Serve as first point of contact for members and providers via phone and email, resolving health insurance inquiries.
Use active listening and empathy to understand issues, explain benefits, claims, and coverage, and document interactions.
Maintain a structured schedule, with availability during peak season, and uphold the Gravie CARE service model and core values.
Gravie creates innovative health benefits for small and midsize businesses, focusing on solutions that genuinely benefit employees. The company is well-funded, non-hierarchical, and merit-driven, with a culture that values authenticity, curiosity, and creativity.
Respond to high-volume inquiries via email and phone, assisting with triaging case volumes and providing resolution guidance on complex claims and billing inquiries.
Critically analyze situations, escalate issues to appropriate teams, and identify recurring issues to provide feedback to management.
Act as a subject matter expert, updating team on resources, supporting team chat, and remaining flexible to take on other duties as assigned.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems to optimize practices and improve patient experiences. They are led by top industry talent and physician leadership, focusing on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.
Provide Level III customer service through phone, chat, email, and administrative channels supporting multiple healthcare products and states.
Research and resolve complex member and provider issues involving eligibility, benefits, claims, premiums, authorizations, appeals, contracting, credentialing, and related matters.
Handle escalated and highly complex calls, including issues raised on behalf of leadership, while applying appropriate risk-based escalation protocols.
The company delivers customer support solutions for healthcare members and providers across multiple lines of business. It operates as a partner organization with a large, remote team focused on high-volume, fast-paced support.
Manage multiple channel interactions professionally and efficiently.
Address provider inquiries with accuracy and focus on first call resolution.
Maintain positive relationships and exceed quality and productivity goals.
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association focused on improving the health and well-being of its members and communities. It has been consistently voted one of the Best Places to Work in PA and fosters a flexible, supportive culture with emphasis on professional growth and community involvement.
Coordinate the end-to-end provider enrollment process, preparing and submitting applications to Medicare, Medicaid, and other payers.
Maintain accuracy of provider data in systems like NPPES, PECOS, and CAQH, and track facility privileging requirements.
Collaborate with internal teams to align enrollment timelines and ensure compliance with federal, state, and facility regulations.
Curana Health is a national leader in value-based care for older adults, providing primary care services and care coordination in senior living communities and skilled nursing facilities. Founded in 2021, the company serves over 200,000 seniors across 1,500+ communities and employs more than 1,000 clinicians, with a fast-paced, mission-driven culture.
Provide support to participants and clients regarding eligibility, benefits, claims, and general plan inquiries via phone and email.
Document all customer interactions accurately in the call tracking system and navigate multiple systems to assist customers.
Maintain confidentiality in accordance with HIPAA standards and contribute to a positive, team-oriented environment.
Point C is a National third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company focused on innovative cost containment strategies.
Answer calls from new patients and call back signups quickly to set the tone for care.
Listen empathetically, learn about patient health and goals, and explain Mira Mace's services in plain language.
Confirm Medicare coverage, book first doctor visits, and follow up persistently while documenting accurately.
Mira Mace is a venture-backed company helping Medicare patients navigate healthcare with clarity and confidence. They are a small, mission-driven team focused on technology and patient-centered care.
Place outbound calls to Medicare eligible customers from qualified leads and assist in transferring to licensed sales agents.
Ask required scripted questions, overcome objections, and explain benefits during open enrollment.
Meet transfer targets, disposition each call, and work weekends as required.
TP is a leading global provider of digital business services, partnering with top brands to optimize operations through technology and sustainable practices. With 500,000 employees across 300 languages, we foster inclusion, diversity, and limitless career advancement.
Serve as the primary financial contact for caregivers during onboarding, explaining insurance benefits and estimated costs.
Collaborate with care coordination and clinical teams to ensure a seamless onboarding experience.
Maintain accurate documentation of all caregiver interactions while upholding HIPAA and privacy standards.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has a collaborative culture focused on delivering transformative care through technology.
Provide first-level support to health insurance agents and clients via phone, email, and chat.
Efficiently categorize and prioritize incoming requests to ensure timely resolution or escalation.
Accurately document interactions and gather feedback to improve processes and service delivery.
Spark Advisors builds healthcare tech for a system that desperately needs it, helping independent Medicare advisors guide seniors through complex coverage decisions. We are the fastest-growing Medicare platform in the country, backed by top investors and recognized as one of Inc. Magazine's Best Workplaces of 2025.
