Facilitate client calls related to contracting and payer enrollments.
Run and analyze client KPIs, providing regular reports.
Manage the full contracting and payer enrollment process.
Experity transforms on-demand healthcare across the U.S. by empowering urgent care clinics with industry-leading software. The company fosters a team-first culture with opportunities for flexible work and career development.
Manage all aspects of payer enrollment for independent providers and care centers in the New Jersey market.
Investigate claims/enrollment issues, work within AthenaOne EMR, and resolve Salesforce cases.
Partner with internal teams including National Credentialing, Implementation, and Operations Consultants.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and focuses on reducing healthcare costs through scalable operations and cloud-based technology, with a culture that values diversity and inclusion.
Manage end-to-end provider licensing workflows across multiple states, including initial applications and renewals.
Own payer enrollment processes for commercial and government payers from initial application through active status.
Build and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses.
Hey Jane provides safe, discreet medication abortion treatment and a range of reproductive and sexual health care services via your phone. We have helped over 100,000 people and have an in-house clinical care team of board certified doctors, nurses, and patient care advocates.
Collaborate with a multidisciplinary care team to ensure quality, member-centered care and assist members with navigating and applying for entitlement benefits.
Become an expert on available insurance and social service resources within assigned region, and provide cross-state coverage support as needed.
Maintain timely documentation in electronic health records and participate in ongoing continuing education.
Groups provides assistance to members in accessing Medicaid, Marketplace, and Medicare insurance and other entitlement benefits. The company values member-centered care and harm-reduction practices, with a team-oriented and entrepreneurial culture.
Analyze and investigate practitioner information using health information systems to distribute credentialing and enrollment packets.
Prepare and distribute data for state, federal, and commercial carriers, ensuring compliance with legal and regulatory requirements.
Collaborate with internal departments and partners to achieve accurate credentialing, timely enrollment, and compliant billing status.
OHSU is Oregon's only public academic health center, combining patient care with groundbreaking research and training the next generation of healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington, fostering an inclusive, anti-racist multicultural institution.
Complete enrollment and re-credentialing applications for physicians and providers with payers and government programs.
Perform primary source verification of licenses, malpractice, and work history and maintain CAQH profiles.
Partner with clients and payers to update enrollment status and communicate project status to leadership.
BerryDunn is a professional services firm that provides tax, advisory, and consulting services to businesses, nonprofits, and government agencies throughout the US and its territories. The firm is known for its diverse and inclusive workplace culture with a focus on learning, development, and well-being.
Drive expansion of the therapist and psychiatrist network through a full-cycle sales motion across the country.
Translate insights from sales processes into scalable products and processes by working cross-functionally.
Apply a scientific approach to experiment with lead generation and sales tactics, identifying the most effective channels.
Headway is building a new mental healthcare system by automating insurance-related admin work for providers, making therapy affordable and accessible. As a Series D company with $325M+ in funding and over 75,000 providers on its platform, it values mission-driven growth and a diverse, inclusive team.
Work with clients virtually through Zoom to review available benefit options and assist with enrollment.
Receive structured training, mentorship, and ongoing support with no cold calling or lead purchasing required.
Operate within a company-supported lead program and flexible scheduling as an independent contractor.
The Weatherspoon Agency assists members and families with union and association benefits through virtual consultations. The agency provides structured training, mentorship, and onboarding support for individuals transitioning into the insurance industry.
Own your queue end-to-end: respond to member inquiries within 1 business day, keep cases moving, and provide weekly updates.
Resolve eligibility issues, review bills and claims for accuracy, and answer benefits coverage questions.
Navigate carrier escalations, handle app and access issues, and contribute to product and process improvements.
Nava combines deep benefits expertise with technology to deliver a modern, transparent healthcare experience for employers. Backed by leading investors, it is a fast-growing benefits brokerage with a small, tight-knit team that values ownership and professionalism.
Facilitate telephonic enrollment by presenting benefits and assisting prospects with completing enrollment.
Maintain knowledge of Medicare, Medi-Cal, and SCAN benefits through required certifications and training.
