Receive and respond to prescription refill requests through various communication channels, verifying validity and accuracy while ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately, adhering to established protocols and providing exceptional customer service to stakeholders.
Collaborate with interdisciplinary teams and provide administrative support to clinical staff and managers for medication refill programs and special projects.
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. The company interacts with 1 in 3 Americans every day and integrates the power of human touch with data-driven technology in its mission to make healthcare better for all.
Coordinate care for adolescent and young adult patients, including outreach, chart scrubbing, and panel management.
Provide medical assistant duties and support the care team with referrals, follow-ups, and documentation.
Communicate with patients and families via phone, MyChart, and email to ensure compliance and care coordination.
Oregon Health & Science University is a public academic health center in Portland, Oregon, providing patient care, groundbreaking research, and training for healthcare professionals. It is the largest employer in Portland, operating hospitals and clinics across Oregon and Southwest Washington, and is committed to being an anti-racist, multicultural institution.
Serve as the primary point of contact for physicians, clinics, and healthcare stakeholders, ensuring consistent communication and trusted relationships.
Support healthcare providers in navigating patient assistance programs, including enrollment, reimbursement, and therapy access processes.
Manage and complete all required documentation such as special authorizations, prescription renewals, and enrollment forms with accuracy and timeliness.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to ensure fair and efficient recruitment processes, and foster inclusive employee programs.
Coordinate care between physicians, patients, and pharmacies to facilitate access to specialty medications for complex disease states.
Review chart notes and perform utilization management, handling case assignments and documenting case progress.
Provide clinical expertise to prescribers and guide prescribing offices through the prior authorization process.
Archimedes is the industry leader in specialty drug management solutions, transforming the PBM industry to provide alignment, value, and transparency. The company achieves superior results for clients by eliminating conflicts of interest and delivering rigorous clinical management at the lowest net cost.
Manages essential administrative and clinical-adjacent functions such as medication prior authorizations and scheduling.
Ensures tasks comply with organizational standards and regulatory requirements to promote a seamless care experience.
Supports clinical and operational scheduling and provides flexible administrative support to Care Teams.
This organization provides operational support for healthcare member care. They focus on ensuring accuracy and efficiency in workflows like prior authorizations and toxicology result entry.
Lead and manage a team of Patient Support Associates, providing coaching and performance development.
Ensure medication access through refills, prior authorizations, and financial assistance.
Oversee pharmacy workflows, conduct system audits, and collaborate with hospital stakeholders.
Shields Health Solutions specializes in specialty pharmacy services and patient support for hospitals and clinics. The company fosters a culture of patient-focused care and team collaboration, with a remote and onsite workforce.
Respond to patient inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy, including answering inbound calls and conducting status checks.
Make outbound patient refill phone calls, coordinate medication refills including data entry and pharmacy claim adjudication, and resolve adjudication error messages.
Manage, organize, and update relevant data using database applications, identify trends, and participate in process improvement initiatives.
Shields Health Solutions is a healthcare company that partners with health systems to deliver specialty pharmacy services. They focus on patient engagement and medication adherence through integrated care models.
Design and configure prior authorization criteria, decision trees, and authorization parameters within the PA system.
Perform quality assurance and quality control reviews to ensure clinical intent and regulatory compliance.
Collaborate with internal teams and external clients to support delegated PA services and system optimization.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. The company is a public benefit corporation focused on rebuilding trust in healthcare in the U.S., with a culture that emphasizes collaboration and client support.
Handle inbound pharmacy calls and make outbound refill reminders to guide patients through the refill process.
Coordinate medication refills including data entry, claim adjudication, and resolving patient and provider inquiries.
Collaborate with pharmacists, clinicians, and internal teams to ensure timely and accurate patient support and process improvements.
Shields Health Solutions is a healthcare company that focuses on patient engagement and medication refill support for pharmacies. The company is large enough to offer benefits like medical, dental, and vision insurance, 401(k) match, and paid parental leave, and emphasizes a collaborative and supportive culture.
Lead and manage a team of Patient Engagement members to ensure timely medication refill support and high-quality patient care.
