Work From Home Remote Claims Representative 620734

Job Description: 

Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. Join Metro, a renowned and trusted 30 year old business to take charge of your future. 

Position Details: 

Reliable Training – No prior experience in public adjusting is required. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.  

Flexible Schedule and Location – Our claim representatives have the opportunity to set their own schedule. This can be worked as a part-time or full-time position, and can be done either in-person or remotely.  

Responsibilities: 

  • Conduct a virtual or in person walk-through inspection of the property to identify damage that may be covered under insurance
  • Utilize skills to drive business growth and success.
  • Interpreting insurance policies 
  • Provide exceptional customer service and address clients’ needs. 
  • Fill out paper work, as needed, to process claims  

Who would do well:  

We welcome applicants who have a positive attitude and enjoy working with people. This position is a great fit for people who are looking to work around their busy schedule. 

If you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. 

Closing Support Specialist- Remote

Overview

We are seeking to fill the role of Closing Support Specialist. The ideal candidate enjoys collaborating with clients, industry partners and internal teams to maximize outcomes for homeowners.

Responsibilities

• Attend and participate in all team meetings
• Perform Quality Control audits on each staff member monthly
• Monitor the pipeline and identify any gaps in our review
• Review foreclosure sale date report and ensure all files with FC sale dates are addressed
• Ensure daily reports are pulled and available to management
• Handle all written and verbal correspondence professionally between the homeowners, client, investor, insurer, subordinate lien holders, real estate agents, consumer credit counseling services, and foreclosure attorneys
• Assist with new hire training, including audit of all files during initial training period
• Able to train and underwrite to all investor guidelines
• Able to react to change productively and handle other essential tasks as assigned
• All other duties as assigned.

Qualifications

• High School Diploma or equivalent required.
• 3 years Collections, Loss Mitigation, or other mortgage banking, mortgage servicing or real estate related experience
• Proficient in all Loss Mitigation workout types and all agency (FHA, VA, FNMA, FHLMC) guidelines
• Proficient in MS Office Windows, MS Word, MS Excel, MS Outlook
• LPS/MSP experience
• Ability to work independently in a fast-paced environment as well as part of a team and focus on results
• Ability to multi-task
• Ability to structure a workout that serves the best interests of the homeowner/investor/insurer/client

Total Rewards

LoanCare’s Total Rewards Package offers a comprehensive blend of health and welfare, financial, lifestyle and learning benefits to support employee well-being and engagement. Highlights include:

  • Health & Welfare Coverage: Optional medical, dental, vision, life, and disability insurance
  • Time Off: Paid holidays, vacation, and sick leave
  • Retirement & Investment: Fidelity National Financial matching 401(k) and employee stock purchase plans
  • Wellness Programs: Access to mental health resources, including free Calm memberships, and initiatives that promote physical and emotional well-being
  • Employee Recognition: Programs that celebrate achievements and milestones
  • Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth.

Compensation Range: $20.43 – 34.28 per hour. Actual compensation may vary within the range provided, depending on a number of factors, including qualifications, skills and experience.

Build Your Future with LoanCare®

At LoanCare, we don’t just service mortgage loans—we serve people. As a leading full-service mortgage loan subservicer, we deliver excellence to banks, credit unions, independent mortgage companies, investors, and the homeowners they support. Backed by the strength and stability of Fidelity National Financial (NYSE: FNF), a Fortune 500 company, we offer a career foundation built on integrity, innovation, and collaboration.

Here, you’ll find:

  • A culture that helps you thrive, with resources and support to fuel your growth
  • Flexibility to work remotely, while staying connected through virtual engagement
  • Opportunities to make a real impact in an industry that touches millions of lives
  • If you’re ready to grow your career in a place that values your contributions and empowers your success, we invite you to join our team.

WHO WE ARE
About us …
LoanCare is a leading national provider of full service subservicing and interim subservicing to the mortgage industry and has offered its expertise and best practices in providing servicing solutions for others since 1991. At the present time, LoanCare subservices over 1.8 million loans in 50 states. LoanCare has a seasoned loan servicing team with senior managers averaging nearly 30 years of experience in the mortgage and financial services industry.
LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.

WORK CONDITIONS
Working conditions are normal for an office environment. Ability to attend work and be productive during normal business hours and to work early, late or weekend hours as needed for successful job performance. Over time required as necessary.
Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation.

Associate, Scoring Service

We are the world’s learning company with more than 24,000 employees operating in 70 countries. We combine world-class educational content and assessment, powered by services and technology, to enable more effective teaching and personalized learning at scale. We believe that wherever learning flourishes so do people.

Evaluation Systems of Pearson offers dynamic teacher licensing and performance assessment solutions. Our custom teacher licensure testing programs are 100 percent aligned to state standards. We also provide a wide variety of teacher licensure testing services such as test development, administration, and scoring. We work in a collaborative environment and are passionate about education.

Scoring offers the opportunity to network with other professionals and stay abreast of the latest developments in your field. Scorers have a direct impact on the quality of the next generation of teachers and help to maintain professional standards. Scorers enjoy the change of pace, the mental challenge and the opportunity to give back to their educational field.

We have immediate openings for candidates to score the School Leadership Assessments below remotely for our Malta, NY office:

  • School Building Leader
  • School District Leader
  • School District Business Leader

Key benefits

  • Starting rate of $17.50 per hour
  • Flexibility to work scoring sessions that suit your availability
  • Working remotely

Qualifications

  • A current School Building Leader, School District Leader, or School District Business Leader certification AND are currently serving as an administrator or have served as an administrator within the last three years

OR are or have been educators from colleges or universities who have taught or advised administrator candidates within the last three years

Both active and recently retired practitioners can be eligible to score.

  • Basic computer skills (keyboard, mouse)
  • Ability to sit for extended periods of time
  • Ability to maintain a confidential work environment
  • Eligible to work in the United States

Overall Responsibilities

  • Evaluate responses to test questions by New York administrator candidates
  • Internalize scoring standards, participate in discussions, and engage with other scorers in consensus scoring activities
  • Recognize and discuss various types of bias (e.g., implicit bias, cultural bias, leniency bias, central tendency bias, halo effect) and effect strategies to reduce personal biases in scoring
  • Meet quality and productivity requirements established for the scoring program, including passing a qualifying test before scoring

Working Conditions

Training takes place before scoring begins. There may be a brief orientation meeting before the day of scoring occurs.

Scoring sessions take place during the week Monday through Friday. Scoring sessions will last 2 days and occur on an intermittent basis, every 4 to 8 weeks depending on the subject. The scoring day runs from 8:30 a.m. to approximately 4:30 p.m., including training.

Note: Applications are accepted on an ongoing basis.

This position is NOT bonus/benefits eligible. Information and guidelines on benefits offered is here .

Pearson is an Equal Opportunity Employer and a member of E-Verify. Employment decisions are based on qualifications, merit and business need. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, age, national origin, protected veteran status, disability status or any other group protected by law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by emailing [email protected].

ROI Medical Records Specialist – Remote

locationsRemotetime typeFull timeposted onPosted 7 Days Agojob requisition idR-101948

Job Description:

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.

Job Summary:

This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Essential Functions:

  • Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
  • Date stamps all requests and highlights pertinent data to facilitate processing.
  • Validates requests and authorizations for release of medical information according to established procedures.
  • Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
  • Maintain equipment in excellent operating condition (inside and out).
  • Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
  • May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
  • Maintains a neat, clean, and professional personal appearance and observes the dress code established.
  • Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
  • Maintains working knowledge of the existing state laws and fee structure
  • Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
  • Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
  • Maintains confidentiality, security and standards of ethics with all information.
  • Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

  • High School Diploma (GED) required
  • A minimum of 2 years prior experience in a medical records department or like setting preferred
  • Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
  • Excellent organizational skills are a must
  • Must be able to type 50 wpm
  • Must be able to use fax, copier, scanning machine
  • Must be willing to learn new equipment and processes quickly.
  • Must be self-motivated, a team player
  • Must have proven customer satisfaction skills
  • Must be able to multi-task

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Claims Director, Rideshare

About Reserv

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.

About the role

At Reserv, we’re reimagining what modern claims handling can be — faster, smarter, and relentlessly customer‑centric. As our Claims Director, you’ll lead a team of Claims Professionals managing real property and auto damage claims, bodily injury claims, driving operational excellence through technology, analytics, and a deep commitment to customer experience.

You’ll own the full customer journey, ensuring every interaction is seamless, empathetic, and efficient. This role blends strategic leadership with hands‑on execution, requiring someone who can inspire teams, influence cross‑functional partners, and scale a claims operation built for the future.

What You’ll Do

Customer Experience & Strategy

  • Develop and execute a comprehensive customer experience strategy aligned with Reserv’s mission and growth goals.
  • Define KPIs and performance metrics to drive satisfaction, retention, and overall experience quality.
  • Identify emerging trends and technologies to continuously evolve our claims experience.
  • Act as the voice of the customer in key business decisions.

Leadership & Team Development

  • Build, lead, and develop a high‑performing claims team.
  • Oversee recruitment, onboarding, coaching, and ongoing professional development.
  • Conduct regular performance evaluations and foster a culture of excellence, innovation, and accountability.
  • Design and implement training programs to strengthen technical, insurance, and customer service skills.

Operational Excellence

  • Serve as the escalation point for complex or sensitive customer issues, providing strategic guidance and resolution.
  • Use data, analytics, and customer feedback to identify pain points and implement improvements.
  • Partner with Product and Engineering to inform the development of tools, systems, and processes that enhance efficiency and outcomes.
  • Ensure scalable, compliant, and efficient operations across all claims workflows.

Cross‑Functional Collaboration

  • Work closely with leaders across Claims Operations, Product, Engineering, and Marketing to drive customer‑centric initiatives.
  • Influence organizational priorities and ensure alignment with broader business objectives.

Requirements

  • Bachelor’s degree in business, marketing, communications, or a related field (advanced degree preferred).
  • 10+ years of experience in insurance claims across multiple lines; property and/or auto strongly preferred.
  • 5+ years of management experience, ideally leading remote teams.
  • Proven ability to deliver results, overcome obstacles, and drive continuous improvement.

Benefits

  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy after 8 months of continuous work
  • Work from anywhere to facilitate your work life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

Additionally, we will

  • Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
  • Work toward reducing and eliminating all the administrative work from an adjuster role
  • Foster a culture of empathy, transparency, and empowerment in a remote-first environment


At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!

Revenue Integrity Specialist – 100% Remote

Job Title: Healthcare Revenue Integrity Specialist
Status: Full-Time Non-Exempt Direct Hire
Location: Remote (anywhere in the United States)
Target Pay Rate: $25.00-$29.00 per hour

We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our leadership team. We are seeking a Healthcare Revenue Integrity Specialist who will be responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy.

** NOTE: Candidates with payment posting experience and have various medical billing certifications will get first review. **

About Expressable
Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.


The Healthcare Revenue Integrity Specialist is responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy.

WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.

What You Would Be Doing at Expressable

  • Reconcile daily payment batches in Candid against bank deposits, resolving unapplied or unmatched items.
  • Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.
  • Validate reimbursement amounts against contracted fee schedules and expected payments.
  • Monitor deposit aging, adjustment codes, and denial patterns; escalate discrepancies or unusual trends.
  • Maintain accurate reconciliation documentation and ensure audit readiness.
  • Prepare and share denial feedback and reconciliation summaries to support process improvements.
  • Verify reconciliations and reports for month-end close and financial accuracy.
  • Assist with payment integrity projects, such as underpayment reviews and payer audits.
  • Collaborate with Billing, Quality, and Compliance to refine processes and enhance revenue accuracy.
  • Present reconciliation findings and payer insights in revenue review meetings.

What You Bring to Expressable

** NOTE: Candidates with payment posting experience and have various medical billing certifications will get first review. **

  • Education/Experience: Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred.
  • Experience: 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations.
  • Technical Skills: Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar), Excel/Google Sheets, and payment posting systems.
  • Analytical Skills: Strong attention to numerical accuracy, ability to interpret payer remittance advice, and comfort with variance analysis.
  • Regulatory Knowledge: Understanding of HIPAA, PCI, and healthcare payer requirements.
  • Preferred: Experience in multi-state telehealth or large outpatient provider environment. Any Medical Billing/ Coding Certifications. Any Payment Posting experience is highly desired.

KEY COMPETENCIES
In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Financial Clearance Coordinator should possess the following key competencies.

  • Analytical Accuracy – Demonstrates high attention to detail in reconciling complex financial data and identifying discrepancies.
  • Problem Solving & Initiative – Investigates root causes and recommends proactive resolutions to prevent recurring issues.
  • Accountability & Organization – Manages daily workflows and meets reconciliation deadlines with minimal oversight.
  • Collaboration & Communication – Works effectively with finance, billing, and compliance teams to ensure transparency and resolution.
  • Integrity & Compliance – Maintains confidentiality and upholds strict adherence to internal controls and regulatory standards.

Physical Requirements and Work Environment
This is a sedentary, remote position that primarily involves working at a computer or tablet for telecommunications and documentation. The role requires the ability to remain seated for extended periods, operate standard office equipment, communicate effectively via video and audio platforms, and review electronic information. Occasional light lifting of up to 10 pounds may be necessary. Work is performed in a home office environment with minimal exposure to environmental hazards. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Why Join Us?

  • Exceptional paid time off policies that encourage and support life balance, including a winter break.
  • 401k matching to ensure our staff have what they need to enjoy their retirement
  • Health insurance options that ensure well being for the whole person and their family
  • Company paid life, short-term disability, and long-term disability coverage
  • Remote work environment that strives for connectivity through professional collaboration and personal connections

NOTE
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

More about Expressable
Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone – clients, caregivers, speech-language pathologists, and team members – can achieve their highest potential.

We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team.

Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills.

Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].

E-Verify

Data Lead – Remote Patient Monitoring

Sixty million Medicare seniors live with chronic disease. The care system sees most of them twice a year. Cadence is building the infrastructure to support them every day.

Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. We pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use our Clinical Intelligence platform to monitor vitals, surface risk early, optimize medications, and close care gaps between visits. The result: patients engage with care 100x more than before Cadence, clinicians focus on judgment instead of administrative work, and Medicare saves $2M a week.

We operate as a full clinical care delivery organization, not a software vendor. Our clinicians work alongside health system partners, extending the reach of local primary care providers into patients’ homes. We’re now applying AI agents across these workflows – from alert review and medication titration to lifestyle coaching and care coordination – with clinicians always in control of clinical decisions.

The Role

We’re hiring a Data Analytics Lead – Remote Patient Monitoring (RPM) to define the KPIs, data models, and analytical infrastructure that support Cadence’s clinical, operational, and product decisions. You will partner closely with care delivery, operations, product management, and customer success to build a scalable analytics roadmap and translate complex data – including patient vitals, EHR records, and clinical outcomes – into insights that drive strategy. This role sits at the center of how Cadence measures and improves care delivery at scale.

What You’ll Do

  • Build and maintain labor productivity models and workforce supply/demand forecasts that give clinical operations leadership a clear, real-time picture of staffing needs, capacity constraints, and efficiency trends across the RPM program.
  • Develop financial and operational models, including revenue forecasting and cost-per-patient analyses, that support resource planning and strategic decision-making at the executive level.
  • Explore patient vitals, EHR data, and clinician-generated data to surface insights that benefit clinical care, inform product strategy, and support care gap closure across Cadence’s patient population.
  • Build reusable analytical workflows and automation that reduce manual overhead, accelerate insight generation, and raise the quality and consistency of outputs across the analytics function.
  • Collaborate with internal stakeholders to identify data needs, define what data should be collected, and ensure metrics are consistently defined and reliable across teams.
  • Maintain and evolve Cadence’s data stack (Snowflake, Fivetran, dbt) with well-documented, scalable infrastructure — and collaborate across teams to define how data is collected, structured, and standardized as a reliable foundation for analytical work.

What You Need

  • 5+ years of experience working with SQL or other data querying languages, with hands-on experience building and maintaining analytics, reporting, and dashboarding solutions.
  • Proficiency with modern data stack tools such as Snowflake, Fivetran, and dbt, or equivalent technologies.
  • Bachelor’s degree in Mathematics, Statistics, Economics, Computer Science, or a related quantitative field, or equivalent practical experience.
  • Practical knowledge of statistics and data analysis techniques, with the ability to translate findings clearly for both technical and non-technical stakeholders.
  • Experience working with clinical or health data – including patient vitals, EHR records, or outcomes data – and familiarity with the data structures and sensitivity considerations that come with it.
  • Fluency with LLM APIs, prompt engineering, and AI-assisted development tools; demonstrated experience building or evaluating AI-powered systems in production.

Compensation

Our job titles may span more than one career level. The base salary for this role typically ranges between $160,000 – $200,000, depending on experience, skills, seniority, and business needs. In addition to base salary, this role is eligible for equity as part of the total compensation package. Actual compensation may vary by location.

Benefits & Perks

  • Competitive pay & equity*
  • Fully remote
  • Comprehensive health coverage: Medical, dental & vision
  • Paid time off
  • 401k plan + matching
  • Paid parental leave
  • Home office stipend

*benefit offerings may vary depending on job profile, job level and worker type

Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. 

A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team.  Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.

If you require a reasonable accommodation during the interview or hiring process, please notify your recruiter. 

Real Estate Data Entry Operator

Company Description

REMAX Hawaii (formerly Better Homes and Gardens Real Estate Advantage Realty) provides comprehensive residential real estate services across Oahu and Maui. 

Celebrating 20 years of doing business in Hawaii, locally owned REMAX Hawaii has 6 offices across Oahu and Maui in Kahala, Kailua, Kakaako, Haleiwa, Kapolei and Wailuku with over 200 employees and licensed agents. 

They have created a clear strong corporate culture which has been a key to the growth and success of our company. Their agents and support staff are client centric and put the clients’ needs ahead of their own. Their core values of honesty, transparency, collaboration, commitment, charity, innovation and strong work ethic are communicated to the agents and employees from the initial interview and throughout every company interaction

Voted Hawaii’s Best Real Estate Firm the past 13 years and a Best of Honolulu Company for 11 years. The company was also recognized as one the Best Places to Work by Hawaii Business magazine for the 6th year in a row.

Learn more at http://remaxhawaii.com

Job Description

In your role as a real estate data entry operator, you will play a crucial role in upkeep and updating our database. In order to maintain correct and current records, you will be responsible for accurately entering a variety of data. The ideal candidate for this role will have strong organizational skills, a sharp eye for detail, and the capacity to work independently in a remote setting.

Pay: $26.81 – $29.97 per hour

Responsibilities

  • Update and add transactions, client information, and real estate data to the database.
  • Examine and amend data to make sure it is accurate and comprehensive.
  • Collaborate with your teammates to resolve any discrepancies found in the data.
  • Be mindful of privacy and abide by data security regulations.
  • Assist in creating reports and presentations using the data acquired.
  • Performing secretarial duties entails filing, monitoring office supplies, scanning, and printing as needed.

Qualifications

  • A high school certificate or its equivalent; a bachelor’s degree is ideal but not necessary.
  • Solid background in data entry or a related field.
  • Strong command of the language and procedures used in real estate.
  • A strong command of computers, including the MS Office suite and data input programs.
  • Remarkable precision and attention to detail.
  • The capacity to operate autonomously with little guidance.
  • Outstanding organizing and time management skills.
  • Good communication abilities, particularly while working in a remote team.

Additional Information

REMAX Hawaii is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law. All your information will be kept confidential according to EEO guidelines.

Payroll Administrator

Payroll AdminiAre you a Workday Payroll expert who loves precision, problem solving, and making sure every employee gets paid right, every time? We’re looking for a Payroll Administrator to take ownership of our payroll operations and become our go to resource for all things Workday.

This is a great opportunity for someone who genuinely enjoys the technical side of payroll: configuring systems, troubleshooting issues, and finding smarter ways to get things done, while also being the friendly, knowledgeable face employees turn to with payroll questions.

What You’ll Do

Own end to end payroll processing for all employees using Workday, plus the Deel platform for our global team members. You’ll calculate wages, bonuses, and deductions with accuracy and care, and make sure every timesheet and record checks out before payroll runs.

You’ll be the go to person for the Workday payroll module itself: configuring it, maintaining it, troubleshooting it, and partnering with HR and IT on updates, integrations, and testing. If you see a manual process that could be automated, you’ll have the platform and the support to make it happen.

Beyond the system work, you’ll keep us compliant with federal, state, and local payroll laws, prepare and review tax filings, and support audits with confidence. You’ll generate payroll reports for leadership and accounting, help with month end, quarter end, and year end close (including W-2s), and manage benefit deductions across health insurance, retirement, FSAs, and more.

You’ll also be a trusted resource for employees, answering questions, resolving pay discrepancies, and helping people navigate Workday self-service tools like pay stubs and direct deposit updates.

What You Bring

  • A bachelor’s degree in accounting, finance, human resources, or a related field (or equivalent experience), along with 3 to 5 years of payroll administration experience.
  • Strong, hands on Workday Payroll expertise is essential here. We’re looking for at least 2 years of direct experience setting up, processing, and troubleshooting within Workday.
  • You should also bring solid experience with multi-state payroll, garnishments, benefits, deductions, and tax compliance, along with strong Excel skills and a comfort level with payroll reporting and reconciliation.
  • A CPP or FPC certification is a nice to have but not required. Experience with Deel, global payroll, EOR and contractor management, or system integrations between payroll, benefits, and time tracking platforms will help you stand out, as will advanced Workday reporting and analytics skills.

You’ll Thrive in This Role If You

Have sharp attention to detail and genuinely enjoy solving problems. Understand payroll law and tax compliance and take that responsibility seriously. Communicate clearly and bring a service mindset to every interaction. Stay organized and steady even when juggling multiple deadlines in a fast moving environment.


Who you will be working for

Ever.Ag offers innovative AgTech solutions and services that empower agriculture, food, and beverage supply chains to feed a growing world. The breadth of the portfolio is uniquely capable of supporting the complex needs of companies involved in dairy, livestock, crops, and agribusiness. With decades of experience and industry-leading innovations, our technology, risk management, and market intelligence provide our customers with the tools and insights they need to operate more efficiently, sustainably, and strategically across every stage of the supply chain.

We welcome candidates from all backgrounds to contribute their unique perspectives to our team. Your success is our success!

Please visit our webpage to learn more about us News.Ever.Ag and https://www.ever.ag/

Please note, at this time, Ever.Ag does not hire candidates residing in California, Hawaii, or Alaska.

Attention Search Firms / Third-Party Recruiters: Ever.Ag is not seeking assistance or accepting unsolicited resumes for this role. Resumes submitted without a valid written search agreement are the sole property of Ever.Ag; no fee will be paid if a candidate is hired.

Create a Job Alert

Interested in building your career at Ever.Ag? Get future opportunities sent straight to your email.Create alert

strator

Charge Clearance Rep II

locationsUS – Remote (Any location)time typeFull timeposted onPosted 4 Days Agojob requisition id40698

Job Family:General Coding


Travel Required:None


Clearance Required:None

What You Will Do:

  • Reviews encounter to determine the appropriate action required.
  • Evaluates medical records documentation to determine correct coding.
  • Determines if accident date/type is applicable.
  • Inspects each encounter for missing information and follows up with the appropriate party.
  • Examines documents in various systems for missing information.
  • Monitor multiple systems for actionable requirements.
  • Provides liaison/departmental contacts with facts to help clear edits.
  • Notifies management of any delays when documents are not received in a timely manner as determined by guidelines.


What You Will Need:

  • High School diploma
  • 1-2 years of experience in patient registration and claim review
  • Knowledge of Excel and Microsoft Office

What Would Be Nice To Have:

  • 2-3 years previous medical office experience
  • Knowledge of medical terminology and medical insurance
  • Typing speed of 6,000 keystrokes per hour
  • Basic computer skills
  • Previous experience with Cerner, IDX, Powerchart

The annual salary range for this position is $38,000.00-$64,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.


What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected].  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Partner Solutions Specialist

locationsUS Nationwide – Remotetime typeFull timeposted onPosted 4 Days Agojob requisition idJR115407

Job Description

SUMMARY: The Partner Solutions Specialist supports ongoing account needs related to day-to-day digital program planning, implementation, and growth. This role ensures accounts have all their needs met as part of standard operating procedures, implementation, onboarding, launch, training, troubleshooting, skill building, adoption, and consultative services aligned to industry best practices and national standards. This role must be a strong collaborator internally and externally willing to take a hands-on approach in solving varying account needs and bringing other LS team members into conversations when needed or appropriate. This role works closely with sales, enablement, academic, and other Learning Solutions team members to maximize account satisfaction and support measured through CSAT and NPS indicators. 

The ideal candidate must be passionate about building and implementing online and digital learning solutions with an educational strategist mentality who takes a proactive, consultative approach in developing trusted advisor status with program level leaders and staff who are responsible for day-to-day operations at the account level. The Partner Solutions Specialist success will be measured by customer support and satisfaction levels. 

ESSENTIAL FUNCTIONS Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

  • Function as a key point of contact for account ongoing planning, implementation, and support 
  • Offer superior customer experience proactively addressing ongoing training and support needs in collaboration with other LS team members. 
  • Coordinate resources to ensure customers experience seamless service delivery from marketing/enrollment, operations, curriculum, instruction, support, billing, training, professional development, etc. 
  • Provide regular updates to partners on the progress of Learning Solutions support, services, timelines, operations, and campaigns 
  • Develop and maintain an understanding of customer needs, contract terms and conditions, and account requirements to ensure compliance with terms and conditions in collaboration with account managers 
  • Responsible for supporting growth and retention efforts in partnership with regional account managers 
  • Monitor program outcomes providing consultative recommendations with regional account managers and other LS team members as appropriate 
  • Collaborate closely with sales, enablement, academic, and other Learning Solutions team members to ensure customer satisfaction 
  • Escalates technical issues and determines the best resources for remediation 
  • Customized state reports 
  • Other duties as assigned  

Supervisory Responsibilities: This position has no formal supervisory responsibilities.

MINIMUM REQUIRED QUALIFICATIONS 

  • Five (5) years of related experience OR 
  • Equivalent combination of education and experience 
  • Microsoft Office (Outlook, Word, Excel, PowerPoint, Project, Visio, etc.); Web proficiency. 
  • Ability to travel up to 30% of the time.
  • Ability to clear required background check 

Certificates and Licenses: None required.

DESIRED QUALIFICATIONS:  

  • Three (3) to Five (5) years of educational experience 
  • Prior experience using Salesforce 
  • Bachelor’s Degree 

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • This position is virtual and open to residents of the 50 states, D.C.

COMPENSATION & BENEFITS: Stride, Inc. considers a person’s education, experience, and qualifications, as well as the position’s work location, expected quality and quantity of work, required travel (if any), external market and internal value when determining a new employee’s salary level.  Salaries will differ based on these factors, the position’s level and expected contribution, and the employee’s benefits elections.  Offers will typically be in the bottom half of the range.  
 

We anticipate the salary range to be $45,516-$55,000.  Eligible employees may receive a bonus. This salary is not guaranteed, as an individual’s compensation can vary based on several factors.  These factors include, but are not limited to, geographic location, experience, training, education, and local market conditions. Stride offers a robust benefits package for eligible employees that can include health benefits, retirement contributions, and paid time off. 

The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.  All employment is “at-will” as governed by the law of the state where the employee works.  It is further understood that the “at-will” nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer. 

Job TypeRegular

The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is “at-will” as governed by the law of the state where the employee works.  It is further understood that the “at-will” nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.

If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you can request the appropriate accommodation by contacting [email protected].

Claims Representative – Remote

SUMMARY

The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months. After completion of training, claim representatives must meet specific accuracy/quality, volume/claims per hour, and on production performance metrics.

$19/Hour Pay Rate

RESPONSIBILITIES

·        Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.

·        Confirm the presence of necessary documents within submitted claims.

·        Validate the accuracy of medical codes provided in claim submissions.

·        Assess the eligibility status of claims based on established criteria.

·        Review and verify other insurance coverage information in submitted claim.

·        Evaluate authorizations provided in claim submissions for accuracy.

·        Analyze account benefit plans to ensure claims align with coverage and policies.

·        Identify discrepancies, errors, or missing information.

·        Utilize multiple computer applications simultaneously.

·        Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.

·        Meet or exceed quality and productivity goals.

·        Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.

·        Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.

QUALIFICATIONS

·        High school diploma or equivalent

·        Ability to quickly learn a variety of computer applications to complete job functions,

·        Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.

·        Knowledge of basic Microsoft Excel functions, such as filtering/sorting.

·        Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.

·        Detail-oriented with experience in applying complex policy/procedure documents.

·        Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines.

·        Proven experience completing work with quality and productivity performance standards.

·        Experience working independently in a virtual environment preferred.

·        Experience with medical and insurance terminology in a professional setting preferred.

·        Knowledge of CPT/ICD-10 codes preferred.

·        Proven experience in health insurance claims processing or similar field preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 – 26 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Claims Administrator

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

About the Opportunity 

At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. As part of the Complex Payment Solutions Team, you will, as a Claims Administrator, be responsible for supporting efficient claims processing and ensuring data accuracy throughout the review and auditing process. This role involves performing incoming claim reviews, organizing data, assigning statuses, and routing completed files to auditors while maintaining document hygiene and adhering to internal procedures.

The position requires close collaboration with internal teams to manage import queues, reconcile balances, validate charges, identify, and address errors, and facilitate claims routing. The Claims Administrator I oversees the intake and output of files, responding to inquiries, resolving discrepancies, and ensuring effective communication regarding claims.

Additionally, this role includes analyzing data trends, monitoring file-sharing processes, verifying data transfer accuracy, and ensuring appropriate volume levels are maintained. Data entry of documents and other administrative tasks are also integral to the position.

The ideal candidate demonstrates strong organizational skills, attention to detail, and the ability to work collaboratively in a dynamic environment.

What you’ll do 

  • Review incoming claims, assign statuses, organize data, and route files to auditors.
  • Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and route files.
  • Oversee file intake and output, addressing inquiries, discrepancies, and errors.
  • Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume.
  • Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels.
  • Perform data entry and support additional administrative tasks as needed.

What experience you bring (Role Requirements) 

  • Preferred experience in medical record review and knowledge of medical terminology.
  • Proficient in Microsoft Office Suite, Adobe Acrobat, and multi-monitor setups; adaptable to company-specific software.
  • Strong attention to detail, organizational, analytical, and critical thinking skills.
  • Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change.

What Success Looks Like… 

After 3 months  

  • You will have a strong understanding of the role.
  • You begin building relationships and collaborating with peers.
  • You develop effective time and priorities management.
  • You receive initial feedback about your performance and are using it to improve.
  • You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.

After 1 year 

  • You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
  • You have established a strong network of internal relationships and are recognized as a key collaborator.
  • You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
  • You see opportunities for career progression and personal development.

Pay range: $24.00 USD per hour. This is a non-exempt position. 

What’s in it for you          

  • PTO, Paid Holidays, and Volunteer Days
  • Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
  • Tuition Reimbursement
  • Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
  • Remote and hybrid work options 

What values we’ll share with you 

  • Ask why
  • Think big
  • Be humble
  • Optimize for customer impact
  • Deliver results

Credentialing Specialist – 100% Remote

Full-Time Non-Exempt Direct Hire
Remote in the United States
$22.00-$27.00 per hour

We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our leadership team. We are seeking a Credentialing Specialist who will be responsible for maintaining individual provider files, completing credentialing applications, and other associated duties that support the credentialing requirements at Expressable.

About Expressable

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.

The ideal Credentialing Specialist brings a strong foundation in healthcare credentialing and enrollment, paired with exceptional attention to detail and follow-through. They are comfortable managing multiple payer processes simultaneously, working directly with providers to gather accurate information, and ensuring provider data remains current, compliant, and audit-ready across systems.

This individual understands the downstream impact of credentialing on care delivery and reimbursement and takes ownership of resolving issues proactively. They are organized, process-oriented, and steady under deadlines, with the ability to communicate clearly and professionally with providers, payers, and internal partners.

WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.


