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.
Engage with members by phone to encourage participation in care management programs and complete non-clinical assessments.
Identify barriers to care and connect members with appropriate services, benefits, and community resources.
Accurately document member interactions and operate effectively in a high-volume, remote call-center environment.
This partner company helps members navigate care management programs and access resources to improve their health and well-being. It operates remotely with a focus on compassionate support and efficient operations, though specific size and culture details are not mentioned.
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.
Handle inbound and outbound calls to resolve patient issues, process reorders, and ensure accurate billing.
Obtain and process authorizations while maintaining patient confidentiality and documentation.
Maximize patient retention through cross-selling and provide cross-functional support across business units.
CCS is a healthcare company specializing in chronic care management through its LivingConnected® platform, using data-driven insights to improve patient outcomes. It supports over 200,000 people annually and is recognized as a Great Place to Work®, fostering a patient-centric culture.
Connect with customers via phone, email, chat, and social media to resolve their questions or concerns.
Calmly de-escalate issues and escalate interactions when necessary.
Track all call-related information for auditing and reporting purposes.
TP is a global digital business services company that delivers advanced, digitally powered business services to help brands streamline their business. With over 500,000 employees speaking 300+ languages, they foster an inclusive and diverse culture.
Make outbound calls to existing healthcare plan members and explain the available services.
Answer basic member questions and handle objections professionally using approved information.
Schedule appointments and accurately document call outcomes to meet quality and conversion goals.
Knowledge Rhino specializes in healthcare outreach and appointment setting for existing plan members. The company is a growing remote team that offers flexible work schedules and a supportive culture.
Performs clinical evaluations on disability claims to substantiate medical necessity for absence.
Communicates with employees and providers to discuss clinical status and provides follow-up recommendations.
Acts as a clinical resource to claims examiners, ensuring accurate medical terminology and claim decisions.
Sedgwick is the world's leading risk and claims administration partner, helping clients navigate the unexpected with AI-enabled technology and expertise. With over 33,000 colleagues and 10,000 clients across 80 countries, they've been recognized as a Great Place to Work and offer a caring 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.
Act as a Gentiva representative helping patients navigate post-acute care, Medicare, billing, and healthcare resources.
Handle non-clinical inbound calls, escalate to nurses when needed, and assist in the admissions process.
Maintain awareness of performance objectives, ensure patient satisfaction, and adhere to company policies.
Gentiva provides compassionate in-home care including hospice, palliative, home health, and advanced illness management. It operates nearly 600 locations with thousands of clinicians in 38 states, fostering a collaborative and supportive culture.
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.
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 patient inquiries via phone, email, and SMS, providing status updates and technical support.
Navigate multiple software systems and use a knowledgebase to resolve issues quickly.
Achieve performance metrics including CSAT scores and error rates within 90 days.
Phil is a health-tech startup that provides a patient support platform for prescription management. It is a fast-growing company with a remote-first culture.
Coordinate patient onboarding, device setup, and education on remote monitoring technology.
Monitor patient data, analyze trends, and escalate health changes to providers.
Collaborate with healthcare professionals to optimize care and ensure documentation accuracy.
Optima Medical is an Arizona-based medical group providing personalized healthcare with a focus on preventing leading causes of death. With 30 locations and over 130 providers serving 200,000 patients, they offer a supportive and positive work environment.
Handle incoming calls with professional phone etiquette, triaging issues and resolving concerns promptly.
Identify and document member, pharmacy, and medical claims concerns, escalating to appropriate teams.
Communicate effectively with internal and external customers to ensure first-call resolution and quality care.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans. We are an intelligence platform powering benefits plans for millions of Americans, focused on operational efficiency and service.
Conduct outbound calls to educate seniors on in-home care benefits and schedule visits through empathetic, trust-building conversations.
Analyze call outcomes to identify patterns and drivers of success, providing feedback to refine outreach strategies.
Collaborate with leadership and analytics teams to develop scalable best practices for member engagement.
WellBe Senior Medical is a healthcare organization focused on providing in-home medical care for seniors. They are launching a High-Performance Outreach Analytics & Engagement Lab to reinvent how seniors are engaged and scheduled for visits, with a mission-driven culture emphasizing innovation and patient-centered care.
Respond to member and provider inquiries about Medicare benefits, claims, and enrollment via phone and email.
Analyze issues, document outcomes, and maintain accurate records in internal systems.
Collaborate across departments to resolve service issues and support contact center documentation.
Curana Health provides value-based primary care services for the senior living industry, including skilled nursing facilities and assisted living communities. With over 1,000 clinicians serving more than 1,500 communities across 34 states, the company has experienced rapid growth since 2021 and participates in innovative CMS programs.
Manage incoming and outgoing calls, route communications, and assist patients, caregivers, and physicians with accuracy and professionalism.
Operate telephone and paging systems, coordinate emergency notifications, and support healthcare operations in a structured environment.
Maintain high standards of confidentiality and urgency while handling routine and time-sensitive communications.
This role is listed on behalf of a partner company managing applications. It operates within a large health system, offering career growth in healthcare communications.
Conduct high-volume outbound telephone outreach to patients, introducing the pharmacy service and guiding them through enrollment.
Deliver standardized messaging, obtain consent, and document all activity in the EHR.
Manage outreach queues, meet performance targets, and uphold HIPAA standards.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are a growing company committed to improving patient outcomes and quality of life, with a culture of innovation and patient focus.
Eligibility Review: Review patient records and clinical documentation to determine eligibility for Form Health.
Record Collection: Manage requesting, faxing, and tracking medical records from external providers while ensuring HIPAA compliance.
File Communication: Maintain clear communication with patients and colleagues to keep them updated throughout the eligibility process.
Form Health is a virtual obesity medicine clinic that provides multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, it is a venture-backed startup with an experienced clinical and leadership team, committed to a culture of inclusion and patient-first values.
Manage patient intake, scheduling, and payment collection to support clinic growth.
Handle virtual check-ins, welcome calls, and authorization management via WelcomeWare platform.
Track and analyze reports on patient metrics, referrals, and clinical performance using Power BI.
Upstream Rehabilitation provides outpatient physical therapy and rehabilitation services across multiple locations. As a large organization, they emphasize a collaborative, patient-centered culture and support for teammates.