Review and complete disability and leave documentation for patients.
Communicate with healthcare providers to gather required medical information.
Ensure compliance with HIPAA and manage multiple cases independently.
The company provides innovative healthcare technology solutions that streamline patient documentation. It operates remotely with a focus on accuracy, service, and operational excellence, though team size is not specified.
Process medical record requests accurately and efficiently according to established procedures.
Manage incoming requests through multiple channels and ensure timely completion within required service timelines.
Respond to patient questions and requests through phone communication with professionalism and empathy.
Our partner supports the healthcare ecosystem by helping patients, providers, and organizations access critical medical information efficiently and securely. They offer a supportive, mission-driven environment with opportunities for growth and development.
Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.
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.
Serve as a key point of contact for patients scheduling diagnostic imaging services including CT, MRI, mammography, and more.
Manage high-volume inbound and outbound patient interactions to coordinate appointments and address inquiries.
Document all interactions accurately in compliance with HIPAA and client protocols while navigating multiple systems.
Carenet Health is a healthcare contact center company that provides patient support and scheduling services. The company fosters a collaborative, innovative culture with a focus on empowering growth through trust and accountability.
Manage order release, billing setup, and documentation follow-up to support accurate and timely revenue realization.
Review pending orders, resolve issues with cross-functional teams, and prioritize worklists to minimize billing delays.
Provide responsive customer service and identify process improvements to enhance operational quality and efficiency.
The company provides healthcare operational support, focusing on order management and billing to ensure timely revenue realization. It fosters a remote-first culture with an emphasis on collaboration, diversity, and employee wellbeing.
Ensure compliance with healthcare privacy and collection regulations, including HIPAA and FDCPA.
Jobgether is a platform using AI-powered matching to connect candidates with hiring companies. It operates as a recruitment intermediary, focusing on efficient and objective candidate review.
Connect with customers via phone, email, chat, and social media to resolve their questions or concerns.
Calmly de-escalate issues and escalate interactions when necessary.
Track all call-related information for auditing and reporting purposes.
TP is a global digital business services company that delivers advanced, digitally powered business services to help brands streamline their business. With over 500,000 employees speaking 300+ languages, they foster an inclusive and diverse culture.
Connect with customers via phone/email/chat/social media to resolve questions or concerns.
Calmly de-escalate issues and escalate interactions when necessary.
Track call information for auditing and reporting, and upsell if required.
TP is a leading global provider of digital business services, partnering with top brands to optimize operations through technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion and diversity where every employee feels valued.
Answer inbound patient calls promptly, document in EMR, and route to appropriate departments.
Make outbound calls for scheduling, follow-ups, and targeted campaigns while maintaining HIPAA compliance.
Meet performance metrics like handle rate and SLA adherence while collaborating with clinical teams.
Accompany Health is a primary, behavioral, and social care provider for patients with complex needs, offering at-home and virtual care with 24/7 support. The company is distributed across the US, with a mission-driven, empathetic care team and a startup culture.
Manage patient intake, scheduling, and payment collection to support clinic growth.
Handle virtual check-ins, welcome calls, and authorization management via WelcomeWare platform.
Track and analyze reports on patient metrics, referrals, and clinical performance using Power BI.
Upstream Rehabilitation provides outpatient physical therapy and rehabilitation services across multiple locations. As a large organization, they emphasize a collaborative, patient-centered culture and support for teammates.
Create a welcoming experience by authentically engaging every caller and providing a world-class experience.
Thoroughly and accurately answer questions about customers' healthcare accounts and provide appropriate solutions.
Handle 35-50+ inbound and outbound phone calls per day and work closely with claim staff to adjust claims.
Point C Health is a national third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company with a focus on partnership, innovation, and a supportive culture.
Manage daily workflow functions for Periscope requests and assessments
Serve as the primary point of contact for health plans and therapists
Maintain strict patient confidentiality in compliance with HIPAA
Founded in 1997, The Periscope Group is a privately held consulting company providing accurate, timely, and objective reports that help medical management teams serve vulnerable populations. Our services now reach all demographics and lines of business across 46 states.
Handle inbound calls from patients, attorneys, and insurance providers to resolve billing-related issues.
Communicate revenue cycle processes and insurance information clearly to ensure positive customer experiences.
Apply knowledge of healthcare insurance terminology and payer requirements to support accurate responses.
The company is a healthcare services organization that provides patient support and revenue cycle management services. It fosters a patient-focused, remote work culture with an emphasis on empathy and professionalism.
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.
Performs clinical evaluations on disability claims to substantiate medical necessity for absence.
Communicates with employees and providers to discuss clinical status and provides follow-up recommendations.
Acts as a clinical resource to claims examiners, ensuring accurate medical terminology and claim decisions.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with AI-enabled technology and expertise. With over 33,000 colleagues and 10,000 clients across 80 countries, they've been recognized as a Great Place to Work and offer a caring culture.
Processes referral requests and authorizations for patients, ensuring timely and accurate scheduling.
Communicates with physicians, employers, and payors to coordinate specialist referrals and obtain necessary information.
Maintains high standards of quality and patient experience while meeting production requirements.
Concentra operates over 500 medical centers and 130 onsite clinics nationwide, focusing on providing high-quality healthcare to improve the health of America's workforce. The company emphasizes a culture of outstanding patient experience and customer service.
Manage inbound and outbound patient communications to resolve billing questions and account balances.
Conduct account investigations and follow-up activities to ensure timely resolution of outstanding balances.
Support daily patient account operations within a collaborative practice operations environment.
Jobgether is an AI-powered job matching platform connecting candidates with hiring companies. It uses technology to review applications efficiently and fairly, supporting a fair hiring process.
Handle patient inquiries via phone, email, and SMS, providing status updates and technical support.
Navigate multiple software systems and use a knowledgebase to resolve issues quickly.
Achieve performance metrics including CSAT scores and error rates within 90 days.
Phil is a health-tech startup that provides a patient support platform for prescription management. It is a fast-growing company with a remote-first culture.
Process medical records requests accurately and within required turnaround timelines.
Manage incoming payer communications and support billing operations, including refunds and claim-related activities.
Collaborate with internal teams to improve workflows and ensure compliance with healthcare requirements.
Our partner company is a mission-driven organization focused on improving access to quality care. They are a growing organization that values operational excellence and patient experiences.