What You Would Be Doing at Expressable

  • Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
  • Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles
  • Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers
  • Work closely with current and onboarding providers to obtain all necessary information to complete the credentialing and enrollment process
  • Audit provider information in various systems
  • Follow up with payers as it relates to credentialing, enrollment, and demographic updates
  • Research payer processes as it relates to credentialing, enrollment, and demographic updates
  • Assist in identifying and resolving any denials or authorization issues related to provider credentialing

What You Bring to Expressable

  • High school diploma or equivalent required
  • Hands-on experience completing and submitting credentialing and enrollment applications for commercial payers, medicaid, and medicare
  • Experience maintaining provider files and ensuring compliance with payer and regulatory requirements
  • Prior experience working directly with providers to collect, validate, and update credentialing information
  • Familiarity with auditing provider data across multiple systems and resolving discrepancies
  • Experience following up with payers regarding application status, re-credentialing, and demographic updates
  • Exposure to denial resolution or authorization issues related to credentialing strongly preferred
  • Proficiency with credentialing platforms and databases
  • Strong working knowledge of payer credentialing and enrollment workflows
  • Comfortable navigating payer portals and researching payer-specific requirements
  • Experience with electronic document management and maintaining compliant provider files
  • Proficient with standard office productivity and collaboration tools (Docs/Word, Sheets/Excel, email, shared drives, etc.)

KEY COMPETENCIES
In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Financial Clearance Coordinator should possess the following key competencies.

  • Detail Orientation & Quality Control: Maintains a high level of accuracy across provider data, documentation, and submissions; proactively audits information across systems to identify and correct discrepancies; prevents downstream denials or delays through careful review and validation.
  • Process Management & Follow-Through: Manages multiple applications, re-credentialing cycles, and deadlines simultaneously; follows up consistently with payers and internal partners to drive work to completion; documents actions and status clearly to ensure continuity and visibility.
  • Provider & Stakeholder Communication: Communicates clearly and professionally with providers to obtain complete and accurate information; sets expectations around timelines and requirements to reduce friction and rework; serves as a reliable point of contact for credentialing-related questions.
  • Problem Solving & Issue Resolution: Researches payer processes to resolve credentialing, enrollment, or demographic issues; investigates denials or authorization problems tied to credentialing status; escalates appropriately and proposes practical, compliant solutions when barriers arise.


Physical Requirements and Work Environment
This is a sedentary, remote position that primarily involves working at a computer or tablet for telecommunications and documentation. The role requires the ability to remain seated for extended periods, operate standard office equipment, communicate effectively via video and audio platforms, and review electronic information. Occasional light lifting of up to 10 pounds may be necessary. Work is performed in a home office environment with minimal exposure to environmental hazards.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.


Why Join Us?

  • Exceptional paid time off policies that encourage and support life balance, including a winter break.
  • 401k matching to ensure our staff have what they need to enjoy their retirement
  • Health insurance options that ensure well being for the whole person and their family
  • Company paid life, short-term disability, and long-term disability coverage
  • Remote work environment that strives for connectivity through professional collaboration and personal connections


NOTE

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.


More about Expressable
Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone – clients, caregivers, speech-language pathologists, and team members – can achieve their highest potential.

We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team.

Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills.

Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].

Billing Coordinator

Competitive Compensation: $20-$23 per hour + Premium Medical, Dental & Vision Coverage + Equity

Why you should choose Steno

At Steno, we’re growing fast and transforming the litigation technology industry with best-in-class court reporting, modern solutions that add value for lawyers, and an exceptional client experience. We partner with law firms to simplify complex workflows, deliver reliable outcomes and case insights, and to revolutionize a traditionally outdated space while we expand across the country.

  • Wins together – Stock options included. When Steno grows, you grow.
  • Invests in your benefits – Premium Medical, Dental, & Vision Coverage – with 100% of premiums covered for some plans – well above industry benchmarks.
  • Operates with integrity – We value accuracy and caring for our clients.
  • Constantly innovates with technology at our core – We are a modern organization solving real problems in an industry that needs a revolutionary approach.
  • Provides meaningful coaching and support – a team of Billing leaders and professionals who will unlock your greatest potential
  • Emphasizes values – be highly reliable, constantly innovate, and operate with a hospitality mindset

Why the Billing Team at Steno Is Different

  • Own client relationships – You’re the face of Steno’s billing operation: the primary point of contact for clients and providers, trusted to handle sensitive requests with professionalism, urgency, and follow-through that actually closes the loop.
  • Do work that moves the business – Invoicing isn’t busywork here. You’ll own the full invoicing cycle and process high-volume transactions – PDOs, expedite requests, and more – where your speed and accuracy directly determine whether clients and providers get paid on time.
  • Solve real problems – When something breaks down, you’re empowered to fix it. That means applying genuine judgment, escalating smartly, and, yes, picking up the phone when a two-minute call beats a five-email thread.
  • Operate at the center of the company – You’ll work cross-functionally across internal teams, routing and resolving the issues that keep everyone else unblocked. People rely on you.
  • Build systems, not just habits – Steno trusts you to spot process gaps and actually do something about them. Your ideas for improving workflows get heard and implemented.
  • Work in a modern, high-functioning stack – Google Workspace, Slack, Zendesk, and tools that actually work. No legacy software purgatory. If something new rolls out, you’ll pick it up fast and run with it.

You’ll crush this role if you bring 1+ years of experience in a high-volume, fast-paced environment where strong communication, critical thinking, and attention to detail are essential – start-up experience is preferred. The billing team is in active growth mode, meaning new challenges create new opportunities – and the Billing Manager is personally invested in helping you grow through them. You’ll work across invoicing, client communication, and cross-functional coordination from the start, building a well-rounded operational skillset. Autonomy comes early here: you’ll make real judgment calls, own client relationships, and fix process gaps without getting queued behind approvals. And you’ll do it alongside a team that communicates, covers for each other, and will have you fully up to speed before you even know it. You will be required to work Monday through Friday, 9a-6p PT or 10a-7p PT with the expectation of working one Saturday a month.

Application Information

  • Steno is an equal opportunity employer; we do not discriminate on the basis of characteristics protected by law. Employment decisions are based on qualifications, merit, and business needs.
  • Applicants needing special assistance or accommodations for interviews or website access should contact us at [email protected]
  • Information provided to Steno, such as professional credentials and skills, educational and work history, the results of technical skills assessments or working exercises, and other information included in an application, is collected, analyzed, and stored in our system. 
  • Steno personnel will always have a steno.com email or contact you via Rippling Recruiting. Background checks are only conducted after an offer is extended. If you haven’t received an expected communication, check your spam.
  • Steno uses AI-assisted tools for this role to identify and prioritize candidates whose experience aligns with the role. All hiring decisions are made by our People team. 

Closing Support Specialist- Remote

Overview

We are seeking to fill the role of Closing Support Specialist. The ideal candidate enjoys collaborating with clients, industry partners and internal teams to maximize outcomes for homeowners.

Responsibilities

• Attend and participate in all team meetings
• Perform Quality Control audits on each staff member monthly
• Monitor the pipeline and identify any gaps in our review
• Review foreclosure sale date report and ensure all files with FC sale dates are addressed
• Ensure daily reports are pulled and available to management
• Handle all written and verbal correspondence professionally between the homeowners, client, investor, insurer, subordinate lien holders, real estate agents, consumer credit counseling services, and foreclosure attorneys
• Assist with new hire training, including audit of all files during initial training period
• Able to train and underwrite to all investor guidelines
• Able to react to change productively and handle other essential tasks as assigned
• All other duties as assigned.

Qualifications

• High School Diploma or equivalent required.
• 3 years Collections, Loss Mitigation, or other mortgage banking, mortgage servicing or real estate related experience
• Proficient in all Loss Mitigation workout types and all agency (FHA, VA, FNMA, FHLMC) guidelines
• Proficient in MS Office Windows, MS Word, MS Excel, MS Outlook
• LPS/MSP experience
• Ability to work independently in a fast-paced environment as well as part of a team and focus on results
• Ability to multi-task
• Ability to structure a workout that serves the best interests of the homeowner/investor/insurer/client

Total Rewards

LoanCare’s Total Rewards Package offers a comprehensive blend of health and welfare, financial, lifestyle and learning benefits to support employee well-being and engagement. Highlights include:

  • Health & Welfare Coverage: Optional medical, dental, vision, life, and disability insurance
  • Time Off: Paid holidays, vacation, and sick leave
  • Retirement & Investment: Fidelity National Financial matching 401(k) and employee stock purchase plans
  • Wellness Programs: Access to mental health resources, including free Calm memberships, and initiatives that promote physical and emotional well-being
  • Employee Recognition: Programs that celebrate achievements and milestones
  • Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth.

Compensation Range: $20.43 – 34.28 per hour. Actual compensation may vary within the range provided, depending on a number of factors, including qualifications, skills and experience.

Build Your Future with LoanCare®

At LoanCare, we don’t just service mortgage loans—we serve people. As a leading full-service mortgage loan subservicer, we deliver excellence to banks, credit unions, independent mortgage companies, investors, and the homeowners they support. Backed by the strength and stability of Fidelity National Financial (NYSE: FNF), a Fortune 500 company, we offer a career foundation built on integrity, innovation, and collaboration.

Here, you’ll find:

  • A culture that helps you thrive, with resources and support to fuel your growth
  • Flexibility to work remotely, while staying connected through virtual engagement
  • Opportunities to make a real impact in an industry that touches millions of lives
  • If you’re ready to grow your career in a place that values your contributions and empowers your success, we invite you to join our team.

WHO WE ARE
About us …
LoanCare is a leading national provider of full service subservicing and interim subservicing to the mortgage industry and has offered its expertise and best practices in providing servicing solutions for others since 1991. At the present time, LoanCare subservices over 1.8 million loans in 50 states. LoanCare has a seasoned loan servicing team with senior managers averaging nearly 30 years of experience in the mortgage and financial services industry.
LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.

WORK CONDITIONS
Working conditions are normal for an office environment. Ability to attend work and be productive during normal business hours and to work early, late or weekend hours as needed for successful job performance. Over time required as necessary.
Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation.

EQUAL EMPLOYMENT OPPORTUNITY

LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.

Clinical Operations Specialist

About the role

As a Clinical Operations Specialist at Generator Health, you will play a critical role in ensuring the accuracy and integrity of our system’s prior authorization process. You’ll bring your expertise in clinical data understanding to catch errors, and uphold the standards that our patients and providers depend on.

This is a high-autonomy role where your attention to detail and ability to read, understand, and translate clinical data into results directly impacts patient access to treatment. Tens of thousands of patients move through our platform every week. You will work closely with our clinical intelligence team to support prior authorization, appeals, denial prediction and more. Your contributions will help us continuously improve the accuracy and reliability of our platform, whether decisions were made by AI, a third party, or our internal team.

If you join, you will:

  • Review a live queue of prior authorization cases coming through the platform, ensuring every decision meets clinical and operational standards
  • Audit AI outputs, third party reviews, and internal team decisions for accuracy, consistency, and compliance
  • Flag errors and edge cases, documenting findings clearly for the clinical intelligence team
  • Collaborate cross-functionally to surface patterns and help refine the workflows and logic that power our platform
  • Expand your knowledge across medical specialties as you work across a diverse range of cases
  • Contribute to improving the tools, standards, and processes that support patient access to treatment

We’ll be most excited if you have:

  • 2+ years of hands-on experience in prior authorization, utilization management, clinical care coordination, scribing, or other roles that involve deep work with clinical documentation
  • Strong familiarity with medical records and clinical notes, and comfort interpreting them accurately
  • Strong written communication, with an ability to translate clinical complexity into clear, actionable findings for non-clinical teams
  • Exceptional attention to detail and accuracy
  • Comfort and/or a strong interest in collaborating with product, engineering, and data science teammates on building new technologies

Our salary ranges are based on a number of factors, including qualifications, experience level, and geography.

Generator Health is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

Operations Specialist

Location

Remote

Employment Type

Full time

Location Type

Remote

Department

Operations & Scaling

Compensation

$25 – $32 per hourOverviewApplication

About the role

This is a remote, full-time hourly position, and we are looking for candidates who can start immediately.

This Operations Specialist role will support the execution of workflows and operational processes that enable Generator Health to fulfill its mission of expediting access to critical medications. This work involves direct interaction with systems and procedures that affect the experience of both patients and providers.

This is a role that requires quickly learning and applying complex operational processes. You will tackle operational hurdles within the healthcare space, gaining the specialized knowledge required to drive efficiency and quality. You will also regularly engage in real-world, intricate scenarios around prescription access and coordination.

If you join, you will

  • Be part of the team that ensures that administrative friction never stands in the way of access to life-changing therapies
  • Become an expert in the complex world of medication access & affordability. You will work with doctors’ offices, insurance companies, affordability programs, and pharmacies to help get prescriptions processed efficiently
  • Master proprietary software tools to execute operational workflows efficiently while continuously adapting and optimizing processes
  • Build an understanding of how AI is applied to workflows across healthcare

We’ll be most excited if you:

  • Have experience in a role that requires analytical problem-solving, operational rigor, and outcome ownership
  • Know how to deal with ambiguous problems and resolve them effectively
  • Are able to master new, complex technology tools quickly and work with data

Our salary ranges are based on a number of factors, including qualifications, experience level, and geography.

Generator Health is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

Fraud Analyst

What we’re building and why we’re building it. 

Fetch helps people live rewarded every day, with a vision to become the rewards destination for everyone. We turn everyday activities into meaningful rewards, whether it’s grocery shopping, grabbing a quick meal, or playing a favorite mobile game. To date, we’ve awarded more than $1 billion in Fetch Points to our users.

Each day, more than 13 million receipts are submitted on Fetch, providing visibility into over $212 billion in gross merchandise value. This creates the largest retail-agnostic, SKU-level view of household spending, powering Fetch as an outcomes-based advertising platform that helps brands acquire and retain lifelong consumers.

The Fetch app is available on the App Store and Google Play, with more than 6 million five-star reviews from a highly engaged and loyal user base.

It’s not just our users who believe in Fetch: with investments from Softbank, ICONIQ, DST, Greycroft, and partnerships ranging from challenger brands to Fortune 500 companies, Fetch is reshaping how brands and consumers connect in the marketplace. When you work at Fetch, you play a vital role in a platform that drives brand loyalty and creates lifelong consumers with the power of Fetch points. User and partner success are at the heart of everything we do, and we extend that same commitment to our employees.

At Fetch, we value curiosity, adaptability, and the confidence to explore new tools, especially AI, to drive smarter, faster work. You don’t need to be an expert, but you should be ready to learn quickly and think critically. We welcome learners who move fast, challenge the status quo, and shape what’s next, with us.  Ranked as one of America’s Best Startup Employers by Forbes for two years in a row, Fetch fosters a people-first culture rooted in trust, accountability, and innovation. We encourage our employees to challenge ideas, think bigger, and always bring the fun to Fetch.

About the Role:

Fraud Analysts are responsible for reviewing user activity, identifying fraudulent behavior, and ensuring accurate, fair outcomes. This is an execution-focused role centered on consistent, high-quality review work within established guidelines. Success in this role is driven by productivity, accuracy, and adherence to SOPs.

Hours:

  • The role requires employees attend training the first 3 weeks, from Monday-Friday, 9am-5pm CST. Then, moves to a full-time, 5 days/week position, requiring at least 1 weekend day. This is a first shift position, 9am-5pm CST with flexibility.

Role Responsibilities: 

  • Review user accounts and transactions for fraudulent activity using internal tools
  • Meet performance expectations
  • Apply SOPs to make accurate, consistent decisions
  • Maintain quality standards
  • Escalate cases that fall outside defined guidelines
  • Accurately track time, follow schedules, and maintain operational discipline
  • Stay current on fraud trends, tools, and process updates

Minimum Requirements:

  • Independently executes standard workflows with moderate complexity and consistent accuracy
  • Strong attention to detail and ability to follow defined processes
  • Ability to work efficiently in high-volume, repetitive workflows
  • Sound judgment within established guidelines; knows when to escalate
  • Reliable, consistent execution with minimal rework
  • Comfortable with tools, data, and case-based review work
  • Strong time management and accountability
  • Must be available to work weekends

Preferred Requirements:

  • Previous experience in fraud detection, trust & safety, risk operations, or account review environments
  • Experience using case management platforms, handling repetitive workflows while maintaining attention to detail and accuracy
  • Familiarity with Google Workspace tools, including Google Sheets, Docs, and Gmail
  • Experience communicating and collaborating in Slack or similar platforms
  • Comfortable navigating multiple systems and tools simultaneously in a fast-paced operational environment
  • Experience working in KPI-driven environments with productivity and quality expectations
  • Ability to adapt quickly to changing SOPs, fraud tactics, and operational priorities

Compensation:

At Fetch, we offer competitive compensation packages including base, equity, and benefits to the exceptional folks we hire. The hourly salary rate for this position is $22.65. Discover our benefits and how our employees live rewarded at https://fetch.com/careers.

At Fetch, we’ll give you the tools to feel healthy, happy and secure through:

  • Equity: We offer full-time employees equity in Fetch, so that everyone can benefit from Fetch’s growth.
  • 401k Match: Dollar-for-dollar match up to 4%.
  • Benefits for humans and pets: We offer comprehensive medical, dental and vision plans for everyone including your pets.
  • Continuing Education: Fetch provides ten thousand per year in education reimbursement.
  • Employee Resource Groups: Take part in employee-led groups that are centered around fostering a diverse and inclusive workplace through events, dialogue and advocacy. The ERGs participate in our Inclusion Council with members of executive leadership.
  • Paid Time Off: On top of our flexible PTO, Fetch observes 9 paid holidays, as well as our year-end week-long break. 
  • Robust Leave Policies: 20 weeks of paid parental leave for primary caregivers, 14 weeks for secondary caregivers, and a flexible return to work schedule. 
  • Calvin Care Cash: Employees who are welcoming new family members will also receive a one time $2,000 incentive to assist employees with covering the cost of childcare, clothing, diapers and much more!
  • Flexible Work Environment: Collaborate with your team in one of our stunning offices, or you can work fully remotely from anywhere in the US. We’ll ensure you are equally equipped with the hardware and software you need to get your job done in the comfort of your home. (applicable for most roles)

Fetch is an equal opportunity employer that embraces diversity, inclusion, and respect for all individuals. We do not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, age, national origin, marital status, veteran status, disability, or any other characteristic protected by applicable law. Our commitment to inclusivity ensures that everyone is treated with dignity and has the opportunity to succeed based on their talent, skills, and potential.

Fetch also provides reasonable accommodations to qualified individuals with disabilities or those with sincerely held religious beliefs, as required by law. If you need assistance with the application process or require an accommodation, please contact us at [email protected].

Health Information Specialist I

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem – including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. 

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

You will:

  • Schedule:  8 AM to 4:30 PM CST M-F 
  • Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
  • Maintain confidentiality and security with all privileged information.
  • Maintain working knowledge of Company and facility software.
  • Adhere to the Company’s and Customer facilities Code of Conduct and policies.
  • Inform manager of work, site difficulties, and/or fluctuating volumes.
  • Assist with additional work duties or responsibilities as evident or required.
  • Consistent application of medical privacy regulations to guard against unauthorized disclosure.
  • Responsible for managing patient health records.
  • Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
  • Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
  • Ensures medical records are assembled in standard order and are accurate and complete.
  • Creates digital images of paperwork to be stored in the electronic medical record.
  • Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
  • Answering of inbound/outbound calls.
  • May assist with patient walk-ins.
  • May assist with administrative duties such as handling faxes, opening mail, and data entry.
  • Must meet productivity expectations as outlined at specific site.
  • May schedules pick-ups.
  • Other duties as assigned.

What you will bring to the table: 

  • High School Diploma or GED
  • Must be at least 18 years old.
  • Ability to commute between locations as needed.
  • Able to work overtime during peak seasons when required.
  • Basic computer proficiency.
  • Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
  • Professional verbal and written communication skills in the English language.

Bonus points if:

  • Experience in a healthcare environment.
  • Previous production/metric-based work experience.
  • In-person customer service experience.
  • Ability to build relationships with on-site clients and customers.
  • Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement hereKnow Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. 

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

Operations Support Coordinator

locationsRemote – USAtime typeFull timeposted onPosted Yesterdayjob requisition idR26_0000001992

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

IMPAXX is seeking an Operations Support Coordinator to join our Client Service team. This role is central to the day-to-day execution of operations, supporting high-volume case management workflows and ensuring accuracy, timeliness, and consistency across client files.

The Operations Support Coordinator plays a key role in managing processes tied to Medicare Set-Aside workflows, coordinating documentation, and supporting communication between internal teams, government contractors, and customers. This position is well-suited for someone who is highly detail-oriented, thrives in a structured environment, and is comfortable managing large volumes of data while meeting firm deadlines.

Success in this role comes from a strong commitment to accuracy, organization, and responsiveness. The position requires a disciplined approach to task management, the ability to navigate detailed processes, and a professional communication style when engaging with both internal and external stakeholders.

This is a remote position that operates on a Pacific Standard Time (PST) schedule — candidates in any time zone are welcome, but must be available through at least 4:00 PM PST each day.

Key areas of responsibility include:

  • Accurately entering and maintaining high volumes of data within the case management system
  • Reviewing incoming referrals and ensuring all documentation is properly uploaded and aligned with client requirements
  • Processing incoming and outgoing mail and coordinating file-related documentation
  • Initiating and managing conditional payment investigations and submitting authorizations to Medicare
  • Following up on case status through contractor portals and direct outreach as needed
  • Requesting and tracking final demand and closure letters
  • Managing open files and supporting workflows tied to the Medicare Set-Aside process
  • Communicating with government contractors, teammates, and customers through both written and verbal channels
  • Preparing and distributing standardized correspondence and documentation
  • Monitoring deadlines and ensuring files are processed in accordance with service requirements
  • Escalating customer concerns and collaborating across teams to drive resolution
     

Qualifications and profile:

  • High school diploma or equivalent required; additional education preferred
  • Proficiency in Microsoft Office, including Outlook, Word, Excel, and PDF tools
  • Ability to manage high-volume workloads while maintaining strong attention to detail and accuracy
  • Strong written and verbal communication skills with a professional, customer-focused approach
  • Comfortable working within structured processes and meeting defined deadlines
  • Ability to collaborate effectively across teams and adapt to shifting priorities
  • Experience in workers’ compensation or Medicare-related processes is beneficial but not required

Pay Range18 – 20 Hourly

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

  • Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance  
  • Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement 
  • Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
  • Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more. 

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. 

Recruiting Vendor Disclosure Statement

Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies (“Recruiting Vendors”). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.

The Power To Be Yourself  

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”. 

Procedure Authorization Specialist- Remote

Job Details

Description

ESSENTIAL FUNCTIONS

  • Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner.
  • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
  • Accurately completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services.
  • Verifies benefits on all surgical procedures.
  • Document authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within case management.
  • Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers.
  • Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases.
  • Work with department manager to respond to and reduce complaints timely and professionally.
  • Assist surgery schedulers with STAT authorizations.
  • Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines.
  • Assists in identifying opportunities for improvement within the daily workflow process.
  • Attends department meetings as required.

EDUCATION

  • High school diploma/GED or equivalent working knowledge preferred.

EXPERIENCE

  • A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is preferred.
  • Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry.

KNOWLEDGE

  • Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.
  • Federal, state, and HIPAA privacy regulations.
  • Knowledge of computer applications.

SKILLS

  • Skill in effective organization and billing requirements and authorization processes.
  • Skill in using computer programs and applications including Microsoft Excel, Microsoft Word, and Outlook
  • Skill in establishing good working relationships with both internal and external customers.

ABILITIES

  • Ability to multi-task in a fast-paced environment. Must be detailed oriented with strong organizational skills.
  • Ability to understand patient demographic information and determine insurance eligibility.
  • Ability to work independently and demonstrate the ability to analyze data.
  • Ability to communicate effectively and compassionately with patients, co-workers, management, and providers.

ENVIRONMENTAL WORKING CONDITIONS

  • Normal office environment.

PHYSICAL/MENTAL DEMANDS

  • Requires sitting and standing associated with a normal office environment.
  • Some bending and stretching are required.
  • Manual dexterity using a calculator and computer keyboard

ORGANIZATIONAL REQUIREMENTS

  • HOPCo Mission, Vision, and Values must be read and signed.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

RCM Support Associate

Job Title: RCM Support Associate

Position Summary

The Business Operations & Payer Access Coordinator is responsible for supporting organizational efficiency and client operations through administrative coordination, documentation management, project tracking, customer support administration, onboarding activities, and payer portal access management.

This role serves as a central point of coordination between clients, payers, leadership, and operational teams, ensuring critical administrative and revenue cycle support functions are completed accurately, documented properly, and executed on schedule. The position focuses on maintaining organization, visibility, follow-through, and compliance while enabling leadership and operational teams to focus on strategic and client-facing activities.

Key Responsibilities

Payer Portal Access Management

  • Coordinate payer portal account setup and enrollment for new client implementations.
  • Register, activate, maintain, and troubleshoot user access across commercial, government, and regional payer portals.
  • Manage user additions, removals, access changes, password resets, and multi-factor authentication requirements.
  • Serve as the primary point of contact for portal access requests and issues.
  • Maintain accurate records of portal access, ownership, and enrollment status.
  • Coordinate with payer support teams to resolve access-related issues and prevent operational disruptions.

Documentation & Administrative Operations

  • Maintain company documentation, SOPs, onboarding materials, and operational resources within designated systems.
  • Ensure documentation remains accurate, organized, and up to date.
  • Coordinate patient statement processing activities and maintain related tracking records.
  • Manage incoming and outgoing mail, including receipt, routing, tracking, and administrative correspondence.
  • Maintain tracking and documentation for customer, patient, and operational communications.
  • Identify documentation gaps and coordinate updates with department leaders and process owners.
  • Maintain administrative records, trackers, dashboards, and operational reporting.

Project & Workflow Coordination

  • Track projects, milestones, action items, and implementation activities across departments.
  • Follow up with internal teams, clients, and stakeholders to ensure commitments are completed on time.
  • Escalate overdue tasks, risks, or blockers to appropriate leaders.
  • Support special projects and process improvement initiatives.

Client Support & Onboarding Coordination

  • Coordinate onboarding activities and track completion of client requirements.
  • Collect and validate documentation required for portal enrollment, onboarding, and operational workflows.
  • Follow up with clients regarding outstanding forms, documentation, and action items.
  • Support scheduling and coordination of onboarding meetings and implementation activities.

Customer Support Administration

  • Triage and route incoming customer support requests to the appropriate teams.
  • Track escalations through resolution and ensure timely follow-up occurs.
  • Maintain visibility into unresolved customer issues and communicate status updates as needed.
  • Support customer retention, offboarding, and administrative follow-up activities.

Compliance & Process Improvement

  • Ensure compliance with company security policies, HIPAA requirements, and payer-specific protocols.
  • Maintain accurate documentation of portal access, customer communications, and operational activities.
  • Assist in developing and improving workflows, SOPs, and administrative processes.
  • Identify opportunities to increase efficiency, improve visibility, and reduce turnaround times.

Qualifications

Required

  • High school diploma or equivalent.
  • 2+ years of experience in healthcare administration, customer support, operations, project coordination, revenue cycle management, or related administrative roles.
  • Strong organizational, time-management, and follow-through skills.
  • Excellent written and verbal communication abilities.
  • Ability to manage multiple priorities and deadlines simultaneously.
  • Proficiency with Microsoft Office, Google Workspace, and web-based business applications.

Preferred

  • Experience working with healthcare payer portals and access management.
  • Knowledge of healthcare insurance, revenue cycle management, and provider operations.
  • Experience supporting healthcare, RCM, healthcare technology, or professional services organizations.
  • Familiarity with Notion, Help Scout, HubSpot, project management platforms, or similar systems.
  • Experience maintaining SOPs, documentation, and operational workflows.

Perks – What you can expect:

  • Competitive salaries
  • Remote/hybrid environment
  • Potential equity compensation for outstanding performance
  • Flexible PTO
  • Company-wide sponsored lunches
  • Company paid disability and life insurance benefits
  • Company paid family and medical leave
  • Medical, dental, and vision insurance benefits
  • Discounted pet insurance
  • FSA/DCA and commuter benefits
  • 401k
  • Complimentary subscription to digital fitness classes and wellness content
  • Recovery suite at HQ – includes a cold plunge, sauna, and shower

HIPAA Requirements

All associates are required to comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations regarding the protection of patient health information. This includes adherence to the organization’s Notice of Privacy Practices and HIPAA Privacy Policies and Procedures.

The specific statements provided in this job description are not exhaustive and may be subject to change based on evolving business needs. Associates may be required to perform additional duties as assigned.

Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer’s explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees.

We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don’t hesitate to reach out to our HR department.

Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employe

ROI Medical Records Specialist – Remote

locationsRemotetime typeFull timeposted onPosted Yesterdayjob requisition idR-101948

Job Description:

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.

Job Summary:

This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Essential Functions:

  • Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
  • Date stamps all requests and highlights pertinent data to facilitate processing.
  • Validates requests and authorizations for release of medical information according to established procedures.
  • Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
  • Maintain equipment in excellent operating condition (inside and out).
  • Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
  • May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
  • Maintains a neat, clean, and professional personal appearance and observes the dress code established.
  • Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
  • Maintains working knowledge of the existing state laws and fee structure
  • Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
  • Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
  • Maintains confidentiality, security and standards of ethics with all information.
  • Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

  • High School Diploma (GED) required
  • A minimum of 2 years prior experience in a medical records department or like setting preferred
  • Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
  • Excellent organizational skills are a must
  • Must be able to type 50 wpm
  • Must be able to use fax, copier, scanning machine
  • Must be willing to learn new equipment and processes quickly.
  • Must be self-motivated, a team player
  • Must have proven customer satisfaction skills
  • Must be able to multi-task

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Prior Authorization Specialist I

POSITION SUMMARY:

The Inpatient Verification Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all referral, precertification, and/or authorization requirements as outlined in payer-specific guidelines and regulations. The role plays an important dual role by helping to coordinate patient access to care while maximizing BMC hospital reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit’s performance expectations. This position reports to the Patient Access Supervisor and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, Boston Medical Center (BMC) practice staff, case management and inpatient financial counselors.

Position: Prior Authorization Specialist I

Department: Insurance Verification

Schedule: Part Time (M-F 10:30A-5P)

ESSENTIAL RESPONSIBILITIES / DUTIES:

  • Monitors accounts routed to precertification and prior authorization work queues and clears work queues by obtaining all payer specific financial clearance requirements in accordance with established management guidelines.
  • Maintains knowledge of and complies with insurance companies’ requirements for obtaining pre-certifications/prior authorizations/referrals, and completes other activities to facilitate all aspects of financial clearance.
  • Acts as subject matter experts in navigating both the BMC Community and the payer world to get the right “permissions” (authorizations, pre-certs, referrals, for example) for the care plan to proceed.
  • The Impatient Verification Specialist is an important part of the larger team and helps clinicians understand what payer requirements are necessary for the widest possible patient access to services.
  • Supports BMC staff at all levels for hands-on help understanding and navigating financial clearance issues.
  • Uses appropriate strategies to underscore the most efficient process to obtaining authorizations, including on line databases, electronic correspondence, faxes, and phone calls.
  • Obtains and clearly documents all pre-certifications/prior authorizations for scheduled services prior to admission within the Epic environment.
  • Collaborates with patients, providers, and departments to obtain all necessary information and payer permissions prior to patients’ scheduled services.
  • Communicates with patients, providers, and other departments such as Utilization Review to resolve any issues or problems with obtaining required pre-certifications/prior authorizations.
  • Escalates emergent and elective accounts that have been denied or will not be financially cleared within 3 days of admission as outlined by department policy
  • Keeps current on CMS requirements and guidelines.
  • Coordinates with patients and Patient Financial Counseling to initiate/process Charity Care applications as needed.
  • Maintains confidentiality of patient’s financial and medical records: adheres to the State and Federal laws regulating collection in healthcare, adheres to enterprise and other regulatory confidentiality policies and advises management of any potential compliance issues immediately.
  • Participates in educational offerings sponsored by BMC or other development opportunities as assigned/available and complies with all applicable organizational workflows, as well as established policies and procedures.
  • Performs other duties as assigned by Management.
  • Demonstrates knowledge & skills necessary to provide level of customer experience as aligned with BMC management expectations.
  • Demonstrates the ability to recognize situations that require escalation to the Supervisor.
  • Establishes relationships and effectively collaborates with revenue cycle staff to support continuous improvement aligned with BMC management expectations as outlined.
  • Takes opportunity to know and learn other roles and processes, and works together to assist with process improvement initiatives as directed.
  • Consistently meets productivity and quality expectations to align performance with assigned roles and responsibilities.
  • Must adhere to all of BMC’s RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

  • High School Diploma or GED required, Associates degree or higher preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

  • Case manager and/or coding certification desirable

EXPERIENCE:

  • 4-5 years medical billing/denials/coding/and/or inpatient admitting experience desirable

KNOWLEDGE AND SKILLS:

  • General knowledge of healthcare terminology and CPT-ICD10 codes.
  • Complete understanding of insurance is preferred.
  • Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.
  • Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.
  • Knowledge of and experience within Epic is preferred.
  • Demonstrates technical proficiency within assigned Epic work queues and applicable ancillary systems, including but not limited to: ADT/Prelude/Grand Central, HB & PB Resolute.
  • Demonstrates proficiency in Microsoft Suite applications, specifically Excel, Word, and Outlook.
  • Displays a thorough knowledge of various sections within the work unit in order to provide assistance and back-up coverage as directed.
  • Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management.

