Engage in fully remote patient outreach to identify and address quality gaps, educating patients on preventive care.
Collect quality data from EMR systems, claims, and provider outreach, managing multiple systems for daily work.
Prioritize tasks to meet quality reporting deadlines and communicate performance internally and with customers.
Guidehealth is a data-powered, performance-driven healthcare company focused on making healthcare affordable and improving patient health. As a growing, physician-led organization, we prioritize operational excellence and a collaborative, flexible culture.
Manage customer inquiries and process healthcare information requests accurately and confidentially.
Provide excellent customer support via phone, email, and written communication while documenting all interactions.
Maintain strict confidentiality of healthcare data and comply with HIPAA and privacy standards.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It operates remotely and focuses on efficient, fair recruitment processes.
Conduct outbound calls to pharmacies to support patient care initiatives and address medication-related cases.
Communicate professionally with pharmacy staff and clinical teams to resolve issues and gather information.
Maintain accurate documentation and records within internal software platforms to ensure compliance.
The partner company is a fast-growing healthcare technology organization that connects patients, providers, and pharmacies to improve healthcare outcomes. It has a mission-driven and supportive team culture, focusing on improving patient care through innovative technology.
Review and update client data accurately based on provided Style Guides.
Research and validate information using internal and external data sources.
Resolve data discrepancies and merge duplicate records.
Harbor provides expert services across strategy, legal technology, operations, and intelligence. They have a globally integrated team of over 900 professionals who collaborate with leading law firms and corporations.
Perform clinical validation and medical record abstraction to ensure accuracy and compliance with CMS quality measures.
Identify and resolve data discrepancies in collaboration with internal teams and external vendors like Oracle Health.
Support timely regulatory submissions and cross-train across validation and abstraction functions for workload flexibility.
Banner Health is a large, nonprofit health care system in the US, providing hospital services, primary care, and research across multiple communities. With a network of hospitals and clinics, they employ skilled professionals using advanced technology to improve patient care.
Analyze clinical and operational data to identify trends and drive quality improvements.
Develop and monitor corrective action plans and quality initiatives.
Collaborate with leadership to ensure compliance and enhance care delivery outcomes.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. We leverage our global network to connect clients with qualified professionals, offering tailored services to meet unique business needs.
Review BCBA and behavioral health provider credentialing packets for completeness, accuracy, and primary source verification.
Conduct routine and ad hoc audits of delegated credentialing files to ensure compliance with payer, accreditation, and regulatory requirements.
Support pre-delegation and annual delegation audits, maintain tracking systems, and collaborate with teams to improve processes.
The partner company focuses on improving access to high-quality behavioral healthcare services through credentialing and provider network management. They operate in a mission-driven remote environment with a collaborative team culture committed to innovation and quality.
Partner with senior client service managers to support client accounts throughout implementation and ongoing service delivery.
Assist with project coordination, tracking timelines, deliverables, and client requirements.
Serve as a key point of contact between internal teams and client stakeholders to facilitate effective communication.
The company specializes in client service and support solutions for the healthcare sector. It offers a remote-first culture with a focus on collaboration, innovation, and professional growth.
Lead quality monitoring initiatives across multi-channel crisis and support services.
Develop and implement performance measurement frameworks and operational audits.
Drive continuous improvement through data analysis and AI-enabled quality solutions.
The company provides behavioral health and crisis support services at scale through national service networks. It is a mission-driven organization with a collaborative culture focused on professional growth and innovation.
Transform complex healthcare data into actionable insights for large-scale specialty care programs.
Design, develop, and maintain dashboards, reports, and analytical solutions using tools like Tableau and Power BI.
Collaborate with multidisciplinary teams to improve data quality, reporting efficiency, and program visibility.
They are a healthcare data analytics company supporting specialty care initiatives through actionable insights. The team size is not specified, but they emphasize a collaborative, mission-focused environment.
Make outbound calls to schedule appointments for preventative health screenings and assess high-risk patients.
Assist members with benefits, insurance information, and conduct surveys to enhance their healthcare experience.
Work remotely from home in a role that requires strong computer skills, empathy, and excellent customer service.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They have over 30 years of experience and foster a collaborative, innovative culture focused on growth and accountability.
Receive, review, and process requests for patient health information according to established policies and HIPAA regulations.
Respond to inbound and outbound calls from patients, insurance companies, and attorneys regarding medical record status.
Maintain accurate documentation across multiple platforms and electronic health record systems, ensuring data accuracy and privacy.
This partner company provides healthcare information management services, focusing on processing medical record requests and ensuring patient privacy. They offer a structured, high-volume environment with training, mentorship, and dedicated tools for temporary employees.
Review patient records and healthcare documentation to ensure compliance with regulatory standards.
Evaluate accuracy and completeness of clinical documentation, including OASIS guidelines and coding.
Collaborate with interdisciplinary teams to enhance patient outcomes through quality improvement initiatives.
Jobgether is a job platform that uses AI-powered matching to connect candidates with hiring companies. They partner with various employers to manage recruitment processes.
Review AI-generated responses against source images and quality guidelines.
Identify issues like hallucinations, missing details, or policy violations.
Provide structured feedback to improve model performance and output quality.
Jobgether uses AI-powered matching to connect candidates with partner companies. They focus on efficient, objective hiring processes and operate as a platform for remote opportunities.
Perform daily audits on client data for completeness and accuracy of coding using clinical knowledge.
Respond to provider appeals and meet client turnaround time and KPI goals.
Utilize coding validation training to become familiar with claims payment policies and regulations.
Cotiviti is a healthcare analytics company that uses data-driven solutions to improve payment accuracy and quality in healthcare. The company offers a competitive benefits package and fosters a collaborative, fast-paced work environment.
Manage referrals and guide participants through the enrollment process with compassion and accuracy.
Provide empathetic communication and support to participants via phone, text, and other channels.
Collaborate with clinical and operational teams to track performance and improve engagement.
The partner company is a healthcare organization that provides participant success services. It offers a supportive, mission-driven culture with a focus on quality and empathy.
Coordinate and support CMS Hospital Quality Reporting Program activities, including work plans, timelines, and contractor oversight.
Develop training materials, presentations, and reports while facilitating cross-functional meetings and stakeholder communication.
Identify workflow improvements using AI tools in accordance with data privacy and quality standards.
HSAG is a healthcare consulting firm dedicated to improving the quality of healthcare delivery in the United States. As a growing team, we foster a collaborative culture focused on making healthcare better for everyone while having fun at work.
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.
Support clinicians with patient coordination tasks including pharmacy communication, referrals, and scheduling.
Provide empathetic, patient-centered communication and document tasks accurately in the electronic health record.
Ensure compliance with HIPAA and confidentiality standards while participating in team huddles and quality initiatives.
Curai is a healthcare company that harnesses artificial intelligence and clinical expertise to make high-quality primary care more affordable, accessible, and effective. They are a mission-driven, remote team committed to diversity and inclusion.
Efficiently triage incoming calls and resolve member and pharmacy issues with professional phone etiquette.
Identify, document, and escalate concerns to appropriate internal teams to ensure quality care and safety standards.
Support fraud, waste, and abuse programs by reviewing pharmacy claims and communicating findings to internal staff.
Judi Health is a health technology company providing comprehensive health benefit management solutions for employers and health plans. They are rebuilding trust in healthcare with a platform that consolidates claim administration workflows.