Receive and respond to prescription refill requests through various communication channels.
Verify the validity and accuracy of prescription refill requests, ensuring compliance with guidelines.
Prepare and dispense prescription refills accurately and efficiently, following organizational protocols.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They deliver positive healthcare experiences and improve outcomes by integrating human touch with data-driven technology.
Provide customer service in a phone-based environment, processing prescription information accurately.
Perform claim adjudication and auditing duties, like prior authorizations and eligibility checks.
Maintain patient records with attention to detail and confidentiality, ensuring regulatory compliance.
AnewHealth is a pharmacy care management company specializing in caring for people with complex, chronic needs. With over 1,400 team members, they care for more than 100,000 people across all 50 states, enabling better outcomes for patients and healthcare organizations.
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
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 - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities they serve.
Answer a high volume of inbound calls; transfer and direct calls.
Responsible for front office patient coordination; appointment scheduling, transport coordination.
Accurately input data into both Carenet and EMR databases.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. We interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Provide service for inbound pharmacy phone calls and/or placing outbound patient refill calls.
Assist the patient through the entire refill process.
Respond to patient requests and inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy.
Shields Health Solutions partners with hospital leaders to build world-class specialty pharmacy programs. They offer solutions for hospitals to elevate care, improve financial outcomes, and streamline operations.
Manage inbound and outbound calls, process patient referrals, and coordinate scheduling.
Ensure accurate documentation and take ownership of referral outcomes.
Communicate with patients in English and Spanish, clarifying details and providing empathetic support.
20four7VA connects offshore independent contractors with clients worldwide, focusing on developed markets. We aim to improve business efficiency and service delivery through high-quality, task-specific services rendered by qualified contractors.
Contact and communicate with providers to obtain required medical record documentation.
Respond to telephone inquiries promptly, professionally, and efficiently to provide resolution.
Analyze provider questions to determine the best use of resources to resolve the situation.
Empower AI provides federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.
Making outbound calls to patients, members, and customers.
Helping patients make decisions that will enhance their healthcare experience.
Assisting members and patients with benefits and insurance information.
Carenet Health pioneers advancements for experiences across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.
Manage the full enrollment process for Medicare and Medicaid across applicable states.
Prepare, complete, and submit all required enrollment applications and documentation.
Track application status and follow up with agencies to drive timely approvals.
BetterHelp aims to improve mental health and make mental healthcare accessible. They are the world’s largest online therapy service with over 30,000 licensed therapists, and they value employee mental health, investing in their team’s well-being and professional development.
Manages client denials and concerns through analytic review of clinical documentation.
Delivers final determination based on skillsets and partnerships with Humana parties.
Investigates and resolves member and practitioner issues via phone or face to face to support quality goals.
Humana Inc. is committed to putting health first for teammates, customers, and the company. Through Humana insurance services and CenterWell healthcare services, they strive to make it easier for millions to achieve their best health, delivering needed care and service.
Directly communicate with insurance companies to facilitate the approval of medications.
Navigate pharmacy operating systems to input data and prepare action plans for follow-up.
Communicate directly with patients over the phone to assist them in medication compliance.
Shields Health Solutions provides integrated pharmacy solutions. They partner with hospitals and health systems to improve patient outcomes and create financial value.
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.
Build rapport and maintain positive relationships with existing members to understand their needs.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible. They are made of passionate people from various backgrounds and are driven to fix a broken system.
Conduct outbound and inbound calls to potential patients to explain services and assist with enrollment or scheduling.
Complete short intake forms to accurately collect demographic, eligibility, and clinical information.
Schedule patient appointments based on availability, location, and provider match.
Zócalo Health is a tech-driven healthcare provider built for Latinos, by Latinos, developing a new approach to care designed around shared experiences. Founded in 2021, they are backed by leading healthcare and social impact investors and are committed to expanding their reach to serve more members and communities.
Handle inbound customer inquiries in a timely manner via phone, video, email, or chat and track inquiries in a ticketing system.
Collaborate with the Product, Sales, Clinical and Customer Experience teams to ensure the best customer experience and high NPS.
Work with third party vendors to resolve healthcare device related issues and troubleshoot, triage, and escalate support issues across multiple areas.
Twin Health empowers people to improve and prevent chronic metabolic diseases with AI Digital Twin technology. They have been recognized for their innovation and culture and are scaling rapidly across the U.S. and globally.
Manage prior authorizations and related administrative paperwork.
Input patient information, medical records (CPT, ICD-10, HCPCS), and billing data into EMR/EHR systems.
Assist with processing insurance claims, verifying patient insurance information, and handling billing inquiries, concerns, and documentation.
Wing is redefining the future of work for companies worldwide. They aim to be a one-stop shop for companies looking to build world-class teams and place their operations on autopilot.