Play an active role in member registration and enrollment, including organizing community engagement and outbound outreach calls/texts.
Engage with a panel of assigned members to provide care navigation, appointment logistics, prescription drug support, lab support, referral coordination, care plan adherence support, and resource sharing.
Serve as the primary relationship holder for members with behavioral health needs; provide consistent outreach, follow-up, and re-engagement support, including after ED/inpatient discharge when applicable.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. They combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.
Communicate and provide education to members and providers on insurance plan benefits and digital health solutions.
Employ active listening & motivational interviewing skills, and can handle difficult calls tactfully, professionally and document accordingly that can build patient trust and engagement.
Accurately track and document work on a variety of internal software tools and platforms.
Evry Health is on a mission to bring humanity to health insurance. They provide high-technology health plans that expand benefits, increase access and transparency, and feature a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL), which has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents.
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.
Assess member needs in physical health, mental health, and social supports.
Oversee the development of client care plans and goal settings.
Connect clients to social services, advocate for their needs, and ensure documentation.
Vynca is dedicated to transforming care for individuals with complex needs, fostering a close-knit community committed to caring for each other and the people they serve. Guided by core values like excellence and compassion, Vynca empowers employees to make a profound difference in providing comprehensive care for more quality days at home.
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.
You will answer a high volume of inbound calls; transfer and directs calls; provide exceptional customer service via telephone
You’ll be responsible for all front office patient coordination; to be completed in a timely manner (e.g. appointment scheduling, transport coordination)
Accurately input data into both Carenet and EMR (Electronic Medical Records) databases
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.
Work independently to make clinical decisions on routine patient care matters.
Provide patient-focused care and guidance on the phone or online.
Monitor your own performance with dashboard metrics and look for ways to improve.
Carenet Healthcare Services provides telehealth and virtual care clinical triage assessments, health education and other services to diverse populations of patients and health plan members. They are known to connect nurses and clinical staff with consumers as a trusted, behind-the-scenes partner for health plans and health systems.
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.
Urrly helps members get the care they need by booking, confirming, and following up on appointments using AI. They ensure a more objective and equal opportunity hiring process for all.
Efficiently accept patient handoffs from an Intake Care Manager and seamlessly continue care.
Encourage patients to express feelings and discuss what is happening in their lives, assisting them in developing insight into themselves and their relationships.
Assess patients for risk, make quick evaluations for risk, develop safety plans and respond within the parameters outlined within their safety plan, formulating and performing crisis interventions ensuring the safety of patients as necessary.
Mindoula Health's teams of Care Managers are supported by technology. They aim to revolutionize healthcare by providing comprehensive support and guidance to individuals on their journey of healing and transformation.
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!
Own all patient communication, including outreach, engagement, data entry into internal and external systems, scheduling, appointment coordination, pre-authorizations, and billing follow-up
Schedule virtual visits and outpatient procedures (such as stress tests, echocardiograms, and cardiac calcium scoring) with both Heartbeat and third parties
Follow up with patients via email, phone, and/or text to drive patient engagement
Heartbeat Health is a virtual-first cardiovascular care company, providing patients with convenient, high-quality heart care. They leverage real-time data and AI-powered insights, empowering providers and patients with personalized treatment plans.
Manage provider schedules and prepare charts for upcoming home visits.
Conduct outreach for scheduling, appointment confirmation, and wellness checks for high-risk members.
Obtain medical records, submit referral authorizations, and coordinate lab orders and transportation for members.
Alignment Health is dedicated to reshaping senior care, empowering members to age gracefully and live vibrantly. Their mission-driven team strives to deliver high-quality, affordable care to members daily.
Actively conduct outreach via phone, text, and email daily
Successfully complete >100 outbound calls a day
Maintain 92% or higher customer satisfaction score
Bold is the leading healthy aging platform, offering personalized, evidence-based exercise programs for Medicare members. Innovative Medicare plans rely on Bold to deliver engaging, clinically sound exercise programs that members love to use and that achieve significant health outcomes.
Conduct brief client assessments during initial calls
Provide crisis support, facilitate client admissions, referrals, and resource navigation
Schedule appointments and verify insurance to ensure a seamless client experience
Kindbridge Behavioral Health is committed to transforming mental health care through compassion, innovation, and flexibility. They specialize in behavioral challenges such as gambling and gaming addiction via telehealth and AI tools.
Make outbound calls to prospective customers and follow up on leads.
Present and sell company products and services to new and existing customers.
Achieve daily, weekly, and monthly sales targets.
MCI is a tech-enabled business services company that delivers Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions. They employ 10,000+ talented individuals and have 150+ diverse North American client partners.
Answer a high volume of inbound calls and ensure every interaction is respectful and solution-oriented.
Own the member's journey, including researching and resolving complex cases.
Guide members in accessing services, facilitating access to virtual care and connecting them to healthcare resources.
Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone by breaking down barriers and providing high-quality care. They offer numerous opportunities for career advancement and professional development.
Enhance the quality of member management and maximize satisfaction.
Assist in navigating the health care system as a collaborative health partner.
Promote wellness, problem-solve, and assist members in realization of their personal health-care related goals.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Initiating courtesy calls to clients upon case assignment, providing detailed explanations of the reduction process.
Meticulously logging phone calls, case statuses, and documents into the online document management software.
Ensuring efficient linkage of releases onto Litify, confirming PIP benefits, and validating damages with a complete provider list.
The Ward Law Group is recognized as one of the Best Places to Work for consecutive years. They serve their community with compassion and excellence, empowering their employees to deliver real results for their clients in a collaborative, innovative, and high-accountability environment.
Coordinate and implement medical case management to facilitate case closure.
Assess appropriate utilization of medical treatment and services.
Review medical records and assess data to ensure appropriate case management process.
Berkley Medical Management Solutions (BMMS) provides managed-care service for W.R. Berkley Corporation, focusing on injured worker’s return to work. BMMS was started in 2014 and combines clinical practices, return-to-work strategies, and software for workers’ compensation cases.