Provide compassionate support and expert guidance to Medicaid recipients.
Address inquiries and resolve issues to impact the health and satisfaction of clients.
Join a dynamic team dedicated to making a difference in the lives of underserved communities.
Avesis has been providing essential ancillary benefit solutions since 1978. Today, their programs cover more than 8.5 million members throughout the country. They strive for excellence in all that they do and their benchmark performance in terms of member satisfaction and client retention underscores this singular focus.
Manage multiple channel interactions with excellent communication skills.
Effectively present and discuss products and services to providers.
Establish and maintain positive relationships with providers.
Capital BlueCross is an independent licensee of the Blue Cross Blue Shield Association. We are an equal opportunity employer committed to a culture of diversity and inclusion.
Act as a Gentiva representative supporting patients seeking post-acute care.
Navigate healthcare options, including post-acute offerings and Medicare coverage.
Assist in the admissions process by coordinating with Gentiva branch staff.
Gentiva offers compassionate care in the comfort of patients' homes and is a national leader in hospice care, palliative care, home health care, and advanced illness management. They have nearly 600 locations and thousands of dedicated clinicians across 38 states, fostering a collaborative environment.
Communicate with our members via phone and email, exhibiting care in every interaction
Listen to our members, providing empathy and solutions to their unique needs
Accurately document Member interactions and activity
Achieve is a leading digital personal finance company that provides innovative, personalized financial solutions to help people move from struggling to thriving. They have over 3,000 employees in mostly hybrid and work-from-home roles across the United States.
Handle inbound and outbound calls to support our healthcare client.
Expected to deliver exceptional customer service by adhering to established protocols and guidelines.
Utilize various web-based systems to efficiently address and resolve customer inquiries.
Senture is a global company that embraces diversity and never discriminates against employees or applicants based on gender identity or expression, sexual orientation, race, religion, age, national origin, citizenship, disability, pregnancy status, veteran status, or other differences. They have employees from various backgrounds and lifestyles.
Guiding them toward scheduling their care assessments.
Giving them the encouragement they need to take that next step.
Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value the expertise and dedication of their team members and show it through a competitive and supportive package.
Answer incoming emergency and non-emergency calls, following protocols to determine priorities and dispatch responses accordingly.
Provide compassionate customer support using scripted and non-scripted responses.
Monitor a high volume of medical alerts and alarms, offering genuine care during potentially stressful situations.
Modivcare is leading the transformation to better connect people with care, wherever they are. They serve the most underserved by facilitating non-emergency medical transportation and personal and home care to enable greater access to care, reduce costs, and improve outcomes.
Evaluates certification requests by reviewing the group specific requirements.
Triage the call to determine if a Utilization Review Nurse is needed to complete the call.
Cottingham & Butler sells a promise to help their clients through life’s toughest moments. Their culture is guided by the theme of “better every day” constantly pushing themselves to be better than yesterday.
Conducts outbound and inbound calls to educate patients about Advanced Care Planning ultimately scheduling an appointment.
Overcome Patient concerns and objections by clearly articulating the importance of Advanced Care Planning and how it benefits their healthcare journey.
Respond to multimodal and outgoing calls, texts, and emails by providing direction to Patients’ questions and/or concerns.
Aledade exists to empower independent primary care by creating value-based contracts across a wide variety of health plans. They were founded in 2014 and have become the largest network of independent primary care in the country. They have a collaborative, inclusive, and remote-first culture.
Team members will perform outbound calls to enroll the person into their food box program or to reauthorize the person into the program.
Have a passion for helping members make decisions that will enhance their healthcare experience
You will be making a difference in someone’s life!
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. From best-in-class clinical expertise to personalized and automated solutions, they integrate the power of human touch with data-driven technology in their mission to make healthcare better for all.
Maintain positive customer relationships by responding to inquiries via phone.
Provide information and education about IRS regulations and spending accounts.
Serve as a customer advocate by identifying needs and guiding them to resources.
HealthEquity's mission is to save and improve lives by empowering healthcare consumers. They are passionate about providing solutions that allows American families to connect health and wealth, valuing individuals more than positions and fostering a welcoming and inclusive environment.
Collaborates with members, family, and healthcare providers to coordinate services and address barriers.
Guides members to achieve optimal health by providing tools and information to understand their healthcare options.
Identifies and assesses members’ medical, behavioral, social, emotional, and financial needs.
Capital Blue Cross promises to go the extra mile for their team and community. They are one of the “Best Places to Work in PA”, with a caring and supportive culture that values professional and personal growth through training and continuing education.
Take inbound calls from patients, providers and members
Support members with their insurance needs, questions or concerns
Provide 24/7 Triage Support and assign priority for a Registered Nurse to provide health advice
Carenet Health pioneers advancements in healthcare consumer experience, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.
Enjoy making outbound calls and reaching out to patients, members, and customers.
Have a passion for helping patients make decisions that will enhance their healthcare experience.
Make welcome calls and assist members and patients with benefits and insurance information.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes. Carenet Health fosters collaboration, creativity and innovation and looks for people who want to work with an entrepreneurial spirit and deliver market-leading performance!
Provides after hours support to members and leaders seeking services.
Problem-solves and assists with high touch and escalated/sensitive calls.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies, from startups to multinational Fortune 500 corporations, providing care for 10 million people.
Efficiently triage incoming phone calls with professional phone etiquette.
Provide support for call center staff and resolve issues promptly.
Effectively communicate issues and solutions to members and pharmacies.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.
Perform outbound calls to obtain appropriate information and document accurately.
Answer in-bound calls and assist customers with pharmacy related services.
Contact insurance companies for benefit investigation and coverage eligibility.
IQVIA is a global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. They create connections that accelerate the development and commercialization of innovative medical treatments to improve healthcare and patient outcomes.
Maintain full ownership and accountability for initiating phone contact to potential study participants.
Conduct phone-based pre-screening interviews for potential study participants to determine pre-qualification status.
Consistently provide outstanding customer service with every patient interaction.
M3 Wake Research is an integrated network of premier investigational sites meeting clinical research needs. They have close to 30 owned and managed research sites across the country and continue to grow through acquisitions.
Responsible for the coordination of services for members meeting established criteria, emphasizing education/self-management and promoting quality care and cost-effective outcomes.\n- Uses a collaborative process to assess Member needs, review options for services and resources, develop and implement a plan of care, coordinate resources, monitor progress, and evaluate Member status.\n- Addresses medical, psychosocial, clinical needs, and behavioral health needs including members with mental health and substance use disorder needs, providing counseling and referrals to community/local/state programs.
Capital Blue Cross is committed to providing excellent service to both its team and the community. Employees have consistently voted it as one of the “Best Places to Work in PA”, which indicates a positive and supportive company culture.
Connect with customers via phone/email/chat/social media to resolve questions/concerns.
Calmly attempt to resolve and de-escalate any issues.
Respond to requests for assistance and/or possible processing payments.
TP is a global, digital business services company that delivers advanced, digitally powered business services. With over 500,000 employees speaking 300+ languages, they emphasize community support, client satisfaction, and environmental responsibility.