Answer inbound and outbound calls to schedule and complete medication refills for patients.
Work closely with pharmacists, providers, and care teams to resolve prescription and claim issues.
Maintain accurate patient records and provide friendly, helpful support throughout the refill process.
Shields Health Solutions helps patients manage their medications by connecting them with pharmacy care teams. The company is a growing health solutions provider that values dependability, organization, and patient-focused support.
Coordinate and process medication refills including data entry and claim adjudication.
Place outbound refill calls and assist patients through the refill request process.
Respond to and resolve inbound patient and provider inquiries with empathy.
Shields Health Solutions partners with health systems to deliver specialty pharmacy care. They foster a supportive culture with employee resource groups and wellness programs.
Support pharmacy benefit operations by coordinating clinical and administrative workflows.
Review documentation and communicate with members, providers, and internal stakeholders.
Ensure accurate and compliant processing of pharmacy benefit requests.
We are an innovative company striving to reduce the cost of healthcare. We have a tight-knit culture based on an outward mindset and are growing quickly.
Processes electronic medication refill requests and communicates with providers and patients.
Ensures compliance with all HIPAA regulations and maintains patient confidentiality.
Provides excellent customer service and assists with prior authorization and medication assistance guidance.
St. Elizabeth Healthcare provides medical services as one of the largest healthcare providers in the Northern Kentucky region. The organization emphasizes a culture of caring for patients and each other, with a focus on innovation and community.
Triage clinical incoming calls and conduct outreach to members, pharmacies, and prescribers.
Support operations of clinical programs including pharmacogenomics, MTM, and lower cost alternatives.
Ensure customer satisfaction and meet performance metrics while maintaining quality and compliance.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans, using a unified claims processing platform. The company focuses on transparency and efficiency, serving millions of Americans.
Make outbound calls to eligible patients to enroll them in the Shields Partner Pharmacy program and explain the benefits of the service.
Access patient EMR and review chart notes to ensure familiarity with their condition before each call.
Identify medications requiring special handling and necessary supplies such as sharps containers or needles.
Shields Health Solutions is a specialty pharmacy services company that partners with health systems to provide comprehensive pharmacy care. They offer a supportive culture with benefits starting day one and opportunities for professional development.
Serve as a primary contact for medication inquiries, triaging calls and portal messages with empathy and urgency.
Facilitate prior authorizations and coordinate follow-up appointments to ensure continuity of care.
Document all interactions using SBAR standards and educate patients on refill policies and adherence.
Mindpath Health is redefining how mental health care is delivered, operating in more than 100 locations across six states with in-person and telehealth services. The team is deeply committed to compassionate, collaborative care and values diversity and inclusion.
Triage incoming clinical programs calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members.
Manage and maintain drug lists to support clinical programs, including periodic maintenance and ad-hoc updates.
Support reporting requirements, monitor claims, and ensure communication among internal and external stakeholders.
Judi Health is a health technology company providing benefit administration solutions with Unified Claims Processing architecture. It operates in a startup environment, deploying infrastructure for millions of Americans.
Provides comprehensive medication management and patient counseling through telephone consultations.
Completes medication reviews to ensure safety, efficacy, and cost-effectiveness.
Collaborates with healthcare professionals to optimize therapeutic outcomes.
Dartmouth Health is a nonprofit academic health system delivering advanced medical care and research. It is one of New England's largest employers with a culture that values innovation and teamwork.
Answer new referral intake and refill calls in a timely and professional manner, accurately updating patient information in the computer system.
Contact patients to collect information for medical chart establishment and schedule delivery or shipping arrangements for refills.
Maintain accurate patient records, assist with copay collections, and participate in performance improvement and quality management processes.
VytlOne is a specialty pharmacy company transforming the pharmacy industry through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, and more. They foster a diverse and progressive culture with a remote work model and a team-oriented environment that encourages collaboration and innovation.
Manage end-to-end patient access case activities including benefit verification, prior authorization, appeals, and pharmacy coordination.
