Prior Authorization Quality Auditor – Remote

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Energize your career with one of Healthcare’s fastest growing companies.  

You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

The Prior Authorization Quality Auditor is responsible for all aspects of quality assurance within the Customer Service job family. As a Prior Authorization Quality Auditor you will be responsible for conducting audits and providing feedback to reduce errors and improve processes and performance.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:00 AM – 4:30 PM. It may be necessary, given the business need, to adjust daily schedule, work occasional overtime, and / or weekends. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

  • Responsible for quality assurance by conducting audits of calls of Customer Service Representatives
  • Provide feedback to team members on audit results
  • Analyze information and utilize to build recommendations to reduce errors and improve process performance
  • Create, maintain and track reports in relation to performance
  • Serve as subject matter resource to team members, supervisors and management staff
  • Ability to audit across several departments, including call, claim, eligibility, intake and system configuration. Position would require familiarity with training / mentoring, as this role would work with Service Center Advocates on performance gaps found in audits.
  • Positions in this function are responsible for all aspects of quality assurance within the Customer Service job family. Conduct audits and provide feedback to reduce errors and improve processes and performance

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma / GED (or higher)
  • 3+ years of Prior Authorization Call Center experience 
  • Must be within Optum – Shared Services
  • Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook (ability to write letters in documents, ability to enter items into spreadsheets, and ability to manage calendars and send email correspondence)
  • Ability to work any 8-hour shift between the hours of 8:00 AM – 4:30 PM from Monday – Friday including the flexibility to adjust daily schedule, work occasional overtime, and / or weekends based on business need

Preferred Qualifications:

  • Understanding of Call Center Workflows
  • Bilingual Fluency in English and Spanish

Telecommuting Requirements:

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Ability to keep all company sensitive documents secure (if applicable)
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

APPLY HERE

Live Chat Support Specialist

About Kraken
As one of the largest and most trusted digital asset platforms globally, we are empowering people to experience the life-changing potential of crypto. Trusted by over 8 million consumer and pro traders, institutions, and authorities worldwide – our unique combination of products, services, and global expertise is helping tip the scales towards mass crypto adoption. But we’re only just getting started. We want to be pioneers in crypto and add value to the everyday lives of billions. Now is not the time to sit on the sidelines. Join us to bring crypto to the world.
About the Role
The Kraken Client Engagement team continues to grow at an astounding rate and we continue to hire as many talented specialists as we can find. On the Live Chat Support team, we are looking for quality- and results-driven candidates that can provide end-to-end support on a variety of our clients’ requests. By combining in-depth crypto knowledge, a passion for the industry, and a strong technical background, you can play a strong role in our success and ability to deliver world class support.
This is a full-time and fully remote role requiring English fluency.
You must have flexibility in your working hours to define your shifts with your Team Leader and be willing to work weekends.

Responsibilities

  • Be diligent in attending training sessions and keeping up with the knowledge building about the industry, our robust product, and service offerings.
  • Continually improve the client experience by providing a 6-star experience in every client’s interaction.
  • Be proactive and contribute to the team’s growth.
  • Utilize knowledge of crypto markets to solve complex challenges in a dynamic environment.
  • Reach performance goals set by your Team Lead/Supervisor that align with the company’s larger plans.
  • Have regular voice or video 1 on 1s with your Team Lead.
  • Attend Team meetings.
  • Provide feedback and let your management line know how they can help you achieve your goals and potential.

Requirements

  • Motivated by Kraken’s mission and creating a seamless support experience for our global client base
  • Strong knowledge of the cryptocurrency industry and passion for crypto
  • Security and privacy focused
  • Strong crypto and trading knowledge
  • 1+ years of client services/client support experience on Live Chat channel.
  • Experienced in handling a minimum of 3 chats at any given time.
  • Strong communication skills.
  • Ability to work on fast paced environments.
  • Ability to multi-task and to handle high volumes of requests, all while creating a six-star experience for our clients.
  • People-centered, supportive, flexible and a team player.
  • Have flexibility in your working hours to define your shifts with your Team Leader and be willing to work weekends.
  • Availability to work between 20-8 UTC.
  • Previous experience using a customer experience platform is desired, but not a requirement.

Interested so far? Here’s how the hiring process will look:

  • Pre-screen assessment – around crypto and customer support (you’ll have 72 hours to complete this).
  • Interview with the team (60 minutes).

Location Tagging: #US #EU #APAC #CANADA #LI-Remote #LI-RK1
We’re powered by people from around the world with their own unique and diverse experiences. We value all Krakenites and their talents, contributions, and perspectives, regardless of their background. 
As an equal opportunity employer we don’t tolerate discrimination or harassment of any kind. Whether that’s based on race, ethnicity, age, gender identity, citizenship, religion, sexual orientation, disability, pregnancy, veteran status or any other protected characteristic as outlined by federal, state or local laws. 

