Answer inbound calls from Medicare Advantage members and providers with empathy and professionalism.
Handle inquiries regarding benefit eligibility, enrollment, and claims status while conducting thorough research.
Navigate multiple systems to resolve issues and advocate for members, ensuring first-call resolution.
Johns Hopkins Health Plan provides health insurance services to members. It is part of the Johns Hopkins Health System, a large organization with a diverse team of healthcare professionals.
Create a welcoming experience by authentically engaging every caller and providing a world-class experience.
Thoroughly and accurately answer questions about customers' healthcare accounts and provide appropriate solutions.
Handle 35-50+ inbound and outbound phone calls per day and work closely with claim staff to adjust claims.
Point C Health is a national third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company with a focus on partnership, innovation, and a supportive culture.
Handle inbound and outbound calls with prospective DSNP Medicare members, focused on sales, education, and enrollment.
Guide individuals through Dual Special Needs Plan options, helping them understand Medicare and Medicaid benefits and eligibility.
Meet performance expectations around sales goals, call quality, conversion metrics, and schedule adherence.
Connexion Point, an Integrity Marketing company, specializes in customized contact center services connecting healthcare consumers to their providers. They are one of the fastest-growing companies in the US, headquartered in Sandy, Utah, and emphasize a supportive, family-like culture.
Manage telephone, electronic, and face-to-face interactions professionally and efficiently.
Effectively present and discuss products and services to customers with integrity.
Focus on customer retention through first call resolution and enhance member experience.
Capital Blue Cross is a health insurance company providing medical, dental, and vision coverage. It is recognized as a top workplace in Pennsylvania and fosters a supportive culture with flexible work and growth opportunities.
Provide exceptional customer service to patients, labs, and pharmacies via phone and chat.
Develop deep product knowledge to address inquiries about treatments and appointments.
Maintain accurate records of interactions and escalate issues as needed.
Honeydew provides a platform connecting patients to licensed dermatologists and FDA-approved treatments for skin diseases. They have helped over 40,000 patients and are growing rapidly with a mission-driven team.
Takes incoming calls from members and navigates tools to resolve inquiries.
Maintains high service levels and meets performance targets.
Participates in training to develop product knowledge and skills.
Velera is a premier payments credit union service organization and integrated fintech solutions provider serving over 4,000 financial institutions. The company fosters a people-helping-people culture with a remote-first, inclusive environment.
Handle inbound and outbound member and provider inquiries via phone, email, and chat with professionalism and empathy.
Provide accurate information on benefits, eligibility, claims, prior authorization, billing, and provider portal support.
Collaborate with internal teams to resolve complex cases, identify process improvements, and meet performance goals.
XO Health is the first health plan designed by and for self-insured employers, delivering a unified health experience for members, providers, and payers. We are growing a multi-disciplinary team of diverse and digitally empowered employees committed to rebuilding trust in healthcare through transformation.
Conduct educational telephone calls to advise members of benefits, complete health needs assessments, and refer to population health management programs.
Reach out to members with gaps in care, encourage compliance, and assist with locating providers and scheduling appointments.
Manage system work queues, screen members for eligibility and history, and assign to clinical teams for intervention.
BlueCross BlueShield of Tennessee is the state's largest health benefit plan company, helping Tennesseans find paths to good health since 1945. They are a remote-first organization with many employees working from home, fostering a culture of innovation and collaboration.
Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.
Connect with customers via phone/email/chat/social media to resolve questions or concerns.
Calmly de-escalate issues and escalate interactions when necessary.
Track call information for auditing and reporting, and upsell if required.
TP is a leading global provider of digital business services, partnering with top brands to optimize operations through technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion and diversity where every employee feels valued.
Handle inbound calls from patients, attorneys, and insurance providers to resolve billing-related issues.
Communicate revenue cycle processes and insurance information clearly to ensure positive customer experiences.
Apply knowledge of healthcare insurance terminology and payer requirements to support accurate responses.
The company is a healthcare services organization that provides patient support and revenue cycle management services. It fosters a patient-focused, remote work culture with an emphasis on empathy and professionalism.
Engage members through inbound and outbound calls to encourage participation in care management programs.
Complete non-clinical assessments and identify health risks, care needs, and opportunities for clinical follow-up.
Help members schedule healthcare appointments and connect with appropriate resources and benefits.
This company provides care management support services to help members improve their health and well-being. They operate as a fast-paced remote call center environment with a focus on compassionate service and structured processes.
Serve as a key point of contact for members seeking support with healthcare and wellness programs via phone, email, and live chat.
Help participants understand their eligibility, benefits, and available resources while resolving inquiries and escalations.
Support outbound outreach campaigns and accurately document member interactions across multiple systems.
This company connects individuals with healthcare and wellness programs and provides member support services. The team is collaborative and performance-oriented, with a focus on professional development and growth opportunities.
Manage inquiries in Member Services, Medicare, and Billing for Spanish- and English-speaking customers.
Uphold extraordinary customer relations and resolve issues by coordinating with health plan personnel.
Adhere to compliance guidelines, HIPAA regulations, and document all interactions meticulously.
VXI Global Solutions is a BPO leader in customer service, customer experience, and digital solutions. Founded in 1998, the company has 40,000 employees across 40+ locations worldwide and fosters an inclusive, supportive work environment.
Conduct outbound and inbound calls to explain Medicare insurance options and enroll clients in suitable plans.
Meet or exceed sales goals while maintaining compliance with CMS guidelines and company protocols.
Provide ongoing client support post-enrollment to drive renewals and referrals.
AmeriLife is a leader in the development, marketing and distribution of annuity, life and health insurance solutions for those planning for and living in retirement. With over 1,000 associates across the country, we provide agents, marketers and carrier partners the support needed to succeed in a rapidly evolving industry.
Communicate with members via phone and email, providing empathetic support and solutions.
Accurately document interactions and collaborate with the team to share best practices.
Handle a high volume of inbound calls with a solution mindset and people-focused approach.
Achieve is a leading digital personal finance company helping people move from struggling to thriving with personalized financial solutions. We have over 3,000 employees in mostly hybrid and remote roles across the United States, with a culture focused on empathy and inclusion.
Handle incoming calls and answer routine to complex questions from members and providers.
Investigate member inquiries and provide timely responses within SLAs.
Document customer interactions in CRM and maintain accurate records.
Qualfon is a global provider of omnichannel customer experience and business support solutions. They strive to help people pursue their total vocation by creating job opportunities and fostering a supportive, purpose-driven team.
Enroll practitioners in health plans accurately and timely, monitoring progress and ensuring completion.
Validate and maintain provider enrollment forms, applications, and tracking systems.
Communicate with internal teams to meet enrollment goals and target start dates.
Pediatrix Medical Group is one of the nation's largest providers of prenatal, neonatal and pediatric services. With a focus on team approach, the company is home to a diverse group of business professionals dedicated to improving patient lives.