The Patient Care Representative is responsible for customer relations, processing virtual healthcare, taking referrals, performing data entry, and answering inquiries as part of the Caretinuum initiative. This role supports daily virtual operations by coordinating referrals and maintaining communication between clinical supervisors and liaisons.

The Eligibility Senior Representative facilitates cross-functional resolution of drug coverage issues and proactively addresses, researches, and resolves issues impacting referral turn-around time. This role involves independently resolving basic patient claims issues and coordinating to ensure services provided will be reimbursable based on complex benefit verification.

The Care Coordinator is responsible for evaluating member needs via the annual Health Risk Survey, addressing social determinants of health, and coordinating care across the continuum for Dual Eligible Special Needs Plan (DSNP) members. This involves collaborating with the care team, providers, and community organizations to close gaps in preventive and health maintenance care.

The Patient Qualification Specialist supports hundreds of local branch offices by reviewing new patient orders and documentation to secure required clinical requirements from health insurance plans, ensuring patients receive necessary care quickly. Key duties involve providing excellent customer service, product information, and solutions to patients and providers while proactively improving the patient experience.