Efficiently triage incoming calls and resolve member and pharmacy issues with professional phone etiquette.
Identify, document, and escalate concerns to appropriate internal teams to ensure quality care and safety standards.
Support fraud, waste, and abuse programs by reviewing pharmacy claims and communicating findings to internal staff.
Judi Health is a health technology company providing comprehensive health benefit management solutions for employers and health plans. They are rebuilding trust in healthcare with a platform that consolidates claim administration workflows.
Provide member-centered support by answering inbound calls and chats with empathy and clarity.
Resolve core member issues including benefits coverage, cost-sharing concepts, and network provider searches.
Own issues end-to-end using established workflows and document interactions accurately.
Included Health is a healthcare company delivering integrated virtual care and navigation. They are remote-first and focus on raising the standard of healthcare for everyone.
Research, review, and respond to inquiries from members and providers with active listening and empathy.
Manage escalations, handle complaints, and coordinate problem solving with internal teams.
Meet production and quality standards, assist with member portal navigation, and excel in a virtual work environment.
Evry Health is on a mission to bring humanity to health insurance, offering high-technology health plans that expand benefits and provide personalized service. As the major medical division of Globe Life, it has 16.8 million policies in force, over 3,000 corporate employees, and an A (Excellent) rating from A.M. Best for 45+ years.
Provide top-notch customer service via phone, email, and chat to Lively account holders.
Solve complex tasks related to all Lively products with accuracy and empathy.
Generate bug reports and handle data reconciliation through Jira.
Lively offers modern HSA and benefit solutions using user-centric design and technology. It is a remote-first company headquartered in San Francisco with employees across the US.
Deliver exceptional member support via phone, chat, and email.
Educate members on their healthcare benefits and claims, helping them maximize their Garner benefit.
Handle complex and sensitive conversations with professionalism, empathy, and patience.
Garner Health is a healthcare technology company reimagining how healthcare works in the U.S. by partnering with employers to redesign benefits using data-driven insights. It is one of the fastest-growing healthcare technology companies in the country, building a team of mission-driven individuals focused on making a meaningful impact on healthcare at scale.
Identify, outreach, engage, and enroll individuals into the program virtually through phone, text, and email.
Offer education about Pair Team's services and explain the benefits of Enhanced Care Management to eligible members.
Manage the end-to-end enrollment funnel and provide consistent updates on stages including delays and blockers.
Pair Team is a tech-enabled medical group reimagining Medicaid and Medicare for underserved populations, delivering whole-person care. They are one of the largest Enhanced Care Management providers in California, with a workforce of nurses, social workers, and medical professionals, and have demonstrated a 58% reduction in emergency department visits.
Handle incoming calls in a fast-paced call center environment, assisting members with benefits, eligibility, and claims inquiries.
Maintain composure and positivity while de-escalating challenging situations and managing relationships with members.
Apply standard operating procedures and recommend process improvements for a better member experience.
Blue Cross and Blue Shield of Minnesota is a nonprofit health insurance company committed to transforming healthcare. It is one of the most recognized healthcare brands in Minnesota with a large network of doctors and a culture based on collaboration and integrity.
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.
Communicate with members via phone and email, providing empathy and care in every interaction.
Listen to members to understand their unique needs and offer tailored solutions.
Collaborate with your team to share knowledge and best practices while accurately documenting interactions.
Achieve is a leading digital personal finance company that helps everyday people move from struggling to thriving by providing innovative financial solutions. With over 3,000 employees in mostly hybrid and work-from-home roles across the United States, we put people first and treat them like humans, not account numbers.
Perform initial and ongoing telephonic outreach to individuals and community providers.
Support individuals' health needs by scheduling appointments with the local team.
Build trust and relationships by addressing immediate needs and empowering individuals to pursue recovery goals.
Firsthand supports individuals living with serious mental illness through a holistic team of peer recovery specialists and clinicians. The company fosters a culture of passionate problem-solvers focused on meaningful healthcare impact.
Respond to and document customer technical inquiries via phone, chat, and email, determining solutions with empathy.
