Process and maintain accurate Medicare enrollment and disenrollment requests, ensuring compliance with CMS regulations.
Reconcile membership reports and resolve enrollment system rejections, building case files for CMS approval.
Mentor junior team members and collaborate on special projects, including process documentation and quality reviews.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, aiming to modernize operations and improve competitiveness. UST HealthProof, a fast-growing company, focuses on reducing administrative costs and improving healthcare experiences, led by seasoned leaders fostering a supportive, growth-oriented environment.
Place outbound calls to Medicare eligible customers from qualified leads and assist in transferring to licensed sales agents.
Ask required scripted questions, overcome objections, and explain benefits during open enrollment.
Meet transfer targets, disposition each call, and work weekends as required.
TP is a leading global provider of digital business services, partnering with top brands to optimize operations through technology and sustainable practices. With 500,000 employees across 300 languages, we foster inclusion, diversity, and limitless career advancement.
Coordinate the end-to-end provider enrollment process, preparing and submitting applications to Medicare, Medicaid, and other payers.
Maintain accuracy of provider data in systems like NPPES, PECOS, and CAQH, and track facility privileging requirements.
Collaborate with internal teams to align enrollment timelines and ensure compliance with federal, state, and facility regulations.
Curana Health is a national leader in value-based care for older adults, providing primary care services and care coordination in senior living communities and skilled nursing facilities. Founded in 2021, the company serves over 200,000 seniors across 1,500+ communities and employs more than 1,000 clinicians, with a fast-paced, mission-driven culture.
Manage standard onboarding workflows for physical therapist enrollment across contracted payers and partner networks.
Review provider credentials, prepare application packets, and maintain accurate database records for compliant credentialing.
Communicate with insurance carriers and internal teams to ensure timely enrollment and resolve routine barriers.
Luna is revolutionizing the delivery of physical therapy by providing in-home care through a digital platform. As a start-up with supportive leadership, they offer opportunities for growth alongside a dedicated team.
Process enrollment and billing tasks through multiple channels while managing an assigned caseload.
Develop a comprehensive understanding of Oscar's enrollment and billing processes, tools, and regulations.
Monitor work-in-progress, escalate issues, and support process improvement initiatives.
Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, Oscar behaves like a doctor in the family, and fosters a culture where people can be their most authentic selves.
Handle inbound calls from individuals in SEP or annual enrollment windows and perform needs assessments.
Present and compare ACA Marketplace, Medicare Advantage, Supplement, and Part D plans, documenting in CRM.
Meet service and productivity metrics while maintaining active licensure and staying current on CMS rules.
When is a platform for guided health insurance decisions at life events, offering When Choice, When Medicare, and When ICHRA. They've supported 1M+ employees and 204K+ events for Fortune 500 employers, reducing COBRA enrollment.
Make 8-15 outbound calls per hour to U.S. Medicare patients.
Educate patients on doctor-recommended RPM and CCM programs.
Obtain verbal consent and document enrollment accurately.
1bios is a U.S.-based healthcare company providing Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and other virtual care programs to physician practices across the United States. The company operates a remote-first team and is hiring independent contractors for flexible full-time or part-time work.
Serve as the primary non-clinical contact for members, providing timely and empathetic assistance via phone, email, and other channels.
Explain healthcare benefits and programs, coordinate appointments, and manage cases from intake through resolution.
Collaborate with clinical teams and providers to remove barriers to care and ensure a seamless healthcare journey.
The company provides healthcare navigation and member support services, helping members access essential healthcare services. The culture emphasizes customer service, remote work, and professional development in a technology-driven healthcare environment.
Provide professional and timely service to internal and external customers regarding benefit administration.
Resolve benefit service issues with internal staff and outside vendors.
Perform monthly reconciliation of Carrier invoices to report to customers.
OneSource Virtual (OSV) works exclusively with Workday customers to automate payroll, taxes, earned wage access, accounts payable, and benefits. With over 1,500 customers and 92% retention, OSV offers a values-based culture and professional development.
Execute day-to-day provider enrollment, credentialing, and licensing tasks under the guidance of Specialists and Team Leads.
Accurately input, maintain, and update provider data across credentialing databases and internal systems.