Proactively manage support in assigned hospitals and clinics to ensure patients receive medications on time and service level goals are met.
Provide ongoing coaching, performance management, and professional development to drive team success and adoption of best practices.
Shields Health Solutions provides patient engagement and pharmacy support services to hospitals and clinics. It is a fast-growing company with a focus on high quality and accountability.
Provide expertise in prior authorization and implement the Inspire Prior Authorization Program.
Support patient intake, verify insurance, and manage prior authorization requests.
Train sites on program requirements and assist with appeals through External Medical Review.
Inspire Medical Systems is a medical device company dedicated to treating Obstructive Sleep Apnea with an innovative FDA-approved device. The company values a people-first culture, offering excellent benefits, 401k matching, and flexible time off, and is committed to diversity and patient outcomes.
Manage patient communication and care team coordination to ensure smooth clinical operations.
Support lab and medical records processes, including collecting records and managing prior authorizations.
Assist patients with program inquiries, scheduling, and billing questions.
Form Health is a national telemedicine weight loss clinic specializing in helping patients with obesity lead healthier lives. Founded in 2019, it is a venture-backed startup with an experienced clinical team dedicated to high standards of care and empathy.
Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.
CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.
Contact physician offices for refill authorizations and verify orders.
Process new and refill prescriptions, ensuring accurate data entry and maintaining productivity.
Answer incoming calls promptly and provide high standard of customer service.
Symbria Rx Services is a 100% employee-owned healthcare company that provides patient-centered care to the geriatric population in senior-living and post-acute settings. For over 20 years, they have been delivering an outstanding work environment for talented employees.
Receive and respond to prescription refill requests via phone, email, fax, and Telephone Encounter.
Verify validity and accuracy of refill requests, ensuring compliance with regulatory guidelines.
Provide exceptional customer service and collaborate with interdisciplinary teams to optimize workflow.
Carenet Health pioneers advancements in healthcare consumer experience, interacting with 1 in 3 Americans daily to improve outcomes. They foster a collaborative, innovative culture with an entrepreneurial spirit.
Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases.
Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support.
Meet all departmental goals including schedule adherence, attendance, and quality monitoring.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are building trust in healthcare in the U.S. and deploying infrastructure for better care.
Coordinates all patient scheduling activities including appointments, procedures, and exams for multiple facilities.
Collects clinical information, verifies insurance and demographics to ensure appropriate scheduling.
Serves as a resource for staff, physicians, and referring offices to improve patient access.
Lehigh Valley Health Network is a nationally recognized health network with multiple hospitals and facilities in Pennsylvania. It employs nearly 20,000 health care professionals and has a culture of trust, collaboration, and excellence, certified as a Great Place to Work.
Grow the number of new patients filling at Shields partner pharmacies.
Lead, coach, and inspire a team of outreach coordinators.
Develop new patient engagement strategies and optimize outreach workflows.
Shields Health Solutions partners with health systems to build specialty pharmacy programs. They are a growing organization focused on operational excellence and a winning culture.
Collaborate with a multidisciplinary team to manage referrals, prior authorizations, and medical records for whole-person member care.
Apply knowledge of CPT/ICD-10 codes and insurance requirements to obtain authorizations, appeals, and follow up for positive outcomes.
Assist members with accessing services, provide personalized customer service, and track data to refine operational processes.
Oshi Health is a virtual digestive health practice transforming GI care with compassionate, multidisciplinary care and innovative technology. It is a mission-driven, remote-first startup focused on personalized care plans and building a diverse team.
Provide remote clinical support and care coordination for oncology patients through phone, portal, and email.
Assist with patient scheduling, medication reconciliation, and coordination of lab and diagnostic tests.
Communicate effectively with patients, families, and healthcare team members, ensuring timely escalation of clinical concerns.
OncoveryCare is an early-stage virtual healthcare company committed to transforming physical and mental healthcare for cancer survivors. Our team is composed of cancer survivors, clinicians, and experts, fostering a culture of clinical integrity, trauma-informed care, and inclusivity.