Receive and respond to prescription refill requests through various communication channels, verifying validity and accuracy while ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately, adhering to established protocols and providing exceptional customer service to stakeholders.
Collaborate with interdisciplinary teams and provide administrative support to clinical staff and managers for medication refill programs and special projects.
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. The company interacts with 1 in 3 Americans every day and integrates the power of human touch with data-driven technology in its mission to make healthcare better for all.
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.
Manage high-volume inbound and outbound calls professionally, scheduling appointments and assisting patients.
Verify patient information, document interactions, and escalate complex issues while following HIPAA regulations.
Collaborate with clinical and administrative teams to ensure seamless patient experience and meet performance goals.
C2Q Health Solutions offers management services tailored to healthcare providers, drawing on leadership experience in administrative solutions for managed long-term care, home care, and community health plans. The company supports organizational growth with a range of functions, operating as a remote team.
Contact physician offices for refill authorizations and verify orders.
Process new and refill prescriptions, ensuring accurate data entry and maintaining productivity.
Answer incoming calls promptly and provide high standard of customer service.
Symbria Rx Services is a 100% employee-owned healthcare company that provides patient-centered care to the geriatric population in senior-living and post-acute settings. For over 20 years, they have been delivering an outstanding work environment for talented employees.
Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases.
Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support.
Meet all departmental goals including schedule adherence, attendance, and quality monitoring.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are building trust in healthcare in the U.S. and deploying infrastructure for better care.
Perform outbound calls to enroll individuals into a food box program or reauthorize them in the program.
Help members make decisions that enhance their healthcare experience with empathy and compassion.
Make a positive difference in people's lives by supporting their health journey through tailored nutrition.
Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily to improve healthcare outcomes. With over 30 years of experience, they integrate human touch with data-driven technology and foster a collaborative, innovative culture focused on empowering growth through trust and accountability.
Handle high-volume inbound patient inquiries in English and Spanish via phone and digital channels.
Schedule appointments, register new patients, and maintain accurate EHR records.
Verify insurance, screen for financial assistance, and follow HIPAA-compliant procedures.
Jobgether uses AI-powered matching to review applications quickly and fairly, sharing top candidates with hiring companies. It is a platform that connects job seekers with roles, focusing on efficiency and data privacy.
Responsible for aiding in the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members.
Conducts telephonic and video chat outreach to complete analysis of members' medication regimens.
Performs outbound calls to members, fielding inbound calls, and facilitating communication regarding clinical programs.
Navitus is an alternative to traditional pharmacy benefit manager (PBM) models, committed to removing cost from the drug supply chain to make medications more affordable. The company has a team that celebrates diversity, fosters creativity, and encourages growth.
Provide consistent, quality customer service to internal staff and external patients, taking ownership of each call to enhance the customer experience.
Manage patient requests including appointment scheduling, electronic messaging to clinical teams, and answering questions regarding medication refills.
Demonstrate proficient data entry skills, knowledge of insurance billing, and maintain confidentiality while performing other assigned duties.
Community Health Center, Inc. (CHC) is a creative and dynamic provider of primary medical, dental, and behavioral health services, with offices in Connecticut, Colorado and California. The organization employs several hundred providers, delivers over 500,000 patient visits annually, and is recognized for its Weitzman Institute research and practice transformation.
Identify, outreach, engage, and enroll individuals into the program virtually through phone, text, and email.
Offer education about Pair Team's services and explain the benefits of Enhanced Care Management to eligible members.
Manage the end-to-end enrollment funnel and provide consistent updates on stages including delays and blockers.
Pair Team is a tech-enabled medical group reimagining Medicaid and Medicare for underserved populations, delivering whole-person care. They are one of the largest Enhanced Care Management providers in California, with a workforce of nurses, social workers, and medical professionals, and have demonstrated a 58% reduction in emergency department visits.
Communicate with employees by phone, email, and web portal in both English and Spanish.
Review submitted dependent verification documents and determine eligibility against audit requirements.
Accurately enter notes, update records, and handle confidential information securely.
DependentsAudit is a fast-growing AI-native startup reinventing dependent eligibility verification for employer health plans. It is a small, remote-friendly company focused on detail-oriented operations.
