Serve as the primary point of contact for physicians, clinics, and healthcare stakeholders, ensuring consistent communication and trusted relationships.
Support healthcare providers in navigating patient assistance programs, including enrollment, reimbursement, and therapy access processes.
Manage and complete all required documentation such as special authorizations, prescription renewals, and enrollment forms with accuracy and timeliness.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to ensure fair and efficient recruitment processes, and foster inclusive employee programs.
Assist with reimbursement processes and manage coverage-related requests.
Coordinate case documentation, follow-up activities, and resolve routine issues.
Maintain accurate records and support process improvement initiatives.
This position is listed on behalf of a partner company that manages applications and next steps. They focus on improving patient access to essential therapies, and the role offers a purpose-driven healthcare environment with opportunities for professional growth.
Provide telephone support to patients, healthcare professionals, and funding organizations regarding access, reimbursement, compliance, and support programs.
Manage assigned patient cases and projects while following established operational processes and service standards.
Maintain accurate case documentation within program databases, ensuring all activities and interactions are properly recorded.
This role is posted on behalf of a partner company, which manages all applications and next steps. The company focuses on healthcare support and improving patient access to therapies, with a collaborative culture and opportunities for professional growth.
Conduct benefit investigations, insurance verification, and prior authorizations to secure timely patient access to therapies.
Manage patient case files, coordinate product ordering and shipment with pharmacies and prescribers.
Handle inbound inquiries, report adverse events, and educate stakeholders on program requirements.
Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, objective candidate screening and share top-fitting shortlists with employers.
Responsible for using assessment and communication skills to engage patients in need of clinical support, determine priorities, and deliver patient-centered care.
Identify patient education needs through telephonic assessment and collaborate with healthcare teams to coordinate care and keep patients stable at home.
Serve as point of contact for patients, families, and providers, implementing interventions to improve health outcomes and reduce costs.
Vytalize Health is a value-based healthcare company that coordinates care for patients with chronic conditions, aiming to improve outcomes and lower costs. It is a rapidly growing organization with a startup culture, offering a dynamic environment.
Coordinate patient care remotely using phone or video, focusing on assessments, care plans, and resource access.
Identify process improvements through data collection and auditing, while navigating multiple EHR platforms.
Utilize home health expertise to triage patient needs and maintain open communication with patients, caregivers, and providers.
ThedaCare is a community health system consisting of seven hospitals and numerous clinics, serving as the third largest health care employer in Wisconsin. With approximately 6,800 employees, the organization emphasizes innovation, compassion, and a commitment to improving community health.
Review Home Health prior authorization requests for medical necessity using CMS regulations and Clover clinical guidelines.
Perform initial and concurrent clinical reviews, ensuring appropriate care in the least restrictive setting.
Collaborate with providers and internal teams to support timely decision-making and positive member outcomes.
Clover Health is a healthcare company that uses data and technology to provide affordable, high-quality insurance plans for seniors. The company fosters a remote-first culture with a diverse and mission-driven team focused on improving member outcomes.
Manage end-to-end recruitment for Registered Nurses, LPNs, CNAs, physicians, and other healthcare professionals across international healthcare assignments.
Apply advanced sourcing strategies, including X-ray sourcing and headhunting, to identify high-quality healthcare talent.
Build, maintain, and expand strong pipelines of healthcare professionals, ensuring consistent talent availability.
Our partner is a healthcare recruitment company that sources and places top medical professionals across international markets. This is a fast-paced, purpose-driven environment where your work directly supports healthcare systems and patient outcomes.
Manage patient accounts and collections for medical services.
Communicate with patients and insurance companies to resolve billing issues.
Determine collectability and assist with financial assistance programs.
Air Methods provides air medical transport and patient billing services. The company is a large employer with a focus on compliance and patient financial counseling.
Provide telephonic case management and utilization review for assigned consumers.
Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Collaborate with healthcare providers, payors, and internal teams to coordinate care.
Cottingham & Butler helps clients through life's toughest moments by providing insurance and benefits solutions. The company fosters a culture of continuous improvement, seeking to hire, train, and grow the best professionals in the industry.
Build meaningful relationships with patients and families to understand their goals and barriers.
Create personalized care plans addressing medical, behavioral, and social needs.
Coordinate care across providers and settings, ensuring safety, quality, and continuity.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to making great healthcare affordable and improving patient health. As a physician-led organization with a high degree of agility, it employs a remote team and fosters a collaborative, mission-driven culture focused on continuous learning.
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.
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.
Handle first notice of loss reports for non-complex auto and property claims while ensuring accurate information collection.
Provide exceptional customer service by guiding customers through their claim experience and explaining options clearly.
Work efficiently in a high-volume remote environment while maintaining accuracy and customer satisfaction.
The company provides insurance claims services and supports customers through the initial stages of their claims journey. The company culture emphasizes empathy, collaboration, and employee growth, with a focus on delivering high-quality customer service.
Take inbound calls from patients, providers, and members to assist with healthcare needs, insurance questions, and triage support.
Provide empathetic, patient-focused service in a remote environment, managing calls that may involve emergent situations.
Support members with insurance navigation, including changing primary care physicians, locating urgent care clinics, and obtaining prescription authorizations.
Carenet Health has pioneered healthcare consumer engagement for over 30 years, interacting with 1 in 3 Americans daily to deliver positive experiences and improve outcomes. We foster a culture of collaboration, creativity, and accountability, empowering growth through trust and opportunity.
Build trusting relationships with patients and providers to address health barriers and coordinate care.
Navigate medical, behavioral, and social systems to connect patients with appropriate resources.
Support value-based care outcomes through proactive outreach, documentation, and quality measures.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. As a growing and innovative organization, we operate with a high degree of agility.
Organize duties and maintain staff and patient schedules.
Submit reports and work virtually with limited supervision.
CommonSpirit Health at Home provides full-service home health and hospice care. As a faith-based organization, it is committed to improving patient health and community well-being.
Manage inbound SMS inquiries and engage in consultative conversations to understand patient needs.
Guide prospective patients toward scheduling consultations and coordinate appointments using scheduling tools.
Maintain accurate patient information in CRM systems and conduct follow-ups to support the decision-making process.
The hiring partner is a healthcare-focused organization that connects patients with appropriate care. The company values empathy, independence, and meaningful conversations, operating with a small, supportive team in a remote setting.
Manage high-volume inbound communications across phone, email, chat, and SMS as the first point of contact for patients.
Schedule appointments and coordinate with GI Providers, Registered Dietitians, and Behavioral Health Providers.
Respond to billing and insurance questions, triage clinical inquiries, and de-escalate challenging interactions with empathy.
Oshi Health is a virtual digestive health practice transforming GI care by combining compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions. It is a remote-first, mission-driven high-growth startup with a focus on patient-centered care and team collaboration.
Provide comprehensive case management services including assessing client needs, developing care plans, coordinating services, and monitoring progress.
Collaborate with healthcare professionals, insurance companies, and stakeholders to ensure seamless care coordination and favorable outcomes.
Maintain accurate documentation, educate clients and families on self-management, and stay current with industry best practices.
MVP Health Care is a not-for-profit health plan provider focused on creating a healthier future through innovation and equity. For over 40 years, they have served New York and Vermont communities with high-quality health plans and have been recognized as a Best Place to Work.