Source Job

US

  • Research, review and respond to inquiries received from members and providers.
  • Employ active listening skills, demonstrate patience and empathy, and handle difficult calls tactfully, courteously, and professionally.
  • Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.

CRM SalesForce Microsoft Office Excel Medical Terminology

20 jobs similar to Commercial Health Call Center Representative

Jobs ranked by similarity.

US

  • Handle inbound and outbound calls to support our healthcare client.
  • Expected to deliver exceptional customer service by adhering to established protocols and guidelines.
  • Utilize various web-based systems to efficiently address and resolve customer inquiries.

Senture is a global company that embraces diversity and never discriminates against employees or applicants based on gender identity or expression, sexual orientation, race, religion, age, national origin, citizenship, disability, pregnancy status, veteran status, or other differences. They have employees from various backgrounds and lifestyles.

US 3w PTO

  • Answer calls, emails, and contacts, screening, transferring, resolving and disposing of calls while following process/documentation standards.
  • Review, process, schedule, and authorize orders according to department protocols; ensure updates and communication are documented in source systems.
  • Coordinate participants’ appointments, troubleshoot conflicts, communicate with stakeholders, and meet appointment turn-around times as outlined in WelbeHealth's protocol.

WelbeHealth's PACE program helps seniors remain in their homes and communities through medical care and community-based services, providing all-inclusive care. They are driven by core values and a participant-focused approach, fostering an encouraging and loving environment for employees.

US

  • Perform in-depth quality audits on customer support calls and email cases.
  • Ensure accuracy of information and professionalism in customer interactions.
  • Propose documentation updates to enhance the Customer Service Representative (CSR) experience.

Evry Health aims to bring humanity to health insurance with high-technology health plans that expand benefits, increase access and transparency, and feature a personalized, human approach. They are the major medical division of Globe Life (NYSE:GL), which has 16.8 million policies in force, more than 3,000 corporate employees and 15,000 agents.

US

  • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
  • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
  • Assist individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups

Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, they deliver whole-person care, and leverage AI and automation to reduce administrative burden. They are deeply collaborative with nurses, social workers, community health workers, and medical professionals.

US

  • Conducts telephonic visits with clients to complete assessments and provide disease management education.
  • Support program enrollment and monitor participation for clients post-discharge.
  • Document communication with clients, caregivers, and providers timely and accurately.

Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

Global

  • Answer incoming patient calls promptly and professionally
  • Accurately register and update patient information in the system
  • Ensure all patient data is handled in compliance with HIPAA regulations

We are seeking an experienced Medical Receptionist to support a health practice.. The ideal candidate has prior hands-on experience in a medical setting, is HIPAA compliant, and is confident in handling patient interactions with accuracy and professionalism.

US

  • Manage multiple channel interactions professionally and efficiently.
  • Effectively present products/services to providers with integrity, understanding, and accuracy.
  • Focus on provider retention through first call resolution and maintain positive relationships.

Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.

US

  • Enjoy making outbound calls and reaching out to patients, members, and customers
  • Outreach to patients to schedule appointments for preventative health screenings and assess for high risk
  • Make welcome calls and assist members and patients with benefits and insurance information

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey, interacting with 1 in 3 Americans every day. They integrate the power of human touch with data-driven technology in their mission to make healthcare better for all, fostering collaboration, creativity and innovation.

US

  • Enjoy making outbound calls and reaching out to patients, members, and customers
  • Outreach to patients to schedule appointments for preventative health screenings
  • Assist members and patients with benefits and insurance information

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.

$18–$19/hr
US

  • Provide empathetic, patient-centric support through various channels.
  • Act as a liaison between patients and providers, relaying critical information.
  • Guide patients through scheduling, telehealth services, and general inquiries.

Allara is a women’s health provider specializing in longitudinal care, supporting women through every life stage. They are trusted by over 60,000 women nationwide and bridging gaps in healthcare, making expert healthcare accessible through multidisciplinary care teams.

US

  • Consult with clients to discover and document needs, provide insight and guidance as clinical communication experts, and propose best practice solutions.
  • Design and configure high-quality applications that balance the needs of clinicians, patients, and PerfectServe.
  • Prioritize and manage many tasks simultaneously in a fast-paced environment.

PerfectServe offers Best in KLAS clinical communication and physician scheduling solutions and is a Leader in the Gartner Magic Quadrant for Clinical Communication and Collaboration. They have seen an 88% growth rate over the past three years, striving to accelerate speed to care by optimizing provider schedules and dynamically routing messages to the right person at the right time in any care setting.

  • Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility.
  • Respond and assist members with Primary Care Provider (PCP) assignments and explain OHP or Medicare benefit coverage.
  • Collaborate with providers, Division of Medical Assistance Programs (DMAP), and members to ensure effective customer service and the resolution of any health plan issues that arise.

CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. We are an equal opportunity employer that greatly encourages military veterans to apply and considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

US

  • Respond to incoming customer calls, addressing their questions and providing service
  • Manage and respond to all customer inquiries, fulfilling requests, and offering comprehensive education on our products and services
  • Deliver high-quality support by handling tasks related to payment processing, creating payment plans, and addressing other account-related matters to enhance the overall customer experience

Enova International is a leading financial technology company that provides online financial services through an AI and machine learning-powered platform. They serve non-prime consumers and businesses, offering technology and services to traditional banks to create accessible credit.

US

  • Reaching out to health plan members.
  • Guiding them toward scheduling their care assessments.
  • Giving them the encouragement they need to take that next step.

Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value their team members and show it through a competitive and supportive package.

Global

  • Communicate with medical providers and ensure timely client treatment.
  • Collect and organize medical records, providing updates to the legal team.
  • Guide clients through their medical process and answer basic questions.

Solvo Global is a company that does not provide a company description in this job posting. It appears they are hiring for a medical case coordinator.

US

  • Educate recipients about the Pathways Program offerings and enrollment options.
  • Introduce managed care choices to recipients and aid in navigating health care and dental plans.
  • Cultivate positive relationships with county staff, state agencies, community groups, and recipients.

Knowledge Services is a company that provides workforce management solutions. They are committed to working with individuals with disabilities and providing reasonable accommodations.

US

  • Requests records and information from providers.
  • Responds to telephone inquiries promptly, professionally, and efficiently to provide resolution.
  • Analyzes provider questions to determine best use of resources to resolve the situation.

Empower AI provides federal agency leaders with tools to elevate their workforce's potential for transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.

Europe

  • Serve as the primary point of contact for healthcare clients and delivering patient-focused assistance.
  • Create, update, and maintain comprehensive documentation on client interactions and appointments.
  • Coordinate with healthcare professionals and internal teams to schedule appointments.

They are a company posting jobs powered by AI-powered matching process to ensure your application is reviewed quickly and objectively. They use AI tools to support parts of the hiring process, which assists their recruitment team, but does not replace human judgment.

US

  • Provides exceptional customer service and engagement via telephone.
  • Ensures customer satisfaction by providing quality service, identifying customer needs and assisting them with healthcare related issues/concerns.
  • Researches, identifies and solves problems; verify eligibility of services and places call backs as required.

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.

US

  • Take inbound calls from patients, providers and members
  • Support members with their insurance needs, questions or concerns
  • Answer inquiries on benefit claims, appeals, and authorizations

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.