Perform initial and ongoing telephonic outreach to individuals and community providers.
Support individuals' health needs by scheduling appointments with the local team.
Build trust and relationships by addressing immediate needs and empowering individuals to pursue recovery goals.
Firsthand supports individuals living with serious mental illness through a holistic team of peer recovery specialists and clinicians. The company fosters a culture of passionate problem-solvers focused on meaningful healthcare impact.
Respond to patient inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy, including answering inbound calls and conducting status checks.
Make outbound patient refill phone calls, coordinate medication refills including data entry and pharmacy claim adjudication, and resolve adjudication error messages.
Manage, organize, and update relevant data using database applications, identify trends, and participate in process improvement initiatives.
Shields Health Solutions is a healthcare company that partners with health systems to deliver specialty pharmacy services. They focus on patient engagement and medication adherence through integrated care models.
Conduct outbound telephonic patient outreach and provide one-on-one coaching to patients managing chronic conditions.
Help patients execute personalized care plans by providing education on behavior modification, nutrition, and self-management.
Monitor patients' progress, document interactions in the Cadence platform, and collaborate with clinicians to coordinate next steps.
Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. They operate as a full clinical care delivery organization, working alongside health system partners to extend primary care into patients' homes.
Provide patient-focused telehealth clinical triage assessments and health education via phone, video, and chat.
Work independently to make clinical decisions, assess needs, and direct patients to appropriate care levels while documenting interactions.
Monitor performance metrics, participate in coaching sessions, and communicate with clients and team members.
Carenet Health is a behind-the-scenes partner for over 250 of the nation's premier health plans and health systems, providing telehealth and virtual care clinical triage assessments and health education. Named one of America's fastest-growing private companies by Inc. Magazine for eight consecutive years, the company is integrity-driven and focused on compassionate, evidence-based care.
Handle inbound calls to help utility customers save money and improve energy efficiency through diverse services like scheduling and enrollment.
Navigate multiple platforms and scripts to provide customer support, tech assistance, and status updates for various programs.
Work in a performance-driven environment with real-time data access, requiring bilingual skills (English/Spanish) and call center experience.
CLEAResult leads the transition to a sustainable, equitable, and carbon-neutral energy-efficient future. They are a people-first company with thousands of employees across North America, focused on trust, accountability, and transparency.
Provide inbound customer care primarily over the phone and email, resolving billing issues and troubleshooting streaming problems.
Utilize active listening and rapport-building skills to deliver exceptional service and guide customers to the best entertainment solutions.
Work remotely with provided equipment, requiring a quiet workspace and reliable internet connectivity.
Sutherland is a digital transformation company that helps global brands improve customer experiences. With over 35 years of experience and a Great Place to Work certification, we employ a diverse team and promote a culture of growth and recognition.
Conduct Chronic Care Management follow-up calls and build positive patient relationships.
Accurately document patient interactions and maintain tracking logs using Google Drive and Sheets.
Coordinate care activities, monitor patient progress, and ensure HIPAA compliance.
SnappyCX provides healthcare staffing and management solutions, specializing in chronic care management and remote patient support. The company is a growing organization that values bilingual, self-motivated professionals in a fully remote, collaborative environment.
Serve as overflow support for multiple practices by answering and triaging incoming calls and messages from patients and stakeholders.
Support patient scheduling and follow-up, including no-show and cancellation tasks, and schedule reshuffles when needed.
Handle central communications intake and respond to voicemail and after-hours messages.
Diana Health is a network of modern women’s health practices partnering with hospitals to transform maternity and women's healthcare. They are an interdisciplinary team with strong collaborative care and operational support, focused on continuous learning and improvement.
Provide psychiatric diagnostic evaluations and psychopharmacological management for general mental health and substance use disorders.
Deliver telemedicine services to patients of community health center partners across the United States.
Collaborate with multidisciplinary teams including PCPs, pediatricians, and counselors for comprehensive care coordination.
Ascend Healthcare provides integrated psychiatric and behavioral health services, focusing on equitable access and a "no wrong door" treatment model. The company is clinician-owned and operates with a remote-first setting, fostering collaboration and career growth.