Source Job

• You will serve as a critical liaison between patients, providers, care teams, and community resources to ensure continuity of care.
• You will create and promote adherence to treatment plans developed by healthcare providers.
• You will assess patients' unmet health and social needs and connect them to relevant community resources.

Point C is a national third-party administrator that delivers customized self-funded benefit programs. We are a mission-driven company focused on innovative cost containment strategies and driving down plan costs.

• Act as the primary point of contact for patients, healthcare providers, and program stakeholders.
• Manage patient access, reimbursement, and therapy support processes.
• Build trusted relationships with healthcare professionals and ensure coordinated care.

A healthcare services organization that partners with patients and providers to navigate complex treatment processes. The culture is purpose-driven, collaborative, and inclusive, with an emphasis on improving health outcomes.

• Serve as a vital link between patients and healthcare services, coordinating care across primary, specialty, and behavioral health divisions.
• Conduct patient assessments and community outreach to engage underserved populations in the Bronx, addressing barriers to care.
• Utilize remote patient monitoring tools and electronic health records to track patient progress and adjust care plans.

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to underserved residents. Founded in 1999, the company has grown to 50+ locations with 500+ providers, focusing on a population health model and a supportive team environment.

• Verify patient insurance eligibility, benefits, and referral requirements prior to services.
• Communicate coverage and financial responsibility to patients in a clear and empathetic manner.
• Collaborate with cross-functional teams to improve patient access and reduce claim denials.

Oshi Health is a virtual digestive health practice that provides multidisciplinary care for chronic digestive conditions. It is a remote-first, mission-driven company focused on transforming GI care.

• Provide exceptional care, disease management and health education to patients.
• Support goal setting for individual patients to help them better manage chronic conditions.
• Coordinate with other clinical team members to provide an exceptional patient experience.

Salvo Health is a tech-enabled healthcare company focused on chronic gut and metabolic conditions. Backed by leading health investors, it offers a multidisciplinary care team approach with board-certified specialists and digital tools.

• Provide proactive care coordination for patients with complex chronic conditions, including chronic kidney disease.
• Conduct high-volume outbound patient outreach via text and phone to maintain engagement and compliance.
• Support clinical workflow by coordinating referrals, follow-ups, and documenting interactions for billing compliance.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a committed team focused on improving patient outcomes and quality of life, with a culture of innovation and compassion.

• Serve as the primary point of contact for patients after their intake visit, guiding them through their care plan.
• Help patients schedule appointments, find in-network providers, and navigate Medicare benefits.
• Document all patient interactions accurately and maintain confidentiality.

Mira Mace is a venture-backed company that helps Medicare patients navigate healthcare with clarity and confidence. They deliver Community Health Integration and Principal Illness Navigation services through affiliated provider organizations, with a small, patient-focused team.

• Communicate directly with insurance companies to facilitate medication approvals and prior authorizations.
• Navigate pharmacy systems to enter data, adjudicate claims, and document patient interactions across multiple databases.
• Provide compassionate phone support to patients, helping them manage refills, medication adherence, and pharmacy-related questions.

Shields Health Solutions partners with health systems to provide specialty pharmacy services, helping patients access complex medications. As a growing organization, they emphasize a collaborative culture and patient-centered care, employing pharmacy professionals dedicated to improving medication adherence and health outcomes.

• Conduct telephonic outreach to prospective members and help them enroll in Imagine's app-based technology.
• Effectively communicate Imagine services and overcome parent/family objections to engagement.
• Leverage reporting and dashboards to prioritize outreach and meet monthly engagement targets.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that provides 24/7 virtual-first and in-home care for children with special health care needs. They are a startup with a mission-driven culture, committed to diversity and inclusion.

• Review and verify insurance coverage, obtain authorizations, and create patient liability estimates while working closely with internal and external stakeholders.
• Serve as a liaison between patients, providers, and insurance companies to ensure accurate financial services and resolve managed care issues.
• Provide backup support and cross-coverage for the Centralized Managed Care & Price Estimates Department, including handling trauma admissions and third-party liability.

OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training the next generation of healthcare professionals. As Portland's largest employer, it offers a diverse and inclusive culture with opportunities for growth and advancement.

• Answer inbound patient calls and support patients through phone, email, and text communication.
• Schedule and reschedule appointments, verify insurance, and manage no-show or cancellation workflows.
• Collaborate with internal teams to ensure a seamless patient experience while meeting quality metrics.

