Manage fax and mail intake, process medical records requests, and complete insurance pre-authorizations.
Strengthen the operational foundation of our fast-growing digital sleep clinic by handling documentation and correspondence.
Collaborate closely with cross-functional teams in a tech-enabled care environment, contributing to accessible sleep health.
Dreem Health, managed by the Sunrise Group, is America's leading digital sleep clinic that's fixing the broken sleep care patient journey. They connect patients with sleep specialists through a straightforward telehealth platform, eliminating lengthy wait times and complicated in-lab testing.
Serve as the primary contact for inbound patient calls, answering questions regarding prescriptions, prior authorizations, and referrals.
Document all patient interactions and requests accurately in the EHR, routing clinical tasks to the appropriate teams according to escalation protocols.
Follow standardized workflows, adhering to HIPAA requirements and meeting service-level expectations for response time and accuracy.
Midi Health is on a mission to transform care for women in midlife. They aim to build a best-in-class team while working with smart, purpose-driven people.
Define and lead HIM strategy by building scalable processes to fulfill records requests.
Define, develop, and maintain standard medical record report outputs responsive to various record & audit request scenarios.
Process medical records of patients, checking for compliance with established policy on nomenclature and procedures.
Omada Health inspires and engages people in lifelong health, one step at a time, and has served 1.4 million individuals since 2011. Its workforce is 100% remote, and it is committed to building an inclusive culture where differences are celebrated.
Manage prior authorizations and related administrative paperwork.
Input patient information, medical records (CPT, ICD-10, HCPCS), and billing data into EMR/EHR systems.
Assist with processing insurance claims, verifying patient insurance information, and handling billing inquiries, concerns, and documentation.
Wing is redefining the future of work for companies worldwide. They aim to be a one-stop shop for companies looking to build world-class teams and place their operations on autopilot.
Support providers and patients by managing administrative tasks.
Ensure compliance, coordination, and continuity of care.
Manage documentation related to tele-mental health services.
Valera Health is at the forefront of tele-mental health, committed to delivering compassionate mental health care that is accessible and affordable. The company employs a comprehensive care approach, combining therapy and medication management with overall wellness promotion to ensure patients are supported.
Manage the full enrollment process for Medicare and Medicaid across applicable states.
Prepare, complete, and submit all required enrollment applications and documentation.
Track application status and follow up with agencies to drive timely approvals.
BetterHelp aims to improve mental health and make mental healthcare accessible. They are the world’s largest online therapy service with over 30,000 licensed therapists, and they value employee mental health, investing in their team’s well-being and professional development.
Collect, review, and track required documentation from caregivers and families.
Make outbound calls and respond to inbound inquiries to guide families through the documentation process.
Handle a high volume of phone interactions daily while maintaining professionalism, empathy, and efficiency.
Abby Care is making family care possible by training and employing family caregivers so they can get paid for the care they already provide at home. They are building a tech-powered, family-first care platform to improve health outcomes, and provide the best-in-class experience nationwide.
Prepare and submit credentialing and enrollment packets.
Maintain accurate provider files and track expirations.
Provide assistance to the billing team during staff absences.
Modena Health and Modena Allergy & Asthma are leading medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. They are physician-led and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Input and accurately chart patient details into our systems.
Work with Medicare, Medicaid, and other health programs to confirm and validate patient hospice coverage.
Oversee all aspects of the authorization process, from initiation to tracking and follow-up, ensuring continuous coverage for services.
Care Hospice provides exceptional hospice and palliative care to those in need. They are a mission-driven and patient-centered leader in end-of-life care that surrounds patients and their loved ones with unwavering support, comfort, and compassion.
Responsible for preparing and submitting medication prior authorization requests and renewals.
Monitor and ensure procedural compliance for virtual Direct Observed Toxicology collections via oral swabs, troubleshooting and escalating issues as they arise.
Audit and maintain member information within the EMR system to ensure data integrity and compliance.
They play a vital role in ensuring the accuracy, timeliness, and efficiency of key operational workflows that support member care. The company's culture promotes a seamless care experience, with a focus on organizational standards and regulatory requirements.
Submit, track, and manage all Community Supports, Enhanced Care Management and Community Health Worker authorizations/reauthorizations/referrals
Update Athena with authorization information and For Community Supports: add members to the outreach assignment tracker and ensure compliance with the 24-hour assignment standard
Ensure workflow alignment with referral/authorization processes and Conduct internal checks for compliance, quality assurance, and clinical alignment
Zócalo Health is a tech-driven provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared and lived experiences. Founded in 2021, they are backed by leading healthcare and social impact investors, aiming to improve the lives of communities that have dealt with generations of poor experiences.
Execute payer enrollment applications from credentialing approval through payer confirmation.
Coordinate CAQH profile maintenance and attestations in alignment with Medallion workflows and payer requirements.
Track enrollment status, follow up with payers, and escalate delays or issues to the Payer Enrollment Manager.
Spring Health aims to eliminate barriers to mental health by delivering the right care at the right time through their clinically validated technology, Precision Mental Healthcare. They partner with over 450 companies and are valued at $3.3 billion.