Provider Outreach Specialist

Opportunity Overview: We are seeking a versatile and skilled call representative to join our dynamic Payment Integrity team. This critical role involves conducting outbound and accepting inbound calls with hospitals, clinics, physician offices, and supply companies. This position requires a good understanding of the US Healthcare system and HIPAA / PHI. This opportunity requires a self-motivated individual who thrives on accuracy, compliance, and continuous learning in a high-growth environment. 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 Required Qualifications: 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 English communication skills Ability to follow protocol and call scripts Flexibility to change as company and client needs dictate Ability to work late shift to accommodate USA time zones Ability to commute/relocate: Nacharam, Hyderabad, Telangana*: Reliably commute or planning to relocate before starting work (Preferred) Interview Process*: Connect with Talent Acquisition Behavioral Interview(s) Meet with the Hiring Manager *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. 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.