Compensation Range:$25.42- $30.97

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. 

Application Support Specialist- EMR

We are seeking a Product Specialist II to join our team. The ideal candidate will have a strong background in customer service, technical support, and business application troubleshooting. In this role, you will be responsible for providing application support to Enterprise Health/MIE customers across all product lines. You will serve as the central customer service contact for existing clients, answering questions, escalating priority issues, and providing ongoing training to users.

Company Overview
We provide solutions that make a meaningful difference in healthcare. Founded in 1995, MIE serves as the innovation engine for business units that serve hospitals and health systems, physician practices, Fortune 500 employers, government agencies, and consumers. MIE’s web-based health information technology platform is helping physicians, nurses, and administrators make a meaningful difference in healthcare delivery across the globe.

Key Responsibilities

  • Consult with customers on EMR optimization efforts.
  • Provide best practices to ensure customer success with the EMR.
  • Perform complex configurations to improve workflow efficiencies.
  • Provide an exceptional customer experience in every interaction.
  • Provide training to client users during deployment to alleviate the training burden from the project team.
  • Provide ongoing product education for existing customers.
  • Escalate bug fixes to appropriate staff as needed.
  • Take initiative to maximize opportunities for personal growth in product knowledge.
  • Assist the deployment team with onboarding tasks.
  • Requires up to 10% travel.

Required Qualifications

  • Education: Must obtain applicable product certifications within 90 days of hire.
  • Experience:
    • 2+ years of experience providing customer service/support to commercial clients.
    • Experience using and troubleshooting business applications.
    • Effective written and verbal communication skills.
  • Skills:
    • Ability to clearly communicate with professional clients at all levels.
    • Strong organizational skills.
    • Oral presentation, training, and public speaking experience.
    • Proficiency in using MS Office Suite, internet, e-mail, and browser-based applications.

Why Join Us?

At MIE and Enterprise Health, we offer more than just a job. We provide an environment where innovative thinking is encouraged, teamwork is valued, and growth is fostered. Our comprehensive benefits package includes:

  • Competitive compensation
  • Comprehensive benefits package including medical/dental/vision insurance
  • 401k with company match
  • Unlimited Paid-Time off
  • Quarterly bonus program
  • Flexible work schedule
  • Remote work

Medical Informatics Engineering and Enterprise Health are equal-opportunity employers. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Remote Processing Specialist

At CLEAResult, we lead the transition to a sustainable, equitable, and carbon-neutral energy-efficient future for our communities and our planet. We do that by creating a people-first culture built on trust, accountability, and transparency; where every employee – regardless of position, role, or identity is treated with respect and given an equal chance to thrive.

Additionally, you will enjoy:
• Medical, Dental, and Vision Insurance; we also offer a company-paid health care concierge service to help navigate our health plan to make the best decisions for you and yours
• 401(k) with company match
• Paid vacation, sick, personal and parental leave time
• Paid Volunteer Time: giving back to our communities is important to us
• Employee Recognition Program – convert your recognition points into gift cards
• Employee Assistance Program – offers benefits to help you manage daily responsibilities
• Access to on-demand training courses to advance further in your career

Job Description

The position is remote and can be located anywhere in the US the job is posted.

We’re looking for a talented individual…

To join us as a Processing Specialist I for Integrated Customer Services! In this remote role, you will be responsible for ensuring the Integrated Customer Service (ICS) team meets program deliverables by processing rebates accurately.

Responsibilities: 

  • Data entry and validation of energy rebate requests
  • Consistently meet outlined Key Performance Indicators (KPIs)
  • Contribute to process improvements in a team-based environment

Expectations: 

  • Maintain 90% or greater production standards, an accuracy rating of 99%, and minimize critical errors per month
  • Follow outlined standard operating procedures to ensure success
  • Maintain a high level of professionalism
  • Develop new skills for new programs and tasks to meet utilization goals set by Supervisor

Qualifications: 

  • Previous experience in data entry a plus 
  • Resourceful and inquisitive with high energy
  • Strong organizational skills. Experience with Microsoft office applications a plus
  • Flexibility with schedule; split shifts may be required as needed  Schedule may change with minimal notice.  May be asked to work evenings and/or Saturdays a times of increased volume

Remote Work Requirements: 

We provide a laptop, software, and all necessary equipment 

Home Internet requirements: 

Internet speed that meets our minimum standard: 

  • 10 Mbps upload / 20 Mbps download / 99% latency 
  • Google: ‘free speed test’ if you are unsure 
  • Ability to hardwire internet, plug directly into router

Environment: 

  • Dedicated home office space, free of personal disruptions 
  • Two power connections 
  • You are scheduled to be on the phone throughout the entirety of your shift – no flexibility to answer the door or be on-call care for others during scheduled work hours 

Compensation:

$16 / hour + $65 / month internet stipend

DOT Requirements

If applicable, meet all DOT qualification requirements and comply with all applicable federal, state, and local transportation regulations.

Compensation Range

Currency

TypeHourly

Any offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant’s skills and prior relevant experience, certain degrees and certifications (e.g. JD/technology), for example.

CLEAResult will not provide sponsorship or support for immigration status or work authorization including for international students. Applicants must be authorized to work in the country where the position is located without the need for employer sponsorship or support. Successful hires must pass pre-employment checks.

Equal Opportunity Employer

As an Equal Opportunity Employer, we are committed to ensuring equal employment opportunities for all job applicants and employees. Employment decisions are based upon job-related reasons regardless of an applicant’s race, color, religion, national origin, marital status, age, sex, gender identity, sexual orientation, status as a qualified individual with a disability or protected veteran, or any other protected status.

The above job description and job requirements are not intended to be all inclusive. CLEAResult retains the right to make changes or adjustments to job descriptions and/or requirements at any time without notice.

Research Data Specialist – Sarcoma Oncology

Job Ref:JR-4722Location:450 Brookline Ave, BOSTON, MA 02215Category:Research LaboratoryEmployment Type:Full timeWork Location:Remote: occasional onsiteSalary/Pay Rate:$50,500.00 – $56,700.00 per year

Overview

The Research Data Specialist (RDS) will support the Sarcoma Oncology clinical research program in the areas of data collection, computing, and database organization. Duties include the examination, synthesis, and evaluation of medical records; the abstraction and recording of pertinent medical information; and the monitoring of patient status. The Clinical Research Data Specialist will be responsible for the collection, management, and quality assurance review of patient clinical data.

This position’s work location is fully remote with occasional time on-campus in [enter location]. The selected candidate may only work remotely from a New England state (ME, VT, NH, MA, CT, RI).

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow’s physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
 

  • Responsible for reviewing and abstracting the medical records for research patients on trials they are assigned
  • Entering identified clinical data points in the corresponding database
  • Ensuring that data is entered within the outlined timelines for each trial
  • Assisting research teams with the development, testing and implementation of Case Reports Forms for PI-Initiated clinical trials.
  • CRIS RDS positions:
  • Evaluating and tracking the eligibility of all patients seen in the clinic for inclusion in the study
  • May assist or be responsible for consenting eligible patients in clinic
  • Maintaining on-going communications with Information Services and physicians and staff for data collection needs
  • Reviewing and abstracting the medical records for patients. Entering the clinical data into the Clinical Research Information Systems (CRIS)
  • Accessing patient demographic and clinical information from the clinical systems. Entering information into the database
  • Reviewing data for quality and completeness using reporting software
  • Collaborating with principal investigators, IS staff, and clinic staff in the continued development of the CRIS system
  • Assist principal investigators and staff in the creation of data reports for quality assurance measures
  • Coordinates the collection, processing, organization, and storage of biological specimens including maintenance of electronic specimen tracking systems (STIP) and laboratory binders
  • May be responsible for IRB and regulatory submissions and maintenance of regulatory files
  • Bone Marrow Transplant (BMT) RDS positions:
  • Support the clinical programs with outcomes data collection, reporting, analysis and audits
  • Ensures timely reporting to internal and external outcomes data repositories, including national repositories when required by regulatory requirements and U.S. law
  • Ensure case management documentation in patient medical records and other information management systems as assigned to support clinical program clinical care
  • Perform QA and QC procedures to ensure optimal data reporting as assigned
  • Develop knowledge of specialized data sources specific to outcomes data reporting, including routine reaching out to offsite providers to obtain information from medical records at outside sites of care

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: 

  • Excellent organizational and communication skills required
  • Strong interpersonal skills – ability to effectively interact with all levels of staff and external contacts.
  • Must be detail oriented
  • Ability to effectively manage time and prioritize workload
  • Must practice discretion and always adhere to institutional confidentiality guidelines
  • Must have computer skills including the use of Microsoft Office

MINIMUM JOB QUALIFICATIONS:

The position requires a bachelor’s degree or 1 year of experience as a Dana-Farber Associate Research Data Specialist. Experience of 0-1 years in a medical, scientific research, or technology-oriented business environment is preferred.

SUPERVISORY RESPONSIBILITIES: None

PATIENT CONTACT:

Yes, all ages.

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.  

HB Coding Denials Integrity Specialist

locationsRemoteAurora St Lukes Medical Center – 2900 W Oklahoma Avetime typeFull timeposted onPosted 30+ Days Agojob requisition idR236474

Department:

13246 Enterprise Revenue Cycle – Integrity Operations: Facility Coding Denials

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Will support:

  • Hospital Based Inpatient Coding or Hospital Outpatient Surgical Coding.

Desired experience:

  • Hospital Based Inpatient Coding or Hospital Outpatient Surgical Coding Experience  
  • Denials related experience

Schedule:

  • Monday – Friday First shift 40 hours a week.

Certification required:

  • Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or
  • Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
  • Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)

Remote opportunity:

  • Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Pay Range$33.05 – $49.60

Major Responsibilities:

  • Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions.
  • Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes.
  • Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed.
  • Identifies coder education opportunities, team trends, and consideration of topics to mandate for second level account review, before the account is final coded.
  • Reviews encounters flagged for second level review, including but not limited to; hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk of mortality assignment.
  • Responsible for coding participation in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide follow up to the clinical documentation nurse with rationale on final outcome. Recommends educational topics for coders and clinical documentation nurses based on their observations from reviewing mismatches.
  • Participate in hospital coding denial and appeal processes as directed. Ensure timely review and response to any third-party payer notification of claims where codes are denied. Determine if an appeal will be written based on application of coding guidelines and provider documentation.
  • Following review of overpayment or underpayment denials, provide appropriate follow-up to coding team member as appropriate, rebilling accounts to ensure appropriate reimbursement. All trends identified should be presented to coding leadership in a timely manner and logged for historical tracking purposes.
  • Investigates and resolves all edits or inquiries from the billing office or patient accounts, to prevent any delay in claim submission due to open questions related to coding. Identifies any coding issues as they relate to coding practices. Clarifies changes in coding guidance or coding educational materials.
  • Maintains continuing education credits and credentials by keeping abreast of current knowledge trends, legislative issues and/or technology in Health Information Management through internal and external seminars. Identify opportunities for continuing education for hospital coding team.


Licensure, Registration, and/or Certification Required:

  • Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or
  • Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
  • Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)
  • Education Required:
  • Associate’s Degree in Health Information Management or related field.


Experience Required:

  • Typically requires 5 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality review functions.


Knowledge, Skills & Abilities Required:

  • Demonstrated leadership skills and abilities.
  • Demonstrates knowledge of National Council on
  • Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions.
  • Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups)
  • Advanced knowledge in Microsoft Applications, including but not limited to; Excel, Word, PowerPoint, Teams.
  • Advanced knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology.)
  • Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
  • Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
  • Excellent communication and reading comprehension skills.
  • Demonstrated analytical aptitude, with a high attention to detail and accuracy.
  • Ability to take initiative and work collaboratively with others.
  • Experience with remote work force operations required.
  • Strong sense of ethics.


Physical Requirements and Working Conditions:

  • Exposed to a normal office environment.
  • Must be able to sit for extended periods of time.
  • Must be able to continuously concentrate.
  • Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
  • Operates all equipment necessary to perform the job.


This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

#Remote

#LI-Remote

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate’s job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

Senior Clinical Coding Specialist – OR Surgery

As a Senior Clinical Coding Specialist, this role supports accurate and compliant coding operations that directly impact revenue integrity and timely billing processes. The Senior Clinical Coding Specialist works collaboratively with internal teams to ensure high-quality coding and documentation standards. MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The Senior Clinical Coding Specialist contributes to this mission through expert application of coding guidelines, communication with clinical teams, and support of institutional compliance.

The Senior Clinical Coding Specialist is essential in maintaining workflow efficiency, supporting documentation clarification, and ensuring coding accuracy. Individuals in this role must be detail-oriented, highly organized, and committed to continuous learning and adherence to official coding guidelines.

The ideal candidate for the Senior Clinical Coding Specialist will have surgery coder experience in Breast and Plastics, Surgical Oncology, Head and Neck, Urology and advanced knowledge of ICD-10-CM, CPT/HCPCS along with experience in both inpatient and outpatient coding.

Shift Hours: 8am – 5pm remote but must be able to attend meetings onsite as needed.

Why Us?

The Senior Clinical Coding Specialist plays a key role in supporting MD Anderson’s mission by ensuring coding accuracy, enabling timely billing, and upholding compliance standards. This position offers opportunities for continuous learning, professional development, and the ability to contribute meaningfully to high-impact operational workflows.

• Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.

Responsibilities

People & Service • Communicate effectively with coding team members, management, business office, and external customers.
• Provide detailed questions and feedback to management regarding coding issues, quality reviews, and training.
• Support internal and external requests for coding corrections or re-reviews.
• Report workflow or system issues promptly to management.

Development & Innovation • Advance professional growth through continuing education, coding rounds, seminars, and literature review.
• Participate in team meetings and provide feedback on documentation challenges and compliance concerns.
• Contribute to discussions on coding clinic updates and process improvements.

Coding Quality & Compliance • Maintain discharged-not-final-billed (DNB) and Pre-AR account thresholds as directed by leadership.
• Apply official coding guidelines, coding clinics, and departmental policies accurately.
• Review medical records and assign ICD-10-CM, CPT/HCPCS, modifiers, and other codes using 3M software, EPIC, and coding references.
• Initiate physician queries when documentation is unclear or insufficient.
• Uphold AHIMA ethical coding standards and HIPAA compliance rules.At MD Anderson Cancer Center, you’ll be part of a world-class team dedicated to Making Cancer History®. As a Senior Clinical Coding Specialist in our Revenue Operations and Coding Department, your expertise ensures accurate coding that supports patient care and institutional compliance. This is more than a job-it’s an opportunity to contribute to life-saving work while advancing your career.

What’s in it for you?

  • Paid Medical Benefits: MD Anderson covers 100% of medical benefits for employees, plus dental and vision options.
  • Generous Paid Time Off (PTO): Vacation, sick leave, and holidays to help you recharge.
  • Retirement Plans: Secure your future with robust retirement programs and employer contributions.
  • Professional Growth: Access to continuing education, coding seminars, and career advancement opportunities.
  • Mission-Driven Culture: Work in an environment where your skills directly impact patient care and institutional excellence.

Key Responsibilities

People & Service (34%)

  • Communicate effectively with coding team members, management, business office, and external customers.
  • Provide detailed questions and feedback to management regarding coding issues, quality reviews, and training.
  • Support internal and external requests for coding corrections or re-reviews.
  • Report workflow or system issues promptly to management.

Development & Innovation (26%)

  • Advance professional growth through continuing education, coding rounds, seminars, and literature review.
  • Participate in team meetings and provide feedback on documentation challenges and compliance concerns.
  • Contribute to discussions on coding clinic updates and process improvements.

Coding Quality & Compliance (40%)

  • Maintain discharged-not-final-billed (DNB) and Pre-AR account thresholds as directed by leadership.
  • Apply official coding guidelines, coding clinics, and departmental policies accurately.
  • Review medical records and assign ICD-10 CM, CPT/HCPCS, modifiers, and other codes using 3M software, EPIC, and coding references.
  • Initiate physician queries when documentation is unclear or insufficient.
  • Uphold AHIMA ethical coding standards and HIPAA compliance rules.

EDUCATION

  • Required: Associate’s Degree Health Information Management, Healthcare Administration, or related healthcare field.
  • Preferred: Bachelor’s Degree Health Information Management, Healthcare Administration, or related healthcare field.

WORK EXPERIENCE

  • Required: 5 years Clinical coding experience for complex or multi-specialties. or
  • Required: 3 years Clinical coding experience for complex or multi-specialties with preferred degree.
  • May substitute required education degree with additional years of equivalent experience on a one to one basis.

Preferred Experience:

  • Prior experience working in a Teaching Hospital setting. This specific position is for a surgical position in OR surgical coding for both the physician and the facility.
  • Experience in Breast and Plastics, Surgical Oncology, Head and Neck, and/or Urology.
  • A strong foundation in medical coding principles, including knowledge of ICD-10, CPT and HCPCS, along with practical experience in both inpatient and outpatient coding.

LICENSES AND CERTIFICATIONS:

One or more of the following is required.

  • RHIA – Registered Health Information Administrator American Health Information Management Association (AHIMA).
  • RHIT – Registered Health Information Technician American Health Information Management Association (AHIMA).
  • CCS-Certified Coding Specialist American Health Information Management Association (AHIMA).
  • CCA – Certified Coding Associate American Health Information Management Association (AHIMA).
  • Certified Coder-AHIMA or AAPC American Academy of Professional Coders (AAPC).
  • CPC-A – Cert Prof Coder-Apprentice American Academy of Professional Coders (AAPC).
  • COC – Certified Outpatient Coding American Academy of Professional Coders (AAPC).

OTHER REQUIREMENTS: Must pass pre-employment skills test as required and administered by Human Resources.

The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time offretirement, tuition benefits, educational opportunities, and individual and team recognition.

This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

  • Requisition ID: 178716
  • Employment Status: Full-Time
  • Employee Status: Regular
  • Work Week: Days
  • Minimum Salary: US Dollar (USD) 67,000
  • Midpoint Salary: US Dollar (USD) 83,500
  • Maximum Salary : US Dollar (USD) 100,000
  • FLSA: non-exempt and eligible for overtime pay
  • Fund Type: Hard
  • Work Location: Remote (within Texas only)
  • Pivotal Position: Yes
  • Referral Bonus Available?: No
  • Relocation Assistance Available?: No

Associate, Scoring Service

We are the world’s learning company with more than 24,000 employees operating in 70 countries. We combine world-class educational content and assessment, powered by services and technology, to enable more effective teaching and personalized learning at scale. We believe that wherever learning flourishes so do people.

Evaluation Systems of Pearson offers dynamic teacher licensing and performance assessment solutions. Our custom teacher licensure testing programs are 100 percent aligned to state standards. We also provide a wide variety of teacher licensure testing services such as test development, administration, and scoring. We work in a collaborative environment and are passionate about education.

Scoring offers the opportunity to network with other professionals and stay abreast of the latest developments in your field. Scorers have a direct impact on the quality of the next generation of teachers and help to maintain professional standards. Scorers enjoy the change of pace, the mental challenge and the opportunity to give back to their educational field.

We have immediate openings for candidates to score the School Leadership Assessments below remotely for our Malta, NY office:

  • School Building Leader
  • School District Leader
  • School District Business Leader

Key benefits

  • Starting rate of $17.50 per hour
  • Flexibility to work scoring sessions that suit your availability
  • Working remotely

Qualifications

  • A current School Building Leader, School District Leader, or School District Business Leader certification AND are currently serving as an administrator or have served as an administrator within the last three years

OR are or have been educators from colleges or universities who have taught or advised administrator candidates within the last three years

Both active and recently retired practitioners can be eligible to score.

  • Basic computer skills (keyboard, mouse)
  • Ability to sit for extended periods of time
  • Ability to maintain a confidential work environment
  • Eligible to work in the United States

Overall Responsibilities

  • Evaluate responses to test questions by New York administrator candidates
  • Internalize scoring standards, participate in discussions, and engage with other scorers in consensus scoring activities
  • Recognize and discuss various types of bias (e.g., implicit bias, cultural bias, leniency bias, central tendency bias, halo effect) and effect strategies to reduce personal biases in scoring
  • Meet quality and productivity requirements established for the scoring program, including passing a qualifying test before scoring

Working Conditions

Training takes place before scoring begins. There may be a brief orientation meeting before the day of scoring occurs.

Scoring sessions take place during the week Monday through Friday. Scoring sessions will last 2 days and occur on an intermittent basis, every 4 to 8 weeks depending on the subject. The scoring day runs from 8:30 a.m. to approximately 4:30 p.m., including training.

Note: Applications are accepted on an ongoing basis.

This position is NOT bonus/benefits eligible. Information and guidelines on benefits offered is here .

Pearson is an Equal Opportunity Employer and a member of E-Verify. Employment decisions are based on qualifications, merit and business need. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, age, national origin, protected veteran status, disability status or any other group protected by law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by emailing [email protected].
Job: Evaluation

Job Family: LEARNING_&_CONTENT_DELIVERY

#LI-REMOTE

Associate, Scoring Service

We are the world’s learning company with more than 24,000 employees operating in 70 countries. We combine world-class educational content and assessment, powered by services and technology, to enable more effective teaching and personalized learning at scale. We believe that wherever learning flourishes so do people.

Evaluation Systems of Pearson offers dynamic teacher licensing and performance assessment solutions. Our custom teacher licensure testing programs are 100 percent aligned to state standards. We also provide a wide variety of teacher licensure testing services such as test development, administration, and scoring. We work in a collaborative environment and are passionate about education.

Scoring offers the opportunity to network with other professionals and stay abreast of the latest developments in your field. Scorers have a direct impact on the quality of the next generation of teachers and help to maintain professional standards. Scorers enjoy the change of pace, the mental challenge and the opportunity to give back to their educational field.

We have immediate openings for candidates to score the subjects below remotely for our San Antonio, TX office:

  • Texas Assessment of Sign Communication (TASC)
  • Texas Assessment of Sign Communication-American Sign Language (TASC-ASL)

Qualifications

Applicants must meet all of the following:

  • Have demonstrated experience with, and proficiency in, sign communication
  • Have a minimum of three years of experience in the education of the deaf and hard of hearing or ASL instruction
  • Reside in the state of Texas
  • Comply with the ethical obligations under §SBEC 230.21 (g) 
  •  including, but not limited to:

An educator, candidate, or other test taker shall not:

solicit information about the contents of test items on an examination that the educator, candidate, or other test taker has not already taken from an individual who has had access to those items, or offer information about the contents of specific test items on an examination to individuals who have not yet taken the examination; or

otherwise engage in conduct that amounts to violations of test security or confidentiality integrity, including cheating, deception, or fraud.

  • Agree to NOT:
  • use training/experience as a scorer to receive compensation for any work in test preparation related to this assessment
  • take the exam you are scoring within 180 days of scoring

AND

Must also:

  • Recuse yourself from scoring any candidate responses where you served as the interviewer

Overall Responsibilities

  • Evaluate responses to test questions by Texas teacher candidates
  • Internalize scoring standards, participate in discussions, and engage with other scorers in consensus scoring activities
  • Recognize and discuss various types of bias (e.g., implicit bias, cultural bias, leniency bias, central tendency bias, halo effect) and effect strategies to reduce personal biases in scoring
  • Meet quality and productivity requirements established for the scoring program, including passing a qualifying test before scoring

Key benefits

  • Starting rate of $17.50 per hour
  • Working remotely

Working Conditions

Scoring sessions take place during the week for 3 days, Monday through Friday and occasionally on Saturday. Scoring sessions will occur on an intermittent basis every 8 weeks. The scoring day runs from 8:30 a.m. to approximately 4:00 p.m., including training. Scorers can expect to work roughly 20 hours every two months.

Training takes place before scoring begins. There may be a brief orientation meeting before the day of scoring occurs.

Pearson is an Equal Opportunity Employer and a member of E-Verify. Employment decisions are based on qualifications, merit and business need. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, age, national origin, protected veteran status, disability status or any other group protected by law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by emailing [email protected].
Job: Evaluation

Job Family: LEARNING_&_CONTENT_DELIVERY

Data Processing Specialist

Job Details

Description

JOB SUMMARY

The ideal candidate will have 1–3 years of laboratory accessioning experience and will be responsible for reviewing and processing new orders efficiently and accurately. This role requires strong analytical skills, attention to detail, and the ability to work both independently and collaboratively in a fast-paced, remote environment.

KEY RESPONSIBILITIES

·       Accurately input and process data from various sources into company systems, databases, and spreadsheets.

·       Review and verify test data for accuracy and completeness.

·       Perform regular data audits to ensure data integrity.

·       Identify and resolve discrepancies, working with internal departments as needed.

·       Provide feedback about processes and roadblocks.

QUALIFICATIONS

Required

Education: 

·       High School Diploma or equivalent required.

Experience: 

·       1–3 years in laboratory accessioning.

Preferred:

  • BA in Business preferred.

COMPETENCIES

PHYSICAL DEMANDS AND WORK ENVIRONMENT

  • Frequently required to sit. 
  • Frequently required to utilize hand and finger dexterity. 
  • Occasionally required to travel for meetings and conferences. 

EEO STATEMENT

Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local law. 

Note to Recruiters: 

We value building direct relationships with our candidates and prefer to manage our hiring process internally. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics (“Agreement”). Any resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics’ authorized signatory will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees.

Real Estate Data Entry Operator

Company Description

REMAX Hawaii (formerly Better Homes and Gardens Real Estate Advantage Realty) provides comprehensive residential real estate services across Oahu and Maui. 

Celebrating 20 years of doing business in Hawaii, locally owned REMAX Hawaii has 6 offices across Oahu and Maui in Kahala, Kailua, Kakaako, Haleiwa, Kapolei and Wailuku with over 200 employees and licensed agents. 

They have created a clear strong corporate culture which has been a key to the growth and success of our company. Their agents and support staff are client centric and put the clients’ needs ahead of their own. Their core values of honesty, transparency, collaboration, commitment, charity, innovation and strong work ethic are communicated to the agents and employees from the initial interview and throughout every company interaction

Voted Hawaii’s Best Real Estate Firm the past 13 years and a Best of Honolulu Company for 11 years. The company was also recognized as one the Best Places to Work by Hawaii Business magazine for the 6th year in a row.

Learn more at http://remaxhawaii.com

Job Description

In your role as a real estate data entry operator, you will play a crucial role in upkeep and updating our database. In order to maintain correct and current records, you will be responsible for accurately entering a variety of data. The ideal candidate for this role will have strong organizational skills, a sharp eye for detail, and the capacity to work independently in a remote setting.

Pay: $26.81 – $29.97 per hour

Responsibilities

  • Update and add transactions, client information, and real estate data to the database.
  • Examine and amend data to make sure it is accurate and comprehensive.
  • Collaborate with your teammates to resolve any discrepancies found in the data.
  • Be mindful of privacy and abide by data security regulations.
  • Assist in creating reports and presentations using the data acquired.
  • Performing secretarial duties entails filing, monitoring office supplies, scanning, and printing as needed.

Qualifications

  • A high school certificate or its equivalent; a bachelor’s degree is ideal but not necessary.
  • Solid background in data entry or a related field.
  • Strong command of the language and procedures used in real estate.
  • A strong command of computers, including the MS Office suite and data input programs.
  • Remarkable precision and attention to detail.
  • The capacity to operate autonomously with little guidance.
  • Outstanding organizing and time management skills.
  • Good communication abilities, particularly while working in a remote team.

Additional Information

REMAX Hawaii is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law. All your information will be kept confidential according to EEO guidelines.

Patient Advocate Data Entry I

Overview

This role is a part of our Customer Success team health and is integral to the company’s success, as every individual client interaction matters. The Patient Advocate Data Entry I is a part of the larger Customer Success team, who works to resolve and preempt customer issues to ensure a positive customer experience. This role is responsible for the timely and accurate data entry and management of patient orders. They are a significant contributor to our high-throughput workflow and an integral part of our CLIA lab.

Responsibility

  1. Translate critical healthcare information and test orders from test request forms into database accurately and timely.
  2. Review received orders for required elements and effectively communicate missing elements.
  3. Ensure a high level of quality throughput.
  4. Complies with applicable CLIA and HIPAA regulations.

Qualifications

  1. Data entry experience.
  2. High School diploma or equivalent.
  3. Detail oriented.
  4. Quick learner.
  5. Problem solving and research abilities.
  6. High level of accuracy.
  7. Excellent communication and interpersonal skills.
  8. Adaptability to changing policies and procedures.
  9. Proficiency in Windows and Internet Browsers.
  10. Preferred 6 months to 1 year of medical setting experience.
  11. Preference given to higher net typing speed applicants.

Physical Requirements

Lifting Requirements – sedentary work or exerting up to 10 pounds of force occasionally. Physical Requirements – stationary positioning, moving, communicating, and observing. Use of equipment and tools that are necessary to perform essential functions of the job.

#LI-LB1

About Us

Ready to transform the future of patient care through the power of genetics?

For more than 30 years, Myriad Genetics has led the way in precision medicine by delivering important insights to help people make informed health decisions. As a leading molecular diagnostic testing and precision medicine company, we are dedicated to advancing health and well-being for all. Our innovative genetic tests are used across specialties including oncology, women’s health, and mental health, empowering clinicians to personalize treatment and help their patients take proactive steps toward better outcomes.

What inspires us – and you – is simple: Every test, every insight, and every patient story emphasizes our commitment to improving lives through science, innovation, and care. you’re ready to help shape the future of medicine. Your work will have meaningful impact, and your dedication can change lives. Learn more at https://www.myriad.com and follow Myriad Genetics on LinkedIn.

We are an equal opportunity employer and place high value on inclusion and belonging. We prohibit discrimination and harassment on the basis of any protected characteristic, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. In accordance with applicable law, we make reasonable accommodations for applicants’ and employees’ religious practices and beliefs, as well as any mental health or physical disability needs. If you need assistance submitting your application due to a disability, you can request an accommodation by contacting [email protected].

Please answer all questions completely. Please do not provide any information not specifically requested on this Employment Application form. To get the best candidate experience, please consider applying for a maximum of 3 roles within 12 months to ensure you are not duplicating efforts.  

Audit Retrieval Specialist – Remote

Job Description:

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.

Job Summary:

The mission of the Audit Fulfillment Program is to track, retrieve, & deliver timely, accurate medical record sets, for all valid use cases, to high-volume institutional requestors.  This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must always safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Essential Job Functions:

  • Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
  • Specifically focused on retrieval projects for health plan and CMS campaigns, including but not limited to: HEDIS, DRG, Risk Adjustment, Payment Integrity, RAC, CMS Audits
  • Receive and review audit requests from external entities, ensuring understanding of requirements and deadlines. 
  • Identifies audit use case, validates requests and authorizations for release of medical information according to established procedures.
  • Maintains up-to-date client account logins/credentials for all assigned locations, including tracking expiration dates and renewal requirements.
  • Performs quality checks on all work to assure completeness, accuracy, and compliance with audit criteria and requirements.
  • Maintain equipment in excellent operating condition (inside and out).
  • Provides excellent customer service by being attentive and respectful; ensures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
  • Maintains a neat, clean, and professional personal appearance and observes the dress code established.
  • Maintains a clean and orderly work area, ensures that records and files are properly stored before leaving area.
  • Maintains working knowledge of the existing state laws and fee structure
  • Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
  • Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
  • Maintains confidentiality, security and standards of ethics with all information.
  • Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

  • High School Diploma (GED) required
  • A minimum of 2 years prior experience in a medical records department or like setting preferred
  • Must have strong computer software experience – general working knowledge of Microsoft Word and Excel required
  • Requires ability to work remotely and at times provide support in client locations.  Geographical proximity to the assigned client site required.
  • Excellent organizational skills a must
  • Must be able to type 50 wpm
  • Must be able to use fax, copier, scanning machine
  • Must be willing to learn new equipment and processes quickly.
  • Must be self-motivated, a team player
  • Must have proven customer satisfaction skills
  • Must be able to multi-task

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Work From Home Remote Claims Representative 620734

Job Description: 

Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. Join Metro, a renowned and trusted 30 year old business to take charge of your future. 

