Claims Examiner I (Remote, $15/hour)

Description

American Specialty Health Incorporated (ASH) is seeking an Examiner I to join our Claims department.

The primary purpose of this position is to verify claim information lifted from the CMS 1500 form by Optical Character Recognition and enter data from CMS 1500 Claim Forms into the Claims Processing System, and to process claim edits from electronic claims. This position is responsible for the accurate review, input and adjudication of claims in accordance with regulations, ASH standards and contractual obligations of the organization.

Remote Worker Guidelines

  • Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet connection must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings.


Responsibilities

  • Processes claims accurately and efficiently.
    • Reviews all incoming claims to verify necessary information.
    • Determines that correct member and provider records are chosen and utilized to process claims.
    • Enters claims data and information into the computerized Claims Processing System.
    • Maintains all required documentation of claims processed and claims on hand.
    • Adjudicates claims in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
    • Maintains production standards; for direct data entry claims this includes processing an average of 31 claims per hour, with an accuracy rate of 98.5% over each pay period.
    • Verifies data of scanned paper claims at stated standards.
    • Provides backup for other examiners within the department.
    • Promotes a spirit of cooperation and understanding among all personnel.
    • Attends organizational meetings as required.
    • Adheres to organizational policies and procedures.
    • Maintains confidentiality of all claim files, claims reports, and claims related issues.
  • Performs other duties as assigned.
  • Complies with all policies and standards.


Qualifications

  • High School Diploma or GED certificate required.
  • 6 months data entry experience with 10 key and word processing; minimum 10,000 keystrokes per hour required.
  • Experience processing medical claims and knowledge of medical billing terminology and coding strongly preferred.
  • Proficient in MS Office.
  • Ability to work and maintain production in a work-from-home (WFH) environment.
  • Demonstrated ability to show self-discipline to meet production goals.


Core Competencies

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage time.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.



Mobility

  • Primarily sedentary, able to sit for long periods of time.


Physical Requirements

  • Ability to see, speak, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to lift up to 10 lbs.


Environmental Conditions

  • Work-from-home (WFH) environment.


American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

Credentials Examiner I (Remote, $16/hour)

Description

American Specialty Health Incorporated (ASH) is seeking an Examiner I to join our Credentialing department.

To expedite credentials verification of practitioners in the credentialing or recredentialing process according to department standards, accreditation standards, regulatory requirements, and health plan expectations.

Remote Worker Guidelines

  • Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet connection must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings.


Responsibilities

  • Responsible to obtain information to credential new applicants and recredential participating practitioners according to department standards.
    • Obtain required documentation by mail, fax, or phone and update practitioner files.
    • Communicate with practitioners by mail, fax, or phone to answer questions and obtain information in a timely manner.
    • Respond to provider inquiries within 48 hours of receipt via phone and/or email communication.
    • Communicate with management any barriers for further support.
    • Must successfully close a combined minimum number of 200 Rehabilitative files and 150 Specialty Credentialing files as set by department manager and subject to change based on business need.
    • Must successfully close a minimum number of 200 Re-Credentialing files as set by department manager and subject to change based on business need.
    • Ensure terminations and resignation requests are sent by set timeline established by department manager and can be subject to change based on business need.
    • Enter data and perform research functions in Promis/PCT/SharePoint/ASHCore to complete each portion of the credentialing process within predetermined timelines.
    • Must complete regulatory trainings within the timeframe provided by department manager.
    • Perform all duties necessary in handling the credentialing and recredentialing process within predetermined timelines and state regulatory standards.
    • Quality Assurance measures should maintain accuracy rate of no less than 99%.
    • Abide by departmental work from home expectations.
    • Abide by Attendance & Punctuality policy and department expectation
  • Performs other duties as assigned.
  • Complies with all policies and standards.


Qualifications

  • High School Diploma or GED certificate required.
  • Typing speed must be between 45-50 wpm.
  • Proficient in MS Office, including experience with Excel.


Core Competencies

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage time.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.


Mobility

  • Primarily sedentary, able to sit for long periods of time.


Physical Requirements

  • Ability to see, speak, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to lift up to 10 lbs.


