Provide empathetic and solution-focused assistance through various channels.
Drive member engagement from enrollment through program completion.
Establish human connections with members and provide personalized support.
Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform, making world-class healthcare available anytime, anywhere.
Make outbound calls to schedule appointments for preventative health screenings. Assist members and patients with benefits and insurance information. Conduct surveys and make a difference in someone’s life!
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey.
Be the first point of contact for patients and their families reaching out to Sailor Health.
Guide older adults and their caregivers through the intake process with warmth and clarity.
Match patients with the right therapist and ensure they feel supported.
Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America.
Serving as the first point of contact for members and providers.
Navigating multiple systems and balancing several interactions at once.
Documenting thoroughly, taking ownership of issues, and following through until every customer feels heard and supported.
Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment for providers. Driven by empathy and powered by AI, Guidehealth leverages remotely-embedded Healthguides and a Managed Service Organization.
Answer incoming inquiries from patients, answer questions, and schedule appointments
Make outbound phone calls to patients, pharmacies, and insurance companies
Create and triage tickets in ServiceNow
Talkiatry transforms psychiatry with accessible, human, and responsible care. They’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.
Assists with medical record documentation requests and leverages medical management system to initiate case and/or authorization to support clinical processes.
Conducts fax and telephonic outreach; and written communications to members and/or providers to communicate status of UM/CM processes.
Actively participates in supporting department compliance and performance through administrative activities such as report monitoring/distribution, and other tasks as assigned by leadership.
Capital Blue Cross promises to go the extra mile for their team and community. Employees consistently vote it one of the “Best Places to Work in PA”.
Develop trusting long-term patient relationships and empower you to do the best work of your career. Conduct holistic assessments to identify conditions, functional status and member values. Support chronic disease management, using motivational interviewing techniques.
Devoted Medical was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences.
Provide excellent customer service and product information to patients and providers.
Support field teams, operations, and sales by delivering timely feedback.
Proactively create a better patient experience.
Apria Healthcare's mission is to improve the quality of life for patients at home by providing home respiratory services and select medical equipment. They strive to meet the needs of their patients with empathetic, thoughtful, and compassionate people.
Answer high volume of incoming calls and place outbound calls, responding to patient inquiries related to healthcare services. Act as primary point of contact for patients via phone, email and chat systems. Convert calls to scheduled appointments for CHOICE clinics.
CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities.
Provide utilization management services, transition of care, and support to members and health care providers.
Utilize clinical knowledge to interpret medical policy and provide consultation on UM requests.
Proactively assess and assist members through the continuum of care by utilizing services and resources efficiently.
Wellmark is a mutual insurance company owned by its policy holders across Iowa and South Dakota, and it has built its reputation on over 80 years of trust.
Work primarily remotely with the patient’s medical practice staff and Guidehealth’s Case Management team to manage a targeted population of patients.
Assist patients in achieving better health outcomes by addressing their questions, connecting them with the medical practice, and implementing high-impact care plans.
Document patients’ medical history and medical issues accurately in the electronic health record (EHR).
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, making great healthcare affordable and improving patient health.
Deliver a delightful healthcare experience through exceptional customer service for new and existing members.
Engage with members via phone, email, text, and chat to resolve questions about appointments, prescriptions, lab work, and other aspects of their Vitable plan.
Identify and coordinate external resources for members who need services beyond Vitable’s scope of care.
Vitable Health is a healthcare company revolutionizing primary care for underserved Americans by making high-quality, affordable healthcare accessible to everyone. They are backed by Y Combinator and SoftBank, and composed of clinicians, engineers, and operators.
Ensuring providers are credentialed in a timely manner by monitoring the submission process.
Monitoring submission processes, updating protocols, and managing Virtual Assistants/BPO.
Communicating with payors and conducting regular reviews to validate internal credentialing data.
Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care. They are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients and have empowered more than ten thousand therapists.
Establish and direct the strategic vision for the Imagine Pediatrics centralized call center.
Lead a team of engagement associates that enroll attributed eligible patients into the clinical program.
Partner with Product, Engineering, and Data teams to inform the technical infrastructure.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, enhancing existing care teams with compassion and an unwavering commitment.
The manager will oversee the team that provides patients with on-demand telephone-based care management services via a 24/7 Nurse Advice Line. They will assess caller symptoms/concerns to determine care urgency, refer patients to providers, and give health advice. The manager will handle inbound communications, conduct outbound communications for follow-up, and coordinate with team members to assess and implement patient care plans.
Privia Health™ is a national physician platform transforming the healthcare delivery experience by providing tailored solutions for physicians and providers.
Manages client denials and concerns through analytic review of clinical documentation.
Delivers final determination based on skillsets and partnerships with Humana parties.
Investigates and resolves member and practitioner issues via phone or face to face to support quality goals.
Humana Inc. is committed to putting health first for teammates, customers, and the company. Through Humana insurance services and CenterWell healthcare services, they strive to make it easier for millions to achieve their best health, delivering needed care and service.
Work remotely to enhance member management and navigate the healthcare system.
Promote wellness and assist members in achieving their healthcare goals.
Conduct telephonic outreach, data analysis, clinical review, and documentation.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, improving patient health, and restoring provider fulfillment.
Engaging with prospective practices to secure commitment to value-based care contracts.
Extending and negotiating participation agreements using Salesforce CRM/Conga/DocuSign.
Serving as a mentor to Network Development Leads and other Growth / Field team members.
Aledade empowers independent primary care, forming the largest network in the US. They focus on value-based contracts and aim to improve healthcare for patients and practices, with a collaborative and remote-first culture.