Manage referrals and guide participants through the enrollment process with compassion and accuracy.
Provide empathetic communication and support to participants via phone, text, and other channels.
Collaborate with clinical and operational teams to track performance and improve engagement.
The partner company is a healthcare organization that provides participant success services. It offers a supportive, mission-driven culture with a focus on quality and empathy.
Conduct targeted telephonic outreach to patients and families, educating them on palliative care and completing structured eligibility screenings.
Schedule eligible patients for an initial visit with a nurse practitioner and coordinate logistics for a smooth transition to care.
Act as a liaison between patients and the care team, maintaining confidentiality and accuracy in documentation per HIPAA standards.
Vynca provides comprehensive palliative care to help individuals with complex needs enjoy more quality days at home. They are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity, fostering a collaborative and supportive culture.
Oversee end-to-end health plan enrollment process and manage vendor performance.
Ensure accurate and timely processing of enrollment requests while maintaining compliance with SLAs.
Act as subject matter expert in payer enrollment requirements and resolve enrollment delays.
Medallion is a healthcare technology company that automates licensing, credentialing, and compliance monitoring for healthcare organizations. It is one of the fastest-growing healthcare technology companies, ranked #3 on Inc. Magazine's 2024 Fastest-Growing Private Companies in the Pacific Region and a Glassdoor Best Place to Work in 2024 & 2025.
Submit and track provider enrollments with Medicare, Medicaid, and major commercial payers.
Maintain and update credentialing databases and payer status logs.
Collaborate with credentialing team and payer representatives to resolve blockers and shorten approval timelines.
Big Leap is a fast-growing, multi-state medical & behavioral clinician group focused on interventional mental health treatments like Spravato & TMS. The company is expanding its remote operations team to support growth.
Eligibility Review: Review patient records and clinical documentation to determine eligibility for Form Health.
Record Collection: Manage requesting, faxing, and tracking medical records from external providers while ensuring HIPAA compliance.
File Communication: Maintain clear communication with patients and colleagues to keep them updated throughout the eligibility process.
Form Health is a virtual obesity medicine clinic that provides multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, it is a venture-backed startup with an experienced clinical and leadership team, committed to a culture of inclusion and patient-first values.
Conduct outbound phone outreach and answer inbound calls to connect eligible members to RightMove's virtual MSK care.
Educate patients on available care options, verify eligibility, and schedule initial clinical evaluations.
Accurately document all patient interactions in CRM systems and escalate complex issues to internal teams.
RightMove is a fast-growing digital health startup delivering best-in-class musculoskeletal (MSK) care through a value-based, virtual model. We are backed by the #1 orthopedic hospital in the world and focus on improving outcomes and reducing unnecessary healthcare costs.
Identify, outreach, and enroll eligible individuals into the program through phone, text, email, and in-person at partner locations.
Build trust through empathetic communication and meet key enrollment metrics to support underserved communities.
Leverage bilingual skills (English/Spanish) to connect with individuals experiencing serious mental illness, homelessness, or high medical needs.
Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serve underserved populations through whole-person care. They are one of the largest Enhanced Care Management providers in California with a collaborative team of clinicians, social workers, and technologists.
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.
Conduct telephonic outreach to Medicare members to improve medication adherence and HEDIS diabetes and blood pressure control.
Use motivational interviewing to assess health risks and engage members in behavior change.
Partner with members to identify opportunities for integration into internal/external programs and coordinate care.
CVS Health is building a world of health around every individual, shaping a more connected, convenient and compassionate health experience. They are a large company with passionate colleagues who care deeply, innovate with purpose, and prioritize safety and quality.
Manage end-to-end credentialing and payer enrollment activities with minimal supervision.
Ensure provider readiness, accurate records, and compliant documentation across multiple systems.
Serve as a knowledgeable resource for less experienced team members and support cross-functional processes.
Our partner is a healthcare organization focused on credentialing and provider network management. They offer a mission-driven, inclusive environment with a focus on collaboration and continuous learning.
Screen patients remotely to understand eligibility for benefit programs like LIHEAP, SNAP, and Lifeline.