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments, with over 70 clinics across 8 states. They proudly maintain a Net Promoter Score of 93, the highest patient satisfaction in the industry, and are committed to building a patient-first environment with a team united by purpose.

• Guide patients through the imaging scheduling process, delivering a seamless and supportive experience from referral to appointment.
• Coordinate with patients, healthcare providers, and imaging centers to ensure timely access to high-quality diagnostic imaging.
• Answer patient questions, resolve issues proactively, and remove barriers that may delay care.

Covera Health uses clinical expertise, AI, and radiology quality data to improve diagnostic accuracy and patient outcomes. Backed by Insight Partners, the platform supports nearly 6 million people and has a culture of ambitious teamwork and meaningful impact.

• Collaborate with primary care providers to coordinate care for patients with multiple chronic conditions, ensuring high-quality care through telephonic and in-person outreach.
• Conduct transitional care management including post-discharge follow-up and provide education on lifestyle coaching and dietary improvements.
• Operate independently to achieve goals, attend regular care team meetings, and perform other duties as assigned.

Privia Health is a technology-driven national physician enablement company that collaborates with medical groups and health systems to optimize practices and improve patient care. The company is led by top industry talent and focuses on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.

• Assess, plan, implement, and coordinate comprehensive care plans to meet individual health needs and ensure cost-effective healthcare delivery.
• Serve as a liaison facilitating collaboration among patients, families, physicians, and providers to promote quality of care.
• Provide specialized education on disease-specific conditions and remain current with medical trends and procedures.

Arkansas Blue Cross and Blue Shield is a health insurance company providing healthcare coverage and services. They are consistently ranked as a top workplace in Central Arkansas with an inclusive culture and average employee tenure of 10 years.

• Provide telephonic case management to proactively drive return to work.
• Perform utilization review and coordinate care with providers and adjusters.
• Evaluate treatment plans and partner with adjusters to achieve optimal outcomes.

AmTrust Financial Services is a fast-growing commercial insurance company providing comprehensive telephonic case management. They foster a diverse and inclusive culture with a focus on attracting and retaining the best talent.

• Manage patient inquiries via telephone and portal, assist with scheduling follow-up appointments with providers or specialists.
• Maintain electronic health records and patient rosters, coordinate documents for provider review, facilitate orders, and assist with prior authorizations.
• Answer incoming calls professionally, collaborate with interdisciplinary care teams, and ensure seamless communication within the health network.

Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities, providing solutions to enhance health outcomes and streamline operations. Founded in 2021, the company has grown to serve 200,000+ seniors in 1,500+ communities across 32 states with a team of over 1,000 employees, and was ranked #147 on the Inc. 5000 list of fastest-growing private companies.

• Accept incoming calls and perform triage, routing clinical inquiries to providers.
• Prepare for patient visits by ensuring lab results and records are available; call patients to reduce no-shows.
• Assist with forms, letters, and reports, and make referrals for social services.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that provides virtual-first and in-home care for children with special health care needs. The company values children first, earning trust, innovating, embracing humanity, and diverse perspectives.

• Assists with patient medication management and facilitates medication renewal requests.
• Acts as a liaison between providers, patients, and pharmacies for prescriptions and prior authorizations.
• Monitors prior authorization status and updates relevant parties throughout the process.

Mass General Brigham is a not-for-profit integrated health care system supporting patient care, research, teaching, and community service. They employ a diverse team of professionals including doctors, nurses, and tech experts, fostering a collaborative culture focused on exceptional care.

• Conduct outbound phone outreach and answer inbound calls to connect eligible members to RightMove's virtual MSK care.
• Educate patients on available care options, verify eligibility, and schedule initial clinical evaluations.
• Accurately document all patient interactions in CRM systems and escalate complex issues to internal teams.

RightMove is a fast-growing digital health startup delivering best-in-class musculoskeletal (MSK) care through a value-based, virtual model. We are backed by the #1 orthopedic hospital in the world and focus on improving outcomes and reducing unnecessary healthcare costs.

• Provides active care management and coordinates action plans for members.
• Evaluates outcomes and ensures accurate documentation of clinical information.
• Serves as member advocate and promotes enrollment in care management programs.

BlueCross BlueShield of South Carolina is a leading health insurance company and administrator of government contracts. With an A+ rating and a diverse family of subsidiaries, they are the largest insurer in South Carolina and employ a dedicated team focused on outstanding customer service.