Initiate follow-up calls and manage prospect requests and CRM work lists to meet sales goals.
SCAN is a nonprofit health organization dedicated to keeping older adults healthy and independent. Serving over 500,000 people across six states with $8 billion in annual revenue, SCAN has a values-driven culture focused on compassion, innovation, and integrity.
Coordinate end-to-end provider credentialing and re-credentialing processes with commercial and government payers.
Support payer contracting activities, including data collection, application submission, and follow-up.
Maintain accurate provider credentialing files in accordance with regulatory and accreditation standards.
Sunrise Group builds the future of sleep health by combining breakthrough technology with expert care. Backed by more than $50M, their team of 100+ clinicians, engineers, and operators across the US and Europe is dedicated to making high-quality sleep care accessible to everyone.
Build and maintain trust-based relationships with patients, providing longitudinal support and care coordination.
Screen patients for behavioral health symptoms and help them navigate services like therapy and psychiatry.
Use validated tools (PHQ-9, GAD-7) to monitor progress and adjust support strategies proactively.
Benchmark Health is a seed-stage, venture-backed public benefit corporation building a platform that connects people to behavioral health resources. Founded by serial entrepreneurs and psychiatrists, the company is a small startup with a mission to reimagine behavioral health at scale using AI.
Work with union and association members to explain available benefits and assist with enrollment.
Conduct virtual client meetings via Zoom in a structured remote environment.
Access company-supported lead programs and receive mentorship from experienced leadership.
The Weatherspoon Agency works with union and association members to help them understand available benefits and enroll in coverage. It is a remote agency that provides mentorship and training, focusing on developing motivated agents.
Serve as the primary contact for CM/UM programs and operational questions related to the MyCare Platform.
Build relationships with provider offices through outreach and timely follow-up, resolving issues within defined turnaround times.
Educate providers on submission requirements, documentation, timelines, and available CM/UM resources.
Personify Health created a personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while improving health outcomes.
Answering live calls, chats, and emails from clinicians and clients.
Collaborating with internal teams to resolve roadblocks.
Working with RCM and Engineering to address bugs and billing issues.
Grow Therapy is a three-sided marketplace that empowers therapists, patients, and insurance payors through technology. With over $328M in funding and a $3B valuation, they have empowered thousands of therapists and hundreds of thousands of clients.
Qualify inbound and outbound leads, assessing eligibility and booking high-quality appointments for licensed agents.
Identify qualifying life events (QLEs) and pre-screen clients for ACA and private PPO options.
Maintain accurate CRM records and follow up with leads via text and email campaigns.
We are a U.S.-based health insurance agency focused on qualifying leads and booking appointments for licensed agents. We are a growing company with a remote team culture.
Make outbound calls to 80-100 prospective members daily to educate them on Thyme Care's free support services and encourage enrollment.
Build trusting relationships through active listening, document member needs, and obtain consent while escalating urgent issues.
Participate in coaching sessions to meet quality and productivity goals, with a focus on metrics and growth mindset.
Thyme Care is a market-leading value-based oncology care enabler, partnering with health plans, providers, and employers to improve outcomes and lower costs for people with cancer. They combine high-touch human support with technology and AI, and are a tech-native organization fostering a culture of inclusion and diverse perspectives.
Compile confidential data to facilitate customer decision-making for healthcare practitioners and providers.
Process and maintain credentialing files, ensuring compliance with federal, state, and NCQA standards.
Perform primary source verification and communicate data in a timely manner.
Symplr revolutionizes healthcare operations with a platform that drives effective workflows and improves clinical, financial, and quality outcomes. It is a remote-first company with employees across the US, India, and the Netherlands, focusing on teamwork, customer championing, and integrity.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Assess member needs and oversee development of client care plans
Connect clients to social services and advocate with healthcare professionals
Complete documentation and maintain patient health records in EMR system
Vynca provides comprehensive care for more quality days at home for individuals with complex needs. They are a close-knit community operating with core values of Excellence, Compassion, Curiosity, and Integrity.