Serve as the primary point of contact for inbound membership inquiries, delivering a high-touch experience via phone, email, and text.
Conduct discovery conversations to understand prospective members' needs and educate them on Sollis' care model and benefits.
Guide qualified prospects through the enrollment process and maintain accurate records in Salesforce.
Sollis Health is a premier medical membership providing on-demand 24/7 concierge care with ER-trained medical teams and comprehensive services. They have locations in major US cities and foster a high-end, member-centric culture focused on exceptional service.
Provide empathetic, high-touch support to patients, answering non-clinical questions and navigating their care.
Support providers with administrative tasks in the EMR, triaging messages and resolving issues.
Coordinate with clinical, pharmacy, and insurance teams to resolve complex patient needs.
Ro is a direct-to-patient healthcare company offering telehealth, labs, and pharmacy services nationwide. With over 1,200 employees, Ro is recognized as a top workplace, fostering a culture of innovation and diversity.
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.
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.
Provide high-touch operational support and specialized coordination across customer workflows.
Manage complaint and escalations investigations and resolution end to end.
Collaborate cross functionally with internal teams to resolve issues and advocate for clients.
Lyra Health provides evidence-based mental health care, serving over 20 million people globally. The company has published more than 35 peer-reviewed studies and delivered unmatched outcomes.
Own complex and sensitive member cases end to end, including appeals, denied claims, and coverage issues, resolving them via phone and writing.
Investigate before responding, pull history, and provide answers rather than status updates, keeping members informed on their timeline.
Balance complex escalations with general support volume, driving cases through Jira, Compliance, and clinics until closed.
Maven Clinic is the world's largest virtual clinic for women and families, partnering with over 2,300 employers and health plans to provide end-to-end women's and family health programs. The company has raised over $425 million, been named to the TIME100 Most Influential Companies, and earned over 30 workplace awards, fostering a collaborative and inclusive culture.
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.
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.
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.
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.
Answer, screen, and triage inbound calls, verifying caller information and quoting member benefits.
Research and provide referrals based on member needs, document activities, and make outbound enrollment calls.
Coordinate Critical Incident Response and Management Referral requests, liaising between clients, providers, and HR.
Uprise Health transforms the delivery and accessibility of mental and behavioral healthcare to bring whole person care to individuals worldwide. The company fosters a culture of compassion, integrity, collaboration, velocity, and advocacy.
Provide world-class care to Maven members by navigating them through digital care and product features.
Manage a high volume of introductory video appointments, prioritize tasks, and deliver exceptional customer service.
Collaborate cross-functionally with Care Delivery, Customer Support, Provider, and Product teams to ensure optimal member outcomes.
Maven Clinic is the world's largest virtual clinic for women and families, partnering with over 2,300 employers and health plans to provide end-to-end women's and family health programs. Founded in 2014 and having raised more than $425 million, the company has been recognized as a TIME100 Most Influential Company and Fortune Best Place to Work, with an award-winning culture focused on innovation and inclusivity.
Manage multiple channel interactions professionally and efficiently.
Address provider inquiries with accuracy and focus on first call resolution.
Maintain positive relationships and exceed quality and productivity goals.
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association focused on improving the health and well-being of its members and communities. It has been consistently voted one of the Best Places to Work in PA and fosters a flexible, supportive culture with emphasis on professional growth and community involvement.
Respond to high-volume inquiries via email and phone, assisting with triaging case volumes and providing resolution guidance on complex claims and billing inquiries.
Critically analyze situations, escalate issues to appropriate teams, and identify recurring issues to provide feedback to management.
Act as a subject matter expert, updating team on resources, supporting team chat, and remaining flexible to take on other duties as assigned.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems to optimize practices and improve patient experiences. They are led by top industry talent and physician leadership, focusing on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.
Deliver a respectful, compassionate experience for every caller, aiming for one-call resolution.
Complete crisis screening assessments and coordinate with crisis teams when immediate intervention is needed.
Manage and track referrals in Salesforce, including conducting outbound follow-up calls.
Centerstone is a nonprofit behavioral health system providing mental health and substance use disorder treatments. With thousands of employees, it is a dynamic, well-established organization focused on delivering care that changes people's lives.
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.
Educate patients about eligible healthcare services and directly schedule them with the provider team.
Build trust-based relationships with patients, empathetically presenting Strive's care model and addressing inquiries and objections.
Handle high call volumes in a remote contact center, meeting daily performance metrics and quality standards.
Strive Health is on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. They are a dedicated team of passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
Customize initial discussions based on patient needs, providing personalized benefits.
Manage inquiries through multiple channels and process referrals within 7-10 days.
Perform comprehensive data entry and maintain accurate EMR records.
AnsibleHealth unites physicians, nurses, and tech experts from top institutions to revolutionize care for chronic disease patients. They are a Series A startup backed by prominent investors, partnering with leading healthcare systems.
Provide clear, empathetic assistance to members regarding pharmacy benefits and medication access.
Resolve complex issues by collaborating with cross-functional teams and handling sensitive cases.
Document all interactions accurately and adhere to HIPAA and privacy policies.
The OccuNet Company is an innovative company striving to reduce the cost of healthcare. They have a tight-knit culture based on outward mindset and are growing quickly.
Answer inbound calls, schedule appointments, and provide excellent customer service in a centralized access center environment.
Verify and update patient demographics, insurance, and electronic health records while maintaining confidentiality.
Adhere to call quality and scheduling guidelines, achieving minimum call standards and 95%+ quality threshold.
This is a physician-led, patient-centric network simplifying healthcare with primary, multispecialty, and urgent care services. They serve millions of patients across traditional practices, homes, and virtually, fostering a compassionate and innovative community.