We're not telehealth and we're not a traditional doctor's office: we're the best parts of both.

Our mission at Rezilient Health is simple: to make access to primary and multispeciality care convenient, timely and seamless. We beam our remote physicians and specialist consults into our world-first CloudClinics to collaborate with an onsite medic during patient appointments. That means a shorter time to diagnosis and more timely treatment for our members, plus a model that actually helps physicians to deliver better care.

Our tech-forward approach streamlines the primary care experience so our doctors have the time to treat our members as a whole person, not just a collection of symptoms. And we’re continuing to add specialty services and technology to offer the most comprehensive, convenient care possible.

Where others started with a legacy services model and slapped technology onto it to say they were tech enabled, we've developed a novel, digital physical infrastructure and built a new service model around it. We've built our scheduling, messaging, and video platform from the ground up to create a model where every touchpoint — even in the CloudClinics — is digitally captured. This means new ways to incorporate AI into care models, and new ways to deliver multiple specialties of clinicians to the same location at the same time, no matter where they are in the world.

We’re looking for a dynamic individual to help support and grow our Case Management team. You will have a unique opportunity to learn and grow your skills fast - from supporting our patients with coordination referrals, orders and procedures, to working with our speciality team of medics and providers, this role offers the perfect opportunity to make a meaningful impact.

Summary of Duties

• Works closely with and provides support to clinical team in coordinating patient referrals, orders, and procedures in accordance with medical plan benefits

• Assists in building and maintaining databases of preferred specialty providers for all contracts
• Communicates with multiple insurance administrators to determine provider participating status, tax IDs, pre-authorization requirements, coverage, benefits, and eligibility
• Contacts multiple healthcare facilities to verify up to date information on locations, scheduling availability, and treatment capabilities
• Informs patients of submitted orders, answering any questions or concerns and accommodating patient preference

• Maintains organized, accurate, and detailed records of any work pertaining to the submission of provider orders
• Handles all assigned Prior Authorizations
• Facilitates obtaining records from previous specialists, managing release of information forms, and ensuring specialty providers have the necessary information to see a patient
• Successfully navigates between multiple systems throughout the course of the workday this includes but is not limited to billing software, pa