Position Details: 

Reliable Training – No prior experience in public adjusting is required. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.  

Flexible Schedule and Location – Our claim representatives have the opportunity to set their own schedule. This can be worked as a part-time or full-time position, and can be done either in-person or remotely.  

Responsibilities: 

  • Conduct a virtual or in person walk-through inspection of the property to identify damage that may be covered under insurance
  • Utilize skills to drive business growth and success.
  • Interpreting insurance policies 
  • Provide exceptional customer service and address clients’ needs. 
  • Fill out paper work, as needed, to process claims  

Who would do well:  

We welcome applicants who have a positive attitude and enjoy working with people. This position is a great fit for people who are looking to work around their busy schedule. 

If you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. 

Forms Completion Specialist – Remote

Job Description:

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.

Job Summary: 

This position is responsible for completing FMLA/Disability forms in a timely and efficient manner, ensuring accuracy and providing customers with the highest quality product and customer service. Applicants should have familiarity with medical terminology and medical office processes and procedures. Experience with FMLA/Disability forms is required.  The candidate will also demonstrate that they are culturally aligned with Sharecare, by displaying and working within the values of Servant Leadership, Family, Compassion, Accountability and Respect for their leader and their peers. They will be innovative, open to change, and display honesty and integrity in all that they do.  

Essential Job Functions: 

  • Process FMLA/Short Term Disability paperwork.   
  • Communicate with patients and physician coordinators about disability/FMLA paperwork in an upbeat, patient centered attitude.  
  • Process medical record requests for clients, with proper adherence to HIPAA and HITECH compliance training and laws.   
  • Complete FMLA/Disability forms by utilizing industry standard responses as per the type of specialty practice.   
  • Answer incoming calls, assisting multiple lines & capturing call data on Excel tracking log; provide excellent customer service by being attentive and respectful.   
  • Validate and process all incoming requests for PHI.  
  • Ensure patient’s disability forms are completed after payment within 5-7 days (turnaround).  
  • Pull patients forms and PHI requests on a daily basis for invoicing and loaded into RMS.  
  • Establish and Maintain professional relationships with all account clients.  
  • Monitor all EMR accounts to ensure that all requests are received and processed within required time frame.  
  • Verify patient information using key identifiers. 
  • Conduct quality screenings on incoming PHI to protect patient data.  
  • Verify requesting party contact information including fax number or address.  
  • Update and maintain an Accounting of Disclosure Log for all medical records released.  
  • Provide attention and care to patients and patient representatives. 

Qualifications:

  • 1 year prior experience in a medical records department or like setting  
  • Strong computer software experience: general working knowledge of Microsoft Word & Excel  
  • Excellent organizational skills a must and must be able to multi-task   
  • Must be able to type 50 wpm  
  • Must be able to use fax, copier, scanning machine   
  • Must be willing to learn new equipment and processes quickly   
  • Must be self-motivated, a team player and have proven customer satisfaction skills  
  • Must have excellent Communication skills  

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Data Entry Specialist – Medical Records (Remote)

Job Description:

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.

Job Summary: 

Data Entry Specialist is responsible for accurately inputting patient information into Sharecare’s internal systems and client Electronic Medical Record (EMR) platforms. This role requires keen attention to detail, efficient data management, and strict adherence to HIPAA compliance standards, supporting the Release of Information (ROI) process. The ideal candidate thrives in a fast-paced, collaborative environment, demonstrating a strong commitment to accuracy, productivity, and the protection of sensitive patient data. 

  

Essential Functions:  

  • Accurately enter and update patient data in internal and client-facing systems 
  • Access and navigate multiple EMR platforms to retrieve, validate, and process patient health information (PHI) 
  • Ensure data accuracy and consistency while meeting productivity benchmarks 
  • Maintain strict confidentiality and comply with HIPAA and company privacy policies 
  • Collaborate with team members to support process improvements and service quality 
  • Provide courteous, timely, and professional communication with internal and external stakeholders as needed 

  

Qualifications:  

  • Proficiency in Microsoft Office applications 
  • Strong organizational and multitasking skills essential 
  • Demonstrated ability to manage time effectively and meet task deadlines  
  • Willingness to learn programs and processes quickly 
  • Strong documentation, communication, and customer service skills  
  • Self-motivated, dependable, and able to work independently or as part of a team 
  • Proven ability to maintain productivity, utilization and quality performance standards  

Physical Requirements:  

  • Ability to sit or stand for extended periods of time 
  • Physical capacity to lift and carry 25 lbs. 
  • Manual dexterity is sufficient for long periods of typing, writing, and handling documents 
  • Visual acuity to read documents and use a computer monitor 
  • Clear speaking and hearing ability for communication 
  • Adequate hand-eye coordination and sensory abilities for job-related tasks.  

Information Governance Accountabilities:    

  • Understand the organization’s information governance program & individual role responsibilities 
  • Participate in required education and compliance training. 

HIPAA/Compliance:  

  • Maintain the confidentiality of patient and client information 
  • Comply with HIPAA standards and all relevant corporate integrity and security obligations.  
  • Report unethical, fraudulent, or illegal behavior  
  • Maintain current HIPAA certification annually 

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Medical Order Specialist (REMOTE)

Overview

Start Date: 7/6/26

Pay: $17.50 – $18.00/HR

Schedule: Monday – Friday/ 8-5am MST

*Candidates in the MountainTime Zone will be prioritized for consideration.*

As a Change Order Representative, you are responsible for reviewing and processing changes to existing patient orders to ensure accuracy, compliance, and timely shipment of medical supplies. This role focuses on prescription review, insurance and authorization validation, documentation accuracy, and coordination with internal teams to prevent delays in patient care. This is a remote, detail-driven role requiring strong organizational skills and healthcare administrative experience.

Our Mission: To revolutionize the way homecare is delivered, one patient at a time.

Why Join Us?

  • 100% Remote
  • Equipment Provided
  • Fun, Inclusive Work Environment
  • Full Benefits Package (Sick Time, Vacation, 401K, Dental, Vision, Life Insurance)
  • 2 Bonus Days Off (“Fun Day” and “Inclusion Day”)
  • 6 Paid Holidays
  • Supportive Team with Role-Based Training to Aid in Your Success
  • Internal Opportunities for Growth
  • Interactive Clubs and Engagement Opportunities

What You’ll Do: 

  • Review and process changes to existing patient orders
  • Validate prescription accuracy and determine when updated documentation is required
  • Verify insurance coverage and submit or follow up on authorizations
  • Calculate and verify enteral formula requirements
  • Navigate insurance and payer portals
  • Maintain accurate, HIPAA-compliant documentation
  • Communicate with patients and internal teams as needed to resolve order issues
  •  

The Right Fit Is: 

  • Strong attention to detail and accuracy
  • Experience reviewing medical documentation, prescriptions, or insurance information
  • Ability to manage multiple order changes and meet turnaround expectations
  • Comfortable working independently in a remote environment
  • Effective written and verbal communication skills
  • Quality- and compliance-focused, with respect for patient confidentiality

 Remote Work Requirements:

  • Ability to maintain a quiet, dedicated workspace that is free of background noise and ongoing distractions
  • Ability to participate in virtual meetings with a professional, camera-ready presence
  • Ability to demonstrate strong time-management skills, as well as accountability and self-direction
  • Must be able to operate off reliable, high-speed internet

Position Qualifications:

  • 2+ years of healthcare administrative, order processing, or insurance experience
  • Home health, DME, or enteral experience preferred
  • Insurance authorization knowledge a plus
  • High school diploma or GED required

ROI Medical Records Specialist – Remote

Job Summary:

This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Essential Functions:

  • Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
  • Date stamps all requests and highlights pertinent data to facilitate processing.
  • Validates requests and authorizations for release of medical information according to established procedures.
  • Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
  • Maintain equipment in excellent operating condition (inside and out).
  • Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
  • May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
  • Maintains a neat, clean, and professional personal appearance and observes the dress code established.
  • Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
  • Maintains working knowledge of the existing state laws and fee structure
  • Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
  • Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
  • Maintains confidentiality, security and standards of ethics with all information.
  • Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

  • High School Diploma (GED) required
  • A minimum of 2 years prior experience in a medical records department or like setting preferred
  • Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
  • Excellent organizational skills are a must
  • Must be able to type 50 wpm
  • Must be able to use fax, copier, scanning machine
  • Must be willing to learn new equipment and processes quickly.
  • Must be self-motivated, a team player
  • Must have proven customer satisfaction skills
  • Must be able to multi-task

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Order Specialist

Position Overview

If you want an exciting job with one of the largest off$18.00/hrprice retailers in the nation, join Burlington Stores, Inc. team as an Order Specialist! The Merchant Operations Order Specialist (OS) supports the Merchant buying team by efficiently compiling necessary purchase information, ensuring accurate and prompt purchase order issuance to vendors. Serving a pivotal role for the company, the OS ensures order details are promptly and accurately communicated to all parties in the order chain, including merchants, vendors, allocations and the distributions center, to secure quality purchases in a timely fashion in support of sales.

A Day In The Life

Problem Solving

  • Frequently and effectively writes Excel formulas and functionality to manage and modify order spreadsheets to seamlessly prepare and upload order requests.
  • Looks for ways to improve the accuracy and efficiency of the order execution operation.
  • Learns from mistakes to meet accuracy standards.
  • Understands the importance of using technology to enhance productivity.

Order Execution

  • Responsible for efficient, accurate and prompt creation and issuance of purchase orders and changes
  • Utilizes Dashboard to execute work as assigned to achieve productivity goals.
  • Identifies and promptly communicates obstacles in the order execution operation to Order Execution Team Lead (OETL) and Order Execution Management (OE Mgmt).
  • Demonstrates continued growth of Excel knowledge.

Collaborative Relationships

  • Effectively, succinctly and accurately communicates with business partners, including merchants and support teams, through ServiceNow.
  • Promptly escalates concerns to OE Lead and Management as issues arise.
  • Strong team player who embraces change and fosters an open environment of continual training and development.

You’ll Come With

  • Bachelor’s Degree preferred
  • Strong Microsoft Excel skills – experience with formulas and functions a must
  • Strong numbers aptitude and math skills
  • Strong problem solving and attention to detail
  • Strong written communication skills
  • Exceptional ability to retain and follow process
  • Strives for continuous improvement, learning and excellence
  • Ability to adapt to frequent changes in priorities and processes
  • Excellent time management skills and organizational skills to maximize productivity
  • Must be able to work at a fast pace while achieving productivity and accuracy goals

Come join our team. You’re going to like it here!

You will enjoy competitive wages, flexible hours, and an associate discount. Burlington’s benefits package includes medical, dental and vision coverage including life and disability insurance. Full$18.00/hrtime associates are also eligible for paid time off, paid holidays and a 401(k) plan. We are a rapidly growing brand and provide a variety of training and development opportunities so our associates can grow with us. Our teams work hard and have fun together! Burlington associates make a difference in the lives of customers, colleagues, and the communities where we live and work every day. Burlington Stores, Inc. is an equal opportunity employer committed to workplace diversity.

Individual pay decisions will be based on a variety of factors, such as but not limited to, qualifications, education, job$18.00/hrrelated skills, relevant experience, and geographic location.

Posting Number R100134

Pay Rate Hourly

Career Site Category Corporate

Position Category Planning and Allocation

Job Type Full$18.00/hrTime

Remote Type Remote

Evergreen No

Data Lead – Remote Patient Monitoring

Sixty million Medicare seniors live with chronic disease. The care system sees most of them twice a year. Cadence is building the infrastructure to support them every day.

Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. We pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use our Clinical Intelligence platform to monitor vitals, surface risk early, optimize medications, and close care gaps between visits. The result: patients engage with care 100x more than before Cadence, clinicians focus on judgment instead of administrative work, and Medicare saves $2M a week.

We operate as a full clinical care delivery organization, not a software vendor. Our clinicians work alongside health system partners, extending the reach of local primary care providers into patients’ homes. We’re now applying AI agents across these workflows – from alert review and medication titration to lifestyle coaching and care coordination – with clinicians always in control of clinical decisions.

The Role

We’re hiring a Data Analytics Lead – Remote Patient Monitoring (RPM) to define the KPIs, data models, and analytical infrastructure that support Cadence’s clinical, operational, and product decisions. You will partner closely with care delivery, operations, product management, and customer success to build a scalable analytics roadmap and translate complex data – including patient vitals, EHR records, and clinical outcomes – into insights that drive strategy. This role sits at the center of how Cadence measures and improves care delivery at scale.

What You’ll Do

  • Build and maintain labor productivity models and workforce supply/demand forecasts that give clinical operations leadership a clear, real-time picture of staffing needs, capacity constraints, and efficiency trends across the RPM program.
  • Develop financial and operational models, including revenue forecasting and cost-per-patient analyses, that support resource planning and strategic decision-making at the executive level.
  • Explore patient vitals, EHR data, and clinician-generated data to surface insights that benefit clinical care, inform product strategy, and support care gap closure across Cadence’s patient population.
  • Build reusable analytical workflows and automation that reduce manual overhead, accelerate insight generation, and raise the quality and consistency of outputs across the analytics function.
  • Collaborate with internal stakeholders to identify data needs, define what data should be collected, and ensure metrics are consistently defined and reliable across teams.
  • Maintain and evolve Cadence’s data stack (Snowflake, Fivetran, dbt) with well-documented, scalable infrastructure — and collaborate across teams to define how data is collected, structured, and standardized as a reliable foundation for analytical work.

What You Need

  • 5+ years of experience working with SQL or other data querying languages, with hands-on experience building and maintaining analytics, reporting, and dashboarding solutions.
  • Proficiency with modern data stack tools such as Snowflake, Fivetran, and dbt, or equivalent technologies.
  • Bachelor’s degree in Mathematics, Statistics, Economics, Computer Science, or a related quantitative field, or equivalent practical experience.
  • Practical knowledge of statistics and data analysis techniques, with the ability to translate findings clearly for both technical and non-technical stakeholders.
  • Experience working with clinical or health data – including patient vitals, EHR records, or outcomes data – and familiarity with the data structures and sensitivity considerations that come with it.
  • Fluency with LLM APIs, prompt engineering, and AI-assisted development tools; demonstrated experience building or evaluating AI-powered systems in production.

Compensation

Our job titles may span more than one career level. The base salary for this role typically ranges between $160,000 – $200,000, depending on experience, skills, seniority, and business needs. In addition to base salary, this role is eligible for equity as part of the total compensation package. Actual compensation may vary by location.

Benefits & Perks

  • Competitive pay & equity*
  • Fully remote
  • Comprehensive health coverage: Medical, dental & vision
  • Paid time off
  • 401k plan + matching
  • Paid parental leave
  • Home office stipend

*benefit offerings may vary depending on job profile, job level and worker type

Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. 

A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team.  Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.

Senior Coordinator, Prior Authorization

Job Description

What Customer Service Operations contributes to Cardinal Health

Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.

Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.

Job Summary

The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment (DME) orders, including diabetes devices and other clinically prescribed supply categories (e.g., ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and conducts phone-based follow-ups with payers and provider offices to secure timely approvals. The Senior Coordinator proactively manages upcoming expirations to prevent order delays, meets daily productivity targets, and adheres to quality, compliance, and HIPAA standards.

Responsibilities

  • Review assigned accounts to determine prior authorization requirements by payer and product category.
  • Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax (including DWO/CMN, prescriptions, clinical notes, and other required documentation).
  • Conduct phone-based follow-ups with payers (and provider offices when needed) to confirm receipt, resolve issues, and obtain approval or referral numbers.
  • Log approvals accurately so orders can be released and shipped; correct rejected/pending decisions by addressing missing documentation or criteria.
  • Monitor upcoming prior auth expirations and initiate re-authorization early to prevent delays on new and reorder supply shipments
  • Prioritize work to give orders a “leg up” based on aging, SLA, and payer requirements.
  • Capture all actions, decisions, and documentation in the appropriate systems with complete, audit-ready notes.
  • Ensure secure handling of PHI and maintain full compliance with HIPAA, regulatory requirements, and company policy.
  • Promptly report suspected non-compliance or policy violations and attend required Compliance/HIPAA trainings.
  • Achieve daily throughput goals (accounts/records per day) across mixed work types (portal/web, fax, phone).
  • Meet standardized quality metrics through accurate documentation and adherence to process; participate in supervisor live-monitoring, QA reviews, and 1:1 coaching.
  • Share payer/process knowledge with teammates and support a strong team culture.
  • Adapt to changes in payer criteria, portals, and internal workflows; offer feedback to improve allocation, templates, and documentation standards.
  • Perform additional responsibilities or special projects as assigned.

Qualifications

  • High School diploma, GED or equivalent work experience, preferred
  • 3-6 years of experience in healthcare payer-facing work such as prior authorization, insurance verification, medical documentation, revenue cycle, or claims, preferred
  • Proven ability to meet daily productivity targets and quality standards in a queue-based environment.
  • Strong phone skills and professional communication with payers and provider offices; comfortable with sustained phone work.
  • High attention to detail and accuracy when compiling documentation (DWO/CMN, prescriptions, clinical notes).
  • Self-motivated with strong time management; able to pace independently without inbound-call cadence.
  • Customer-centric mindset with a sense of urgency; capable of multitasking (working web/portal tasks while on calls).
  • Working knowledge of HIPAA and secure handling of PHI.
  • Experience with diabetes devices (CGMs, insulin pumps), and familiarity with ostomy, urological, and wound care product categories, preferred.
  • Knowledge of payer criteria for DME prior authorization, including common documentation requirements and medical necessity standards, preferred
  • Familiarity with payer portals and third-party platforms; experience with Grid or other work allocation tools, preferred.
  • Exposure to ICD-10/HCPCS coding and basic authorization/claims terminology, preferred,

What is expected of you and others at this level

  • Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
  • In-depth knowledge in technical or specialty area
  • Applies advanced skills to resolve complex problems independently
  • May modify process to resolve situations
  • Works independently within established procedures; may receive general guidance on new assignments
  • May provide general guidance or technical assistance to less experienced team members

Anticipated hourly range: $16.75 per hour – $21.75 per hour

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

  • Medical, dental and vision coverage
  • Paid time off plan
  • Health savings account (HSA)
  • 401k savings plan
  • Access to wages before pay day with myFlexPay
  • Flexible spending accounts (FSAs)
  • Short- and long-term disability coverage
  • Work-Life resources
  • Paid parental leave
  • Healthy lifestyle programs

Application window anticipated to close: 06/20/2026 *if interested in opportunity, please submit application as soon as possible.

The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Prior Authorization Specialist

Summary of Position:
The Care Coordination Representative is responsible for completing tasks related to assigned Care Coordination services (CCS) / Health Information Management (HIM) service. CCS services include e-Filing (electronic filing), order and referral management, insurance verifications, prior authorizations, and completing patient medical forms. The Care Coordination Representative reports directly to the Operations Supervisor. This position may be onsite, hybrid and/or remote allowing you to work from your own home office environment.

Duties & Responsibilities:
• Process assigned tasks with a focus on accuracy, efficiency, and compliance with client protocols
• Evaluate medical documents and file them electronically into patient charts
• Navigate client electronic health records(EHR)software and internal systems with ease
• Ability to handle high volumes of work with high quality and accuracy
• Utilize strong data entry and typing skills with ability to move quickly on a keyboard
• Crosstrain in multiple EHRs to provide additional team coverage when needed
• Follow pre-defined filing processes, and if needed, refer to company internal documentation, or ask your supervisor for assistance in filing the document properly
• Understand and utilize assigned clients’ protocols and Service Level Agreement
• Track your completed work to log time and transaction counts on an hourly basis or as directed by management
• Know the PGLs(Planning Guidelines) or Target Transactions per Hour for the client accounts you are working on
• Complete all work as assigned by management
• Report to management any reasons for a variance to standard, including all issues preventing or delaying planned job completion, and report any actions taken to resolve
• Study and continually reference internal documentation and protocols
• Exercise confidentiality concerning the affairs of the business and follow HIPAA guidelines and procedures; report all HIPAA violations, maintain good HIPAA practices
• Expected to provide exemplary customer service to all, including external customers, vendors, visitors, coworkers, and management, with clear and effective communication, professionalism, and courtesy while representing the company
• Attend any meetings or training as required
• Understand and comply with company/client agreed compliance standards
• Understands that this role requires specific responsibilities for protecting sensitive data
• Perform other duties, as assigned, to ensure effective operation of the department and the Company

Minimum Qualifications:
• High School Diploma or equivalent required
• Experience with health information management concepts, EHRs and/or medical terminology is a plus
• Proficient in managing a high-volume, fast-paced environment with accuracy
• Intermediate computer skills, including Microsoft Office Suite and the ability to adapt to company-specific software
• Capable of efficiently navigating multiple open programs, windows and applications
• Strong attention to detail and accuracy
• Must be able to perform physical tasks such as sitting, talking, hearing, using hands, reaching, standing, walking, driving, and occasionally lifting up to 25 lbs
• Occasional after-hours or weekend work may be required
• Ability to fulfill responsibilities in a remote capacity while ensuring access to strong/reliable internet within a designated, secure and private workspace

Job Details

Job FamilyCCSJob FunctionCCSPay TypeHourlyEducation LevelHigh SchoolHiring Min Rate15.25 USDHiring Max Rate17.50 USD

Reimbursement Analyst

Description

About Us

At Gifthealth, we’re revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We’re a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people’s lives.

Position Summary

A Reimbursement Analyst is responsible for being the primary point of contact in assisting patients or healthcare providers in obtaining access to therapy for the reimbursement hub program to which they are assigned. Primary activities may include researching and analyzing moderate to complex reimbursement policies, billing, benefit investigations, prior authorization, appeals and patient assistance support programs. Responsibilities, may include interactions with client contacts as well as handling of escalated cases/issues.

Key Responsibilities

  • Assist patients and healthcare providers with moderate to complex billing and coding, insurance benefit investigations, prior authorization, appeals and patient assistance support programs inquiries.
  • May include acting as regional contact for senior level client contacts.
  • Manage patient cases and interact with external contacts like payers and other stakeholders. 
  • Assist with coordination of relevant tasks/activities between Gifthealth and the client.
  • Review and resolve denied or underpaid insurance claims.
  • Identify and assess patient specific insurance coverage options for client specific products.
  • Reverify patient benefits at predetermined time frames
  • Document all activities in program database within required timelines.
  • Research payer medical policy
  • Monitor and update payer prior authorization requirements and coverage policies for specified client program.
  • Prepare and/or assist with preparation of reports as requested, including adverse event and product complaint reports.
  • Review and process documentation to determine patient specific eligibility for client patient support program(s), as appropriate.
  • Complete quality monitoring and quality assurance activities, as assigned.
  • Travel to and attend client meetings, off-site training, and/or conferences. Travel time estimate: 5%.

Qualifications

  • Minimum four years recent healthcare experience (2 years’ direct industry preferred).
  • Exhibit proficiency in Microsoft Office products
  • Excellent customer service skills (call center experience preferred).
  • Advanced problem solving, research and analytical skills.
  • Advanced communication skills, both written and verbal.
  • Attention to detail, data entry accuracy required.
  • Ability to multi-task and manage time independently.
  • Client interaction experience preferred.
  • Advanced knowledge of medical insurance (public and commercial), billing and
  • coding and associated terminology.

Work Environment

  • Location: Remote
  • Schedule: Full-time 
  • May require availability or flexibility for escalations.
  • Regular meetings with teams, departments, or leadership to ensure alignment.

Key Essential Functions

  • Ability to sit for extended periods of time while working at a computer and on the phone throughout the workday.
  • Ability to engage in continuous phone and computer use, including navigating multiple systems simultaneously, for the duration of the shift.
  • Ability to perform repetitive motions for an entire shift, including typing, mouse use, and phone handling.
  • Ability to view and read information on a computer screen for prolonged periods.
  • Ability to communicate clearly and professionally via phone, email, and internal systems.
  • Ability to manage a high volume of inbound and outbound calls while maintaining attention to detail and accuracy.
  • Ability to work in a remote environment with minimal distractions and maintain productivity and performance standards.
  • Ability to adapt to changing priorities, workflows, and processes in a fast-paced environment.
  • Ability to meet attendance, schedule adherence, and performance expectations, including flexibility for occasional extended hours or weekends as business needs require.

Employment Classification

Status: Full-time
FLSA: Non-Exempt  

Equal Employment Opportunity (EEO) Statement

Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.  

We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply!

Disclaimer

This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.

Salary Description

$24.81 – $29.18

Appeals & Grievance Case Resolution Specialist

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Job Summary

The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of assigned member and/or provider appeals and grievance cases. Working under general supervision, this role conducts case intake, investigation, and documentation to ensure accurate and timely resolution consistent with federal state, and accreditation standards. The Specialist serves as a key liaison between members, providers, and internal departments to resolve issues effectively, ensuring the integrity of the appeals and grievance process and compliance with CMS, NCQA, URAC, and state regulatory requirements.

Essential Functions

Case Management

  • Research and analyze case documentation, including benefit coverage, prior authorizations, claims, and regulatory guidance.
  • Communicate with members, providers, or representative to clarify appeal intent and gather missing documentation including incoming calls, outgoing calls, and phone queue work as assigned.
  • Prepare complete and compliant case files, ensuring all required documentation is included.
  • Track case progress and maintain compliance with turnaround times and documentation standards.
  • Generate accurate and timely determination and acknowledgement letters.

Investigation and Resolution

  • Collaborate with internal departments such as Claims, Medical Management, Legal, and Compliance to obtain necessary information for resolution.
  • Identify potential compliance issues or risk factors requiring escalation.
  • Participate in case discussions, internal committee reviews, or external fair hearing preparation as assigned.
  • Document all activities, correspondence, and outcomes in the case management system with attention to detail and accuracy.

Compliance & Quality

  • Ensure case handling meets all application federal and state regulatory requirements, including with CMS, NCQA, and URAC.
  • Maintain confidentiality and protect member information in compliance with HIPPA regulations.
  • Identify opportunities for process improvements to enhance quality and efficiency.

Team Collaboration

  • Serve as a resource to peers and administrators for routine case-related questions.
  • Maintain professional communication with members, providers, and internal stakeholders.
  • Participate in team meetings and contribute to continuous improvement initiatives.

Education/Experience

  • Associate’s Degree: in Health Administration, Business, or related field preferred
  • High School Diploma/GES Required

Preferred Experience Level:

  • Knowledge of medical terminology, benefit interpretation, and regulatory processes preferred. Prior experience working with CMS, Medicaid, or state-regulated appeals processes preferred.
  • 2 to 3 years experience in healthcare operations, managed care, or grievance/appeals coordination.

Other Skills

  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.).
  • Strong attention to detail and organization.
  • Excellent written and verbal communication.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Strong analytical and problem-solving abilities.
  • Customer service orientation with professional communication etiquette.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Intake Data Entry Specialist


Application

About Finch

We believe every American household deserves access to counsel in life’s biggest moments. At Finch, we’re building the infrastructure to make justice radically more accessible. Our modern approach to consumer law automates the admin work and puts clients first, starting with personal injury.

In just over a year, we’ve grown 10x, raised a $20M Series A, and become the pre-litigation partner of choice for top personal injury firms across the country. We believe the best outcomes happen when expert operators and purpose-built AI work together – which is why we handle every step of pre-lit, from intake and claim opening to medical records, lien management, and demands, with humans leading every case.

We’re backed by Sequoia, Redpoint, and the founders & CEOs of generational companies like DoorDash, Ironclad, and Digits. We’re rebuilding how the law serves everyday Americans from first principles, and we’re hiring exceptional operators to help us scale it nationwide.

This Role
As an Intake Data Entry Specialist you’ll own the accuracy, completeness, and flow of all incoming case data. This role sits at the front of the funnel—ensuring every case is set up correctly from day one and ready to move quickly through the system.
You’ll play a critical role in maintaining a clean, reliable Case Management System by validating, structuring, and updating intake data in real time. If you’re detail-oriented, process-driven, and thrive in fast-paced environments where precision matters, this role is for you.


What You’ll Do

  • Own Intake Data Accuracy: Review, validate, and enter new case information (client details, incident data, documentation) with a high level of precision.
  • Set up cases for success: Ensure every new case is properly created, structured, and aligned with firm standards
  • Manage in real time: Process intake updates quickly to keep cases moving without delays
  • Maintain consistency across systems: Ensure alignment between intake tools, Finch, and partner firm systems
  • Identify and resolve issues early: Partner with intake and operations teams to flag and fix missing or inconsistent data
  • Keep clean records: Document updates and changes to maintain transparency and auditability
  • Continuously improve processes: Look for ways to increase speed, accuracy, and efficiency in intake workflows


You Might Be a Fit if You

  • Have a proven track record in task management, or a related field
  • Have strong attention to detail—you catch what others miss
  • Can move quickly without sacrificing accuracy
  • Are comfortable working across multiple systems and tools
  • Are highly organized with strong process discipline
  • Communicate clearly and collaborate well across teams
  • Are adaptable and open to evolving workflows and systems


Compensation
$50,000 to $60,000 annual salary

Additional Benefits Include
• 100% coverage for health, dental, and vision
• 401(k) retirement plan
• In-office snacks, drinks, and daily team lunch and dinners
• Flexible PTO (we trust you to take the time you need)

At Finch Legal, we believe in practicing what we advocate.

As a company dedicated to upholding justice and protecting people in the workplace, we are equally committed to fostering a safe, inclusive, and equitable environment within our own walls. We welcome and support individuals from all backgrounds and lived experiences — regardless of race, ethnicity, gender identity, sexual orientation, religion, disability, or veteran status.

We recognize that diversity strengthens our team, enriches our perspectives, and empowers us to better serve our clients and communities. At Finch Legal, inclusion isn’t just a value — it’s a practice.

Appeals & Grievance Case Resolution Specialist

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Job Summary

The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of assigned member and/or provider appeals and grievance cases. Working under general supervision, this role conducts case intake, investigation, and documentation to ensure accurate and timely resolution consistent with federal state, and accreditation standards. The Specialist serves as a key liaison between members, providers, and internal departments to resolve issues effectively, ensuring the integrity of the appeals and grievance process and compliance with CMS, NCQA, URAC, and state regulatory requirements.

Essential Functions

Case Management

  • Research and analyze case documentation, including benefit coverage, prior authorizations, claims, and regulatory guidance.
  • Communicate with members, providers, or representative to clarify appeal intent and gather missing documentation including incoming calls, outgoing calls, and phone queue work as assigned.
  • Prepare complete and compliant case files, ensuring all required documentation is included.
  • Track case progress and maintain compliance with turnaround times and documentation standards.
  • Generate accurate and timely determination and acknowledgement letters.

Investigation and Resolution

  • Collaborate with internal departments such as Claims, Medical Management, Legal, and Compliance to obtain necessary information for resolution.
  • Identify potential compliance issues or risk factors requiring escalation.
  • Participate in case discussions, internal committee reviews, or external fair hearing preparation as assigned.
  • Document all activities, correspondence, and outcomes in the case management system with attention to detail and accuracy.

Compliance & Quality

  • Ensure case handling meets all application federal and state regulatory requirements, including with CMS, NCQA, and URAC.
  • Maintain confidentiality and protect member information in compliance with HIPPA regulations.
  • Identify opportunities for process improvements to enhance quality and efficiency.

Team Collaboration

  • Serve as a resource to peers and administrators for routine case-related questions.
  • Maintain professional communication with members, providers, and internal stakeholders.
  • Participate in team meetings and contribute to continuous improvement initiatives.

Education/Experience

  • Associate’s Degree: in Health Administration, Business, or related field preferred
  • High School Diploma/GES Required

Preferred Experience Level:

  • Knowledge of medical terminology, benefit interpretation, and regulatory processes preferred. Prior experience working with CMS, Medicaid, or state-regulated appeals processes preferred.
  • 2 to 3 years experience in healthcare operations, managed care, or grievance/appeals coordination.

Other Skills

  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.).
  • Strong attention to detail and organization.
  • Excellent written and verbal communication.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Strong analytical and problem-solving abilities.
  • Customer service orientation with professional communication etiquette.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Outpatient CDI Specialist

locationsUS – Remotetime typeFull timeposted onPosted Yesterdayjob requisition idJR105326

About Us:


Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 


We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures.