Environmental Conditions

  • Work-from-home (WFH) environment.


American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

Part-Time DAI Operator

The NFL Digital Media Team is seeking an individual passionate about professional sports to assist with Digital Ad Insertion for live football games. The Digital Ad Insertion Operator (DAI) is responsible for monitoring a live game and events feed from start to finish and inserting ad cues during commercial breaks. Candidates will be working in a live video distribution environment, and punctuality is of the essence.  

The role incudes opportunities to both insert breaks and to monitor performance of ad delivery using a variety of visual and data reporting sources.  The team’s focus is on continuous improvement in their ability to understand and measure the overall effectiveness of the ad delivery system, through evolving tools, processes and capabilities.  

Responsibilities

  • Monitor Live Game and program Video for commercial breaks and compare source video feed to digital distribution. 
  • Perform as either a primary operator or as a backup. 
  • Monitor listen-only lines for commercial break instructions. 
  • Follow Ad Break program guides, calculate break durations and break insertion points. 
  • Report any issues to supervisor. 
  • As directed, monitor and generate ad delivery performance metrics and provide immediate notification of any delivery anomalies detected.  
  • Perform application and system testing of ad delivery as directed.  

Required Qualifications

  • Must have high school diploma; GED or equivalency (Some college, no degree required)  
  • Proven experience working with computers in an office environment. 
  • Basic working knowledge of Microsoft Windows Applications (Word, Excel, PP, Outlook) in PC or MAC  
  • Working knowledge of email, slack and web browsers in PC or MAC  
  • Proficiency with a variety of mobile (iOS, Android) and Connected TV Devices (FireTV/AppleTV/Roku/AppleTV) as used in a testing or development environment. 
  • Must be extremely organized and detail-oriented with the ability to follow through on multi-step instructions. 
  • General availability for Sunday and other peak event Game Days during the NFL Football season – refer to nfl.com/schedule for specific dates.  

Preferred Qualifications

  • Bachelors, or Associate degree preferred. 
  • Prior experience working for the NFL. 
  • Previous experience working in live TV/broadcast environments (production, stage, etc.) is preferred. 
  • Availability on non-Game Days a consideration. 
  • Availability for occasional in-office work is a consideration. 

Other Key Attributes / Characteristics

  • Must possess a strong work ethic, positive workplace approach and work well with others. 
  • Passionate sports-fan, knowledgeable about football (preferred not required). 
  • Punctuality is must for this position. 

Terms / Expected Hours of Work

  • This is a remote position
  • Up to 7 months of employment based on business needs 
  • Part-time – Must be available for 4 hour (min) to 8 hour (max) shifts on NFL Gamedays (Monday, Thursday, Sunday) and holidays where schedule applies (Thanksgiving, etc.) 

Salary / Pay Range

This job posting contains a pay range, which represents the range of salaries or hourly rates that the NFL believes, in good faith, at the time of this posting that it might be willing to pay for the posted job in the location(s) specified. The NFL expects to hire for this position near the middle of the range. Only in truly rare and exceptional circumstances, where an external candidate has experience, credentials or expertise that far exceed those required or expected for the position, would the NFL consider paying a salary or rate near the higher end of the range.

Salary

$20 – $20 USD

Benefits Information
To learn more about our comprehensive benefits offerings, please visit: NFL BENEFITS

At the NFL, in-person work at our offices is a top priority because it allows us to collaborate more effectively, build stronger connections, and maintain the culture that drives our success. This role requires onsite presence at an NFL office or stadium location, and remote and/or hybrid working options are not offered. 

NO RELOCATION ASSISTANCE WILL BE PROVIDED.

The NFL is committed to building an inclusive work environment that reflects our incredible fan base. We provide an environment of mutual respect where equal employment opportunities are available to all employees and applicants without regard to status as protected by applicable federal, state, and local laws. 

WHO WE ARE:

NFL Core Values:

  • Respect: Everyone matters. We celebrate diverse opinions, honor hard work, and value every contribution.
  • Integrity: We do what’s right, even when it’s tough. We hold ourselves accountable and always follow through.
  • Team Responsibility: We support each other and our communities. No one is bigger than the game, and every action impacts others.
  • Resiliency: We set high standards, overcome adversity, and adapt to challenges, always striving for excellence.

