Make high-volume outbound calls to members to verify and gather information from health plan referrals.
Accurately document member interactions and update records in the system before case assignment.
Collaborate with the Client Services team to ensure smooth handoff and thorough information transfer.
We are a client services team focused on member outreach for health plans. Our team is detail-oriented and process-driven, with a commitment to accuracy and professionalism.
Conducts administrative and clinical intake of calls for clinical review.
Provides quality customer service and telephonic support to providers and office staff.
Maintains high confidentiality and documentation standards while performing data entry.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With 66,000+ employees across 13 countries, they combine deep domain expertise with AI platforms to drive business resilience and sustainable outcomes.
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.
Own key operational support initiatives that directly impact patient care delivery and health plan compliance.
Complete critical data entry from internal care systems into health plan portals, trackers, and databases with exceptional accuracy.
Process and monitor care management program authorizations, reauthorizations, and disenrollments to ensure patients maintain continuous access to care.
Pair Team is a tech-enabled medical group that reimagines how Medicaid and Medicare serve underserved populations, delivering whole-person care through clinical, behavioral, and social support. They are one of the largest Enhanced Care Management providers in California, with a collaborative team of clinicians and technologists, and they have demonstrated a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.
Engage with health plan members to schedule care assessments and provide encouragement.
Utilize strong listening and communication skills to build trust and handle challenging calls.
Multitask efficiently while using technology to maintain a human-centered conversation.
Carenet Health is a healthcare company that transforms patient interactions into meaningful connections. The company fosters a culture of empathy and support, with a focus on team member expertise and dedication.
Provide administrative assistance to the Absence Vice President and Operational Leaders, including meeting minutes, scheduling, and data entry.
Create data visuals, presentations, and communication materials, and book travel or reconcile expense reports.
Run routine reports, create summaries, and support the team with clear written and verbal communication.
ComPsych is the worldwide leader in organizational mental health, well-being, and absence management, igniting human potential in workplaces globally. For over 40 years, they have supported more than 75,000 customers and 160 million lives across 200 countries, with 40% of the Fortune 500 choosing them.
Deliver timely, responsive support for new and existing clients, ensuring a smooth transition from implementation through ongoing service.
Maintain accurate client benefit information across systems, providing reliable documentation for operational teams.
Collaborate effectively with Sales, Operations, Client Care, carriers, and vendors to resolve requests and support client needs.
Health Advocate is a leading provider of health advocacy, navigation, well-being, and integrated benefits programs, helping members navigate healthcare complexities. The company is part of Teleperformance in the US, employs a team of compassionate experts, and has been recognized as a top workplace by Fortune, with numerous customer service awards.
Provide comprehensive administrative support to physicians, nurses, analysts, and other staff, including scheduling, report distribution, and client communication.
Manage peer review scheduling, PTO tracking, and supplemental reimbursement submissions for Physician Advisors, collaborating across multiple time zones.
Maintain department email inbox, update contact details, and cross-train with other clinical administrative staff to ensure seamless coverage.
Xsolis is an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Recognized on the Inc. 5000 and Deloitte Technology Fast 500 lists, we are one of the fastest-growing privately-held companies in the country, headquartered in Franklin, TN.
Act as primary contact for assigned healthcare facilities, managing medical record requests and ensuring HIPAA compliance.
Verify patient information and process records accurately while maintaining confidentiality and adhering to policies.
Provide exceptional customer service, handle high call volumes, and meet production and quality goals.
MediCopy provides medical records management and compliance services for healthcare facilities. The company emphasizes a professional and customer-oriented culture, with a focus on accuracy and privacy.
Compile the daily schedules of clinical staff and assign clinicians to patients under the direction of the Assistant Clinical Manager.
Serve as a liaison between field staff, patients, and POD personnel to coordinate care and communicate with CFSS for order approval.
Complete all tasks and workflows daily, processing visits sent back from clinicians and communicating with the ACM as needed.
Graham Healthcare Group designs business and technology solutions to improve care, outcomes, and productivity in home health and hospice. The company has been an innovator for over 20 years, with a culture focused on putting patients and families at the center of care.
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.
Responsible for accurately entering group and member enrollment data into Facets and eGEMS within specified time frames.
Responds to phone and written inquiries from internal and external customers regarding enrollment and billing.
Analyzes group payments, reconciles invoices, and ensures correct payment amounts.
Capital Blue Cross is a health insurance company and an independent licensee of the Blue Cross Blue Shield Association. They are consistently voted one of the 'Best Places to Work in PA' and prioritize employee well-being and community involvement.
Respond professionally to client inquiries via phone, email, and other channels.
Maintain accurate customer records, coordinate appointments, and assist with service requests.
Perform data entry, prepare reports, and ensure timely resolution of client issues.
Winter Environmental is an award-winning environmental services company specializing in abatement, decommissioning, decontamination, demolition, remediation, and environmental cleanup solutions. Since 1987, the company has completed over 6,000 projects across regulated industries, maintaining a strong commitment to safety, quality, innovation, and exceptional client service.
Serve as the primary point of contact for client inquiries via phone, email, or chat, ensuring professional and efficient service.
Perform administrative tasks, maintain client records in agency management systems, and contribute to process improvements.
Handle inbound calls for sales and post-sales service, follow up on warm leads, and provide support to internal teams.
Trucordia is an insurance brokerage built on successful businesses across the U.S., offering exceptional experiences for clients and employees. With over 5,000 team members across 200 offices, they are a fast-growing company that values collaboration, leadership, and celebrating both individual and collective achievements.
Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
Assist participants via email and online messaging, and accurately document all participant communications.
Work independently and in a team environment with strong customer service skills; no experience required as training is provided.
Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.
Provide professional client support by managing inquiries, maintaining records, and coordinating administrative tasks.
Respond to client calls and emails, assist with billing, and prepare reports and correspondence.
Work independently in a remote environment to ensure a positive client experience.
A-Core Industrial Services provides concrete cutting, demolition, core drilling, and specialty construction services. Since 1974, they have served commercial and industrial clients across the US with a focus on safety, quality, and customer service.
Reviewing time-sheets for accuracy and reconciling discrepancies.
Validating data accuracy through periodic audits.
Resolving inconsistencies by contacting the source for clarification.
We are a national organization dedicated to nurturing children with autism and special needs through applied behavior analysis. With 20 years of clinical insights, we have a caring team focused on personalized treatment plans.
Support accounts as the operational point of contact between customers and internal service delivery teams.
Provide phone and email support to external customers by answering questions, resolving problems, and proactively educating customers.
Handle daily workflows to meet KPI and QA metrics; accurately document all work and customer interactions.
Global Healthcare Exchange (GHX) enables better patient care and billions in savings for the healthcare community by maximizing automation, efficiency and accuracy of business processes. GHX is privately owned, operates in the United States, Canada and Europe, and employs more than 1000 people worldwide.
Verify and maintain clinic database accuracy through research and outreach.
Enter data into platforms like Airtable, Google Sheets, and Monday.com.
Collaborate with teams to ensure data accuracy in response to policy changes.
Power to Decide is a national nonprofit, nonpartisan organization that advances sexual and reproductive well-being for all. They are committed to maintaining a diverse staff and an inclusive, multicultural environment.
Manage patient intake, scheduling, and payment collection to support clinic growth.
Handle virtual check-ins, welcome calls, and authorization management via WelcomeWare platform.
Track and analyze reports on patient metrics, referrals, and clinical performance using Power BI.
Upstream Rehabilitation provides outpatient physical therapy and rehabilitation services across multiple locations. As a large organization, they emphasize a collaborative, patient-centered culture and support for teammates.