Identify and escalate issues, discrepancies, or complex cases to the appropriate team member in a timely manner.
Allara is a comprehensive women’s health provider specializing in expert, longitudinal care for hormonal, metabolic, and reproductive health. It is one of the fastest-growing women’s health platforms in the U.S., with a mission-driven, collaborative culture focused on bridging gaps in healthcare.
Serve as first point of contact for members and providers via phone and email, resolving health insurance inquiries.
Use active listening and empathy to understand issues, explain benefits, claims, and coverage, and document interactions.
Maintain a structured schedule, with availability during peak season, and uphold the Gravie CARE service model and core values.
Gravie creates innovative health benefits for small and midsize businesses, focusing on solutions that genuinely benefit employees. The company is well-funded, non-hierarchical, and merit-driven, with a culture that values authenticity, curiosity, and creativity.
Conduct Medicare Annual Wellness Visit screening questionnaires with patients by phone.
Document patient responses accurately in the EMR during the call.
Support eligible patients with scheduling their wellness screenings.
Welltality is a healthcare company that conducts Medicare Annual Wellness Visit screenings by phone, offering a remote alternative to traditional clinic environments. The company emphasizes flexibility, supportive management, and a collaborative team culture, with team members often staying long-term.
Provide excellent customer service while ensuring customer accounts comply with state resale certificate regulations.
Process resale renewals, monitor incoming faxes and emails, and update customer information within 24 hours.
Collaborate with Inside Sales and Credit to resolve resale issues, meet monthly deadlines, and maintain accurate customer records.
SanMar is a leading apparel and accessories company, providing private label and brand-name products like Nike and The North Face. They have a large workforce across North America and emphasize a supportive, inclusive culture focused on employee growth.
Greet patients professionally in person and over the telephone, setting a positive tone for their visit.
Obtain and verify all required patient and insurance information, entering it accurately into the registration system.
Schedule patient appointments, including return visits, referrals, and diagnostic procedures.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals serving over half a million residents across 29 counties. They emphasize a culture of excellence, teamwork, positivity, and creativity, with a focus on exceptional patient experiences.
Manage day-to-day health plan relationships, program commitments, and client communications.
Coordinate onboarding and delivery with internal teams, monitor service levels, and resolve issues.
Lead business reviews with performance insights and maintain alignment between client expectations and deliverables.
This role is with a healthcare services company that partners with health plans to deliver clinical assessments and close care gaps. The company uses AI to review applications and is committed to fairness and transparency in hiring.
Handle inbound calls, chats, emails, and faxes from healthcare providers, resolving questions on authorizations, claims, and provider services.
Document each interaction, research issues, and ensure accurate, timely follow-up with providers.
Guide providers through processes like checking authorization status, submitting claims, and navigating the provider portal.
Curana Health is a national leader in value-based care, offering senior living and skilled nursing facilities solutions such as on-site primary care, ACOs, and Medicare Advantage plans. Founded in 2021, it serves 200,000+ seniors in 1,500+ communities across 32 states with 1,000+ clinicians.
Conduct outbound calls to members to schedule Annual Wellness Visits, preventive screenings, and primary care consultations.
Educate members about available healthcare benefits and the importance of completing recommended visits.
Coordinate with provider offices and internal teams to secure appointment availability and maintain accurate documentation.
This company provides population health and care coordination programs, helping members access preventive and primary care services. The team operates as a remote, performance-driven call-center environment focused on member outreach and appointment scheduling.
Verify insurance eligibility, benefits, and patient liability to ensure accurate financial clearance.
Collaborate with providers, authorization teams, and payers to resolve coverage questions.
Maintain accurate records and communicate financial expectations to patients.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. They partner with companies to manage applications and provide a collaborative hiring process.
Lead external customer audits and utilization management oversight activities as a subject matter expert.
Analyze complex UM data, investigate findings, and prepare evidence-based responses for regulators and accreditation organizations.
Collaborate with operational, technical, and client-facing teams to drive compliance and process improvements.
This company is a healthcare organization specializing in utilization management and regulatory compliance. It operates with a remote team across the United States, fostering a collaborative and improvement-driven culture.