This is a remote position

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Essential Duties and Responsibilities:

  • Review outpatient encounters (pre visit, concurrent, and/or post visit) to assess documentation accuracy and completeness.
  • Identify opportunities for improved documentation related to: Chronic conditions and disease specificity Risk adjustment (e.g., HCCs)Quality measures and medical necessity.
  • Provide compliant documentation clarification via query and feedback to providers through approved communication channels Support accurate problem list management and ongoing condition validation.
  • Collaborate with coding, quality, compliance, and revenue cycle teams as needed.
  • Track and report CDI interventions, trends, and outcomes. Participate in provider education and training initiatives.
  • Stay current on outpatient coding, risk adjustment, and regulatory guidanceCompliance & Regulatory OversightEnsure compliance with CMS, payer, and organizational documentation and billing requirements.
  • Identify potential compliance risks, including but not limited to overcoding, undercoding, and missing and/or unsupported diagnoses. Apply knowledge of HCCs, risk adjustment, quality measures, and outpatient reimbursement methodologies as applicable.



Minimum Qualifications:

  • An active coding credential required such as – RHIA, RHIT, CPC, COC, CCS-O, CCS, CDEO, CCDS, CDIP or CCDS-O
  • 3+ years of outpatient coding, risk adjustment, outpatient CDI. Strong understanding of:ICD‑10‑CM outpatient coding Risk adjustment models (e.g., Medicare Advantage HCCs)Outpatient E/M documentation requirements.
  • Experience working in an ambulatory EHR (Epic, Cerner, or similar)

Skills & Competencies:

  • Strong clinical and analytical judgment.
  • Professional communication style.
  • Excellent written documentation skills. Comfortable working independently in a fast-paced environment.
  • Proficient in Microsoft Office Applications

Desired Minimum Qualifications:

  • Experience with telecommuting, working with EMRs and other electronic tools. 
  • Strong analytical skills. 
  • Strong Microsoft Office skills. 
  • Works well with numbers. 
  • Strong team player. 
  • Ability to work with multiple and diverse clients and projects. 
  • Ability to work with minimal supervision. 
  • Ability to maintain and access multiple files. 
  • Assure that work product is completed with high levels of accuracy and attention to detail. 

This is a remote position

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Claims Director, Rideshare

About Reserv

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.

About the role

At Reserv, we’re reimagining what modern claims handling can be — faster, smarter, and relentlessly customer‑centric. As our Claims Director, you’ll lead a team of Claims Professionals managing real property and auto damage claims, bodily injury claims, driving operational excellence through technology, analytics, and a deep commitment to customer experience.

You’ll own the full customer journey, ensuring every interaction is seamless, empathetic, and efficient. This role blends strategic leadership with hands‑on execution, requiring someone who can inspire teams, influence cross‑functional partners, and scale a claims operation built for the future.

What You’ll Do

Customer Experience & Strategy

  • Develop and execute a comprehensive customer experience strategy aligned with Reserv’s mission and growth goals.
  • Define KPIs and performance metrics to drive satisfaction, retention, and overall experience quality.
  • Identify emerging trends and technologies to continuously evolve our claims experience.
  • Act as the voice of the customer in key business decisions.

Leadership & Team Development

  • Build, lead, and develop a high‑performing claims team.
  • Oversee recruitment, onboarding, coaching, and ongoing professional development.
  • Conduct regular performance evaluations and foster a culture of excellence, innovation, and accountability.
  • Design and implement training programs to strengthen technical, insurance, and customer service skills.

Operational Excellence

  • Serve as the escalation point for complex or sensitive customer issues, providing strategic guidance and resolution.
  • Use data, analytics, and customer feedback to identify pain points and implement improvements.
  • Partner with Product and Engineering to inform the development of tools, systems, and processes that enhance efficiency and outcomes.
  • Ensure scalable, compliant, and efficient operations across all claims workflows.

Cross‑Functional Collaboration

  • Work closely with leaders across Claims Operations, Product, Engineering, and Marketing to drive customer‑centric initiatives.
  • Influence organizational priorities and ensure alignment with broader business objectives.

Requirements

  • Bachelor’s degree in business, marketing, communications, or a related field (advanced degree preferred).
  • 10+ years of experience in insurance claims across multiple lines; property and/or auto strongly preferred.
  • 5+ years of management experience, ideally leading remote teams.
  • Proven ability to deliver results, overcome obstacles, and drive continuous improvement.

Benefits

  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy after 8 months of continuous work
  • Work from anywhere to facilitate your work life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

Additionally, we will

  • Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
  • Work toward reducing and eliminating all the administrative work from an adjuster role
  • Foster a culture of empathy, transparency, and empowerment in a remote-first environment


At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!

Authorization Specialist

locationsUnited Statestime typeFull timeposted onPosted 5 Days Agojob requisition idR-0000023039

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

The Authorization Specialist role is responsible for all administrative aspects of outpatient diagnostic testing and procedure benefit verification and authorization. This role will ensure patient’s insurance requirements for reimbursement before diagnostic testing or procedure. Obtains pre-authorizations for Physician Orders for diagnostic testing or procedure as required by the patient’s insurance carrier. Ensure the financial feasibility of treating each patient in our clinics by communicating and working closely with patients, physician, nurse and social worker.  Work in specific areas of concern in the department on a project basis. Assist Patient Finance Manager in training staff, projects and implementations.  Maintain in-depth knowledge of authorization process as well as reimbursement methodologies. Maintain knowledge of collection techniques and collection laws. 

Responsibilities:  

  • Obtains pre-authorizations for Physician Orders for diagnostic testing or procedure as required by the patient’s insurance carrier. 
  • Communicates with physician/clinical staff on reimbursement issues and/or pre-certification requirements by the patient’s insurance carriers.  
  • Ensures up-to-date documentation on patient’s accounts in Electronic Medical Record on authorization approvals and denials. 
  • Communicates with Insurance Authorization Coordinators the need for updated referrals. 
  • Communicates with front office manager and staff in the case of denials that will require rescheduling and/or peer-to-peer review by the ordering physician. 
  • Communicates with hospitals or other diagnostic facilities to correct any discrepancies. 
  • Contacts Insurance Authorization Coordinators to notify of termed insurances. 
  • Communicates as necessary and in a timely fashion with Front Office and imaging center staff with regards to the status of pending authorizations. 
  • Contacts Clinical Trial team to notify of denied scans for patients on study to verify coverage of scan by study. 
  • Keeps current on insurance carrier requirements for diagnostic testing and procedures. 
  • Follows policy and procedures outlined by management to ensure standardization of processes across the clinics. 
  • Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer. 
  • Lab Information System, Pharmacy Information System, Entire Chart/Electronic Medical Record (EMR), Electronic Billing System (EBS).   
  • Works denial worklist completing retro authorization request and or medically necessary appeals. 
  • Review payer guidelines for medically necessity guidelines including frequency and prior testing requirements. 

Required Qualifications: 

  • High School diploma or equivalent. 
  • One year experience in a directly related role preferred, but not required.  
  • High School diploma or equivalent required. 
  • 1+ year(s) of Prior Authorization experience. 
  • Medical insurance background required. 

Essential Competencies:  

  • Attendance is an essential job function. 
  • Ability to work effectively with all levels of management and other colleagues 
  • Ability to demonstrate initiative and mature judgment.  
  • Ability to demonstrate high degree of professionalism and adaptability.  
  • Ability to demonstrate proficiency in the use of end-user computer applications (MS work, Excel, Outlook), database and patient scheduling and other medical information systems.  
  • Ability to demonstrate strong customer service delivery skills. 
  • Ability to utilize websites, portal and electronic options when available to increase efficiency 
  • Ability to follow oral and written instructions. 
  • Ability to recognize and solve problems using creative thinking skills, hands on problem solving skills and the ability to analyze and respond to data. 
  • Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.  
  • Skilled at Multi-tasking, organizational skills and superb attention to detail.  
  • Working knowledge of Hospice and other payer requirements. 
  • Knowledge of clinic office procedures, medical practice and medical terminology. 

#LI-REMOTE

Document Control Specialist (Contract)

Thanks for your interest in Oklo!  We are searching for a Document Control Specialist Contractor to support our EPC Project Management and central Document Control teams.

Position Description

The Document Control Specialist supports the execution of document management activities for Oklo’s internal processes and EPC construction projects under the supervision of senior document control or project management personnel. This role is responsible for following processes that ensure Oklo/project documents are accurate, traceable, and compliant; documentation may cover a range of activities, including engineering, procurement, construction, commissioning, turnover, and recordkeeping.

The Document Control Specialist ensures documents are properly received, logged, reviewed, distributed, revised, retained, and transmitted in accordance with Oklo standards, project requirements, contractual obligations, quality assurance expectations, and other applicable regulatory requirements.

Success in this role requires strong attention to detail, organizational discipline, customer-service outlook, sound judgment, the ability to follow established processes while identifying areas for improvement, and the willingness to work within a team to achieve shared objectives.

Please note this is a contract position that has the potential to covert to a permanent position after 6 months based on hiring needs and performance.

Specific responsibilities may include:

  • Support the day-to-day administration of document control processes using approved document management systems such as SharePoint, InEight Document, Bluebeam Revu, Procore, M-Files, or similar platforms.
  • Manage the full document lifecycle for incoming and outgoing project deliverables, including both Oklo-generated and vendor-generated documents and records, including the sending/receipt of transmittals.
  • Maintain master document register metadata to ensure traceability to final records.
  • Ensure current revisions are available to relevant stakeholders and that superseded/obsolete documents are properly controlled and archived.
  • Support the controlled review of design deliverables and other project documents, including distribution, tracking of comments/deadlines, and supporting comment resolution activities.
  • Enforce document control procedures, to include naming and numbering, metadata requirements, and review workflows; verify document submissions and coordinate with stakeholders to resolve nonconforming submissions.
  • Support management-of-change activities by ensuring associated document revisions are properly tracked, distributed, archived, and retained.
  • Support the incorporation and tracking of field markups, redlines, as-builts, and final record documentation.
  • Assist with the verification and organization of project turnover packages and final project records for commissioning, operations, and long-term records retention.
  • Support quality assurance audits, surveillances, and assessments by locating and providing requested documentation.
  • Provide first-line support to personnel regarding document control workflows, systems, and requirements.
  • Maintain confidentiality and security of sensitive/proprietary and export-controlled information (ECI) in accordance with company and regulatory requirements.
  • Identify and escalate document-control risks, workflow bottlenecks, or compliance concerns that may impact project execution milestones or introduce latent errors.

Minimum Qualifications:

  • Associate’s degree or equivalent education
  • 3 years of relevant document control experience
  • Proficiency with common business/collaboration software tools, including Microsoft Office/Teams, Google Workspace, Adobe Acrobat Pro, Zoom, Slack, Confluence, Jira, or similar platforms
  • Ability to work effectively in a remote and cloud-based work environment
  • Willingness and ability to travel up to approximately 15% as required

Bonus Qualifications:

  • Supporting document control activities on EPC, capital construction, industrial, energy, or other complex infrastructure projects
  • Managing document lifecycles, including transmittals, revision control, metadata management, and turnover documentation
  • Processing engineering, procurement, construction, quality, vendor, and commissioning documentation (experience with owner-side document control is a plus)
  • Maintaining document registers, transmittal logs, distribution matrices, and document status reports
  • Coordinating with EPC contractors, vendors, subcontractors, engineering teams, project controls, construction teams, and quality personnel
  • Using document management systems such as SharePoint, InEight Document, Procore, M-Files, Devonway, or similar platforms
  • Familiarity with management-of-change workflows and project documentation processes such as RFIs, NCRs, DCNs, TQs, redlines, and as-builts
  • Exposure to commissioning, turnover, operational readiness, or asset handover documentation processes
  • Familiarity with QA requirements for controlled documents and records in a highly regulated industry, nuclear strongly preferred

Competencies

We are looking for a Document Control Specialist that has:

  • Strong attention to detail with a high standard for accuracy, consistency, and completeness
  • Excellent organizational, time-management, and prioritization skills
  • Strong written and verbal communication skills with the ability to coordinate effectively across multiple teams and stakeholders
  • Analytical and logical problem-solving abilities with sound judgment and critical-thinking skills
  • Ability to work independently while following established procedures and escalating issues appropriately
  • Professionalism and discretion in handling sensitive or confidential information
  • A customer-service mindset with a collaborative and solution-oriented approach
  • Comfortability enforcing standards, maintaining compliance, and following structured workflows
  • A proactive attitude toward identifying risks, gaps, and process improvements
  • Strong data-entry and computer proficiency skills
  • An ability to learn quickly and adapt in a fast-paced, highly iterative project environment
  • A positive, team-oriented mindset with accountability for assigned responsibilities
  • A passion for clean energy and advanced nuclear technology

Who you are:

A startup person: You aren’t driven by titles or hierarchy, and prefer efficiency to excess process. You don’t need or expect to have a lot of guidance but you enjoy working in a fast-paced team. If you prefer the culture and feel of a large organization, that is great, but you likely won’t enjoy working with us! There is plenty of important work and plenty of good opportunities with organizations like that.

Motivated: You are self-motivated. You bring an enthusiasm to the team, and imbue a sense of passion that goes beyond clocking in and clocking out. This isn’t about a fake or arbitrary “pieces of flair” mentality or lack of work-life balance! It is about being a part of the vision and feeling a part of reaching team goals.

A team-player: Oklo genuinely is a team. We aren’t about taking credit for ourselves, and we aren’t about pushing blame to others. We do incredible things because we work as a team.

An excellent communicator: We need a person who is not only technically competent but also a clear and upbeat communicator.

Creative: Being creative means that when things fall outside clear scopes or processes or problems arise without clear solutions, you are able to identify it as well as invent ways to solve a problem or fill a need without micromanagement. The successful person in this job will not only be creative, but also enjoy being creative and solving open-ended problems which may change day-by-day.

Detail-oriented: This focus is a big part of excellence, consistency, and quality. Excellent grammar and spelling matter for both good communication as well as the image of the company that we put forward.

About Oklo travel requirements:

Oklo requires remote employees to travel to headquarters (Santa Clara, CA) twice a quarter annually, based on business or team needs, including attendance at team meetings, off-sites, and other company events or gatherings. For the first two weeks of onboarding, employees are required to be in person at headquarters in Santa Clara, CA.

About Oklo compensation:

Hourly: $38-$50/hour

For permanent employees only: Oklo offers flexible time off, equity, bonuses, competitive pay, 401(k), health insurance (with employer contribution), HSA, FSA, flexible work hours, wellness credits, and other benefits.

This position may involve access to information subject to U.S. export control laws. Only applicants who meet the definition of a U.S. person under applicable laws may be eligible.


About Oklo Inc.: Oklo Inc. is developing fast fission power plants to deliver clean, reliable, and affordable energy at scale; establishing a domestic supply chain for critical radioisotopes; and advancing nuclear fuel recycling to convert nuclear waste into clean energy. Oklo was the first to receive a site use permit from the U.S. Department of Energy for a commercial advanced fission plant, was awarded fuel material from Idaho National Laboratory, and submitted the first custom combined license application for an advanced reactor to the U.S. Nuclear Regulatory Commission. Oklo is also developing advanced fuel recycling technologies in collaboration with the U.S. Department of Energy and U.S. National Laboratories.

#CHOP: Oklo’s Values
Collaboration: We go further, together. We bring diverse perspectives, listen actively, and build trust through transparency and respect. We work across disciplines, sharing ownership to turn complex challenges into shared successes.
Humility: We are team players who act for the good of the company and for the world. We are focused on our mission, not personal recognition.
Ownership: We take pride in what we do and how we do it. We are proactive in finding solutions and see tasks through  to completion. We are committed to delivering on our promises to provide clean, reliable, and affordable energy.
Pathfinding: We chart new ground where no path exists by approaching challenges with curiosity, courage, and creativity while navigating ambiguity.

Medical Records Processing Specialist

Salary Range:$15.00 To $17.00 Hourly

Who We Are: With a diverse team of more than 800 people, HealthMark is set apart by our culture, commitment to excellence, and dynamic contributors. We believe in fostering growth, celebrating success, and providing opportunities for every team member to thrive. Joining HealthMark means being part of a thriving organization recognized as a Top Workplace by USA Today. Not only that, but we’ve made it on the Inc. 5000 list of fastest-growing companies for ten years.

Not only will you get to contribute to the healthcare ecosystem by making health information more accessible to patients, but you will also join a forward-thinking team of innovators who are passionate about the work we do and the people we serve.

What We Do: HealthMark is a mission to revolutionize how medical records are released to patients, providers, and other stakeholders. We provide tech-enabled solutions that help health systems, hospitals, FQHCs, provider-led networks, and other care providers deliver the right medical records to the right patient. 

What We Offer:

  • A collaborative and supportive work environment that values your ideas
  • Opportunities for professional development and career advancement
  • Competitive benefits, including medical, dental, and vision insurance, 401k matching, remote opportunities, paid time off, and a paid volunteer day of your choice
  • The chance to make an impact in the health information field every day

Join us in shaping the future of the release of information!

LOCATION: Remote

We are expanding rapidly and have created unique roles that need qualified candidates.

Entry-level job duties include, but are not limited to:

  • Processing medical record requests
  • Effectively answering 30-40 calls per day on average for customer requests
  • High volume and fast-paced environment
  • Reports directly to the Processing Manager
  • Assist as needed in overflow processing due to high volume issues and/or coverage issues
  • Abide by HIPAA guidelines while ensuring the confidentiality of PHI
  • Maintain a consistent schedule by processing all requests within 24-48 hours of receipt for assigned accounts
  • Provide feedback regarding request volume and perceived issues
  • Monitors incoming requests received through various means
  • General office duties

Qualities that the candidate for this position should include:

  • Fast learner
  • Dependable
  • Quick worker
  • Team player
  • Positive attitude
  • Someone who strives to do more

Note: This job description is intended to provide a general overview of the position and does not encompass all job-related responsibilities and requirements. The responsibilities and qualifications may be subject to change as the needs of the organization evolve.

Health Information Specialist I-Entry Level-6980

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem – including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. 

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Position Highlights:

  • Full-Time Mon-Fri 8am-4:30pm CST
  • Comfortable working in a high-volume production environment.
  • Documenting information in multiple platforms using two computer monitors.
  • Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance 

 You will:

  • Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
  • Maintain confidentiality and security with all privileged information.
  • Maintain working knowledge of Company and facility software.
  • Adhere to the Company’s and Customer facilities Code of Conduct and policies.
  • Inform manager of work, site difficulties, and/or fluctuating volumes.
  • Assist with additional work duties or responsibilities as evident or required.
  • Consistent application of medical privacy regulations to guard against unauthorized disclosure.
  • Responsible for managing patient health records.
  • Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
  • Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
  • Ensures medical records are assembled in standard order and are accurate and complete.
  • Creates digital images of paperwork to be stored in the electronic medical record.
  • Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
  • Answering of inbound/outbound calls.
  • May assist with patient walk-ins.
  • May assist with administrative duties such as handling faxes, opening mail, and data entry.
  • Must meet productivity expectations as outlined at specific site.
  • May schedules pick-ups.
  • Other duties as assigned.

What you will bring to the table:

  • High School Diploma or GED.
  • Ability to commute between locations as needed.
  • Able to work overtime during peak seasons when required.
  • Basic computer proficiency.
  • Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
  • Professional verbal and written communication skills in the English language.
  • Detail and quality oriented as it relates to accurate and compliant information for medical records.
  • Strong data entry skills.
  • Must be able to work with minimum supervision responding to changing priorities and role needs.
  • Ability to organize and manage multiple tasks.
  • Able to respond to requests in a fast-paced environment.

Bonus points if:

  • Experience in a healthcare environment.
  • Previous production/metric-based work experience.
  • In-person customer service experience.
  • Ability to build relationships with on-site clients and customers.
  • Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices.

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. 

The estimated base pay range per hour for this role is:

$15—$15 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement hereKnow Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. 

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

For more information about how we collect and use your data, please review our Privacy Policy.

Provider Research & Resolution Specialist – Remote#26-01189

Job Description

NTT DATA, Inc. is currently seeking a Remote – Provider Research & Resolution Specialist with 2+ years of experience in medical claims, provider credentialing, or medical billing/coding. This role supports a leading U.S. health plan.

Location: Fully Remote
Pay Rate: $16.75/hour

Key Responsibilities

  • Analyze and process provider-related transactions in accordance with plan guidelines
  • Research and resolve pended claims by identifying missing or incorrect information
  • Apply critical thinking and problem-solving to ensure accurate claims processing
  • Maintain compliance with PHI and HIPAA standards
  • Follow established policies and procedures while identifying improvement opportunities
  • Handle non-routine, research-based tasks requiring independent judgment

Required Qualifications

  • 2+ years of experience in medical claims, provider credentialing, or medical billing/coding
  • 2+ years of experience in a role requiring analysis, critical thinking, independent research, with the ability to investigate issues and resolve discrepancies in complex information (Strong attention to detail and accuracy)
  • 3+ years of computer experience, including Microsoft Office (Outlook, Excel, Word)

Preferred Experience

  • Experience with provider data management or credentialing
  • Facets experience is a plus
  • Typing speed of 40+ WPM

Education

  • High School Diploma or equivalent

NTT DATA provides a reasonable range of compensation for specific roles. The hourly rate for this remote role is $16.75/hourly. This rate reflects the target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications.

This position may also be eligible for incentive compensation based on individual and/or company performance.  

This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401K program, and additional voluntary or legally required benefits.


About NTT DATA

NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Billing Representative II, Remote

remote typeRemotelocationsSomerville-MAtime typeFull timeposted onPosted Yesterdayjob requisition idRQ4059159

Site: Mass General Brigham Incorporated

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job SummarySummary:

Responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information.

Does this position require Patient Care? No

Essential Functions:
Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies
-Addresses issues of a more complex nature and support junior staff by answering day to day questions
-Process payments and maintain up-to-date billing records
-Reprocessing insurance denials and submitting all necessary documentation for payment
-Maintain accurate billing records and files
-Collaborate with other departments to resolve billing and payment issues
-May prepare monthly and quarterly billing reports for management review

Qualifications

Education
High School Diploma or Equivalent required

Experience in billing, finance or collections 2-3 years required

Knowledge, Skills and Abilities
– Strong attention to detail.
– Excellent interpersonal, written and verbal communication skills.
– Proficient in Microsoft Office Excel and other relevant billing software.
– Ability to prioritize and manage multiple tasks simultaneously.
– Ability to work independently and as part of a team.
– Ability to work in a fast-paced environment.

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range$19.81 – $28.30/Hourly

Grade3


 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Coding Specialist II, Remote

remote typeRemotelocationsSomerville-MAtime typeFull timeposted onPosted 6 Days Agojob requisition idRQ4068484

Site: Mass General Brigham Incorporated

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job SummarySummary:

Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.

Does this position require Patient Care? No

Essential Functions:
-Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
-Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
-Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
-Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
-Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
-Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
-Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.

Qualifications

Education
High School Diploma or Equivalent required or Associate’s Degree Medical Billing and Coding preferred

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials
Certified Professional Coder – American Academy of Professional Coders (AAPC) preferred

Experience
Medical Coding Experience 3-5 years required in Primary Care, Endocrine, Geriatrics, Urgent Care, Infectious Disease. Emphasis on strong skills for ICD 10 and EM leveling.

Knowledge, Skills and Abilities
– In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
– Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
– Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
– Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
– Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
– Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range$22.22 – $31.71/Hourly

Grade4


 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

SIU Investigator

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

  • Conduct investigations of potential waste, abuse, and fraud
  • Document activity on each case and refer issues to the appropriate party
  • Perform data mining and analysis to detect aberrancies and outliers in claims
  • Develop new queries and reports to detect potential waste, abuse, and fraud
  • Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
  • Assist with complex allegations of healthcare fraud
  • Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
  • Complete various special projects and audits
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience:
Bachelor’s Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required. 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required. Strong Excel skills preferred. CFE (Certified Fraud Examiner) preferred.Pay Range: $56,200.00 – $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Quality Specialist – Medicare D Quality

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

– Rework team hours of operation are Monday through Friday from 6:00 AM – 7:30 PM Central Standard Time (CST)
– Schedule flexibility including nights, weekend, and holiday coverage.
– This is a full time work from home position

Position Summary

Quality Specialist- Medicare D Quality role administers the quality management system to manage the review of clinical processes, documentation, and patient records.
Interprets regulatory requirements from agencies and governing bodies to assist in the development of compliance policies and procedures.
 

Additional Responsibilities to include but not limited to the following:


– Learning the rework queues for each line of business
– Working rework reports timely
– Researching and troubleshooting failed claims
– Adding and/or editing overrides in RxClaim
– Logging audits and errors accurately and timely
– Ability to identify trends and provide suggestions for process improvement
– Researching and correcting any issues found in the overall process.
– Raising issues to Coverage Determination Clinical Pharmacists and Management team as needed.
– Reading, analyzing, and interpreting general business correspondence, technical procedures, and governmental regulations.
– Solving practical problems and dealing with multiple concrete variables in standardized situations.
– Performing basic mathematical calculations.
– Ensuring all cases are properly closed.
– Ability to interpret a variety of work instructions provided through multiple mediums.
– Ability to anticipate needs and resolve issues with urgency and to meet quality and production standards.

Required Qualifications


– 2 years of Coverage Determination & Appeals experience.
– MHK, RxClaim, and People Safe proficient.
– Meeting quality and productivity metrics in current role.

Preferred Qualifications

– 3 years of Coverage Determination & Appeals experience.

– 1 year of Medicare PART B experience
– MHK, RxClaim, and People Safe proficient.

– Meeting quality and productivity metrics in current role.


Education


High School Diploma or equivalent GED

Anticipated Weekly Hours40

Time TypeFull time

Pay Range

The typical pay range for this role is:$18.50 – $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/17/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Sr Claims Analyst – LH

remote typeRemotelocationsWork From Home (HB)time typeFull timeposted onPosted Yesterdayjob requisition idR0051667

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments.

In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Also advise team members regarding claim processing procedures.

Job Description
o Resolve client, employee/member, or provider issues regarding escalated or complex claims.
o Review and release over-authority claims up to limit specified by corporate policy.
o Handle claim referrals, including pre-determinations, using internal and external resources as needed. Advice Claim Analysts and/or vendor regarding claim processing.
o Handle network referrals as well as PPO repricing disputes.
o Review, analyze and interpret claim forms and related documents.
o Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports.
o Appropriately investigate, pend and refer claims based on claim procedures and guidelines.
o Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees.
o Support the Claims reinsurance team, in the research and resolution of claims as assigned
o Handle complex or technical claim adjudication using internal and external resources as needed, e.g. transplants, experimental & investigational, chemotherapy, etc.
o Research and respond to vendor reconciliation requests.
o Mentor and assist with onboarding new Analysts, including the oversight of work
o Support the management, monitoring, and tracking of performance in collaboration with the Supervisor.
o Provide mentoring and coaching
o Assist Supervisor in documenting processes for analysts
o Other duties as needed/assigned

Required Job Qualifications:
o High School diploma or GED equivalent
o 3 years prior medical claim processing experience
o Ability to work in a fast-paced, customer centric & production driven environment
o Excellent verbal and written communication skills
o Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
o Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
o Flexible; open to continued process improvements
o Self-directed individual who works well with minimal supervision
o Good leadership, organizational and interpersonal skills
o Ability to effectively handle with complex situations and reach resolution
o Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
o Ability to adapt to various system platforms, and to effectively use MS Excel/Word

Preferred Job Qualifications:
o Health Insurance/Third Party Administrator Experience
o High School diploma or GED equivalent

Required Job Qualifications:

  • High School diploma or GED equivalent
  • 3 years prior medical claim processing experience
  • Ability to work in a fast-paced, customer centric & production driven environment
  • Excellent verbal and written communication skills
  • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
  • Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
  • Flexible; open to continued process improvements
  • Self-directed individual who works well with minimal supervision
  • Good leadership, organizational and interpersonal skills
  • Ability to effectively handle with complex situations and reach resolution
  • Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
  • Ability to adapt to various system platforms, and to effectively use MS Excel/Word

Preferred Job Qualifications:

  • Health Insurance/Third Party Administrator Experience

Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Medicare Specialist

About Us:


Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 


We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:Medical Reimbursement Specialists work with insurance carriers and patients to resolve outstanding balances through research, follow ups and appeals.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

  • Edit and perform maintenance on Medicare claims. 
  • Follow-up on billed claims in a timely and effective manner. 
  • Maintain knowledge of current Medicare regulations and guidelines. 
  • Monitor patient accounts for accurate payment. 
  • Pursue account reimbursement through compliant action. 
  • Edit rejected claims in DDE which are identified on RTP report. 
  • Review patient bills for accuracy and completeness and obtaining any missing information. 
  • Utilization and adherence to Medicare guidelines. 
  • Other duties as assigned.

MINIMUM QUALIFICATIONS & REQUIREMENTS:

  • High School Diploma or GED equivalent 
  • Two years (2) experience resolving medical Medicare claims   
  • Knowledge of Medicare and/or Medicaid payors
  • Familiarity with CPT and ICD-10 coding preferred
  • Knowledge of insurance billing and medical terminology preferred  
  • Familiarity with electronic and paper systems used in billing healthcare services
  • Ability to research unpaid or underpaid claims for resolution

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Claims Administrator

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

About the Opportunity 

At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. As part of the Complex Payment Solutions Team, you will, as a Claims Administrator, be responsible for supporting efficient claims processing and ensuring data accuracy throughout the review and auditing process. This role involves performing incoming claim reviews, organizing data, assigning statuses, and routing completed files to auditors while maintaining document hygiene and adhering to internal procedures.

The position requires close collaboration with internal teams to manage import queues, reconcile balances, validate charges, identify, and address errors, and facilitate claims routing. The Claims Administrator I oversee the intake and output of files, responding to inquiries, resolving discrepancies, and ensuring effective communication regarding claims.

Additionally, this role includes analyzing data trends, monitoring file-sharing processes, verifying data transfer accuracy, and ensuring appropriate volume levels are maintained. Data entry of documents and other administrative tasks are also integral to the position.

The ideal candidate demonstrates strong organizational skills, attention to detail, and the ability to work collaboratively in a dynamic environment.

What you’ll do 

  • Review incoming claims, assign statuses, organize data, and route files to auditors.
  • Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and route files.
  • Oversee file intake and output, addressing inquiries, discrepancies, and errors.
  • Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume.
  • Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels.
  • Perform data entry and support additional administrative tasks as needed.

What experience you bring (Role Requirements) 

  • Preferred experience in medical record review and knowledge of medical terminology.
  • Proficient in Microsoft Office Suite, Adobe Acrobat, and multi-monitor setups; adaptable to company-specific software.
  • Strong attention to detail, organizational, analytical, and critical thinking skills.
  • Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change.

What Success Looks Like… 

After 3 months  

  • You will have a strong understanding of the role.
  • You begin building relationships and collaborating with peers.
  • You develop effective time and priorities management.
  • You receive initial feedback about your performance and are using it to improve.
  • You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.

After 1 year 

  • You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
  • You have established a strong network of internal relationships and are recognized as a key collaborator.
  • You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
  • You see opportunities for career progression and personal development.

Pay range: $24.00 USD per hour. This is a non-exempt position. 

What’s in it for you          

  • PTO, Paid Holidays, and Volunteer Days
  • Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
  • Tuition Reimbursement
  • Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
  • Remote and hybrid work options 

What values we’ll share with you 

  • Ask why
  • Think big
  • Be humble
  • Optimize for customer impact
  • Deliver results

Claim Review Specialist

locationsUS – Remotetime typeFull timeposted onPosted 8 Days Agojob requisition idJR105336

About Us:


Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 


We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product.  Use software to develop standardized reports, meet with clients, respond to coding questions in clear, concise, grammatically correct English, and provide support for other members of the revenue cycle consulting team.   Client education, written FAQ answer preparation, and other duties as assigned.

This is a remote position

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Reports To: Director of HIM/Audit Services (RCM Services)

Location:  Remote USA; work from home office

FLSA Status: Full time, exempt

Summary:  Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product.  Use software to develop standardized reports, meet with clients, respond to coding questions in clear, concise, grammatically correct English, and provide support for other members of the revenue cycle consulting team.   Client education, written FAQ answer preparation, and other duties as assigned.