Act as a subject matter expert on technical, sales, or supplies support, complying with regulatory requirements and SOPs.
Handle escalations, monitor unresolved tasks, and support International and Social Media teams as needed.
Tandem Diabetes Care manufactures and sells advanced automated insulin delivery systems, like the Tandem Mobi system and t:slim X2 pump, to reduce the burden of diabetes management. The company is a global leader in diabetes technology, based in San Diego, California, and fosters a culture of innovation and personal commitment to the cause.
Handle inbound calls in a high-volume environment supporting SLA objectives.
Provide high quality service and support to callers, efficiently meeting their needs from start to finish.
Collaborate across departments with clinical and non-clinical colleagues to ensure seamless care and positive member outcomes.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. With expertise, scale, compassion, and vision, the company sets the industry standard and employs a mission-driven team committed to helping patients live their best lives.
Conduct outbound and inbound calls to explain services, complete intake forms, and schedule appointments.
Meet performance goals empathetically while documenting interactions in the EHR system.
Collaborate with team members and adhere to HIPAA standards in a high-volume environment.
Zócalo Health is a tech-driven healthcare provider built for Latinos, by Latinos, focused on culturally aligned primary care and social services. Founded in 2021 and backed by leading healthcare investors, they serve marginalized communities with a team of community-based providers and virtual care.
Provide friendly, accurate, and timely service to customers through inbound and outbound interactions across multiple channels, resolving issues and educating on healthcare benefits.
Conduct outbound outreach for program enrollment and clinical quality calls, using consultative listening to overcome objections and guide customers.
Document all interactions thoroughly, adhere to HIPAA and regulations, and meet or exceed performance goals for customer satisfaction and quality.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, making healthcare affordable, and improving patient health. It is a physician-led, growing organization with a collaborative, agile culture emphasizing cross-training and ongoing development.
Serve as the primary point of contact for members by handling inbound phone calls and providing timely support via email and SMS.
Deliver a concierge-level experience by answering questions, resolving issues, and guiding members through the Lifeforce journey with empathy.
Navigate multiple systems, document interactions accurately, and collaborate with clinical, diagnostic, and operations teams to ensure seamless member experiences.
Lifeforce is a longevity medicine program that provides comprehensive diagnostics, clinical experts, health coaches, and personalized protocols to help people optimize their health. The company is a fast-paced, fully remote startup with a concierge-level customer experience culture.
Serve as the vital link between members and their dental care by answering 40-60 inbound calls daily, addressing inquiries with compassion and expertise.
Capture member information accurately, investigate unresolved issues, and collaborate with internal teams to ensure timely resolutions.
Maintain flexibility and compliance with HIPAA, while navigating multiple software systems in a high-volume call center environment.
Avēsis has been providing essential ancillary benefit solutions since 1978, developing and administering programs covering over 8.5 million members. They strive for excellence in member satisfaction and client retention, fostering a culture of inclusivity and diversity.
Handle high-volume inbound patient inquiries in English and Spanish via phone and digital channels.
Schedule appointments, register new patients, and maintain accurate EHR records.
Verify insurance, screen for financial assistance, and follow HIPAA-compliant procedures.
Jobgether uses AI-powered matching to review applications quickly and fairly, sharing top candidates with hiring companies. It is a platform that connects job seekers with roles, focusing on efficiency and data privacy.
Perform outbound calls to enroll individuals into a food box program or reauthorize them in the program.
Help members make decisions that enhance their healthcare experience with empathy and compassion.
Make a positive difference in people's lives by supporting their health journey through tailored nutrition.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily to improve healthcare outcomes. With over 30 years of experience, they integrate human touch with data-driven technology and foster a collaborative, innovative culture focused on empowering growth through trust and accountability.
Serve as a primary point of contact for clients, managing inbound and outbound communications to resolve inquiries.
Connect with customers via phone, email, chat, or social media to de-escalate issues and track call data.
Upsell when required and escalate interactions as necessary.
TP is a leading global provider of digital business services, partnering with prominent brands to optimize operations through technology and sustainability. With a workforce of 500,000 across 300 languages, they foster a culture of inclusion and diversity.