Efficiently triage incoming calls and resolve member and pharmacy issues with professional phone etiquette.
Identify, document, and escalate concerns to appropriate internal teams to ensure quality care and safety standards.
Support fraud, waste, and abuse programs by reviewing pharmacy claims and communicating findings to internal staff.
Judi Health is a health technology company providing comprehensive health benefit management solutions for employers and health plans. They are rebuilding trust in healthcare with a platform that consolidates claim administration workflows.
Provide friendly, accurate, and timely service to customers through inbound and outbound interactions across multiple channels, resolving issues and educating on healthcare benefits.
Conduct outbound outreach for program enrollment and clinical quality calls, using consultative listening to overcome objections and guide customers.
Document all interactions thoroughly, adhere to HIPAA and regulations, and meet or exceed performance goals for customer satisfaction and quality.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, making healthcare affordable, and improving patient health. It is a physician-led, growing organization with a collaborative, agile culture emphasizing cross-training and ongoing development.
Answer patient questions and troubleshoot concerns related to treatment, logistics, and care coordination.
Track patients through their care journey and maintain accurate documentation in the EMR.
Balance multiple priorities with reliability and a focus on high accuracy to ensure quality patient care.
Hey Jane is a reproductive and sexual health company providing safe, discreet medication abortion treatment and other virtual care. They have helped over 100,000 people and are composed of a clinical care team of doctors, nurses, and advocates, fostering a collaborative and inclusive culture.
Serve as the vital link between members and their dental care by answering 40-60 inbound calls daily, addressing inquiries with compassion and expertise.
Capture member information accurately, investigate unresolved issues, and collaborate with internal teams to ensure timely resolutions.
Maintain flexibility and compliance with HIPAA, while navigating multiple software systems in a high-volume call center environment.
Avēsis has been providing essential ancillary benefit solutions since 1978, developing and administering programs covering over 8.5 million members. They strive for excellence in member satisfaction and client retention, fostering a culture of inclusivity and diversity.