QUALIFICATIONS

  • 5+ years of current directly related experience
  • Expert knowledge in revenue cycle and Outpatient coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I)
  • CCS, COC or CPC certification required
  • Medical Terminology and anatomy knowledge is required
  • Clinical Documentation and Inpatient coding experience is preferred.  New hires will be expected to learn IP during employment. 
  • Must have strong understanding of revenue cycle, CMS Manual/guidelines, Medicaid guidelines.
  • Strong Microsoft Excel, PowerPoint, Word and OneNote skills
  • Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS and ICD-10 CM)
  • Strong analytical capability, independent thinker and good decision-making skills
  • Excellent written and verbal communication and presentation skills
  • Strong computer and technology knowledge and skills
  • Highly professional demeanor, great client satisfaction skills

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Become proficient in the use of the PARA Data Editor, our proprietary software;
  • Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation. 
  • Audit all aspects of claim including (but not limited to):

-Omitted or incorrect charges,

-Review OPPS and CAH charges and apply guidelines.

-CMS/Payer specific guidelines

-Coding accuracy for ICD-10 CM, CPT/HCPCS (including but not

limited to 10000-69999, 80000, 90000, J codes, G codes, Q codes,etc)

-Departmental review for inaccuracies, omitted data/documentation

and charges

-NCCI edits, MUE edits, Medi-cal and Medicare guidelines/CMS

Manual guidance,

-Units of services

-E/M Profee/Facility

-Units of services

-Documentation improvement.

  • Assist in preparing written documents for publication under the direction of the Director, HIM, i.e., Q&A entries.
  • Develop a working understanding of the outpatient hospital reimbursement process, including documentation, coding, and billing.
  • Participate in presentations to clients and prospective clients, typically over web meetings.
  • Develop and maintain the skills and knowledge necessary related to the assigned specialty areas and the related services. Keep current on all related information from journals and bulletins. Distribute and pass on all necessary materials, including copying for reference files when relevant.
  • Maintain current certifications and accreditations (as applicable).
  • Research new guidelines, data elements, payer specifications, etc. 
  • Other duties may be assigned as necessary.

This is a remote position

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Billing Charge Entry Specialist II – RCM

Overview

USAP Logo

The Billing Charge Entry Specialist II – RCM supports and promotes charge entry demographic processes, including troubleshooting mismatched records, validating accurate registration through escalation processes, or completing specialty registration, manual document extraction, and ensuring accurate billing to prevent revenue leakage.

At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.

The base pay estimate for this role is $16.49 – $26.39 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)

  • Supports core demographic production teams through escalation and clarification.
  • Troubleshoots cases as needed to determine the appropriate course of action, including escalation when necessary.
  • Reviews escalated charge tickets to ensure accuracy of supporting details and proper registration.
  • Manually extracts and attaches required documentation from external billing systems when necessary.
  • Contacts facilities as needed to obtain necessary information to ensure accurate and complete case billing.
  • Maintains strictest confidentiality.
  • Performs other duties as assigned.

Qualifications

KNOWLEDGE/SKILLS/ABILITIES (KSAs):

  • High school diploma or equivalent required.
  • Billing experience in a healthcare organization preferred.
  • Minimum of 2 years’ experience in a healthcare business office.
  • Knowledge of organizational policies, procedures, and systems. 
  • Experience collecting, organizing, and reporting information.
  • Computer applications skills including MS Word and Excel. 
  • Keyboarding/data entry skills.
  • Verbal and written communication skills.
  • Must have a pleasant disposition and be a team player.
  • Ability to read, write, and speak English.
  • Ability to communicate well with the public.
  • Ability to work independently with limited supervision.
  • Ability to work effectively with staff, physicians, and external customers.
  • Ability to meet minimum production and quality requirements once initial training is complete.

*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

  • Occasional Standing
  • Occasional Walking
  • Frequent Sitting
  • Frequent hand, finger movement
  • Use office equipment (in office or remote)
  • Communicate verbally and in writing

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.

Share on your newsfeed

Analyst, Revenue Cycle Management

Remote Hours: M-F 8:30-5:00 pm EST (or based on business needs)

What Revenue Cycle Management (RCM) contributes to Cardinal Health

Revenue Cycle Management team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.

Responsibilities

  • Submitting medical documentation/billing data to insurance providers
  • Researching and appealing denied and rejected claims
  • Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing
  • Following up on unpaid claims within standard billing cycle time frame
  • Calling insurance companies regarding any discrepancy in payment if necessary
  • Reviewing insurance payments for accuracy and completeness

Qualifications

  • HS, GED, bachelor’s degree in business related field preferred, or equivalent work experience preferred
  • 2 + years’ experience within Revenue Cycle Management preferred
  • Strong knowledge of Microsoft Excel
  • Ability to work independently and collaboratively within team environment
  • Able to multi-task and meet tight deadlines
  • Excellent problem-solving skills
  • Strong communication skills
  • Familiarity with ICD-10 coding
  • Competent with computer systems, software and 10 key calculators
  • Knowledge of medical terminology
  • Prior EdgePark and/or Cardinal Health at Home Customer Operations preferred

What is expected of you and others at this level

  • Applies basic concepts, principles, and technical capabilities to perform routine tasks
  • Works on projects of limited scope and complexity
  • Follows established procedures to resolve readily identifiable technical problems
  • Works under direct supervision and receives detailed instructions
  • Develops competence by performing structured work assignments

Anticipated hourly range: $20.02 per hour – $25.78 per hour
 

Bonus eligible: No
 

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

  • Medical, dental and vision coverage
  • Paid time off plan
  • Health savings account (HSA)
  • 401k savings plan
  • Access to wages before pay day with myFlexPay
  • Flexible spending accounts (FSAs)
  • Short- and long-term disability coverage
  • Work-Life resources
  • Paid parental leave
  • Healthy lifestyle programs

Application window anticipated to close: 6/01/2026 *if interested in opportunity, please submit application as soon as possible.

The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

Sr Claims Analyst – LH

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments.

In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Also advise team members regarding claim processing procedures.

Job Description
o Resolve client, employee/member, or provider issues regarding escalated or complex claims.
o Review and release over-authority claims up to limit specified by corporate policy.
o Handle claim referrals, including pre-determinations, using internal and external resources as needed. Advice Claim Analysts and/or vendor regarding claim processing.
o Handle network referrals as well as PPO repricing disputes.
o Review, analyze and interpret claim forms and related documents.
o Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports.
o Appropriately investigate, pend and refer claims based on claim procedures and guidelines.
o Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees.
o Support the Claims reinsurance team, in the research and resolution of claims as assigned
o Handle complex or technical claim adjudication using internal and external resources as needed, e.g. transplants, experimental & investigational, chemotherapy, etc.
o Research and respond to vendor reconciliation requests.
o Mentor and assist with onboarding new Analysts, including the oversight of work
o Support the management, monitoring, and tracking of performance in collaboration with the Supervisor.
o Provide mentoring and coaching
o Assist Supervisor in documenting processes for analysts
o Other duties as needed/assigned

Required Job Qualifications:
o High School diploma or GED equivalent
o 3 years prior medical claim processing experience
o Ability to work in a fast-paced, customer centric & production driven environment
o Excellent verbal and written communication skills
o Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
o Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
o Flexible; open to continued process improvements
o Self-directed individual who works well with minimal supervision
o Good leadership, organizational and interpersonal skills
o Ability to effectively handle with complex situations and reach resolution
o Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
o Ability to adapt to various system platforms, and to effectively use MS Excel/Word

Preferred Job Qualifications:
o Health Insurance/Third Party Administrator Experience
o High School diploma or GED equivalent

Required Job Qualifications:

  • High School diploma or GED equivalent
  • 3 years prior medical claim processing experience
  • Ability to work in a fast-paced, customer centric & production driven environment
  • Excellent verbal and written communication skills
  • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
  • Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
  • Flexible; open to continued process improvements
  • Self-directed individual who works well with minimal supervision
  • Good leadership, organizational and interpersonal skills
  • Ability to effectively handle with complex situations and reach resolution
  • Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
  • Ability to adapt to various system platforms, and to effectively use MS Excel/Word

Preferred Job Qualifications:

  • Health Insurance/Third Party Administrator Experience

Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. 

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Min to Max Range:$18.07 – $33.92

Virtual Financial Advisor – Remote

Description

Bring your skills to a deeply purposeful, financially rewarding career

Thrivent is more than a financial services company – we’re a community that puts generosity at the heart of saving and investing. At Thrivent, you’ll have the opportunity to grow a meaningful career providing clients with purpose-based advice around investments, insurance, banking and generosity, empowering lives of service and faith.

As a Virtual Financial Advisor, you’ll play a vital role in delivering meaningful financial guidance that helps clients achieve greater financial confidence and take action. Leveraging Thrivent’s robust advice framework, you’ll use your strong interpersonal and consultative skills to connect with clients, build trust, and provide tailored recommendations that support their financial well-being.

This role focuses on re-engaging existing Thrivent clients—many of whom have not recently worked directly with a financial professional—by proactively reaching out to schedule and hold meaningful appointments via phone, shared screens, and video. You’ll also have the opportunity to engage and serve your own natural market.

Supported by Thrivent’s commitment to community engagement and a collaborative team environment, you’ll gain a strong foundation in sales and client service. Within 18-24 months, you’ll be equipped to join a local team or build your own practice with our support.

This is a remote role. You’ll meet with clients virtually using tools like Microsoft Teams and Zoom. You’ll also receive training and connect with your colleagues virtually, with occasional opportunities for in-person development and teambuilding.

Your Success; Our Blueprint

Nothing influences your success more than a solid roadmap to your growth. Your onboarding will be an immersive and engaging experience. You’ll receive the support, stability and opportunity of a Fortune 500 leader. And if you’re new to the financial services industry, we offer up to 3 months of pay and coaching as you obtain the state insurance and securities licenses necessary for this position.

Role Description

As a Virtual Financial Advisor at Thrivent, you’ll:

  • Leverage your relationship-building skills and build sales experience to engage clients with confidence and clarity.
  • Guide Christians and others who align with Thrivent’s mission and values to create and maintain their financial plans, enabling lives of service and faith.
  • Meet with clients virtually to provide personal, actionable and achievable advice and connect clients to Thrivent products and programs.
  • Have access to a large existing client base with the ability to also help your friends, family and natural market.
  • Access robust tools like the Thrivent Planning Platform, Salesforce, MoneyGuidePro® and Morningstar, and have modern computer hardware provided.
  • Get the support of collaborative culture with colleagues and leaders who want you to be successful and are willing to help you do so.


What You Bring

Our culture and our people are special. Whether you’re a seasoned sales professional or looking for a career change, you could be a successful Virtual Financial Advisor if you’re:

  • Self-disciplined, independent and driven to succeed.
  • Motivated by helping others and seeing them achieve their goals, not just selling products.
  • A natural coach or guide with strong interpersonal skills.
  • Positive, energetic and results oriented.
  • Collaborative and excited to contribute to your team.

Successful Thrivent financial advisors have come from a variety of career backgrounds, including outside sales, account executives, real estate, client services, hospitality, business development, recruiting, education, fundraisers, ministry and similar roles. Skills acquired in these fields transition well into the Virtual Financial Advisor role.

Requirements

  • Bachelor’s degree or equivalent experience. Military veterans are encouraged to apply.
  • FINRA Series 7, 63/65 or 66 required or obtained within 90 days.
  • State insurance licensed and appointed in life, health and variable lines of authority or obtained within 90 days.
  • Eligibility to be securities registered and insurance licensed in all 50 states.
  • Satisfactory background check (criminal and financial).

Compensation and Benefits


You’ll get all the benefits of a Fortune 500 organization and more. Here, you’ll enjoy:

  • A base pay of $21.64-$28.85 per hour with additional monthly sales bonuses based on sales results and your client impact. The average total compensation for this full-time role is $78,000, and our top Virtual Advisors exceed $120,000 in total compensation.
  • Comprehensive medical, vision and dental.
  • 401(k) matching and a pension plan.
  • Life and disability income insurance.
  • Maternity/paternity leave as well as adoption and surrogacy assistance.
  • Tuition reimbursement.
  • Four weeks of paid time off, plus up to 20 hours of volunteer time off.
  • Well-being programs to help you manage your physical, emotional and financial health.
  • Gift matching program to double your contributions to eligible nonprofit organizations and volunteer programs that support your efforts to make a difference.

About Thrivent
Thrivent is a diversified financial services organization that, with its subsidiary and affiliate companies, serves more than 2.4 million clients, offering advice, insurance, investments, banking and generosity products and programs. For more than 120 years, Thrivent has been helping Christians build their financial futures and live more generous lives. Today, Thrivent is a not-for-profit, membership-owned Fortune 500 company with $194 billion in assets under management/advisement (as of 12/31/24). Thrivent carries ratings from independent rating agencies which demonstrate the strength and stability of the organization, including an A++ rating from AM Best; an Aa2 rating from Moody’s Investors Service; and an AA+ rating from S&P Global Ratings. Ratings are based on Thrivent’s financial strength and claims-paying ability, but do not apply to investment product performance.

To learn more about the privacy of your information, visit our workforce privacy policy at thrivent.com/privacy.


Thrivent is the marketing name for Thrivent Financial for Lutherans. Insurance products, securities and investment advisory services are provided by appropriately appointed and licensed financial advisors and professionals. Only individuals who are financial advisors are credentialed to provide investment advisory services. Visit Thrivent.com or FINRA’s Broker Check for more information about our financial advisors.Pay Transparency

Onboarding Specialist (Remote)

ezCater is the #1 food tech platform for workplaces in the US. The company makes it easy for any organization to manage its food needs and order from over 125,000 restaurants nationwide. For workplaces, ezCater provides flexible and scalable solutions for everything from employee meal programs to one-off meetings, all backed by beyond helpful 24/7 service and business-grade reliability. For restaurant partners, ezCater helps grow their business by bringing them new high-value customers and large orders.

Our 125k+ restaurants partners all began their journey at ezCater with a first impression, and our Onboarding Specialists make up the team responsible for creating that first impression today. When restaurants seek to join our platform, our Onboarding Specialists evaluate them and bring their account parameters to life using a mixture of technology, transcription, and human connection. Each restaurant partner’s individual account setup requires an incredible amount of detail, quality, and consistency in order to enable the restaurant to go live and fulfill orders successfully.

And what does the actual onboarding process look like? Our Onboarding team is responsible for upholding our onboarding requirements and qualifying the inbound restaurants that are interested in joining our platform. From there, they process the restaurant addition through our Guided Onboarding tool and direct phone & email communication with the restaurant. The Onboarding team is also responsible for building out the restaurant’s profile in our homegrown system, reviewing the work of our account automation tools, communicating cross-functionally with relevant stakeholders, and working within project management frameworks for larger restaurant onboarding rollouts. 

When all is said and done, our Onboarding Specialists are the ultimate experts in the account setup of our restaurant partners, from the smallest mom & pop indies to the largest enterprise chains. In this role you will learn the ins & outs of our system and help us make it better.

What You’ll Do:

  • Synthesize Information: You’ll work to onboard new and existing catering partners using our partner-facing Guided Onboarding tool as well as other automation tooling to translate data points into Freedom to create stores.
  • Prioritize: You’ll juggle multiple work streams along with competing stakeholder priorities and SLAs.
  • Uphold: We have onboarding requirements that are proven to set our partners up for success. We’ll need you to be well versed and comfortable with explaining “the why” behind the requirements and upholding them, both internally and externally.
  • Communicate: You’ll work with restaurant partners directly; from those who want to expand their footprint on our Marketplace to new partners who are eager to join. You’ll need to go beyond helpful to make every catering partner’s experience easy and efficient.
  • Collaborate: Solution-oriented feedback is our bread and butter. We’ll need your help in improving our process and tools.
  • Make an Impact: You’ll make an immediate impact on our company goals and will be an essential part of the success of thousands of restaurant partners.
  • Identify, test, and support the implementation of process improvements in our team tools.
  • Get Scrappy: You’ll be at the forefront of the testing & implementation of new processes and we’ll need you to be nimble, solution-oriented, and vocal with feedback.

What You Have

  • Devoted to details: There are many moving pieces and you’ll need to keep track of them all.
  • A confident communicator: You’ll need to be comfortable explaining our processes, standards, and timelines to our restaurant partners and prospects.
  • A big-picture thinker: Our team innovates as a group, and we’ll expect you to meet us two steps ahead.
  • Hungry for change: If something isn’t working, we fix it. And then we fix it again.  
  • A circus-level juggler: You’re comfortable with a high-volume list of varied tasks and prioritizing them feels like second nature to you. 
  • Tech-knowledgeable: You have experience with technical services and platforms (Hubspot is a plus). 
  • Adaptable & Inquisitive: You’re a natural problem solver – constant change is your fuel and you thrive in ambiguous situations.
  • Driven towards excellence: We’ll expect you to consistently meet or exceed expectations on delegated performance objectives.
  • A team player: You’ll work with teams across our department and will need to build relationships with internal stakeholders to ensure success for all parties.
  • Ability to travel up to 5 days per quarter for Together Weeks, team gatherings and other events, when applicable.

The national total target cash compensation range for this position, including base salary and bonus target, is $50,872 – $60,848 annually.*

*Please note: Final offer amounts are determined by multiple factors, including prior experience, expertise and region & may vary from the amount above. This range does not represent additional compensation benefits (such as equity, 401K or medical, dental or vision insurance).

ezCater does not sponsor applicants for work visas or legal permanent residence.

What You’ll Get from Us:

You’ll get a terrifically compelling experience in an innovative, high performing environment. You’ll get to work with engaged and passionate colleagues on challenging and impactful projects. You will have opportunities to grow in your career, and work in a  place that values work/life harmony. 

Oh, and you’ll get all this: Market competitive salary, stock options that you’ll help make worth a lot, 12 paid holidays, flexible PTO, 401K with ezCater match, health/dental/FSA, long-term disability insurance, mental health and family planning resources, remote-hybrid work from our awesome Boston office OR your home OR a mixture of both home and office, a tremendous amount of responsibility and autonomy, wicked awesome co-workers, employee meal program (and many more goodies) when you’re in our office, and knowing that you helped transform the food for work space.

ezCater is an equal opportunity employer. We embrace humans of every background, appearance, race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, and disability status. At the same time, we do not employ jerks, even brilliant ones. Following a conditional offer of employment, ezCater may require a background check.

For information on how ezCater collects and uses job applicants’ personal information, please visit our Job Applicant Privacy Policy.

#BI-Remote 

Claims Processor

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Claims Processor (Remote) 

Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We’re hiring Claims Processors to join our team!

Pay & Schedule:

  • Training Pay: $18/hour (Monday–Friday, 8 AM–6 PM EST) 8 weeks
  • Post-Training Pay: Piece rate or Subsidy 18/hour
    • Hitting standard goals? Earn $18/hour
    • High performers have the potential to earn more moving to Piece Rate pay
  • Production Hours: Start at 8 AM EST and work until “clean desk” meaning your day ends when the work is complete

Important Requirement:
You must be comfortable working on camera for your full shift during both training and team meetings This is a key part of the role. You will be processing Flexible Spending Account Claims (FSA) and Health Savings Account Claims (HSA) with this role. 

  • Pay is $ 18/hour which may be below your state’s minimum wage.  Please take this into consideration when applying.

What We’re Looking For:

  • Previous claims processing or related experience
  • Strong keyboard and MS Office skills
  • Excellent attention to detail and problem-solving abilities
  • Ability to multi-task efficiently
  • High school diploma or GED

Additional Requirements:

  • Must be 18 or older
  • Must pass a criminal background check (includes employment and education verification)
  • Must have reliable internet (Download ≥ 25 Mbps, Upload ≥ 5 Mbps, Ping ≤ 175 ms)
  • Must connect via Ethernet (not Wi-Fi)
  • Must reside in an eligible U.S. state (see list below)

 We are currently NOT hiring in the following geographies, including but not limited to:

States: AK, AZ, CA, CT, CO, HI, IL, MA, MD, ME, MO, MT, NE, NJ, NY, RI, OR, VT, WA. 
Metro Areas: Minneapolis – MN, Washington, DC, Denver – CO, Boulder – CO, Edgewater – CO, Flagstaff – AZ.  

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information.  For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $18.00 per hour.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:  click here to access or download the form.  Complete the form and then email it as an attachment to [email protected]. You may also click here to access Conduent’s ADAAA Accommodation Policy.

Human Resources Operations Specialist

Do work that matters.  

At AlertMedia, everything we do supports our mission: To save lives and minimize loss by identifying active threats globally and facilitating timely communications when an emergency threatens personal safety and business continuity.    

Our core values drive us in our important mission of keeping people safe & informed:   

  • We’re humans not robots  
  • Customers always come first  
  • We work better together  
  • Simplicity is our strength  
  • Our reputation is priceless  
  • Hard work pays off 

As one of the fastest growing software companies in the nation, we’re focused on finding the best talent and building the best team to continue accelerating our rapid growth to keep up with our demand. 

The HR Operations Specialist is a high-touch subject matter expert responsible for some of the most employee-facing domains in People Operations: payroll, benefits administration, and leave management. You will own US payroll processing end-to-end, serve as the day-to-day point of contact for our global benefits programs, and administer complex leave cases with precision and empathy, all while keeping our HRIS (Rippling) accurate and audit ready.  

You will work closely with our HR Operations Manager, People Partners, Finance, and outside vendors to ensure these programs run smoothly and that employees feel supported when they need it most. 

This role is right for someone who wants to go deep, not wide. You are energized by getting the details right, proactive about compliance, and capable of holding space for employees navigating difficult personal moments while keeping the operational work moving. 

As an AI-forward company, we expect everyone on the People team to use modern AI tools: Claude, ChatGPT, and others, to work smarter, move faster, and deliver better employee experiences. In this role, that means using AI to accelerate research, drafting, audits, and documentation, while keeping the human judgment that benefits, payroll, and leave work demand. 

What you get to do every day:    

Payroll Administration (approx. 30%) 

  • Prepare, process, and audit US payroll accurately and on time, in close partnership with Finance and the HR Operations team. 
  • Own multi-state payroll compliance: tax registrations, unemployment accounts, SUI rate updates, and jurisdiction-specific requirements across all states where AlertMedia has employees. 
  • Support international payroll coordination for our global population in partnership with the HR Operations team and in-country vendors.  
  • Conduct regular payroll audits: reconcile deductions, verify data integrity across Rippling, and catch and resolve discrepancies before they become employee-facing issues. 
  • Manage payroll-related employee questions with accuracy and responsiveness. 
  • Partner with Finance on payroll reporting, cost tracking, and reconciliation. 
  • Stay current on US federal and state payroll regulations, tax law changes, and international payroll requirements relevant to our footprint. 

Benefits Administration (approx. 25%) 

  • Manage day-to-day US benefits administration: enrollments, life events, qualifying event changes, employee questions, and coverage troubleshooting. 
  • Support annual open enrollment end-to-end: system configuration in Rippling, employee communications, education sessions, enrollment assistance, and post-enrollment audits. 
  • Conduct regular benefits audits including carrier reconciliations, eligibility confirmations, billing reviews and resolve discrepancies proactively. 
  • Partner with Finance on monthly benefits billing and cost reconciliation. 
  • Assist in administer global benefits programs in coordination with the HR Operations team including UK, Ireland, and Mexico. 
  • Serve as the primary employee contact for benefits questions; resolve issues with empathy, accuracy, and speed. 
  • Maintain current, employee-friendly benefits documentation, resources, and knowledge base articles. 
  • Stay current on regulatory changes affecting benefits: ACA, ERISA, COBRA, Section 125, and international equivalents. 

Leave Management (approx. 30%) 

  • Own the full leave administration lifecycle for all leave types: FMLA, ADA accommodations, short-term disability, long-term disability, parental leave (maternity and paternity), military leave, bereavement, and state-specific programs. 
  • Serve as the employee and manager guide through leave: intake conversations, eligibility determinations, documentation, required notices, pay coordination, return-to-work planning, and touchpoints throughout. 
  • Administer global leave programs in alignment with local law: UK statutory maternity/paternity/shared parental leave, Irish parental and sick leave entitlements, Mexican IMSS maternity benefits and sick leave, Canadian provincial leave programs, and Netherlands statutory leave frameworks. 
  • Own and maintain the Leave Playbook, keeping country-specific guidance, regulatory changes, and process documentation current for the People team. 
  • Partner with HRBPs and People Partners on sensitive leave situations requiring additional coordination or accommodation. 
  • Maintain accurate leave tracking and records in Rippling; ensure timely notifications, approvals, and pay continuity coordination with Finance and payroll. 
  • Identify recurring leave administration friction points and drive process improvements. 

HRIS & Data Integrity (approx. 10–15%) 

  • Serve as a Rippling power user: employee record management, data changes, and module support. 
  • Maintain data accuracy across employee records, benefits enrollments, and leave records; run regular audits and reconciliations. 
  • Build and maintain standard People reports for benefits, leave, headcount, and ad-hoc requests. 
  • Maintain accurate data in our HR Bot to ensure employee-facing information is current and reliable. 
  • Identify and escalate HRIS workflow gaps or data integrity risks; partner with the HR Systems & AI Automation Analyst on improvements. 

Compliance & Global Operations (approx. 5%) 

  • Support recurring compliance activities: Form 5500 benefits testing, ACA reporting, COBRA administration, SOC/ISO audits, and employment-related filings. 
  • Assist the HR Operations Manager with global compliance activities across international jurisdictions. 
  • Maintain policy documentation and support employee-facing communications for benefits and leave policy updates. 
  • Stay current on US federal, multi-state, and international leave and benefits regulations. 

What you bring to the role:    

  • 3+ years of experience in HR Operations with demonstrated depth in the following: US payroll processing, benefits administration, and leave management. 
  • Hands-on experience processing multi-state US payroll end-to-end, not just supporting it. 
  • Hands-on experience administering FMLA, STD/LTD, parental leave, ADA accommodations, and state leave programs from intake through return-to-work. 
  • Working knowledge of US payroll law, multi-state tax compliance, and federal/state wage and hour requirements. 
  • Working knowledge of US leave law: FMLA, ADA, USERRA, ADAAA, and key state programs (CA, NY, WA, CO, CT, etc.). 
  • Some exposure to international leave and benefits frameworks: UK, Ireland, Mexico, Canada, and the Netherlands preferred. 
  • Experience with Rippling HRIS required; must be comfortable as a daily Rippling user, not just an occasional one. 
  • Active user of AI tools to optimize processes and improve efficiencies 
  • Comfortable working in Excel, pulling reports, auditing data, and catching discrepancies before they become problems. 
  • Deeply empathetic communicator — you know how to hold space for employees navigating hard moments while keeping the administration moving. 
  • High ownership, strong follow-through, and sound judgment with confidential employee information. 
  • Proactive about compliance and regulatory updates; you don’t wait to be told when something has changed. 
  • Bachelor’s degree or equivalent experience. 

Nice to haves: 

  • PHR, SHRM-CP, CEBS, or similar certification. 
  • Prior involvement in a payroll system implementation, benefits migration, open enrollment overhaul, or leave program build-out. 
  • Hands-on international leave administration experience (UK statutory leave, Irish entitlements, Mexican IMSS, Canadian provincial programs, Dutch statutory frameworks). 
  • Preference for Austin, TX based candidates or remote and working in Central time zone. 
  • Comfort using AI tools (Claude, ChatGPT, etc.) for drafting, documentation, and research. 

Location: While we have a preference for Austin based employees, this role is open to remote, U.S.-based candidates. Please note that we currently do not hire candidates residing in the following states: Alaska, California, Hawaii, Louisiana, Mississippi, Montana, New Hampshire, North Dakota, Oregon, Pennsylvania, Rhode Island, Vermont, Washington, West Virginia, and Wyoming.

Sponsorship: AlertMedia does not sponsor employment visas. Candidates must have existing authorization to work in the U.S. without the need for sponsorship now or in the future. 

What success looks like: 

  • First 30 days: You have learned our benefits plans, Rippling setup, leave programs, and employee support channels. You’ve met key partners across People, Finance, and external vendors. 
  • By 90 days: You are independently managing day-to-day benefits and leave administration. Employees receive timely, clear, and empathetic support. Leave cases are tracked and documented with no gaps. 
  • By 6 months: You have owned at least one open enrollment cycle or major leave program milestone, improved at least one recurring process, and are the trusted go-to for benefits and leave questions across the organization. 
  • By 12 months: You are the undisputed internal expert on benefits and leave, operationally sharp, compliantly current, and consistently trusted by employees and partners in the moments that matter most. 

Why you’ll love working at AlertMedia:    

At AlertMedia, you won’t just build your career — you’ll be part of something meaningful, surrounded by people who genuinely care about the work and each other.  

  • Competitive base salary + Company-wide bonus program   
  • Generous and flexible time off and parental leave policies   
  • Health benefits – Medical, Dental, Vision and Life Insurance are 100% paid for employees!   
  • 401K with generous company match   
  • Amazing rewards and incentives – we love celebrating each other!   
  • Commitment to community service with opportunities to give back    
  • A Best Places to Work company 10 years in a row and numerous other awards   
  • Access to new downtown office with 360 views of Austin, high-tech building gym and nearby running trails   
  • Ongoing career development opportunities through our Learning & Development team    
  • You’ll do meaningful work—while growing your career in a fast-moving, global company with an award-winning culture  

About AlertMedia:    

AlertMedia, backed by Vista Equity Partners, helps organizations protect their people and businesses through all phases of an emergency. Our award-winning threat intelligence, emergency communication, and travel risk management solutions help companies of all sizes identify, respond to, and recover from critical events faster and more confidently. AlertMedia supports essential communication for thousands of leading businesses—including JetBlue, Coca-Cola Bottling, and Walmart—in more than 150 countries.    

We are an equal opportunity employer focused on creating a collaborative and exciting place for all to work. Ensuring a diverse, inclusive, and equitable workplace for all people is key to our success and core to our values. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.      

Human Resources Operations Generalist

About the Role 

The Human Resources Operations Generalist works to execute department activities and ensure the highest standards of data integrity across the organization. In this role, you will be responsible for the execution of all types of HR data management, workforce reporting, and advanced analytics functions. As the Human Resources Operations Generalist, you will provide exceptional data-driven strategies and translate complex workforce insights into actionable recommendations to help the continued growth of our fast-paced company. A-LIGN will depend on you as the Human Resources Operations Generalist to support management, serve as a strategic thought partner who challenges assumptions with data, and own complex problems end-to-end to drive measurable business outcomes. 

The HR Operations Generalist will serve as a strategic thought partner who thinks critically before executing, ensuring every action is backed by data and purpose. Rather than simply taking orders, you will comfortably bring a clear point of view to the table and actively challenge assumptions with empirical evidence. Driven by intellectual curiosity, you will take complete, end-to-end ownership of complex problems, translating curiosity into actionable business outcomes. 

Reports to

Senior Human Resources Manager 

Pay Classification

Full-Time, Exempt  

Responsibilities 

  • Partner with employees and people managers on issues related to employee relations and performance management, providing thoughtful guidance in accordance with policies and procedures
  • Build, maintain, and continuously improve HR processes to support and scale the business
  • Proactively surface workforce risks and opportunities, frame the right questions, and recommend a path forward rather than waiting to be asked
  • Investigate HR data from multiple systems (HRIS, performance, engagement) with a critical eye to pressure-test the numbers, identify what they really mean, and challenge conclusions that don’t hold up to scrutiny
  • Shape HR policies and programs by bringing data, outside benchmarks, and a clear point of view to the table
  • Design and produce ad hoc and recurring HR analyses; ensure data accuracy and consistent methodology across all reporting
  • Provide HR guidance and advise leaders regarding legal and regulatory compliance of FMLA, ADA, FLSA, EEO, etc.
  • Maintain up-to-date knowledge of federal and state employment law and compliance requirements 

Minimum Qualifications 

EDUCATION 

  • Bachelor’s degree in human resources, business or other related fields  

EXPERIENCE 

  • 2–4 years of experience in human resources, consulting, or professional services
  • Demonstrated experience in analytics and reporting, with a solid understanding of the HR function
  • Advanced knowledge of computer software programs (e.g., MS Office and other relevant software as identified) and willingness to learn new HRIS systems 

SKILLS 

  • Confident and professional presence as is a business-facing role that regularly interacts with leaders
  • Exceptional attention to detail and a highly analytical mindset
  • Ability to identify trends, anomalies, and patterns in large data sets and translate them into clear business recommendations
  • Intellectual curiosity and a bias toward asking “why” before accepting the obvious answer
  • Ownership mindset – take problems from ambiguous question to clear recommendation without needing to be directed at each step
  • Advanced Microsoft Excel capabilities
  • Comfortable using AI tools when appropriate (e.g., Claude, Copilot) to accelerate tasks, analysis, and reporting
  • Excellent judgment in handling confidential, legal, or sensitive information 

Benefits 

  • Healthcare, Dental, and Vision Benefits
  • Employer Paid Life Insurance and Disability Insurance
  • EAP – Employee Assistance Program
  • Pet Insurance
  • 401(k) Plan with Employer Matching
  • Competitive Bonus Structure  
  • Home Office Reimbursement
  • Certification Reimbursement
  • Personalized Career Coaching
  • Generous Paid Time Off
  • Paid Office Closure December 25-January 1
  • Vacation Bonus
  • Summer Hours 

About A-LIGN 

A-LIGN is the leading provider of high-quality, efficient cybersecurity compliance programs. Combining experienced auditors and audit management technology, A-LIGN provides the widest breadth and depth of services including SOC 2, ISO 27001, HITRUST, FedRAMP, and PCI. A-LIGN is the number one issuer of SOC 2 and HITRUST and a top three FedRAMP assessor. To learn more, visit a-lign.com. 