Apply pharmacy technician knowledge to review prescriptions, identify barriers, and coordinate with providers, payors, and pharmacies.
Maintain accurate case documentation and communicate effectively with patients, healthcare professionals, and internal teams.
PRO-spectus is a patient services company that strategically navigates the patient access process from prescription intake through treatment initiation. The company fosters a supportive, teamwork-driven culture with a focus on improving patient lives, though its exact size is not specified.
Handle inbound and outbound calls to resolve patient issues, process reorders, and ensure accurate billing.
Obtain and process authorizations while maintaining patient confidentiality and documentation.
Maximize patient retention through cross-selling and provide cross-functional support across business units.
CCS is a healthcare company specializing in chronic care management through its LivingConnected® platform, using data-driven insights to improve patient outcomes. It supports over 200,000 people annually and is recognized as a Great Place to Work®, fostering a patient-centric culture.
Assist members, providers, and internal teams in navigating prescription coverage and prior authorization requests.
Verify eligibility, drug coverage, and perform claims adjudication based on plan benefit design.
Triage and prioritize multiple requests, coordinate outreach, and make determinations under protocol.
SmithRx is a health-tech company disrupting the pharmacy benefit management industry with a next-generation drug acquisition platform. With hundreds of thousands of members, they have a mission-driven and collaborative culture guided by values of integrity, courage, and together.
Make outbound calls to existing healthcare plan members and explain the available services.
Answer basic member questions and handle objections professionally using approved information.
Schedule appointments and accurately document call outcomes to meet quality and conversion goals.
Knowledge Rhino specializes in healthcare outreach and appointment setting for existing plan members. The company is a growing remote team that offers flexible work schedules and a supportive culture.
Serve as the first point of contact for patients, addressing questions and coordinating appointments.
Accurately document interactions in electronic medical records and process insurance and payment information.
Collaborate with healthcare providers and colleagues to deliver a compassionate, high-quality patient experience.
Provides patient service and healthcare support through remote interactions. The company maintains a supportive environment focused on employee well-being and patient-centered service.
Conduct high-volume outbound telephone outreach to patients, introducing the pharmacy service and guiding them through enrollment.
Deliver standardized messaging, obtain consent, and document all activity in the EHR.
Manage outreach queues, meet performance targets, and uphold HIPAA standards.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are a growing company committed to improving patient outcomes and quality of life, with a culture of innovation and patient focus.
Manage medication therapy for high-risk patients with chronic conditions using evidence-based protocols.
Collaborate with physicians, nurses, and specialists to optimize treatment plans during high-risk rounds.
Conduct patient education and in-service sessions to promote medication safety and quality care.
CenterWell Senior Primary Care provides proactive, preventive care to seniors, focusing on personalized experiences and whole-person health. As part of Humana, a large healthcare company, we foster a caring community that prioritizes employee well-being with competitive benefits.
Make high-volume outbound calls to existing healthcare plan members in English and Spanish.
Explain available services, answer questions, and help eligible members schedule appointments.
Accurately document call outcomes and meet performance expectations for quality and conversion.
Knowledge Rhino hires bilingual professionals for outbound healthcare appointment setting, serving existing plan members. They are a growing remote team focused on member outreach and flexible scheduling.
Lead and manage a team of Patient Support Associates to ensure medication adherence through refill management or timely prior authorization and financial assistance.
Manage service level goals, conduct audits, and provide coaching and performance management for a remote Patient Support team.
Collaborate with on-site management at hospital partners for quarterly calls, workflow improvements, and record keeping.
Shields Health Solutions provides specialty pharmacy management services to healthcare organizations. They are a fast-growing company with a close-knit team that values employee development and high-quality patient care.
Make outbound calls to hospitals and clinics to conduct brief surveys on after-hours and emergency protocols.
Accurately document responses using provided systems while maintaining a professional demeanor.
Handle a high volume of calls, meeting quality standards and protecting confidential information.
Five Star Solutions provides outsourced customer service and survey services for healthcare clients. They are a growing company focused on remote work, offering a supportive environment with paid training and benefits.