top specialists for surgery, cancer care, infusions and more, delivering excellent care with significant cost savings to employers and their workforces.
Manage incoming messages, route to appropriate recipients, and answer questions.
Contact pharmacies, proactively or by returning voicemails, regarding prescriptions.
Update patient medical records, including documenting medical history and arranging lab services.
FOLX Health is the leading health and wellness platform for LGTBQIA care, providing end-to-end services virtually and in person. They foster a culture of reliability, transparency, access, and agency, trusting their team to achieve individual goals.
Educate HCPs on Patient Support Programs, providing tailored education to healthcare providers and their staff.
Provide Reimbursement Expertise, educating HCPs on the local payer landscape through education engagements.
Address Access Barriers, providing assistance to HCPs to compliantly troubleshoot claims at retail pharmacies.
Valeris is a fully integrated life sciences commercialization partner providing comprehensive solutions across the healthcare value chain. Formed by the merger of PharmaCord and Mercalis, they work on behalf of life sciences companies to improve the patient experience. They provide commercialization solutions to more than 500 life sciences customers and have provided access and affordability support to millions of patients.
Respond to inbound clinic inquiries via phone, email, and chat
Troubleshoot order issues, product questions, shipping updates, and documentation needs
Act as a voice of the clinic and patient internally
Verse Medical is building the modern software infrastructure to make hospital-quality care accessible everywhere. They are a well-funded Series C company backed by General Catalyst, SignalFire, and Sapphire Ventures, aiming to heal a fragmented system by connecting providers, payors, and patients.
Consistently practices Patients First philosophy and adheres to high standards of customer service.
Correctly identifies and collects patient demographic information in accordance with organization standards.
Uses effective service recovery skills to solve problems or service breakdowns when they occur.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace, setting it apart as a leader in the healthcare industry. As an integral part of the team, you'll have the opportunity to join our quest for better health care, with competitive benefits from tuition reimbursement and loan forgiveness to 401(k) matching.