Provider Outreach Specialist

Opportunity Overview:

Cohere is looking for an individual experienced in provider customer service to act as a key point of contact for hospitals, clinics, physician offices and supply companies.  As a Provider Outreach Specialist you will expedite medical records requests and respond to provider inquiries with accuracy, timeliness, and a high level of professionalism. The representative works cross-functionally with audit operations teams to resolve issues, ensure compliance with policies, and support a positive customer experience. Strong communication skills, attention to detail, and a working knowledge of healthcare claims and payment integrity processes are essential for success in this role.

What you’ll do:

• Conduct outbound and accept inbound calls with hospitals, clinics, physician offices and supply companies
• Provide detailed and accurate documentation
• Collaborate with additional teams to ensure clear communication and support in obtaining medical records for the payment integrity process

What you’ll need:

• 2-3 years customer service experience in Healthcare, preferably in claims
• Knowledge of medical terminology and medical records
• Self-motivated and able to work independently in a remote environment while maintaining high performance
• Exceptional time management, problem-solving, and analytical skills
• Commitment to teamwork, collaboration with internal teams, and continuous learning
• Ability to accurately document call details
• Possess excellent interpersonal skills
• Excellent written and verbal communication skills
• Ability to follow protocol and call scripts
• Flexibility to change as company and client needs dictate
• Completion of a Bachelor’s degree; 2+ years of experience preferred
• Experience working in a start-up or high-growth company environment, demonstrating agility and adaptability
• Familiarity with working with a diverse, global team of talent
• Excellent computer skills and familiarity with a Mac

Pay & Perks:

💻 Fully remote opportunity with about x% travel

🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program 

📈 401K retirement plan with company match; flexible spending and health savings account 

🏝️ Flex Time Off + company holidays

👶 Up to 14 weeks of paid parental leave 

🐶 Pet insurance  

The salary range for this position is $27.00 - $30.00/hr; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. This role is not eligible for hire in: AK, CA, CO, HI, NY, or WA.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview(s)

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

At Cohere Health, Payment Integrity isn’t just about catching errors—it’s about transforming how healthcare dollars are spent to ensure accuracy, fairness, and better outcomes for everyone. By combining advanced analytics, clinical expertise, and cutting-edge technology, the team works at the intersection of healthcare and innovation to proactively identify opportunities, reduce waste, and strengthen trust between payers and providers. Joining this mission means being part of a forward-thinking organization that values curiosity, collaboration, and impact—where your work directly contributes to a more efficient healthcare system and helps ensure patients receive the right care at the right time and providers receive the right payment.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement: 

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.  To us, it’s personal.

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