Appeals and Grievances Coordinator

locationsRemote, USAtime typeFull timeposted onPosted 30+ Days Agojob requisition idJR1353

Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise


Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. The Appeals and Grievances Coordinator is the primary point of contact for members, providers, and clients throughout the appeals and grievances process. Although this role will report to the Supervisor, Appeals and Grievances, this individual will receive day-to-day performance support and case guidance from the A&G Team Lead.  You will, provide timely, accurate, and compliant resolution of dental and vision A&G cases within a regulated managed care environment. The coordinator collaborates with Claims, Provider Relations, Customer Service, and Clinical teams, and is expected to contribute to team onboarding and knowledge sharing as their experience grows.

Functional:

  • Responsible for the completion of appeals and grievances from all states
  • Perform reviews of member and provider appeals and grievances for dental and vision waiver services
  • Analyze medical records, supporting documentation, and applicable guidelines to make informed decisions
  • Document rationale clearly and accurately in alignment with organizational and regulatory standards
  • Work closely with clinical teams as well as other internal operational areas to resolve complex cases.
  • Communicate outcomes effectively to members and providers.
  • Review and complete all provider appeals and grievances within required timeframes
  • Review and complete member appeals and grievances within required timeframes
  • Apply Avesis policy, plan documents and/or state guidelines when processing appeals or grievances
  • Issue administrative denials appropriately
  • Refer denials based on medical necessity to appropriate clinical staff
  • Collaborate with appropriate stakeholders to prepare all requests for Independent External Review when required
  • Participate in training programs to maintain functional expertise
  • Perform any other job duties as requested

Core:

  • Draft formal correspondence such as acknowledgement and resolution notices.
  • Working knowledge of dental and vision benefit structures, CDT/CPT coding, and claims adjudication principles to evaluate coverage determinations
  • Intermediate proficiency with Microsoft Office products
  • Knowledge of NCQA, URAC and Medicaid regulations
  • Ability to navigate complex regulations while maintaining a commitment to high-quality care
  • Strong written and oral communication skills
  • Ability to work independently and within a team environment
  • Exceptional Time management skills to ensure regulatory compliance
  • Decision making/problem solving skills
  • Knowledge of Medicaid and Medicare
  • Change resiliency

Behavioral:

  • Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. 
  • Initiative: readiness to lead or take action to achieve goals.
  • Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
  • Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
  • Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
  • Flexible and responsive: managing new demands, changes, and situations.
  • Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
  • Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
  • Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Minimum Qualifications:

  • High school diploma or equivalent.
  • 1+ years of exposure with medical, dental or vision terminology and/or coding (ICD-10, CDT, CPT).
  • 1+ years of experience with case management platforms or healthcare administrative systems
  • Working knowledge of medical, dental, or vision terminology and coding (ICD-10, CDT, CPT) relevant to the line of business.
  • Proficiency in Microsoft Office Suite and experience with case management platforms or healthcare administrative systems.
  • Ability to draft formal correspondence.   
  • Demonstrated understanding of HIPAA and the ability to handle protected health information in a compliant manner.
  • Proven ability to manage a high-volume caseload, prioritize competing deadlines, and meet strict regulatory turnaround time requirements.
  • Strong attention to detail, critical thinking, and sound judgment with the ability to work both independently and collaboratively across departments.
  • Flexible to work alternating Saturday during holiday shifts as required.
  • As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.

Preferred Qualifications:

  • 1+ years of experience drafting adverse determination letters, supporting audit readiness, or working in managed care A&G case management platforms.
  • Familiarity with applicable federal and state regulations governing appeals and grievances, including 42 CFR Parts 422 and 438 and NCQA standards.
  • Registered Dental Hygienist or Dental Assistant credential

At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate’s skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:

Zone A: $18.33-$30.55 Zone B: $19.97-$33.29 Zone C: $21.50-$35.84 FLSA Status: Hourly/Non-Exempt

This role may also be eligible for benefits, bonuses, and commission.

Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter.

We Offer

  • Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
  • Competitive compensation package.
  • Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
  • Life and disability insurance.
  • A great 401(k) with company match.
  • Tuition assistance, paid parental leave and backup family care.
  • Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
  • Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
  • Employee Resource Groups that advocate for inclusion and diversity in all that we do.
  • Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

How To Stay Safe

Avēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avēsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to [email protected].

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

Credentialing Specialist

Who are we and why should you join us?

BetterHelp is on a mission to remove the traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, we are now the world’s largest online therapy service, providing affordable and convenient therapy across the globe. Our network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever. And we’re not stopping there – as the unmet need for mental health services continues to grow, BetterHelp is committed to being part of the solution.


As the Credentialing Specialist at BetterHelp, you’ll join a diverse team of licensed clinicians, engineers, product pros, creatives, marketers, and business leaders who share a passion for expanding access to therapy. And as a mental health company, we take employee mental health just as seriously as we do our mission. We deeply invest in our team’s well-being and professional development, because we know that business and individual growth go hand-in-hand. At BetterHelp, you’ll carve your own path, make an immediate impact, and be challenged every day – with a supportive community behind you the whole way.

What are we looking for?

This person will be responsible for first line management of the credentialing associate team. They will train the team on the tasks that the associates are responsible for completing day to day. As new processes and systems are adopted by the organization (soon: Salesforce enrollment manager, Help Scout, NCQA, etc.) they will be responsible for researching how the team will interact with them, and then supporting implementation. They will also document all knowledge of the BetterHelp Insurance Credentialing workflows, to then train the team and improve processes. They will work with the Credentialing Team Lead to monitor the performance of the associate team and provide feedback to the team and our contracting partner, TekSystems. They will also help with answering questions from other BH teams and internal credentialing team members. The Credentialing Team Lead will also assign additional projects to this person as the need arises.

What will you do?

  • Supervision of the credentialing associate team
  • Training of the credentialing associate team
  • Documentation of all BetterHelp Insurance Credentialing processes
    • Analyze and update processes to improve as needed
  • Provide day-to-day guidance, training, and support to credentialing associates and internal BetterHelp team
  • Identify and problem solve inefficiencies in credentialing and recredentialing processes
  • Develop and maintain the credentialing team’s relationship with other BetterHelp Teams
  • Track application statuses, credentialing deadlines, and recredentialing timelines to ensure timely completion.
    • Analyze and update processes to improve timelines
  • Maintain accurate and up-to-date provider information in internal databases and Verifiable.
  • Liaise with CVO to resolve any issues or delays in the credentialing process.
  • Provide regular updates to leadership on key metrics and process improvements.

What will you NOT do?

  • You will NOT worry about “runway”, “cash left”, or “how much time we have until the next round”. We have the startup DNA but we’re fully backed and funded, all the way to success.
  • You will NOT be confined to your “job”. You will get involved in product, marketing, business strategy, and almost everything we do.
  • You will NOT be bogged down by office politics, ego, or bad attitude. Only positive, pleasure-to-work-with people are allowed here!
  • You will NOT get yourself burned out. We work hard but we believe in maintaining a sustainable work/life balance. Really.

Can I work remotely?

Yes. We operate on PST and candidates in any time zone are welcome to apply. We ask employees to travel to our San Jose, CA office up to three times per year plus one company-wide offsite to collaborate in person and strengthen working relationships. Travel expenses are covered and reasonable accommodations are made for those under unique circumstances who cannot travel.

Requirements

  • 1+ years of experience in healthcare credentialing, operations, or administrative support in a payer or provider setting.
  • Strong understanding of NCQA credentialing requirements and best practices.
  • Proficiency with Microsoft Excel/Google Sheets and experience with CRM or credentialing software (e.g., CAQH, Verifable).
  • Excellent organizational and communication skills, with the ability to manage multiple tasks and deadlines.
  • Experience in behavioral health or mental health provider credentialing.

Benefits

  • Remote work with regular in-person bonding experiences sponsored by the company
  • Competitive compensation 
  • Holistic perks program (including free therapy, employee wellness, and more)
  • Excellent health, dental, and vision coverage
  • 401k benefits with employer matching contribution
  • The chance to build something that changes lives – and that people love
  • Any piece of hardware or software that will make you happy and productive
  • An awesome community of co-workers

The base salary range for this position is $30/hr – $37/hr. In addition to the base salary, this position is eligible for a performance bonus and the extensive benefits listed here (subject to eligibility requirements): Teladoc Health Benefits 2026. Total compensation is based on several factors – including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable to all full-time positions.

At BetterHelp we thrive on difference and individuality, and as part of the Teladoc Health family, we are proud to be an Equal Opportunity Employer. We never have and never will discriminate against any job candidate or employee due to age, race, ethnicity, religion, sex, color, national origin, gender, gender identity, sexual orientation, medical condition, marital status, parental status, disability, or Veteran status.

Notice to Candidates:
BetterHelp has been made aware of fraudulent job postings and unaffiliated third parties posing as our recruiting team – please know that we have no affiliation or connection to these situations. We only post open roles on our career page (betterhelp.com/careers) or reputable job boards like our official LinkedIn or Indeed pages, and all official BetterHelp recruitment emails will come from the domain @betterhelp.com. Our commitment is to ensure a safe and transparent hiring experience for all candidates.  We will never ask you for money, gift cards, or any form of payment during our hiring process, and we will never send money or checks to candidates. If you experience this, it is a scam.

Coordinator I

ABOUT THE ROLE

The Project Coordinator  works closely with the Project Manager to implement Yellow Brick’s design, transition and activation planning process, and tools to successfully complete project deliverables within the allocated project budget. Scheduling and preparing for meetings and project activities are key job responsibilities. The Project Coordinator I is skilled at time management, meeting notes, and prioritization and management of multiple assignments.

HERE’S WHAT YOU’LL DO

  • Coordinate standard projects and manage assignments effectively.
  • Complete assigned work within the allocated project hours.
  • Updates project timelines and dashboards.
  • Prepare meeting materials and distribute them as appropriate.
  • Support the development of floorplan reports.
  • Provide logistics support for the project, including meeting scheduling, documentation of meeting minutes, and communication with the team and client.
  • Understand and implement closed-loop communication to foster effective and efficient communication for each project.
  • Document notes, action items, and decisions from meetings.
  • Complete project deliverables, ensuring that deliverables adhere to quality standards and are within contract scope.
  • Coordinate meetings with the Yellow Brick project team and maintain the Project Management Checklist.
  • Draft communication to clients, including post-meeting notes and deliverables.
  • Identify and escalate project risks/concerns to Project Manager.
  • Track project work and prepare monthly summary.
  • Work closely with clients and maintain positive relationships.
  • Continuously seeks opportunities to increase customer satisfaction and client relationships.
  • Adhere to Yellow Brick’s standard process and that appropriate tools and templates are utilized.
  • Develop tools as assigned for use with Yellow Brick projects.
  • Other duties as assigned.

HERE’S WHAT YOU’LL NEED

  • Associate degree or equivalent expertise and experience in the industry preferred.
  • Two or more years of relevant work experience preferred.
  • Competent in Microsoft Office Suite, including Outlook, Word, Excel, and PowerPoint.
  • Skilled at summarizing conversations and identifying key follow-ups.
  • Critical thinking and problem-solving skills.
  • Skilled in working effectively in teams with various disciplines and backgrounds.
  • Instills trust and respect from the team and clients.
  • Works effectively as a team player.
  • Develops and maintains effective relationships with clients and team members.
  • Communicates effectively and professionally, both in oral and written communications.
  • Manages uncomfortable situations with sensitivity and professionalism.
  • Comfortable sharing difficult messages, initiating conversations, and receptive to feedback.
  • Prioritizes job duties, assignments, and deliverables in a fast-paced work environment.
  • Plans, organizes, prioritizes, and works independently to meet deadlines.

OTHER REQUIREMENTS

  • Must be able to remain in a stationary position for up to 90% of the workday.
  • Must be able to move around an office or job site.
  • Must be able to lift up to 20 pounds.
  • Must be able to travel up to 75% of the time.
  • Must be willing to work irregular hours on occasion per the requirements of the assigned projects.

The salary range for this position is $21.92 to $27.40 annually.  This salary range is the range we believe is the anticipated range of possible base compensation at the timing of the posting. We may ultimately pay more or less than the anticipated salary range for the position. Employees may be eligible for discretionary bonuses. We offer a full benefit package including medical, dental and vision coverage and flexible spending account options and voluntary insurances. We have paid time off, flex-time schedules, remote work options and a 401k plan and employee perk programs. For a general overview of our benefits, please visit our careers page at https://www.cannondesign.com/careers/benefits. Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

ABOUT OUR FIRM

As part of CannonDesign’s industry-leading consulting family, Yellow Brick is dedicated to healthcare consulting. We specialize in operations planning, project management, behavioral health, licensing and regulatory preparedness, and activation planning services. At Yellow Brick, our mission is to deliver unparalleled project management expertise to the healthcare industry, and we accomplish this by partnering with our clients to ensure a seamless Day one.

ABOUT WORKING HERE

  • We are a start-up culture in an established firm: nimble, energetic, innovative and fun.
  • We are relentless in our pursuit of client adoration (not simply satisfaction). Consistent delivery of the best service is what we are about.
  • We are committed to ensuring our practice provides equal opportunities for all employees, as we strive to connect with communities around us and focus on the future of design. We support equity, diversity, and inclusion efforts that benefit all employees through the leadership of our DEI Council, our Employee Resource Groups which are open to everyone, and other community initiatives.
  • We’re about communication and transparency here. If you want to talk to someone about an idea you have, or a challenge that needs addressing, we’re ready for you.

Please note that candidates can only apply to our positions on our company Careers site. It’s not uncommon for scammers to create positions that look legitimate on other sites; never enter your information or apply for CannonDesign positions on any platform. Should an issue arise that you feel we should be aware of, please contact us. Please provide your resume and portfolio when applying.

As a condition of employment, all employees are expected to complete mandatory training, including compliance training, within required timeframes and adhere to our internal policies and our Code of Conduct.

CannonDesign is an Equal Opportunity Employer. CannonDesign is committed to maintaining a work environment that is free from any and all forms of unlawful discrimination and harassment. It is therefore the firm’s policy to prohibit discrimination and harassment against any applicant, CannonDesign employee, vendor, contractor, or client on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by applicable law. It is also CannonDesign’s policy to prohibit any and all forms of retaliation against any individual who has complained of harassing or discriminatory conduct, or participated in a firm or agency investigation into such complaints.

Medical Records, Contractor

About Carrot:

Carrot is the leading global fertility and family care platform, built on intelligent care orchestration: the right clinical guidance, at the right moment, in the context of each member’s life. More than a thousand multinational employers, health plans, and health systems trust Carrot to support millions of members across 195 countries – from pre-pregnancy through menopause and major life moments in between. Carrot’s comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-winning experiences and improved outcomes for millions of people worldwide.

Carrot is widely regarded as a defining force in healthcare innovation as a recipient of several top-tier awards, including Fast Company’s ‘Most Innovative Companies’ and CNBC’s ‘100 Barrier Breaking Startups’. The company is regularly cited by leading global outlets — including The Economist, Bloomberg, The Wall Street Journal, NPR, ABC News, and Harvard Business Review — as a leading voice on digital health, the future of work, and family health. Learn more at get-carrot.com.

About the Role:

The Medical Records Coordinator plays a critical role in helping our fertility benefits platform capture and organize the clinical data that powers patient outcomes and customer reporting. In this role, you will be responsible for receiving medical records, working with fertility clinics, and ensuring accurate data entry into our systems. This is an excellent opportunity for someone early in their career to gain exposure to healthcare operations, fertility care, and data-driven health outcomes in a fast-growing startup. This part-time, contract opportunity is project-based with set weekly deliverables, a 6-month minimum time commitment is required.

Key Responsibilities:

  • Receive, log, and organize incoming medical records from fertility clinics and healthcare partners
  • Contact clinics by phone or email using established scripts to request or clarify records
  • Enter and update patient records accurately in internal systems
  • Follow standard operating procedures (SOPs) to ensure data quality and compliance
  • Identify missing or unclear information and escalate issues to the appropriate team members
  • Track and document communication and record status to support timely follow-up


Minimum Qualifications:

  • Education: Associate’s Degree or College Student pursuing a Bachelor’s degree
  • Experience: 6-12 months of experience in an administrative, operations, healthcare, or data-entry role
  • Enjoy working in a fast-paced, process-driven environment
  • Strong attention to detail and ability to follow written procedures
  • Comfortable using basic technology (email, spreadsheets, databases)
  • Ability to communicate clearly and professionally by phone and in writing
  • Ability to manage repetitive tasks with consistency and accuracy


Preferred Qualifications:

  • Bachelor’s Degree preferred 
  • Experience working in a healthcare, medical records, or insurance environment
  • Familiarity with HIPAA or handling sensitive health information
  • Interest in women’s health, fertility, or healthcare technology

Compensation: 

Carrot offers a holistic Total Rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, parental leave, family-forming assistance, and a competitive compensation package. The starting base salary for this position will range from $17-$20/ hr. Actual compensation may vary from posted base salary depending on your confirmed job-related skills and experience. 

Fraud and Security Notice: Please note that all communication regarding job opportunities at Carrot will come exclusively from an @get-carrot.com email address. If you receive messages from any other domain, please disregard them and report the incident to: [email protected]

Why Carrot?

Carrot has received national and international recognition for its pioneering work, including Fast Company’s Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare’s Innovators. Carrot’s global workforce has been acknowledged with several accolades, including Fortune’s Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com. 

Senior Revenue Cycle Specialist

Join Cartwheel to help tackle the student mental health crisis. 

Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them, we collaborate with them. This means: 

  • Earlier intervention
  • Higher student and family engagement in care
  • Better coordination among the trusted adults in a student’s life 

Kids shouldn’t just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we’re looking for mission-driven teammates to join our team.

ABOUT THE ROLE

Since our founding in 2022, we have grown to serve more than fifty school districts across six states, providing care to thousands of students and families.

Cartwheel processes a high and growing volume of behavioral health claims across three revenue streams — school district partners, health plans, and members. Without dedicated support, denial and rejection recovery opportunities go unworked and result in preventable revenue loss. This role exists to close that gap.

As our Senior Revenue Cycle Specialist, you’ll own the workflows that directly protect Cartwheel’s bottom line: investigating and resolving denials and rejections, submitting corrected claims and appeals, managing aging AR, and keeping payer follow-up moving as claim volume grows. You’ll also serve as the internal expert on billing compliance and payer requirements across all three revenue streams.

This role is right for a senior behavioral health billing professional who sees a significant denial and rejection backlog as an opportunity — someone who digs into root causes, builds the systems to prevent recurrence, and wants to scale an RCM operation, not just maintain one.


Role Type: 
Salaried, full-time
Salary: $55,000 – $75,000
Location: Remote
Start: Summer 2026

WHAT YOU’LL DO

  • Own the full AR cycle: payment posting, cash reconciliation, aging management, and payer follow-up across district, health plan, and answer member inquiries
  • Own denials and rejections recovery across a high-volume behavioral health claims portfolio — investigate root causes, submit corrected claims and appeals, track outcomes, and drive systemic fixes to improve clean claim rates over time
  • Investigate and resolve complex claim denials and rejections — identify root causes, submit corrected claims and appeals, track outcomes, and recommend systemic fixes to improve clean claim rates
  • Review, validate, and submit Massachusetts CANS assessments in compliance with state and payer requirements
  • Serve as the internal subject matter expert on payer requirements, billing regulations, and compliance standards — fielding escalations from clinical and operations teams
  • Respond to patient, provider, payer, and internal billing inquiries with professionalism and empathy
  • Analyze AR trends, denial patterns, and reimbursement activity to surface insights and drive continuous process improvement
  • Identify and lead operational improvements that enhance billing efficiency, revenue recovery, and member experience

WHO YOU ARE 

  • 3+ years of experience as a Billing Specialist, Accounts Receivable Specialist, Payment Coordinator, Revenue Cycle Specialist, or similar role required.
  • 1+ years of behavioral health billing experience.
  • Deep expertise in denials management, appeals, corrected claims, and AR follow-up
  • Strong working knowledge of healthcare billing regulations, payer requirements, and compliance standards
  • Proven ability to independently identify billing issues, investigate root causes, and implement fixes — not just escalate
  • Experience with payment posting, cash reconciliation, and resolving complex payment discrepancies for members

Preferred

  • Experience with Apero and/or Healthie EMR
  • Massachusetts CANS experience

The above is a summary of the role, not an exhaustive list. If you think that you have most of the above but not everything, please apply. We’d love to hear from you!

WHY YOU’LL LOVE CARTWHEEL

Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time, at a company well-positioned to do so, you’ll have: 

  • Equity ownership stake in the company
  • High-quality health insurance with a $0 monthly premium option for employees
  • Dental, Vision, and Employer-Sponsored Life Insurance
  • 4 weeks of paid PTO (3 weeks any time  + 1 week office closure in December)
  • Sick Leave + Holidays
  • 401K with up to 2% employer match
  • $500 annual educational stipend
  • Team-based culture with mission-driven colleagues who will go to bat for you

Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. We’re committed to equal employment opportunity regardless of race, color, religion, ancestry, national origin, gender, sexual orientation, disability status, or veteran status.

We participate in E-Verify. Please be prepared to provide acceptable documentation to verify your identity and work authorization

Talent Engagement Coordinator

CodePath is the largest educator of college computer science students in the country. We have trained over 40,000 students from 1,000+ universities. Our partners include Amazon, Google, Meta, and 4,000+ companies across the industry. We’ve been training the next generation of technical talent for nearly a decade, and we just launched a $150M initiative with Anthropic, building one of the most ambitious AI workforce programs in the world.

We’re now expanding into new markets and scaling our team so we can move at the speed AI is transforming the workforce. People joining CodePath now will have the opportunity to help architect the next frontier of our work.

We are building toward millions of learners, hundreds of millions in revenue, and billions in economic impact for a generation of technical talent who have historically been locked out of tech. If you want to own something and be part of a 0-to-1 journey at an organization moving at the speed of AI, we think you’d love it here. 

About the Role

Location: Remote, United States

Role Type: Full-Time

Reports To: Senior Manager, Talent Engagement

Compensation: $65,000 to $85,000 per year

CodePath is hiring a Senior Talent Engagement Coordinator to join our Talent Engagement team. This person will own interview coordination, candidate experience, and the operational backbone of our recruiting function, including Greenhouse administration, reporting, and process documentation.

We run like a startup. The team is small, the pace is fast, and the work matters. Every hire we make accelerates our mission, and this role is the engine that keeps hiring moving. You’ll be the person who makes sure nothing falls through the cracks. Candidates hear back on time, interviewers have what they need, data is clean and accessible, and the systems we rely on actually work the way they should.

Key Activities

  • Schedule and coordinate a high volume of interviews across time zones, keeping things moving quickly without sacrificing the candidate experience
  • Work closely with recruiters, hiring managers, and interviewers to deliver a consistent, high-touch process from first screen to offer
  • Serve as the primary administrator of Greenhouse (our recruiting ATS), maintaining job posts, workflows, permissions, tags, and data hygiene
  • Use AI tools (including Claude) to streamline workflows, draft candidate communications, generate reports, document processes, and surface patterns in pipeline data
  • Build and maintain reports and dashboards that give the team real visibility into pipeline health, time-to-fill, source effectiveness, and other recruiting metrics
  • Document processes, create templates, and identify opportunities to make our recruiting systems work smarter
  • Support offer letter generation, reference check coordination, and other operational tasks that keep the hiring process running cleanly
  • Be the main point of contact for candidates throughout the process, communicating clearly and professionally at every stage
  • Help execute sourcing strategies, referral campaigns, and first-round screens as needed
  • Collect, analyze, and share data that helps the Talent Engagement team make better decisions

Key Success Metrics

  • Time to hire top candidates is decreased by 20% through strong coordination and white-glove treatment, leading to greater offer acceptance rates
  • 90%+ candidate satisfaction rate across all stages of the hiring process
  • Greenhouse data is accurate, up to date, and useful: the team can pull reports without needing to clean things up first
  • Hiring managers and stakeholders know what’s happening with their roles without having to chase updates

Qualifications

Required Qualifications

  • 2+ years of recruiting coordination experience in a fast-paced environment
  • Hands-on experience with an ATS (Greenhouse strongly preferred) and a track record of keeping it well-organized
  • Strong written and verbal communication skills with the ability to handle sensitive information with discretion
  • Detail-oriented: Clean data, accurate calendars, and well-run processes matter to you
  • Genuine interest in CodePath’s mission to transform CS education and create pathways for underrepresented students in tech

Preferred Qualifications

  • Experience building reports or dashboards in Greenhouse or similar tools
  • Familiarity with Gem, LinkedIn Recruiter, and Google Workspace
  • Hands-on experience using AI tools (ChatGPT, Claude, Gemini, or similar) to speed up day-to-day work
  • Technical recruiting exposure
  • Comfort working with a high degree of autonomy in a remote, startup-style environment

Compensation

CodePath has standardized salaries based on the position’s level, no matter where you live. For this role, we’re hiring at an annual salary of $65,000 to $85,000. Salary is determined based on your relevant experience and skills as evaluated through our interview process.

Full-Time Employee Benefits

This is a 100% remote position—work from anywhere in the U.S.! CodePath prioritizes employee well-being with a competitive benefits package to support your health, financial security, and work-life balance.

  • Health & Wellness: Medical, dental, and vision insurance (90% employer-covered for employees and dependents), employer-funded healthcare reimbursement, FSAs, and Employee Assistance Program
  • Financial Security: 401(k), employer-paid life & disability insurance, and identity theft protection
  • Work-Life Balance: Generous PTO, paid holidays, 10 weeks of fully paid parental leave, and an annual year-end company closure (Dec 24 – Jan 2)
  • Professional Growth: $1,000 annual professional development stipend and home office setup support
  • Student Loan Forgiveness: CodePath is a qualifying employer for Public Service Loan Forgiveness (PSLF), helping employees manage student loan debt
  • Additional Perks: Pet wellness plans, legal services, home/auto insurance discounts, and exclusive marketplace savings

Pay range

$65,000 – $85,000 USD

Document Control & Records Management (DCRM) Specialist

Deep Fission is a nuclear technology company pioneering the development of a revolutionary deep borehole pressurized water reactor. We recently completed a private placement financing and Alternative Public Offering and are now operating as a public company while maintaining our startup agility and innovation focus. With strategic partnerships in place, strong private and public investment, and active engagement with the U.S. Nuclear Regulatory Commission (NRC), we are executing our next phase of growth as we advance our groundbreaking nuclear technology toward commercial deployment. 

Deep Fission is seeking a detail-oriented and systems-driven Document Control & Records Management (DCRM) Specialist to support the development and execution of its document control and quality records program within a regulated engineering environment.

This role will focus on spanning document and records control, EDRMS system administration, and technical editing of engineering deliverables. As Deep Fission’s engineering program grows and fabrication, testing, and construction activity increases, so too will the volume of design documentation, technical deliverables, transmittals, and records requiring control, tracking, and system maintenance. This role is being added to get ahead of that growth and to ensure the DCRM program scales effectively alongside engineering execution.The ideal candidate brings experience working within structured document control systems, is comfortable developing templates and workflows, and can provide technical editing and formatting support for engineering deliverables. This role requires comfort operating in fast-paced, startup environments where processes are actively being built and refined. The DCRM Specialist will serve as a key coordination point between design engineering, project teams, external suppliers, and quality assurance on all documentation requirements.

Key Responsibilites

  • Document Control & Lifecycle Management
    • Administer document lifecycle processes, including creation, review, approval, release, revision, and archival.
    • Coordinate cross-functional document reviews with Engineering, Quality Assurance, Licensing, and Operations.
    • Ensure proper version control, document traceability, and configuration management practices.
    • Maintain controlled document distribution through the EDRMS.
  • EDRMS Administration & Configuration
    • Support implementation and ongoing administration of the EDRMS platform (Forged Ops).
    • Configure and maintain document workflows, approval routing, metadata structures, and access controls.
    • Establish and enforce document naming conventions, classification systems, and folder structures.
    • Partner with the DCRM Manager to continuously improve system functionality, usability, and compliance.
  • Records Management – NQA-1 Compliance
    • Process, organize, and maintain quality assurance records in accordance with NQA-1 requirements.
    • Ensure records are complete, accurate, and audit-ready at all times.
    • Manage records retention, storage, retrieval, and disposition processes.
    • Support audit preparation and response activities related to document control and records.
  • Document Editing & Formatting
    • Perform structured editing and formatting of documents to ensure clarity, consistency, and professional presentation.
    • Apply standardized formatting across procedures, work instructions, forms, and program documents.
    • Provide technical editing support for engineering deliverables including specifications, test plans, inspection documents, and drawing packages.
    • Ensure documents align with established templates, style guidelines, and document control requirements prior to approval and release.
  • Engineering Program & Supplier Coordination
    • Support transmittal tracking and document exchange between internal engineering teams and external suppliers.
    • Coordinate documentation requirements across design engineering, project teams, and supply chain as deliverable volume grows.
    • Maintain visibility into outstanding document actions, review cycles, and deliverable status.
    • Assist with records volume management as fabrication, testing, and construction activities increase.
  • Template & Controlled Content Development
    • Develop and maintain standardized templates for procedures, work instructions, forms, and QA records.
    • Support creation of structured, programmatic documentation for non-technical content areas.
    • Ensure formatting consistency and compliance with internal and regulatory standards.
  • Program & Cross-Functional Support
    • Interface with Engineering, QA, Licensing, and Operations teams to support documentation needs.
    • Support documentation workflows for corrective actions, nonconformances, and related quality processes.
    • Assist in integrating document control processes with training program requirements.
    • Promote a culture of documentation discipline, consistency, and continuous improvement.

Required Skills and Experience

  • 3–7+ years of experience in document control, records management, or QA support within a regulated industry.
  • Hands-on experience working within an EDRMS or enterprise document management system.
  • Familiarity with NQA-1, 10 CFR 50 Appendix B, or equivalent quality assurance standards.
  • Experience managing controlled documents, workflows, and records lifecycle processes.
  • Experience developing templates, forms, and structured documentation frameworks.
  • Strong document editing, formatting, and quality review skills (e.g., Microsoft Word, templates, styles, structured formatting).
  • Ability to maintain communication and stakeholder engagement in a virtual and hybrid team environment.
  • Ability to work independently in a fast-paced, evolving environment.
  • Must be a U.S. person eligible to meet DOE Export Control requirements under 10 CFR 810.

Desired Skills and Experience

  • Experience in nuclear, advanced energy, aerospace, or other highly regulated industries.
  • Experience supporting QA programs, corrective action programs (CAP), or audit readiness efforts.
  • Experience configuring or implementing document management systems.
  • Familiarity with training program coordination and document-controlled training environments.
  • Experience working in startup or high-growth engineering organizations.
  • Proficiency with engineering software tools and AI-enabled platforms.

Key Competencies

  • Systems Thinking – Ability to design, manage, and continuously improve documentation processes as an integrated program, not a collection of isolated tasks.
  • Organizational – Experience on structured teams functioning across engineering disciplines, quality assurance, and external partners to support project objectives.
  • Attention to Detail – Commitment to accuracy, formatting consistency, and compliance in all document control activities.
  • Adaptability/Resilience – The capacity to adjust actions, strategies, and behaviors in response to unexpected or ambiguous situations, learning and pivoting quickly.
  • Stakeholder Influence – Builds trust and alignment across internal teams, regulators, and partner organizations on documentation standards and requirements.
  • Decision-Making – Balances process rigor with practical execution needs; uses judgment effectively in a dynamic, first-of-a-kind engineering environment.

