Provide service for inbound pharmacy phone calls and/or placing outbound patient refill calls.
Assist the patient through the entire refill process.
Respond to patient requests and inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy.
Shields Health Solutions partners with hospital leaders to build world-class specialty pharmacy programs. They offer solutions for hospitals to elevate care, improve financial outcomes, and streamline operations.
Directly communicate with insurance companies to facilitate the approval of medications.
Navigate pharmacy operating systems to input data and prepare action plans for follow-up.
Communicate directly with patients over the phone to assist them in medication compliance.
Shields Health Solutions provides integrated pharmacy solutions. They partner with hospitals and health systems to improve patient outcomes and create financial value.
Prepares and submits clean claims to various insurance companies.
Identifies and resolves patient billing complaints.
Performs various collection actions including contacting patients by phone.
SelectQuote provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience.
Contact and communicate with providers to obtain required medical record documentation.
Respond to telephone inquiries promptly, professionally, and efficiently to provide resolution.
Analyze provider questions to determine the best use of resources to resolve the situation.
Empower AI provides federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.
Making outbound calls to patients, members, and customers.
Helping patients make decisions that will enhance their healthcare experience.
Assisting members and patients with benefits and insurance information.
Carenet Health pioneers advancements for experiences across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.
Communicate with patients and explain the Shields Partner Pharmacy program.
Access patient's EMR and review chart notes prior to outbound calls.
Identify medications requiring special storage and necessary supplies.
Shields Health Solutions proactively grows the specialty pharmacy patient population. They provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type.
Conduct outbound and inbound calls to potential patients to explain services and assist with enrollment or scheduling.
Complete short intake forms to accurately collect demographic, eligibility, and clinical information.
Schedule patient appointments based on availability, location, and provider match.
Zócalo Health is a tech-driven healthcare provider built for Latinos, by Latinos, developing a new approach to care designed around shared experiences. Founded in 2021, they are backed by leading healthcare and social impact investors and are committed to expanding their reach to serve more members and communities.
Communicate with patients over the phone about the benefits of the Shields Partner Pharmacy program.
Access patient EMRs to review charts and identify medication needs.
Identify necessary supplies for medications and ensure proper handling.
Shields Health Solutions partners with hospitals and health systems to create specialty pharmacy programs. They focus on improving medication access, adherence, and clinical outcomes for patients with chronic and complex conditions. The company is an equal opportunity employer that values diversity and inclusion.
Receive and respond to prescription refill requests through various communication channels.
Verify the validity and accuracy of prescription refill requests, ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures.
Carenet Health pioneers advancements for healthcare consumer experience. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Create a welcoming experience by authentically engaging every caller, every time.
Thoroughly and accurately answer questions about customers’ healthcare accounts.
Thoughtfully listen to callers’ needs and provide appropriate solutions.
Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. They research the most effective cost containment strategies and are driving down the cost of plans with innovative solutions.
Serve as the primary contact for inbound patient calls, answering questions regarding prescriptions, prior authorizations, and referrals.
Document all patient interactions and requests accurately in the EHR, routing clinical tasks to the appropriate teams according to escalation protocols.
Follow standardized workflows, adhering to HIPAA requirements and meeting service-level expectations for response time and accuracy.
Midi Health is on a mission to transform care for women in midlife. They aim to build a best-in-class team while working with smart, purpose-driven people.
Act as the primary point of contact for new patients calling and emailing in.
Efficiently register and onboard a high volume of new patients.
Precisely verify patient insurance information to confirm active coverage and eligibility.
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 that values its employees.
Receive and respond to prescription refill requests through various communication channels.
Verify the validity and accuracy of prescription refill requests, ensuring compliance with guidelines.
Prepare and dispense prescription refills accurately and efficiently, following organizational protocols.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They deliver positive healthcare experiences and improve outcomes by integrating human touch with data-driven technology.
Helping transfer calls between patients/pharmacies/doctors.
Provide first-level support to customers via email and/or chat in a timely and professional manner.
Address customer inquiries, troubleshoot problems, and guide users through basic issue resolution steps.
Helpware is a technology-driven company that provides Customer Experience & Operational Support for modern companies. They have offices in the USA, Ukraine, Mexico, Germany, Albania, Poland, Puerto Rico, and the Philippines.
Collect, review, and track required documentation from caregivers and families.
Make outbound calls and respond to inbound inquiries to guide families through the documentation process.
Handle a high volume of phone interactions daily while maintaining professionalism, empathy, and efficiency.
Abby Care is making family care possible by training and employing family caregivers so they can get paid for the care they already provide at home. They are building a tech-powered, family-first care platform to improve health outcomes, and provide the best-in-class experience nationwide.
Provide accurate information on health plan benefits, eligibility, and claims.
Handle inbound/outbound calls and respond to email inquiries.
Deliver an exceptional customer service experience to members and providers.
Evry Health's mission is to bring humanity to health insurance. Their high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL).
Serve as the client liaison for all incoming intake calls.
Demonstrate knowledge of organizational structure and criteria to clients.
Initiate client Biopsychosocial Assessment by utilizing motivational interviewing techniques.
Groups Recover Together was founded in 2014 to make treatment for opioid addiction respectful, accessible and affordable. They empower their members to regain control of their lives through a combination of community support, outpatient weekly group therapy and medication.
Answer inbound calls with professionalism and customer service.
Assist with appointment scheduling calls and follow up on missed appointments.
Triage calls to determine if it is a request, complaint or grievance, and escalate or resolve.
New York Psychotherapy and Counseling Center (NYPCC) is New York State’s largest community mental health clinic, serving more than 15,000 clients each month through accessible in-person and telehealth services. They have over 50 years of experience. In 2025, NYPCC was recognized by City & State as both a Top Place to Work and a Top Mental Health Care Provider in New York, and they are proud to hold Mental Health America’s Platinum Bell Seal.
Auditing incoming applications to ensure all required information is documented.
Handling multiple applications simultaneously with using BPM, Cactus, CAQH, and Facets.
Communicating effectively with providers and internal teams to resolve any issues and ensure smooth operations.
BlueCross BlueShield of Tennessee has been helping Tennesseans find their own unique paths to good health since 1945. At BCBST, they empower their employees to thrive both independently and collaboratively, creating a collective impact on the lives of their members.