Complete Lifeline applications end-to-end, including submission via the FCC website or state-specific processes.
Track all activity and enrollment metrics in the Link Health dashboard while ensuring privacy compliance.
Link Health assists individuals and families in navigating and enrolling in government assistance programs to address social determinants of health. It is a community-centered organization leveraging data, technology, and partnerships to connect underserved populations with benefits.
Contribute directly to improving Provider experience through timely credentialing and enrollment.
Collaborate with cross-functional teams to support new payer launches and share operational insights.
Help educate credentialing associates as new processes and payers are introduced.
Rula is a remote-first company that makes mental health care more accessible by streamlining provider onboarding. The team values diversity, equity, and inclusion, fostering a culture of belonging.
Conduct high-volume outbound calls to introduce eligible members to Mae's maternal health and doula support services.
Guide interested members through the enrollment process using trust-building and motivational communication.
Meet daily outreach and monthly enrollment goals while accurately documenting all activity.
Mae is a venture-backed digital health company focused on improving maternal health equity through culturally-competent support. The company is mission-driven and values being solution-oriented, curious, and adaptable.
Act as the primary point of contact for new patients via phone and email, guiding them through initial enrollment.
Proactively support patients in completing initial enrollment tasks and track progress to reduce drop-off.
Efficiently register and onboard a high volume of new patients by phone, collecting insurance details and setting up charts.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team.
Collect, verify, and maintain provider credentials such as education, licensure, and malpractice insurance.
Enroll providers with Medicare, Medicaid, and commercial insurance payers.
Maintain provider profiles in CAQH and track credential expiration dates for timely renewals.
Foodsmart is a telenutrition and foodcare solution backed by a network of Registered Dietitians, guiding 2.2 million members toward healthier food choices. The company is a remote-first team with a mission-driven culture and recently secured a $200 million investment from TPG's Rise Fund.
Manage referral management portals and monitor all faxed and webform referrals.
Perform insurance benefit verifications and coordinate admissions with facility departments.
Document calls in Salesforce and ensure compliance with confidentiality policies.
Acadia Healthcare is a world-class organization that sets the standard for excellence in the treatment of mental health and addiction concerns. They are one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, with a strong emphasis on admissions and intake functions.
Engage with members by phone to encourage participation in care management programs and complete non-clinical assessments.
Identify barriers to care and connect members with appropriate services, benefits, and community resources.
Accurately document member interactions and operate effectively in a high-volume, remote call-center environment.
This partner company helps members navigate care management programs and access resources to improve their health and well-being. It operates remotely with a focus on compassionate support and efficient operations, though specific size and culture details are not mentioned.
Responsible for accurately entering group and member enrollment data into Facets and eGEMS within specified time frames.
Responds to phone and written inquiries from internal and external customers regarding enrollment and billing.
Analyzes group payments, reconciles invoices, and ensures correct payment amounts.
Capital Blue Cross is a health insurance company and an independent licensee of the Blue Cross Blue Shield Association. They are consistently voted one of the 'Best Places to Work in PA' and prioritize employee well-being and community involvement.
Verify patient eligibility and analyze Medicaid claim payments to ensure proper reimbursement.
Review UB-04 billing components and prepare initial Medicaid bill packets with supporting documentation.
Conduct timely follow-up with payers, manage authorizations, and appeal denials as needed.
EnableComp provides specialty revenue cycle management solutions for healthcare organizations, using intelligent automation to improve financial sustainability for hospitals and health systems. Recognized as a Top Workplaces recipient and among the Inc. 5000 fastest-growing private companies for eleven years, the company fosters a family-oriented culture focused on employee growth.
Hire, manage, and develop a team of Enrollment Specialists, building a repeatable playbook for ramping new hires quickly and implementing coaching for long-term performance standards.
Own the enrollment funnel end to end in partnership with clinical and market leadership, continuously refining based on what the data shows is working.
Build and maintain the team’s Salesforce instance to ensure every patient interaction is captured accurately and enrollment is integrated seamlessly into our new patient workflows.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. It is a venture-backed startup led by experienced leaders in oncology and value-based care.