National Customer Care Rep
This position offers an hourly wage of $17.50 to $20.10. The National Customer Care Representative is responsible for delivering high-quality customer service by responding to a large volume of inbound phone calls and emails. This role involves assisting customers with inquiries about products and services, processing orders, and resolving any issues or complaints with professionalism and efficiency. The representative will be tasked with accurately documenting all customer interactions and transactions in the company’s system. Key duties include identifying and escalating priority issues, following up on customer calls where necessary, and working to meet established service goals. The ideal candidate will have a high school diploma or equivalent and previous experience in a high-volume call center or customer service environment. Strong communication and problem-solving skills are essential.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Appeals Management Coordinator
This remote position offers an hourly salary of $18.27. The Appeals Management Coordinator is responsible for managing the clinical appeals process for denied healthcare claims. This role involves reviewing patient medical records and denial letters to identify the reason for the denial and gathering the necessary clinical documentation to support the appeal. The coordinator will draft and submit compelling appeal letters to insurance companies, ensuring all submission deadlines are met. Key responsibilities include tracking the status of all appeals, following up with payers, and documenting all activities within the patient accounting system. The successful candidate will have an associate’s degree or equivalent experience, with a clinical background or certification such as LPN or RHIT being highly preferred. Strong writing skills and attention to detail are essential.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Operations Support Specialist
This hourly position offers a pay range of $19.72 to $29.94. The Operations Support Specialist provides essential administrative and operational assistance to ensure the smooth functioning of daily business activities. This role involves a variety of tasks, including data entry, records management, preparing reports, and coordinating schedules. The specialist will serve as a key point of contact for internal teams, responding to inquiries and providing support as needed. Responsibilities also include processing paperwork, maintaining databases, and assisting with special projects. The ideal candidate will be highly organized, detail-oriented, and proficient in Microsoft Office Suite. A high school diploma or equivalent is required, while an associate’s or bachelor’s degree in a related field is preferred. Previous experience in an administrative or operational support role is highly advantageous.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
PAS Coordinator
The salary range for this position is $28.25 to $38.19 per hour. The Patient Access Service (PAS) Coordinator is responsible for managing patient scheduling and registration for a healthcare department. This role involves answering high-volume telephone calls, scheduling complex appointments and procedures, and collecting accurate demographic and insurance information. The coordinator will ensure that all necessary pre-authorizations are obtained and that patients are properly registered in the system. Key duties include providing excellent customer service, explaining clinic policies to patients, and coordinating with clinical staff to ensure efficient patient flow. The successful candidate will have a high school diploma or GED and at least one year of experience in a healthcare setting with a focus on scheduling or registration. Knowledge of medical terminology and electronic health records is required. Click Here To Apply For This Job
All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Prior Authorizations Specialist
The hiring rate for this position is between $15.25 and $17.50 per hour. The Prior Authorizations Specialist is responsible for obtaining approvals from insurance carriers for medical services and procedures. This remote role involves reviewing authorization requests for completeness and medical necessity, submitting required clinical documentation to payers, and diligently following up until a determination is made. The specialist will accurately document all interactions and outcomes in the appropriate system. Key responsibilities include navigating various payer portals and maintaining a strong understanding of different insurance requirements and guidelines. The ideal candidate will be detail-oriented and persistent, with excellent communication skills. A high school diploma or equivalent is required, along with previous experience in a healthcare setting handling prior authorizations or a related function.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Data Entry and Validation Specialist
The hiring rate for this position is between $17.00 and $19.00 per hour. The Data Entry and Validation Specialist is responsible for the accurate and timely entry of information into company systems. This role involves reviewing source documents for deficiencies and resolving any discrepancies before inputting the data. The specialist will also perform validation checks to ensure the integrity and accuracy of existing data, making corrections as needed. A key aspect of this position is maintaining a high level of quality and productivity while adhering to data privacy and security protocols. The successful candidate will have a high school diploma or equivalent and a proven track record of fast and accurate typing and data entry skills. Strong attention to detail, focus, and the ability to work independently are essential for success in this remote role.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Referral and Scheduling Coordinator
This position offers an annual salary of $39,000 to $49,400. The Referral and Scheduling Coordinator plays a crucial role in patient care by managing medical referrals and coordinating appointments. This individual is responsible for processing incoming and outgoing referrals, ensuring that all necessary patient information is sent to and received from specialists. The role involves scheduling patient appointments, managing provider schedules, and communicating with patients to confirm appointments and provide necessary instructions. The coordinator will also verify insurance eligibility and obtain pre-authorizations for referred services. The ideal candidate will have a high school diploma or GED and experience in a clinical setting, with a strong understanding of medical terminology and referral processes. Excellent customer service and organizational skills are required.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Care Coordinator
The hourly pay for this remote position is between $18.00 and $20.00. The Care Coordinator is responsible for providing high-touch, personalized support to members navigating their health benefits. This role involves assisting members with finding in-network providers, understanding their benefits, resolving claims issues, and accessing available health and wellness programs. The coordinator will act as a dedicated advocate, building relationships with members and helping them make the most of their healthcare plans. Key responsibilities include extensive research, outreach to providers and members, and thorough documentation of all interactions. The ideal candidate will have at least two years of experience in the healthcare or health insurance industry. Strong communication, empathy, and problem-solving skills are essential for providing exceptional member support.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Authorization & Eligibility Coordinator
This position offers a competitive salary and a comprehensive benefits package. The Authorization & Eligibility Coordinator is responsible for verifying patient insurance coverage and obtaining necessary authorizations for services. This role serves as a critical link between patients, providers, and insurance companies, ensuring that all services are approved and financially cleared before care is delivered. The coordinator will meticulously check patient eligibility, benefits, and coverage limitations, and will submit pre-authorization requests with all required clinical documentation. Key duties include following up on pending requests, troubleshooting denials, and clearly communicating authorization statuses to clinical staff and patients. A high school diploma or equivalent is required, along with prior experience in a healthcare setting performing insurance verification or authorizations. Strong attention to detail is paramount.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Claims Quality Analyst
This position offers a competitive salary and comprehensive benefits. The Claims Quality Analyst is responsible for ensuring the accuracy and integrity of the claims adjudication process. This role involves auditing processed claims against established policies, procedures, and benefit plans to identify any errors in payment or processing. The analyst will document audit findings, identify error trends, and provide feedback and training to the claims processing team to improve overall quality. Key responsibilities include researching complex claim issues, interpreting plan documents, and contributing to the development of quality improvement initiatives. The ideal candidate will have a strong background in health claims processing, with previous experience in a quality assurance or auditing role being highly desirable. A keen analytical mindset and exceptional attention to detail are essential for success.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa