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 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.
Deliver high-quality customer service in a healthcare environment, handling inbound and outbound calls to resolve claims, benefits, and coverage inquiries.
Research and document member and provider issues, escalate complex cases, and ensure timely follow-up across systems.
Maintain strict confidentiality of sensitive information while adapting communication for diverse audiences including members, clinics, and vendors.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies efficiently. It operates as a partner recruiting organization, facilitating applications and next steps for roles like this one.
Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.
Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.
Conducts administrative and clinical intake of calls for clinical review.
Provides quality customer service and telephonic support to providers and office staff.
Maintains high confidentiality and documentation standards while performing data entry.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With 66,000+ employees across 13 countries, they combine deep domain expertise with AI platforms to drive business resilience and sustainable outcomes.
Handle inbound and outbound consumer inquiries across multiple channels (phone, chat, email, web) in a timely and professional manner.
Resolve non-clinical issues and complaints while ensuring a positive and empathetic customer experience.
Build and maintain effective relationships with consumers, healthcare providers, and internal teams to support issue resolution.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies by analyzing applications against core requirements. They serve as an intermediary, leveraging technology to streamline the recruitment process.
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 and chat boxes from members regarding Sidecar Health's products and services.
Provide excellent customer service in a timely and positive manner, building rapport and maintaining positive relationships.
Handle issues and complaints, maintaining policies and standard operating procedures.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible for everyone. The team consists of passionate individuals from tech, policy, and healthcare backgrounds, working in a fast-moving startup environment.
Handle inbound and outbound communications with healthcare providers and members via phone, email, chat, and portals.
Provide accurate and empathetic support by researching and resolving inquiries, reviewing claims, and verifying coverage.
Document all interactions in CRM systems and collaborate with internal teams to ensure efficient issue resolution.
Our partner is a healthcare services company focused on improving provider and member experiences. They offer a supportive culture with professional training and development opportunities for their remote team.
Serve as the primary point of contact for providers and Medicare contractors, responding to inquiries via phone, written, and electronic channels.
Maintain knowledge of contract requirements, develop professional relationships, and educate providers on proper protocols and appeal rights.
Perform research, due diligence, and data entry to resolve complex issues, while notifying management of escalated concerns.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, the company combines an AI-powered platform with best-in-class expertise.
Handle inbound and outbound communications for up to 6 ambulatory practices, including patient inquiries and scheduling.
Document and relay patient information to practices, following established guidelines for medication reconciliation and insurance verification.
Utilize Epic and multiple communication tools to provide accurate appointment details and home instructions.
Boston Medical Center is a nationally-recognized leader in health equity, nursing, and initiatives to combat climate change, dedicated to providing exceptional and equitable care to all. We are a large hospital with a strong sense of teamwork and support, recognized as a top employer and best place to work.
Respond to customer inquiries via phone and email, processing insurance transactions and escalations.
Build and maintain strong client relationships, support senior specialists, and mentor new team members.
Ensure compliance with service level agreements, identify process improvements, and collaborate with colleagues to achieve team goals.
Jobgether uses AI-powered matching to connect candidates with hiring companies. The partner company manages all applications and next steps, offering a collaborative work environment with opportunities for professional growth.
Conduct outbound calls to hospitals and clinics to complete brief surveys on after-hours and emergency response protocols.
Accurately document responses while following call scripts and maintaining professionalism.
Handle a high volume of calls and protect confidential information in a remote environment.
Five Star Solutions is a staffing and support company serving healthcare clients. They are currently hiring for this role with a focus on remote work and professional communication.
Respond timely to customer inquiries via phone, email, and chat, researching issues and providing workable solutions.
Assist with scheduling, insurance questions, medication requests, and general information, building customer trust.
Thrive in a remote environment by maintaining a consistent workspace, ensuring security, and using available resources effectively.
Carenet Health pioneers advancements in healthcare consumer journeys, interacting with 1 in 3 Americans daily. For over 30 years, they have combined human touch with data-driven technology, fostering a collaborative and innovative culture that empowers growth through trust and accountability.
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.
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.
Responsible for accurately entering group and member enrollment data into Facets and eGEMS within specified time frames.
Responds to phone and written inquiries from internal and external customers regarding enrollment and billing.
Analyzes group payments, reconciles invoices, and ensures correct payment amounts.
Capital Blue Cross is a health insurance company and an independent licensee of the Blue Cross Blue Shield Association. They are consistently voted one of the 'Best Places to Work in PA' and prioritize employee well-being and community involvement.
Conduct outbound and inbound calls to support patients recently discharged from the ER and schedule appointments.
Assist with administrative tasks and coordinate patient care with team members and provider networks.
Become an expert with software like EMR, Slack, and Five9 to deliver high quality customer service.
Fuze Health is a digital health company that empowers patients to connect with care providers and health resources. It combines capabilities from LetsGetChecked, Truepill, and Alto Pharmacy, with a growing team focused on next-generation healthcare solutions.
Answer incoming calls and direct callers to the appropriate team member or document information in claim files.
Provide professional customer service, manage conflict effectively, and communicate with individuals related to claim files.
Complete outbound calls to report claims to insurance carriers and adhere to company policies and procedures.
Enterprise Mobility is a family-owned portfolio of brands and a leading provider of mobility solutions worldwide, operating a global network with 80,000 dedicated team members across nearly 100 countries. The company empowers its team with opportunities for growth and rewards hard work.
Responds to incoming inquiries via phone, email, and web portal, providing accurate and timely customer service.
Works as part of a team to support service delivery and maintain strong customer relationships.
Adheres to regulations and procedures to ensure privacy and safety of employee and patient information.
Sutter Health is a healthcare organization providing medical services and support to patients and communities. They are a large employer with a focus on collaborative culture and employee empowerment.