Process prescription refill requests via multiple channels while ensuring accuracy and compliance.
Deliver empathetic, bilingual customer service to patients, providers, and pharmacies.
Track performance data and collaborate with teams to improve medication refill workflows.
Carenet Health is a healthcare services company focused on patient support and medication management programs. The company emphasizes collaboration, creativity, and innovation, empowering team members through trust, opportunity, and accountability.
Provide compassionate, knowledgeable assistance to patients, providers, and staff.
Make outbound refill calls, process requests, and answer incoming pharmacy calls.
Coordinate medication refills, clarify orders, and assist with claim adjudication.
Shields Health Solutions is a specialty pharmacy company redefining patient care. They foster a team-first culture with a focus on employee development and inclusion.
Conduct high-volume outbound telephone outreach to patients to introduce pharmacy services and guide them through enrollment.
Document patient consent and update electronic health records, including preferred pharmacy and electronic prescriptions.
Manage outreach queues, meet call center performance expectations, and uphold HIPAA privacy standards.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. The company fosters an innovative, evolving environment focused on improving patient outcomes and quality of life.
Coordinate patient medication needs with a multidisciplinary team including CHWs, care coordinators, and therapists.
Perform telephonic and SMS outreach to address medication access, adherence, and HEDIS gaps.
Support prior authorizations, formulary changes, side effects, and therapeutic substitutions with the Waymark pharmacy team.
Waymark is a mission-driven healthcare technology company transforming Medicaid care delivery with community-based, human-centered support. They are a startup-minded team that values bold builders, humble learners, experimentation, and focused urgency.
Triage incoming calls from nursing staff and doctors, addressing concerns and inquiries with high customer service.
Process new and refill prescriptions, verify eligibility, and document all correspondence and follow-up in the system.
Contact physician offices and clients for refill authorizations and order verification while escalating incomplete scripts as needed.
Symbria Rx Services provides pharmacy services for seniors in senior-living and post-acute settings. As one of the few 100% employee-owned healthcare companies, it fosters an owner-focused culture guided by integrity, compassion, and teamwork.
Apply pharmacy technician knowledge to support prescription intake, triage, and fulfillment across the patient access journey.
Coordinate with patients, prescribers, pharmacies, and internal teams to resolve prescription-processing and fulfillment barriers.
Manage cases with high accuracy and responsiveness to ensure timely patient access to therapy.
PRO-spectus is a healthcare services company providing patient support programs and pharmacy services. The company fosters a supportive, teamwork-driven culture focused on improving patients' lives, with employees who are dedicated and collaborative.
Answer and respond to incoming calls from nursing staff and doctors to address concerns and inquiries.
Process new and refill prescriptions, verify eligibility, and input prescriptions while maintaining productivity and quality standards.
Document correspondence, prepare audit sheets, and forward incomplete scripts to the appropriate department for resolution.
Symbria Rx Services provides pharmacy, rehabilitation, and well-being services for senior-living and post-acute communities. The company is a 100% employee-owned healthcare provider with over 20 years of experience and a culture guided by integrity, compassion, stewardship, innovation, and teamwork.
Complete administrative tasks for medical staff, including data entry, faxing, scheduling, and record collection.
Maintain and update patient medical records, entering vital signs and uploading documents into the EMR.
Coordinate care with outside providers and work cross-functionally to ensure outstanding patient support.
Equip is the leading virtual, evidence-based eating disorder treatment program. Founded in 2019, it is a fully virtual company with a passionate, diverse team, and was named one of the most influential companies of 2023.
Process new and refill prescriptions accurately while maintaining productivity and quality standards.
Contact physician offices and clients for refill authorization and order verification as needed.
Document correspondence, prepare audit sheets, and provide backup support to pharmacy groups.
Symbria Rx Services provides patient-centered pharmacy care to seniors in senior-living and post-acute settings. As a 100% employee-owned healthcare company, Symbria fosters a collaborative culture and has been serving for over 20 years.
Process medication prior authorizations and support ambulatory care pharmacy services to improve patient access to medications.
Research and identify potential medication access options, including prior authorization, drug assistance programs, copay discount cards, and foundation grants.
Serve as a liaison between patients, providers, pharmacies, and assistance programs, managing renewals and eligibility.
Dignity Health Medical Foundation is a California nonprofit public benefit corporation that provides comprehensive health care services through its care centers. It is an affiliate of Dignity Health, one of the largest health systems in the nation, with a culture centered on purposeful work, growth, and excellence in care.