APPLY HERE

Test Assessor – Casper Rater (United States)

Description

Our purpose

We are here to create a world served by exceptional professionals. Our product, Casper, helps higher education institutions to look beyond book smarts, seeing a clearer, more holistic view of applicants. It’s used by 265+ academic partners in Canada, the US, Australia (and growing!) with 100,000+ applicants taking the test each year, and covers 80% of all US medical school applicants. We also host the Admissions Summit, an annual 2-day conference, and power the Alo Grant, an annual $100,000 research fund.

The role:

Casper Raters are a key part of our mission to create a world served by exceptional professionals by bringing an analytical and unbiased approach to rating the test responses of our applicants.

What you should know about the Casper test:

  • The Casper test is an online selection tool used by academic programs to help assess applicants for non-academic attributes or people skills.
  • The applicants respond to 12 series of 3 open-ended questions, rated by human raters (you!)

What will you be doing?:

  • Reading applicant responses and comparing amongst the overall applicant pool to thoughtfully assign scores
  • Assessing applicant responses based on the onboarding training provided and participating in on-going refresher training
  • Providing feedback to help us improve our tests, platforms, and content

Requirements

What will help you in the role:

  • An empathetic and analytical mindset
  • A high level of comfort working with technology
  • A curious and detail-oriented approach to suggest areas of improvement and spot potential issues with the platform
  • A strong alignment with our company Mission and Values

Raters must reside in the country they are rating responses for and have knowledge and experience of the culture in the country – we welcome applicants from all walks of life in an effort to continue to build a diverse group of Raters!

Benefits

This is a casual contract position and we hire periodically on an as-needed basis. The rate of pay is $0.65/rating and Raters typically make between $20-30/hour when tests responses are available to rate.

APPLY HERE

Order Processing Specialist

Employer: Lexia Learning

We are Lexia Learning, a Cambium Learning® Group company.

Lexia Learning, a Cambium Learning® Group company, empowers educators through adaptive assessment and personalized instruction. For more than 30 years, the company has been on the leading edge of research and product development as it relates to student reading skills. With a robust offering that includes solutions for differentiated instruction, personalized learning, and assessment, Lexia Learning provides educators with the tools to intensify and accelerate literacy skills development for students of all abilities

Order Processing Specialist

With a work environment that encourages and nurtures creativity, great ideas take flight and become products and services built from the bottom up. Working for Lexia, a division of Cambium Learning Group Inc., means that your opportunities are limitless. There’s an amazing energy here. It’s the feeling that we’re doing something unique, unexpected, and beneficial, and it permeates everything we do. We are dedicated to helping people change their lives through the power of language and literacy education. Join our passionate, energetic, and international team and add your talents to Who We Are!

Position Overview:

The full time Order Processing Specialist is an active, integral member of the Operations Team. The successful candidate will interface with cross-functional teams to perform various order processing functions including order entry and validation.

Location: Remote.

Core Responsibilities:

  • Ensure timely entry of orders into sales and financial systems, stressing accuracy and quality control of the order processing life cycle
  • Communicate with customers, Sales Partners , and internal departments to ensure accurate order completion
  • Finalize invoicing and other clerical duties surrounding the order processing life cycle
  • Perform other operational duties as assigned

Qualifications:

  • 1-2 years of relevant order processing and/or operational experience in a corporate environment
  • Proficiency in MS Office Applications
  • Ability to work in a fast-paced, deadline driven team environment
  • Experience solving customer and general order issues in a business setting
  • Familiarity with Salesforce.com a plus
  • Ability to multi-task and can be trusted to work effectively both independently and as part of a team
  • Has a superior attention to detail and accuracy

We Are Operations

We are the glue that connects every part of the company. Behind the scenes we produce the product, enter customer orders, manage the purchasing process, and ensure our many offices operate properly on a daily basis. Collaboration within our team and with other departments is pivotal in order for all departments to function efficiently. Can you bring your A game on Day One? Working with us you’ll have the best of all worlds… the opportunity to work with passionate, talented people who are the best in their fields. Lexia full time employees also enjoy a generous vacation policy, outstanding health and financial benefits, and much more.

Employee well-being is first and foremost at Lexia — we know that professional success depends on personal health and happiness. That’s why we empower you with benefits you can use to succeed in every area of your life, including:

Comprehensive health care benefits

  • 401K with 100% matching up to 3% of salary
  • Vacation time and 11 paid holidays
  • Legal assistance
  • Tuition reimbursement
  • Parking & transit benefits
  • Caregiver & family support
  • Adoption assistance
  • Pet insurance
  • …and much more!

An Equal Opportunity Employer

We are dedicated to fostering a culture that celebrates unique backgrounds, ideas, and experiences. All qualified applicants will receive consideration for employment without discrimination on the basis of race, color, religion, sex, gender, gender identity/expression, sexual orientation, national origin, protected veteran status, or disability.

APPLY HERE