Review, process, and troubleshoot incoming Prior Authorization requests for various medications.
Accurately process requests according to regulatory and client-specific guidelines while meeting departmental performance metrics.
Work with clinical teams and handle requests via phone, fax, and web submission.
Navitus is a pharmacy benefit manager (PBM) alternative focused on reducing drug costs to make medications more affordable. The company offers a diverse and creative work environment with numerous employee benefits and growth opportunities.
Handle inbound and outbound phone calls to assist customers with inquiries.
Document all interactions in ticketing systems and track requests.
Research customer claims and provide accurate data within required timeframes.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, giving them an enduring financial edge. The company is growing and investing in its people to shape the future of healthcare technology.
Process and maintain accurate Medicare enrollment and disenrollment requests, ensuring compliance with CMS regulations.
Reconcile membership reports and resolve enrollment system rejections, building case files for CMS approval.
Mentor junior team members and collaborate on special projects, including process documentation and quality reviews.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, aiming to modernize operations and improve competitiveness. UST HealthProof, a fast-growing company, focuses on reducing administrative costs and improving healthcare experiences, led by seasoned leaders fostering a supportive, growth-oriented environment.
Address patient and DPOA inquiries via phone and patient portal, and assist with scheduling follow-up appointments.
Manage electronic health records, maintain patient rosters, and facilitate provider orders and prior authorizations.
Collaborate with the Curana interdisciplinary care team and handle incoming calls professionally.
Curana Health is a national leader in value-based care for senior living, offering on-site primary care and Medicare Advantage plans. Founded in 2021, it has grown to serve 200,000+ seniors in 1,500+ communities, with a team of 1,000+ clinicians and staff, ranking #147 on the Inc. 5000.
Answer inbound calls and chats with empathy, resolving core member issues like benefits coverage, cost-sharing, and provider searches.
Take ownership of issues end-to-end, using established workflows and documenting interactions to ensure continuity of care.
Meet quality and member satisfaction standards while navigating Included Health systems and maintaining member confidentiality.
Included Health is a new kind of healthcare company delivering integrated virtual care and navigation to raise the standard of healthcare for everyone. The company is committed to breaking down barriers and providing high-quality care for every person in every community.
Act as the primary point of contact for patients and providers, handling questions, scheduling, and documentation with empathy and professionalism.
Resolve patient and provider issues, escalate complex concerns, and coordinate care activities to ensure seamless support.
Track data and trends from support interactions to improve processes and serve as the voice of the patient.
Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood. They partner with OBGYN clinics and health plans across the country, and their culture values compassionate care and operational excellence.
Serves as a senior member of the Contact Center team, providing first-line support and mentoring to specialists.
Assists supervisors with day-to-day operations, training, and handling escalated calls.
Balances leadership duties with at least 50% of time actively answering calls to maintain frontline expertise.
Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. The company fosters a culture of transparency and data-driven solutions, offering a robust rewards program.
Respond to patient inquiries through chat, email, and internal messaging with clarity, warmth, and professionalism.
Break down complex topics (billing, CPT codes, coverage, device returns) into simple, patient-friendly explanations.
Document all interactions clearly and accurately, ensuring consistent follow-up until issues are fully resolved.
Salvo Health takes a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions. Backed by leading health care investors, Salvo's team includes board-certified physicians, dietitians, nurses, and therapists who provide evidence-based, continuous care.
Respond to inbound and outbound calls to address customer inquiries about benefits and claims in a polite manner.
Forward inquiries as directed for priority resolution and document each encounter in the tracking system.
Multi-task in several computer applications while holding a conversation with a customer.
We are focused on delivering engaging interactions and positive experiences that leave a lasting impression. We are an equal opportunity employer committed to creating job opportunities and helping people pursue their total vocation.
Review prior authorization cases to ensure clinical and operational standards are met.
Audit AI outputs, third-party reviews, and internal decisions for accuracy and compliance.
Collaborate cross-functionally to refine workflows and improve patient access to treatment.
Generator Health operates a platform that streamlines prior authorization processes for patients and providers. They handle tens of thousands of patients weekly and emphasize collaboration and accuracy in a high-autonomy remote environment.