NFL Leadership Attributes:

  • Build Talent: We develop and nurture potential, empowering individuals to grow and succeed.
  • Execute: We take action with precision, delivering results that drive our goals forward.
  • Inspire: We motivate others through vision, energy, and a commitment to excellence.
  • Live Our Values: We embody our core principles in every decision and action.
  • Know the Business: We stay informed, understand our industry, and make decisions that strengthen our position.
  • Think Big: We challenge the status quo, envision bold possibilities, and strive for transformative impact

WHO YOU ARE:

Talent Attributes:   What we expect for our employees:

  • Embody an enthusiastic, proactive can-do attitude 
  • Embrace grit, free from ego or entitlement
  • Excel as a relationship builder, with the ability to influence
  • Eager learner, driven by passion rather than just ambition
  • Encompasses an incredible work ethic with an agile mindset

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.

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 

 – Onsite position is REMOTE 

 – Full-time, Mo-Fri 8:00 am-5:00pm PST 

 – Processing medical records requests – customer service- high level call center support 

 – Full benefits: PTO, Health, Vision, Dental, 401k savings plan, and tuition assistance

– Tremendous growth opportunities both locally and nationwide  

Equipment will be provided 

What We’re Looking For

 – Strong customer service and clerical skills 

 – Proficient in Microsoft Office, including Word and Excel

– Comfortable working in a high-volume production environment

– Medical office experience preferred

– Willingness to learn and grow within Datavant

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.

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 here. Know 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.

Workforce Management Specialist

OverviewApplication

Hi, we’re Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self – we like you that way.

You Will:

  • Monitor inbound contact center queues and channels throughout the day to ensure staffing levels align with forecasted volume
  • Track agent adherence to scheduled activities and flag deviations in real time
  • Manage inbound WFM tickets, including schedule change requests and break/lunch modification approvals
  • Review and update attendance tracking records to ensure accuracy for scheduling and payroll alignment
  • Engage with team members and escalate behavioral trends to supervisors or leadership as needed
  • Pull and analyze workforce data from our ACD/telephony platform and WFM system to support accurate scheduling decisions
  • Capture, store, and report on historical call center statistics including volume, handle time, shrinkage, and off-phone activity
  • Deliver daily and ad hoc WFM exception reports to leadership
  • Assist in forecasting and capacity planning by providing data-driven insights on headcount needs across multiple lines of business
  • Build expertise in IVR testing and QA tasks to support more senior team members
  • Partner with supervisors, QA, and training teams to align schedules with operational needs
  • Support coordination with BPO partners to ensure consistent adherence monitoring and reporting across all staffing channels
  • Contribute to workforce planning discussions by providing reporting support and historical analysis

You Bring:

  • 1–3 years of experience in a contact center environment, with exposure to workforce management, scheduling, or real-time monitoring
  • Hands-on experience with Five9 as a primary telephony/ACD platform
  • Intermediate to advanced Excel skills, including comfort with formulas such as VLOOKUP/XLOOKUP, IF statements, rolling averages, and pivot tables
  • Familiarity with ACD or telephony platforms (e.g., Five9, Genesys, Avaya, or similar)
  • Strong analytical mindset with high attention to detail and the ability to identify trends in data
  • Excellent organizational and time management skills—able to manage competing priorities in a fast-paced environment
  • Clear written and verbal communication skills; comfortable presenting data summaries to supervisors and leadership

Extra Credit

  • Experience working with dedicated WFM software (e.g., Community WFM, Calabrio, NICE IEX, or Assembled.
  • Experience with Tableau or a similar data visualization tool for building and maintaining operational dashboards and performance reports
  • Familiarity with BPO partner environments and multi-vendor workforce coordination
  • Background in healthcare, insurance, or another regulated industry

A Little More About Us:

  • We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.
  • We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.
  • Our clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% – nearly 40 points above the industry average.
  • Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve.

Benefits

Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, transportation perks, education reimbursement, and 2 days of paid paw-ternity leave.