Manage prescription workflows and provide clinical and operational support to the pharmacy enablement team.
Collaborate with RNs, providers, and coaches to coordinate care and resolve member issues.
Process clinical tickets, route faxes and records, and follow SOPs to maintain compliance.
Virta Health works to reverse metabolic disease in one billion people using technology, personalized nutrition, and virtual care delivery. It is a remote-first company backed by over $350 million from top-tier investors, partnering with health plans, employers, and government organizations.
Prepare, review, and submit accurate prior authorization requests to PBMs and health plans for anti-obesity medications.
Act as an escalation point to resolve complex coverage inquiries from Medical Providers, Member Services, and Client Success.
Maintain HIPAA compliance and accurately document hours using designated ADP pay codes.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. It is trusted by Fortune 100 companies and fosters a diverse, inclusive culture.
Process new and refill prescription medications accurately and efficiently using e-Prescribing software and internal tools.
Work closely with internal and vendor partners to ensure timely medication shipment, resolving gating tasks and data entry.
Own relationships with pharmacy partners from launch to ongoing quality review and demand forecasting.
Hone is an online medical clinic transforming healthcare and enhancing longevity through cutting-edge science. They are a fully virtual, remote-first employer with a fast-paced, high-growth culture driven by values like fighting for the customer and collaborating selflessly.
Review and respond to phone and fax inquiries from members, providers, and pharmacies for prior authorization.
Use multiple applications and follow procedures to accurately document and resolve inquiries.
Provide excellent customer service and meet or exceed call center metrics.
The Cigna Group is dedicated to improving the health and vitality of those we serve through Cigna Healthcare and Evernorth Health Services. We are a major healthcare organization focused on enhancing the lives of our clients, customers, and patients.
Process referrals and prior authorizations, ensuring accurate and timely documentation.
Collaborate with clinical teams, physician offices, and insurance companies to resolve authorization issues.
Monitor denial reports, manage referral tracking, and communicate decisions to providers, staff, and patients.
Baystate Health is an integrated healthcare system serving western Massachusetts. With 12,000 employees and a community-focused culture, it includes five hospitals and offers career growth.
Triage incoming phone calls from members and pharmacies with professional etiquette.
Identify, document, and escalate member and pharmacy concerns to appropriate teams.
Ensure first-call resolution and exceptional customer care with genuine compassion.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. We are an intelligence platform powering benefits plans for millions of Americans, delivering the healthcare we all deserve.
Manage prior authorization requests and coordinate specialty medication processes for a fully remote healthcare team.
Act as a liaison between pharmacies, prescribers, members, and vendors to resolve complex medication-related issues.
Support single case agreements, member financial assistance, and compliance with contractual and regulatory requirements.
The hiring company is a healthcare organization that administers specialty pharmacy and medical benefit programs. It operates fully remotely, fostering a collaborative and customer-focused culture that prioritizes compliance, member support, and process improvement.
Maintain clinical drug lists and prior authorization documents, resolve drug list and benefit setup questions, and prepare reports and client business review materials.
Investigate claim rejections related to drug list platform configuration and coordinate with pharmacists and operational teams to meet deadlines.
Identify opportunities to improve accuracy and efficiency through technology, automation, and AI-enabled tools.
Prescryptive is a healthcare technology company enabling the direct access marketplace for prescription drugs. As an Equal Opportunity Employer, the company values bold aspirations and a passion for improving consumer health and wellbeing.
Provides administrative support to clinical teams including building medical management records and managing authorizations.
Conducts fax and telephonic outreach to members and providers for status updates and engagement.
Supports compliance monitoring and documentation in the medical management system.
Capital Blue Cross is a health insurance provider dedicated to improving the health and well-being of its members and communities. They are recognized as one of the "Best Places to Work in PA" with a culture focused on support, flexibility, and community involvement.
Lead and support patient engagement specialists, providing oversight, coaching, and workflow guidance.
Manage clinic implementation, stabilization, and queue prioritization to ensure high-quality patient care.
Maintain patient engagement specialist duties and act as subject matter expert on SOPs and compliance.
Shields Health Solutions provides specialty pharmacy care and patient engagement services, partnering with health systems to support medication adherence. The company fosters a collaborative, data-driven team culture focused on high-quality patient service and professional growth.