Verify patient insurance eligibility, benefits, and coverage while communicating with insurance providers.
Obtain and track prior authorizations, and resolve coverage or authorization issues by phone.
Document insurance information in EHR systems and explain self-pay options to patients and families.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities across the globe. They embrace a remote working environment and an international team collaborating from home.
Coordinate home care assignments and serve as a key contact for patients, families, and aides.
Document communications and resolve cases in HHA Exchange, escalating issues as needed.
Monitor daily reports, manage schedules, and ensure accurate, timely care coordination.
SnappyCX provides home healthcare coordination services, connecting patients, families, and caregivers. They operate with a patient-focused, team-oriented culture in a fast-paced healthcare environment.
Conduct educational telephone calls to advise members of benefits, complete health needs assessments, and refer to population health management programs.
Reach out to members with gaps in care, encourage compliance, and assist with locating providers and scheduling appointments.
Manage system work queues, screen members for eligibility and history, and assign to clinical teams for intervention.
BlueCross BlueShield of Tennessee is the state's largest health benefit plan company, helping Tennesseans find paths to good health since 1945. They are a remote-first organization with many employees working from home, fostering a culture of innovation and collaboration.
Act as point-of-contact to help individuals live in their home or community, linking them to services and resources.
Identify barriers to healthcare compliance and create solutions to empower individuals in managing their health.
Communicate and collaborate with the individual's healthcare team, including facility social workers and waiver case managers.
CareStar is a leader in long-term care case management and population health, founded in 1988 in Cincinnati, Ohio. They serve individuals across Ohio with a mission to improve communities by improving lives, and their team values expertise, growth, and making a real difference.
Design and deliver comprehensive strategic wellbeing plans to build a culture of health and drive behavior change.
Partner with client leadership and internal teams to integrate health resources and promote engagement.
Monitor program metrics, assess feedback, and implement continuous quality improvements.
Personify Health offers a personalized health platform combining health plan administration, wellbeing solutions, and care navigation. They value diversity and foster an inclusive culture for all employees.
Monitor and maintain assigned referral WorkQueues in Epic EMR, updating referral status, scheduling, and benefit details.
Identify and escalate referrals missing information or requiring additional action to the clinical team.
Conduct ineligibility notification calls and maintain accurate documentation in EHR and Aviary Health systems.
Aviary Health is redesigning heart health by delivering exercise and wellness for older adults with cardiovascular disease via telemedicine. The team is comprised of mission-driven clinicians, engineers, and professionals dedicated to evidence-based cardiovascular rehabilitation.
Develop trusting relationships with patients and assess their medical, social, and environmental needs to create individualized care plans.
Support patients with connecting to local services, analyzing medical bills, and identifying medication cost savings.
Document interactions and collaborate with clinical, product, and operations teams to refine the patient experience.
Baba provides a care navigation and support platform that pairs seniors and caregivers with a human advocate team to help manage healthcare and aging. Backed by top tier investors, Baba supports thousands of families across assisted living, nursing homes, and at-home settings, fostering a culture of compassion and purpose.
Conduct detailed assessments and coordinate individualized care plans with healthcare teams.
Educate patients and families on disease processes, treatment options, and self-care strategies.
Advocate for patients' needs within the healthcare system, ensuring timely access to services.
Empowers individuals facing health challenges by providing compassionate, expert-guided care advocacy services. Dedicated to ensuring personalized support and seamless care coordination.
Support patients by managing prescription refill requests and authorizing renewals based on standing orders.
Receive and triage refill requests from pharmacies and patients, reducing provider time spent on refills.
Communicate effectively with physicians and patients, ensuring consistent turnaround and adherence to care plans.
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation providing comprehensive health care services. As an affiliate of one of the largest health systems in the nation, they offer purposeful work settings where staff can advance through challenging assignments.