Source Job

• Conduct telephonic case management and thorough assessments of patients' physical, psychosocial, and financial needs.
• Develop and monitor treatment plans in collaboration with patients, caregivers, and multidisciplinary teams.
• Negotiate cost management strategies and maintain detailed documentation while meeting productivity and quality standards.

Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers and health plans with data-driven solutions and are on a mission to empower people to lead healthier lives.

• Monitor a specific group of patients and support them in achieving short and long term health goals.
• Coordinate with providers to ensure patients' needs are met through remote monitoring technology.
• Manage patient onboarding, device setup, data management, and quality assurance for remote monitoring programs.

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130 medical providers, caring for more than 200,000 patients statewide. Their mission is to help communities 'Live Better, Live Longer' through personalized healthcare, with a focus on preventing leading causes of death.

• Process referrals to MTM team and schedule appointments for patients.
• Provide phone support and document patient information in electronic health records.
• Assist with prior authorizations and billing to help patients access affordable medications.

UnityPoint Health is a healthcare system providing medical services. It is recognized as a Top 150 Place to Work in Healthcare and offers a supportive culture for team members.

• 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.

• Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program.
• Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
• Managing case assignments which includes outreach, documentation, monitoring for case progression, and case closure.

Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine. Guidehealth is a growing and innovative organization and employees are expected to adapt to evolving business needs.

• Support the clinical team with administration of cases, including creation, distribution, and follow-up of case progress and status reports.
• Monitor administrative accuracy of new cases and assist with processing invoices for clinical interventions.
• Collaborate with internal and external stakeholders to ensure accurate case documentation and efficient processes.

Lyra Health is the leading provider of mental health solutions for employers, supporting over 20 million people globally. The company has delivered 13 million sessions of mental health care and is transforming access to care through an AI-powered platform.

• Answer calls and resolve questions, routing to appropriate departments.
• Complete documentation in EMR and marketing systems, including initial prescreening.
• Schedule new and returning patients and complete follow-up duties.

Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.

• Completes telephonic outreach to engage and schedule patients for health assessments.
• Maintains call targets and metrics to ensure program success and volume goals are met.
• Provides patient education and coordinates appointments and resources as needed.

Lumeris empowers value-based care, making healthcare safer, more affordable and personalized for providers, patients, and payers. The company is an EEO/AA employer with a focus on growth and employee engagement in a fast-paced environment.

• Serve as the primary contact for CM/UM programs and operational questions related to the MyCare Platform.
• Build relationships with provider offices through outreach and timely follow-up, resolving issues within defined turnaround times.
• Educate providers on submission requirements, documentation, timelines, and available CM/UM resources.

Personify Health created a personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while improving health outcomes.

• Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
• Manage high-complexity insurance workflows and inbound support requests to collect documentation.
• Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.

Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.

• Coordinate patient billing, document management, and inbound support queries with accuracy and HIPAA compliance.
• Liaise with care operations and finance teams to resolve billing discrepancies and maintain patient records.
• Serve as first point of contact for patient queries, triaging clinical issues and maintaining resolution logs.

Sphere Health is a physician-led telehealth platform focused on patient experience and operational excellence. It operates in a pre-launch phase with a small, purpose-driven team aiming to transform how patients experience care.

• Review medical records to identify clinical information and flag missing documentation.
• Coordinate medical record requests and track case pipelines to ensure timely receipt.
• Support provider and patient outreach and contribute to operational improvement projects.

Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.

• Manage daily hospital census of engaged members, reviewing alerts and updating information in the EMR system.
• Communicate with hospital/discharge planners, notifying patients of WellBe's awareness of their hospitalization, and track admissions.
• Engage in telephonic conversations with patients and families, explaining the WellBe program and aiming to schedule post-discharge appointments.

WellBe is pioneering a new way of healthcare that is revolutionizing the industry. They have a patient-focused environment that ensures patients can live a fulfilling life, offering growth and development opportunities across expanding markets and celebrating success globally.

• Obtain and manage insurance authorizations for residents receiving skilled nursing and rehabilitation services.
• Monitor authorization status, track expiration dates, and submit timely extension requests to prevent coverage gaps.
• Collaborate with clinical, admissions, and payer representatives to ensure timely approvals and accurate documentation.

Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging a global network, they connect clients with qualified professionals and offer tailored services to meet unique business needs.

• Serve as primary point of contact for specialty pharmacy patients from enrollment through therapy adherence, handling benefits verification and prior authorization.
• Manage a caseload independently, perform outbound calls, and coordinate with pharmacy partners to ensure accurate therapy and shipment status.
• Maintain strict patient confidentiality per HIPAA, recognize and report adverse events, and follow program-specific protocols.

Caretria provides patient support services for specialty pharmacy patients, focusing on enrollment, benefits verification, and care coordination. The company values empathy, urgency, and accuracy, and offers a comprehensive benefits package to its employees.

• Act as main contact for assigned accounts, reviewing and verifying FMLA and Disability forms for compliance.
• Pull and complete forms ensuring accuracy, handle high call volumes, and maintain production goals.
• Log detailed information, update disclosures, and provide excellent customer service while protecting patient privacy.

MRO Clinics provides management and release of protected health information to healthcare facilities. The company focuses on compliance, accuracy, and world-class customer service.

• Manage front desk operations, patient scheduling, insurance verification, and prior authorizations.
• Support medical billing by reviewing claims, posting payments, and following up on denials.
• Maintain HIPAA compliance while handling patient records and administrative tasks.

• Conduct high-volume telehealth intake appointments to assess patient goals and explain service offerings.
• Manage scheduling, lab orders, prescription logistics, and EHR maintenance for a fully remote care team.
• Drive patient engagement through strategic outreach, coaching, and issue resolution to ensure high satisfaction.

Bold is the leading healthy aging platform, offering personalized, evidence-based exercise programs for Medicare members that help prevent falls, reduce pain, and increase activity. The company is backed by leading investors including Andreessen Horowitz and Khosla Ventures and has a patient-centered care team.

• Assess member needs and oversee development of client care plans
• Connect clients to social services and advocate with healthcare professionals
• Complete documentation and maintain patient health records in EMR system

Vynca provides comprehensive care for more quality days at home for individuals with complex needs. They are a close-knit community operating with core values of Excellence, Compassion, Curiosity, and Integrity.

• Serve as a key point of contact for patients, coordinating scheduling, insurance verification, and follow-up activities.
• Manage inbound and outbound calls, maintain accurate EMR records, and ensure HIPAA compliance.
• Communicate with patients, providers, and insurance companies to deliver high-quality, patient-centered care.

SnappyCX provides customer support and administrative services to various industries. They operate with a remote team and emphasize a fast-paced, healthcare-focused environment.