Our Commitment: 

Deep Fission is an equal opportunity employer committed to building a diverse and inclusive workplace. We welcome applicants from all backgrounds who share our passion for advancing clean nuclear energy and creating a sustainable future. We do not discriminate on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability, veteran status, or any other characteristic protected by applicable law. 

Client Information Coordinator

Why join us? 

We’re on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to express themselves, connect with the world, and live richer lives.  
 

At Tobii Dynavox, you can grow your career within a dynamic, global company that has a clear, impactful purpose – with the flexibility to also do what truly matters to you outside of work. What’s more, you’ll be part of a work culture where collaboration is the norm and individuality is welcomed. 

As a member of our team, you’ll have the power to make it happen. You’ll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers’ lives.  

The Client Information Coordinator is an integral member of the funding/reimbursement team and has primary responsibility of upfront intake and verification of patient information for recommendations for our devices that may be covered by the customer’s healthcare coverage. This role is responsible for gathering the application documents, coordinating upfront communication and entering data details to start the funding journey.  The main focus is to effectively secure accurate documentation, engage in professional dialogues with stakeholders, and communicate with various parties, ensuring smooth case progression.

The Client Information Coordinator must live in the Eastern, Central and Mountain time zone.

KEY RESPONSIBILITIES:

  • Electronic data entry of all information received via fax, email, and the Tobii Dynavox e-Funding platform, according to process and standard procedures.
  • Identify, label, and store funding documents within the electronic database.
  • Identify and properly code client’s medical and speech diagnosis.
  • Review and maintain documentation with attention to detail, ability to analyze data and check for errors and/or inaccuracies.
  • Identify client’s healthcare coverage, contact insurance companies to verify eligibility, benefit coverage, exclusions, and prior authorization requirements.
  • Execute private insurance calls to confirm and secure accurate benefit information details & prior authorization requirements.
  • Prepare state-specific prior authorization forms/ CMN’s and upload to electronic database.
  • Identify and verify current physician and other medical details.
  • Initiate communication with customer/case contact; verify basic information, provide details of next steps of the funding process, including estimated out of pocket expenses, missing documents and securing key contact information.
  • Communicate to the Funding Consultant potential challenges with the prior authorization process.
  • Communicate proficiently and convincingly, advocating as a representative of Tobii Dynavox,
  • Properly identify the status of the request and ensure proper flow to the next step of the funding process.
  • Meet established goals and expectations successfully.
  • Collaborate effectively with multiple stakeholders for case progression.
  • Perform various other tasks as assigned.

EDUCATION / EXPERIENCE REQUIREMENTS:

  • High school diploma 
  • Two years of experience working with insurance in a medical setting
  • Knowledge of Medicare, Medicaid, Private Insurance and coordination of benefits preferred.
  • Experience using myCGS, Navinet, Noridian, and Availity websites preferred.
  • Experience navigating phone queues preferred.
  • Ability to multitask, prioritize and manage time effectively.
  •  Organized with ability for problem solving, adaptability, and self-control during unexpected challenges.
  • Interpersonal communication skills
  • Oral and written communication skills
  • Virtual communication skills
  • Excellent Telephonic communication skills

COMPUTER OR TECHNICAL SKILLS:

  • MS Office Word and Outlook, creating and altering PDF’s and other forms
  • Basic computer operation, maintenance and trouble shooting.
  • Web Browser and Search Engines
  • Online Application Navigation

OTHER SKILLS REQUIREMENTS:

  • Knowledge of Medicare, Medicaid, and third-party insurance regulations
  • Records maintenance skills
  • Knowledge of HIPPA guidelines
  • Detail oriented, ability to analyze data and check for errors and/or inaccuracies.       

WORK ENVIRONMENT REQUIREMENTS: 

  • Ability to work at a desk for prolonged periods of time
  • Ability to work from home with interruptions
  • Able to work with interruptions in a fast-paced environment
  • Ability to travel to the Pittsburgh office for team activities/trainings (approx. 4 times per year)

We are able to pay this Client Information Coordinator $20/hr.

Apply today! 

We believe in empowering individuals – including our own employees – to reach their full potential. So, if you want to change lives while growing your own career, we’d love to hear from you.

Where we stand:

We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger.

Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin.

Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled

Senior Credentialing, Licensing & Provider Operations Coordinator – Remote

About Tia

Tia is building a new model for women’s healthcare, one that treats women as whole people, not separate conditions or life stages. By integrating primary care, mental health, gynecology, dermatology, and wellness across both in-person and virtual settings, Tia is improving outcomes, lowering costs, and creating a better experience for patients and providers alike.

About the Role

We’re hiring a Senior Credentialing, Licensing & Provider Operations Coordinator to manage credentialing, licensing, and provider readiness workflows across Tia’s growing care model.

In this role, you will help ensure providers are licensed, credentialed, enrolled, compliant, and ready to see patients on time. You will manage complex trackers, monitor expirables, coordinate with providers and external partners, and support Clinical Operations with high-priority provider operations initiatives.

This role is a great fit for someone with strong credentialing and licensing experience who is highly organized, detail-oriented, proactive, and comfortable owning complex workflows from start to finish.


Why Tia

  • Opportunity to help scale a new model of women’s healthcare
  • Mission-driven team focused on access, quality, and patient experience
  • High-impact role supporting provider readiness and compliance across multiple markets
  • Cross-functional partnership with Clinical Operations, People Ops, providers, and external partners
  • Opportunity to strengthen and improve credentialing, licensing, and provider operations workflows

What You’ll Do

  • Credentialing & Re-Credentialing: Manage day-to-day credentialing and re-credentialing workflows for Tia’s provider network.
  • Licensing Coordination: Support medical licensing workflows for MDs, DOs, NPs, PAs, and RNs across multiple states, including tracking requirements, deadlines, renewals, and application status.
  • Provider Readiness: Track onboarding progress and help ensure providers are licensed, credentialed, enrolled, and compliant before go-live.
  • APP Supervision Tracking: Maintain tracking for APP supervision agreements, collaborative practice filings, and related state-specific requirements.
  • Compliance & Audit Readiness: Maintain accurate, audit-ready provider files and monitor expirables such as licenses, DEA registrations, certifications, and other required documentation.
  • Partner & Provider Follow-Up: Communicate with providers, internal teams, health system partners, credentialing teams, and licensing entities to move open items forward and resolve delays.
  • Operational Tracking & Reporting: Maintain trackers, update status reports, flag risks early, and communicate timelines, blockers, and next steps to Clinical Operations and physician leadership.
  • Cross-Functional Support: Partner with People Ops, Clinical Ops, and other internal teams to support provider onboarding, compliance, and provider operations projects.

What You’ll Bring

Requirements

  • 3+ years of experience in healthcare operations, credentialing, licensing, provider enrollment, provider onboarding, or provider data management
  • Experience supporting credentialing and/or licensing workflows for providers such as MDs, DOs, NPs, PAs, or RNs
  • Familiarity with medical licensing boards, CAQH, payer enrollment, provider documentation, and credentialing processes
  • Strong attention to detail and ability to manage complex provider data accurately
  • Strong organizational skills with the ability to manage multiple providers, deadlines, applications, and renewals at once
  • Comfort working in Google Sheets, Microsoft Excel, trackers, and credentialing or provider operations systems
  • Clear, proactive communication style with strong follow-up and follow-through
  • Ability to partner professionally with providers, physician leadership, internal teams, health system partners, and external credentialing or licensing entities
  • Comfort working in a fast-paced environment where priorities may shift

Nice to Have

  • Experience in digital health, telehealth, startup, or high-growth healthcare environment
  • Experience supporting multi-state provider licensing or credentialing
  • Experience with APP supervision agreements or collaborative practice requirements
  • Experience building, improving, or standardizing trackers, workflows, or documentation processes

Work Location

This is a remote role. This position may require occasional attendance at company or team off-sites. #LI-Remote


Compensation & Benefits

Tia is committed to pay equity and pay transparency. Compensation for this role will be determined based on job-related factors, including experience, skills, qualifications, location, role leveling, business needs, and market conditions.

The expected compensation range for this role is: $70,000 – $90,000 per year

You may also be eligible for:

  • Medical, dental, and vision benefits effective day one
  • Paid time off, sick leave, and dedicated learning time off
  • Professional development support
  • Other role-specific benefits

#LI-AF1


About Tia

Tia is on a mission to transform healthcare for women by increasing access, improving outcomes, and delivering a better care experience. Our “Whole Woman, Whole Life” model integrates primary care, gynecology, mental health, dermatology, and wellness across in-person care and a national virtual platform.

We are a Series D, venture-backed company trusted by more than 120,000 women across four markets. Through our technology-enabled care model and partnerships with leading health systems, Tia is building one of the most comprehensive preventive care models for women.


About Tia’s Culture

Tia is building a culture of excellence in people, process, and product. For us, excellence is not perfection. It is the ongoing pursuit of improvement through learning, reflection, experimentation, curiosity, grit, and care for ourselves and others. We are looking for people who are energized by building, iterating, asking why, and helping create a fundamentally better healthcare experience for women.

This position may require attendance at company and team off-sites.

Medical Records Processing Specialist

Salary Range:$15.00 To $17.00 Hourly

Who We Are: With a diverse team of more than 800 people, HealthMark is set apart by our culture, commitment to excellence, and dynamic contributors. We believe in fostering growth, celebrating success, and providing opportunities for every team member to thrive. Joining HealthMark means being part of a thriving organization recognized as a Top Workplace by USA Today. Not only that, but we’ve made it on the Inc. 5000 list of fastest-growing companies for ten years.

Not only will you get to contribute to the healthcare ecosystem by making health information more accessible to patients, but you will also join a forward-thinking team of innovators who are passionate about the work we do and the people we serve.

What We Do: HealthMark is a mission to revolutionize how medical records are released to patients, providers, and other stakeholders. We provide tech-enabled solutions that help health systems, hospitals, FQHCs, provider-led networks, and other care providers deliver the right medical records to the right patient. 

What We Offer:

  • A collaborative and supportive work environment that values your ideas
  • Opportunities for professional development and career advancement
  • Competitive benefits, including medical, dental, and vision insurance, 401k matching, remote opportunities, paid time off, and a paid volunteer day of your choice
  • The chance to make an impact in the health information field every day

Join us in shaping the future of the release of information!

LOCATION: Remote

We are expanding rapidly and have created unique roles that need qualified candidates.

Entry-level job duties include, but are not limited to:

  • Processing medical record requests
  • Effectively answering 30-40 calls per day on average for customer requests
  • High volume and fast-paced environment
  • Reports directly to the Processing Manager
  • Assist as needed in overflow processing due to high volume issues and/or coverage issues
  • Abide by HIPAA guidelines while ensuring the confidentiality of PHI
  • Maintain a consistent schedule by processing all requests within 24-48 hours of receipt for assigned accounts
  • Provide feedback regarding request volume and perceived issues
  • Monitors incoming requests received through various means
  • General office duties

Qualities that the candidate for this position should include:

  • Fast learner
  • Dependable
  • Quick worker
  • Team player
  • Positive attitude
  • Someone who strives to do more

Note: This job description is intended to provide a general overview of the position and does not encompass all job-related responsibilities and requirements. The responsibilities and qualifications may be subject to change as the needs of the organization evolve.

1099 NON PHONE FLEXIBLE

1. DOCUMENT REVIEW SPECIALIST

2. ENGLISH WRITING SPECIALIST

3. AI CONTENT REVIEWER

4. ROBOT OPERATOR

5. AI SAFTEY ANALYST

6. SEARCH ENGINE EVALUATOR

7. LINGUISTICS EXPERTS

8. VIDEO COLLECTOR

9. AI DATA SPECIALIST

10. CUSTOMER SUPPORT EXPERT ( CANADA )

11. CALL CENTER QA ( RECRUITER REACHED OUT )

12. BANKRATE

13. ONLINE BOOK CLUB ( REVIEW BOOKS UP TO $60 PER BOOK )

14. MYSTERY SHOP COMPANIES

15. PRODUCT REPORT CARD ( EARN $$$ FOR TESTING FREE PRODUCTS )

16. NIELSEN PULSE ( EARN GIFT CARDS FOR YOUR PHONE DATA )

Data Analyst-Part time

Description

We’re looking for a sharp, analytical Remote Data Analyst to help us turn data into actionable insights. If you love working with numbers, spotting trends, and making data meaningful — this role is for you.

Role: Remote Data Analyst

Department: Analytics & Business Intelligence

Location: Fully Remote

Type: Full-Time / Part-Time

Requirements

Collect, clean, and analyze large sets of patient and operational data

Build reports, dashboards, and visualizations for internal teams

Identify trends, patterns, and insights to support business decisions

Work closely with management to track KPIs and performance metrics

Ensure data accuracy, integrity, and security at all times

Present findings in a clear and understandable format to non-technical stakeholders

Benefits

Competitive pay

Health, dental & vision benefits (full-time employees)

Paid time off & paid holidays

Flexible scheduling options

Growth opportunities within ADF Medical Services

Data Entry Specialist-Part Time

Description

We’re hiring a precise and dependable Data Entry Specialist to manage and maintain our medical records and patient data systems. If you have a sharp eye for detail and a commitment to accuracy — we want you on our team.

Role: Data Entry Specialist

Department: Administrative & Health Records

Location: Remote / On-Site 🕐 Type: Full-Time / Part-Time

Requirements

Accurately enter and update patient and medical data into our systems

Review and verify records for completeness, accuracy, and consistency

Organize and maintain digital files and health records databases

Cross-check source documents to ensure data integrity

Identify and resolve data discrepancies with internal teams

Generate and submit data reports as required by management

Handle all patient information with strict confidentiality per HIPAA guidelines

Meet daily and weekly data entry targets and accuracy benchmarks

Benefits

Competitive pay

Health, dental & vision benefits (full-time employees)

Paid time off & paid holidays

Flexible scheduling options

Results-driven work environment with minimal micromanagement

Career growth opportunities within ADF Medical Services

AP/AR Specialist

Summary 

 
The Accounts Payable/Accounts Receivable (AP/AR) Specialist is responsible for managing the day-to-day operations of the company’s accounts payable and accounts receivable functions. This includes ensuring timely and accurate processing of invoices, payments, and collections, as well as maintaining detailed financial records and collaborating with internal teams and external vendors/customers. This role is essential to the integrity of our financial operations and cash flow management. 

Primary Responsibilities 

  • Process incoming invoices and employee expense reimbursements accurately and on time 
  • Generate and send invoices to clients and follow up on outstanding receivables 
  • Reconcile vendor statements and resolve discrepancies 
  • Maintain accurate and organized records of all AP/AR transactions 
  • Prepare reports related to accounts payable, accounts receivable, and aging schedules 
  • Ensure compliance with internal controls and accounting policies 
  • Respond to vendor and customer inquiries in a timely and professional manner 
  • Assist with month-end and year-end closing processes, including bank and credit card reconciliations 
  • Support audits by providing documentation and responding to auditor requests 
  • Collaborate with the Assistant Controller and accounting team on cash flow forecasting and budgeting 

Preferred Skills & Experience 

  • 3+ years of experience in accounts payable, accounts receivable, or general accounting 
  • Proficiency with accounting software (e.g., Business Central, NetSuite, QuickBooks, or similar) 
  • Strong understanding of GAAP and basic financial principles 
  • Experience reconciling accounts and managing collections 
  • Familiarity with invoice matching, purchase orders, and payment processing 
  • Strong Excel skills and ability to analyze financial data 

Preferred Attributes 

  • High attention to detail and accuracy 
  • Strong organizational and time management skills 
  • Excellent communication and interpersonal skills 
  • Ability to prioritize work in a fast-paced environment 
  • Comfortable working independently and in a team setting 
  • Discretion when handling sensitive financial information 
  • Compensation expected to be $55,000 to $65,000 dependent on experience.

Who We are: 

At New Charter, we’re building a caliber of business the IT industry hasn’t yet seen. We are serving small-to-medium sized businesses in 10+ industries across North America, and we deliver best-in-class technology solutions to propel our clients into the digital world.

At New Charter Technologies, we’re investing in our people – through growth and learning initiatives, employee benefits, company innovation, and more. We are constantly seeking a diverse candidate backgrounds and perspectives to amplify inclusive hiring practices for each job opening. Our partner companies have career paths for many different role types, whether you want to be deeply technical or whiteboarding with clients, and we are committed to developing fulfilling career paths for all contributors at New Charter Technologies. (Please note: Every application submitted through Workday is reviewed by a real person, not an AI. We value your time and take each submission seriously.)

Our teams are dedicated to pioneering breakthrough technologies, disruptive solutions, and transformative strategies. We’re the architects of change, fostering an environment where bold ideas take flight, and creativity knows no bounds. At New Charter Technologies, we’ve embraced the idea that every individual brings something special to the table. Our foundation is based on the belief that each team member plays a crucial role in our collective success. 

Ready to be part of a dynamic and supportive community where your unique skills and personality shine? We’re on a mission to make a difference, and we want you to be part of the story. Let’s transform the world together and build a career that’s as unique as you are!

We are looking for driven and passionate people who are excited to work in an incredibly rewarding environment. So, if you are ready to learn, be inspired, solve problems, and grow professionally, apply today!  Learn more here: Why New Charter.

Accounts Payable Specialist II

Position: Accounts Payable Specialist II

Location: US (Remote)

Reports to: Assistant Controller

About Us

HighLevel is an AI powered, all-in-one white-label sales & marketing platform that empowers agencies, entrepreneurs, and businesses to elevate their digital presence and drive growth. We are proud to support a global and growing community of over 1 million businesses, comprised of agencies, consultants, and businesses of all sizes and industries. HighLevel empowers users  with all the tools needed to capture, nurture, and close new leads into repeat customers. As of mid 2025, HighLevel processes over 4 billion API hits and handles more than 2.5 billion message events every day. Our platform manages over 470 terabytes of data distributed across five databases, operates with a network of over 250 microservices, and supports over 1 million hostnames.

Our People

With over 1,500 team members across 15+ countries, we operate in a global, remote-first environment. We are building more than software; we are building a global community rooted in creativity, collaboration, and impact. We take pride in cultivating a culture where innovation thrives, ideas are celebrated, and people come first, no matter where they call home.

Our Impact

As of mid 2025, our platform powers over 1.5 billion messages, helps generate over 200 million leads, and facilitates over 20 million conversations for the more than 2 million businesses we serve each month. Behind those numbers are real people growing their companies, connecting with customers, and making their mark – and we get to help make that happen.

Who You Are: 

You are a detail-oriented accounting professional with solid experience managing accounts payable, credit card programs, and employee reimbursements. You thrive in fast-paced SaaS environments and have a strong understanding of expense management best practices and AP processes. You excel at ensuring accurate and timely processing of credit card transactions and employee expense reimbursements while maintaining compliance with company policies. You have hands-on experience with modern expense management platforms and take pride in providing excellent service to internal stakeholders. You’re proactive, organized, and eager to contribute to process improvements that enhance efficiency and accuracy. Your strong communication skills and collaborative nature make you a valued team member who can effectively work with employees across all levels of the organization.

What You’ll Be Doing:

  • Review and validate employee expense reports submitted through ramp and Expensify or similar platforms, ensuring receipts are attached, expenses comply with company policies, and appropriate approvals are obtained.
  • Process employee expense reimbursements accurately and in a timely manner through Ramp. 
  • Perform monthly credit card reconciliations, matching transactions to receipts and accounting records, investigating discrepancies, and resolving issues promptly.
  • Serve as the primary point of contact for employees regarding expense-related questions, providing guidance on expense guidelines, receipt requirements, and reimbursement timelines.
  • Perform the monthly affiliate commissions and endorsement payment and accrual process
  • Analyze monthly commissions to ensure accuracy. 
  • Monitor expense guideline compliance, flag policy violations or unusual spending patterns, and escalate issues to accounting leadership as appropriate.
  • Prepare and post journal entries related to credit card expenses, employee reimbursements, and expense accruals, ensuring accuracy and proper documentation.
  • Assist in the preparation of month-end close processes as it relates to expense management, including reviewing outstanding expense reports, updating accruals, and preparing reconciliation schedules.
  • Maintain organized and complete documentation for all expense transactions, ensuring audit-readiness and compliance with internal controls.
  • Support audit processes by gathering expense-related documentation, preparing schedules, and responding to auditor requests in coordination with the AP Manager.
  • Collaborate with cross-functional teams including HR, IT, and department managers to ensure seamless expense management processes and address any issues that arise.
  • Work with teams on their company credit card needs 
  • Work with payroll to help process any gift card expenses through payroll
  • Assist with vendor invoice processing and AP tasks as needed to support the broader accounts payable function during peak periods or special projects.
  • Identify opportunities for process improvements within expense management workflows, proposing solutions that enhance efficiency, user experience, and controls.
  • Maintain up-to-date knowledge of expense management best practices and system functionality to optimize use of Ramp, Expensify, and other relevant platforms.
  • Generate regular reports on expense trends, policy compliance metrics, and outstanding reimbursements to support management decision-making.

What You’ll Bring:

  • Bachelor’s degree in Accounting, Finance, or related field required.
  • 3+ years of experience in accounts payable with a focus on credit card expense management and employee expense reimbursement processing.
  • Strong understanding of US GAAP accounting principles and accounts payable best practices.
  • Experience working with US companies and familiarity with US business practices and expense policies.
  • Hands-on experience with expense management platforms such as Ramp, Expensify, Bill.com, or similar systems; experience with Ramp strongly preferred.
  • Experience with ERP or accounting systems such as NetSuite, Sage Intacct, or similar platforms.
  • Proficient in Microsoft Excel and Google Sheets, including the ability to create reports, perform lookups, and analyze data effectively.
  • Strong attention to detail and accuracy with the ability to review high volumes of transactions while maintaining quality.
  • Excellent organizational skills with the ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Strong communication and interpersonal skills, with the ability to professionally interact with employees at all levels and provide clear guidance on expense policies.
  • Customer service orientation with a commitment to providing timely and helpful support to internal stakeholders.
  • Self-starter who is proactive, takes initiative, and follows through on tasks and commitments without requiring constant supervision.
  • Ability to adapt quickly to changing priorities and business needs while maintaining composure and delivering quality work.
  • Strong problem-solving skills with the ability to investigate issues, identify root causes, and develop effective solutions.
  • Interest in process improvement and willingness to suggest enhancements that improve efficiency and user experience.
  • Team player who collaborates effectively with colleagues and contributes positively to team culture.
  • Experience in a SaaS or technology company environment is preferred but not required.
  • Excellent time management skills with the ability to balance day-to-day operational responsibilities with month-end close activities.

The salary range for this position is $62000 – $88000 annually.

AR & AP Specialist

About Us:

Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Our platform is designed to foster healthier food choices, drive lasting behavior change, and deliver long-term health outcomes. Through our highly personalized, digital platform, we guide our 2.2 million members—including those in employer-sponsored health plans, regional and national Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers—on a tailored journey to eating well while saving time and money.

Foodsmart seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both at home and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing tangible access to nutritious food. In 2024, Foodsmart secured a $200 million investment from TPG’s Rise Fund, which supports entrepreneurs dedicated to achieving the United Nations’ Sustainable Development Goals. This investment will help us expand our reach, particularly to low-income workers who are disproportionately affected by diet-related diseases. 

At Foodsmart, our mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. We are committed to a set of core values that shape our culture and work environment:

👥 Customer First – You start with the member and work backwards.

🚀 Make It Happen – You act with urgency, use data, and hold high standards.

🤝 One Team – You collaborate with respect and commit as a group.

Whether you’re a dietitian, a commercial leader, or a technologist, working at Foodsmart means being part of a team that is passionate, supportive, and driven by a shared purpose. Join us in transforming the way people access and enjoy healthy food.

About the Role:

We are seeking a detail-oriented and reliable AR & AP Specialist to manage the full cycle of our accounts receivable and payable processes. In this role, you will be the engine room of our accounting department, ensuring our customers remain current on their obligations while also ensuring that our bills are paid accurately and on time. The ideal candidate is a problem-solver who enjoys improving processes and maintains high standards of data integrity.

Overall, you will:

  • Support day-to-day operational accounting activities, including AR and AP.
  • Partner with cross-functional teams (operations, HR, finance) to support business transactions and ensure proper accounting treatment.
  • Assist with external audits, providing documentation and explanations as required.
  • Identify opportunities to improve efficiency in operational accounting processes, supporting best practices and automation initiatives.

For AR, you will:

  • Set up and maintain accurate customer records within the billing system.
  • Generate and send accurate invoices and credit memos to customers.
  • Monitor aging reports and perform proactive outreach to customers regarding overdue balances.
  • Post daily deposits and reconcile them against open receivables.

For AP, you will:

  • Receive, verify, and enter vendor invoices into the accounting system with correct GL coding.
  • Prepare weekly check runs, ACH transfers, and wire payments.
  • Act as the primary point of contact for vendor inquiries and resolve any billing discrepancies or statement disagreements.
  • Review and process employee expense reimbursements, ensuring compliance with company policy and correct GL coding.

You are:

  • An analytical thinker and problem-solver.
  • An effective communicator with good interpersonal skills.
  • Able to work independently and handle multiple priorities under tight deadlines.
  • Highly detail-oriented and dedicated to quality and accuracy. 

You have:

  • Associate or Bachelor’s degree in Accounting, Finance, or a related field
  • 3-5 years of experience in a corporate accounting function (AR, AP, billing)
  • Experience using NetSuite and strong proficiency in Microsoft Excel and Google Sheets are preferred
  • Experience with RCM billings and medical claims management is a plus

$55,000 – $65,000 a year

Role: AR & AP Specialist

Location: Remote, USA

Base Salary Range: $55,000-$65,000 + bonus

Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries at our headquarters in San Francisco, California. Individual pay is determined by work location, job-related skills, experience, and relevant education or training.

About our benefits and perks:

✅ Remote-First Company

✅ Unlimited PTO

✅ Flexible & remote location

✅ Healthcare Coverage (Medical, Dental, Vision)

✅ 401k & bonus

✅ Registered Dietitian Sessions 

Foodsmart is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other protected class.

Enterprise Accounts Payable Clerk-Remote

About UsHEI manages an unparalleled portfolio of leading full-service branded hotels and luxury and lifestyle independent hotels across the U.S. We are the acknowledged experts on upper-upscale, luxury, and premium select-serve hotels in urban, super-suburban, and destination locations. At HEI, we recognize that our enormous success is solely the result of our greatest asset: Our People. Where people work is a choice. Against that choice, our greatest obligation is to ensure day in and day out that our associates have the compensation and benefits they deserve and industry leading tools, training and support that they need to excel. At HEI, simply said, we honor the privilege of our associates choosing us by investing in and making them more valuable.

Don’t meet every single requirement of this job? At HEI we are dedicated to building a diverse and inclusive workplace, so if you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, we encourage you to still send in your information. You may be the perfect candidate for this or for other roles within our organization!

We value U.S. military experience and invite all qualified military candidates to apply.

OverviewAs a member of the Enterprise Services Team, the Enterprise Accounts Payable Clerk is responsible for the timely processing of invoices for the hotels assigned to them. The AP clerk is to use the financial systems given to monitor the flow of invoices submitted, process invoices submitted in accordance to HEI SOPs, resolve vendor and team inquiries, and process payments. Team members ensure that all invoices receives all applicable approvals, as required by HEI policy, prior to processing and remitting the payment to the vendor.

Essential Duties and Responsibilities:

  • Match purchase orders to submitted invoices or to establish default coding when appropriate and submit for approval
  • Validate System invoice data to physical invoice data ensuring all invoice support is accurate and attached
  •  Record vendor ACH payments daily Retrieve and process hotel utility invoices from the utility management vendor daily.
  • Processes all approved invoices for payment as directed by the hotel DOF\CDOF; ensures all appropriate signatures and back-up attached.
  • Maintain AP Distribution Sets to maintain consistent coding across hotels.
  • Handles all vendor inquiries and reconciles vendor statements.
  •  Processes off cycle checks as submitted by hotels.
  • Assist with supplier creation
  • Perform established month end closing tasks
  • Performs other related duties as assigned.

Qualifications and Skills:

Education and Experience

  • Bachelor’s Degree in Accounting, Finance or related field preferred.
  • A minimum of 2 years’ experience in hotel or hospitality related Finance and Accounting.

Knowledge, Skills and Abilities

  • Must have excellent time management skills, the ability to work with both internal and external customers and a keen eye for detail.
  • Must be computer oriented and able to meet deadlines and adhere to company policies.
  • Performs work in a well-organized, self-directed manner with ability to solve complex problems. 
  • Ability to independently prioritize and manage multiple tasks, work both independently and in a team environment, and grasp concepts quickly. 
  • Excellent verbal and written communication skills.

CompensationSalary Range: $21.15 – $21.15 Hourly

Tipped/Service Charge Eligible? No

Revenue Specialist, WC (REMOTE)

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book’s #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. 

Position Summary

The Revenue Specialist acts as the liaison between key client contacts and insurance companies.  This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.

Key Responsibilities

  • Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state worker’s compensation fee schedule and/or PPO contract.
  • Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
  • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
  • Prepare correct Workers’ Comp initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies
  • Other duties as required.

Requirements and Qualifications

  • High School Diploma or GED required.  Associates or Bachelor’s Degree preferred.
  • 1-2+ years’ experience in healthcare field working in billing or collections.
  • 1+ years’ client facing/customer services experience.
  • 1+ years’ experience with workers compensation billing and collections a preferred.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
  • Equivalent combination of education and experience will be considered.
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
  • Regular and predictable attendance.

Special Considerations and Prerequisites

  • Practices and adheres to EnableComp’s Core Values, Vision and Mission.
  • Proven ability to meet and/or exceed productivity targets and goals.
  • Maintains stable performance under pressure or opposition.  Handles stress in ways to maintain relationships with all stakeholders.
  • Must be a self-starter and able to work independently without direct supervision.
  • Proven written and verbal communication skills.
  • Strong analytical and problem solving skills.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • Must be able to remain in stationary position 50% of the time.
  • Occasionally moves about inside the office to access office equipment, etc.
  • Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.

EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.

EnableComp recruits, develops and retains the industry’s top talent.  As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.  We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies.  If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.

 Don’t just take our word for it!  Hear what our people are saying:

“I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” – Revenue Specialist

“I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” – Supervisor, Operations

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Product Specialist

As a Product Specialist, you enjoy helping the sales team grow in new markets by providing responsive customer support and technical expertise? You love to work with internal teams to improve products and turn insights into clear solutions for the customer? You know how to lead product launches, build straightforward go-to-market plans, and bring teams together to deliver results and value? Apply now, we want to meet you!

Your future work environment

  • Thanks to our team’s flexible and agile approach, this role can be performed remotely.

Your future team

As a global leader in wastewater treatment, rainwater harvesting, stormwater management, liquid storage and organic waste recycling, Premier Tech Water and Environment provides sustainable solutions to current and future problems. Thanks to our local roots and our worldwide reach, we have an extensive knowledge of our markets and are masters of our destiny.

What we offer

  • Health, vision, and dental insurance plans – available day one 
  • Short-Term & Long-Term Disability
  • Life insurance
  • Health savings and flexible spending accounts
  • Telehealth
  • Team member and family assistance program
  • 401(K) retirement plan with company match
  • Skills development through our University of Premier Tech platform

Your future role

  • Support sales team with core markets and developing territories to generate sales, create marketing materials, and provide customer service 
  • Collaborating with R&D and Production Engineering teams for product improvement projects 
  • Coordinate and support product launches, including creating go-to-market strategies and working with cross-functional teams to ensure successful execution 
  • Create and edit technical manuals for installation and design of products 
  • Attend conferences, training, and trade shows to support the team
  • Provide technical support to the sales team and assist in the training and development of technical sales materials for new and existing products 
  • Conduct market research to identify trends, customer needs, and competitive landscape to inform product strategies
  • Coordinate customer journey mapping and voice of the customer strategies

Required skills

  • A.A.S or B.S.in marketing, business, engineering related field or equivalent experience 
  • 3 years of experience in marketing, sales, or technical role in product management
  • Experience with wastewater technologies, septic system fields and building materials is an asset
  • Proven ability of orchestrating multiple projects efficiently and meeting deadlines
  • Ability to interpret market trends and customer feedback
  • Skilled in marketing automation, CRM, and analytics with strong data-driven decision-maker
  • Reliable professional with a strong ability to connect with customers
  • Autonomous and self-motivated
  • Available to travel to various locations in USA