Claims Examiner

Date:  Jul 31, 2024

Location:  

Remote, Remote, US

Requisition ID:  10628

Description: 

Work From Home Claims Analyst-(Health Care)

Join us at Firstsource Transaction Services! We are a leading Business Process Management company, providing customer-centric business process services. With a diverse array of resources, we can tap into our talent pools to ensure client proximity, deep market and domain expertise, and superior communication; called our ‘Right-shore’ delivery model. We leverage this model to serve organizations in the Banking, Financial Services and Insurance, Healthcare, Telecommunications & Media verticals. Our brand’s promise is – Business Process. Simplified.

Due to our continued growth, we are looking for results-oriented Claims Analyst to join our team.  In this position, you will enjoy an independent and team work oriented environment. We will provide you with the processes, training and support that will enable you to succeed throughout your career. If you’re in the market for a rewarding and profitable career with one of the industry’s most recognized BPM Services Company, we want to hear from you. Contact us today!

Here are just some of the benefits you will enjoy in this financial services role:

Paid Training

Matrix Pay (paid by the claim) upon training completion

Flexible schedules-After Training

Medical, dental, vision, disability and life insurance

401 (K) plan

Paid time off

Paid holidays

Claims Analyst – Insurance Claims Representative

(Health Care / Medical Financial Services)

Job Requirements

We are seeking a highly-motivated and success-driven Insurance Claims Representative who combines exceptional analytical and problem-solving skills, with the ability to positively adapt to change in a dynamic fast-paced environment.  It is also vital that you display exceptional verbal and written communication, negotiation and active-listening skills, as well as the ability to work effectively in an environment with fluctuating workloads.

Specific qualifications for this medical financial services role include:

  • High School diploma or GED
  • Health claims processing experience
  • Knowledge in the following a plus:
    • medical terminology
    • ICD-9/ICS-10, CPT, and HCPCS coding
    • HIPAA regulations
    • PC applications and systems
  • Ability to read and interpret general business correspondence, procedure manuals, and specific plan documents
  • Basic mathematical skills
  • Intermediate typing skills
  • Multiple computer application usage experience

We are an Equal Opportunity Employer.  All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law

US Video Operator – Part-Time

Part TimeProfessionalBoston, MA, US

4 days agoRequisition ID: 1003Apply

Salary Range:$20.00 To 23.00 Hourly

**Must be USA based. Noting we cannot hire from the following states: AL, AK, AR, DE, HI, ID, MS, ND, OR, SD, WV, WI  and WY

Company Information: 

OpenExchange is the worldwide trusted leader in video and multimedia solutions for investor communications. Our video services enable the vital daily communications of the financial services and professional investment industry and its clients with advanced one-to-one, one-to-many, and many-to-many video technologies, tools and services. OpenExchange currently has operations in Boston, New York, London, Ohio and Hong Kong.  

Job Scope: 

  • Can you envision a job where you are the point person facilitating events online via Zoom? 
  • Do you like to help people feel successful? Our panelists, moderators and attendees will rely on you to create that feeling for them. 
  • Can you tell when something seems off? Be a point of contact for trouble shooting video and audio issues before and during our events. 
  • Do you see yourself using sound judgement to know when to escalate and rely on your team, all the while ensuring we remain connected to the clients and assuring them we will quickly resolve the issues real-time? 
  • With your tech savvy (we will train you on our products) and virtual presence, you will be able to promote positive client relations and seamless events.  

Location:  REMOTE

Must be based in USA. Noting we cannot hire from the following states: AL, AK, AR, DE, HI, ID, MS, ND, OR, SD, WV, WI  and WY

Schedule: 

  • Hours vary from 0-30 per week; dependent upon events and opportunity. No weekly hours guaranteed.
  • EST/EDT time zone based on availability and event schedule 
  • German events are in CET/CEST time zone
  • Must be available for paid training the following dates: 23 August, 26-27 August
  • Must be available with flexible availability: 28-August through 13-September

Responsibilities: 

  • Coordinate and facilitate virtual meetings, live streams and presentations and coordinate virtual meetings for clients (sometimes simultaneously). 
  • Respond to all virtual communication in a timely and professional manner.  
  • Escalate issues as needed; learn and apply solutions in the future.  
  • Proactively engage with the team and jump in to support others as needed.  
  • Client facing, highly profession customer service   
  • Other duties as assigned according to business line and regional attributes.  

Qualifications: 

Education: 

  • Degree educated preferred 

Required Skills: 

  • Ability to work virtually without interruptions   
  • Reliable internet connection and working computer (see requirement list below) 
  • Strong interpersonal communication, collaboration & listening skills  
  • Technologically savvy  
  • Ability to multi-task in a fast paced tech environment
  • Proactive with a positive attitude  
  • Adaptable to change  
  • Critical thinking /analytical skills  
  • Outstanding customer support skills 

Additional Skills: 

  • Experience with Zoom and Microsoft Suite (Teams) 
  • Previous work or virtual meetings from home experience desired 
  • Flexible work schedule

Required Equipment: 

Computer: 

  • PC Requirements: Windows 10 64-bit, Intel i5 6th gen or higher, AMD Ryzen 5 or higher capability. At least 8GB of RAM, 16GB RAM preferred with 128 GB capacity. 
  • Mac Requirements: CPU Intel i7, Apple M1, M1 Pro, M2. Ventura or Sonoma OS. At least 8GB RAM, 16GB preferred with SSD hard drive with at least 128 GB capacity. No virtualized OS. 
  • High-Speed steady internet connection (50mbps or higher required) with video and audio capability. Hardwired internet preferred in addition to Wifi access.
  • We highly recommend a PC over a Mac due to required security compliance software

Catering Partner Operations Associate (Remote)

Remote, USApply

ezCater is the leading food for work technology company in the US, connecting anyone who needs food for their workplace to over 100,000 restaurants nationwide. For workplaces, ezCater provides flexible and scalable solutions for everything from recurring employee meals to one-off meetings, all backed by 24/7 customer service with real humans. ezCater also enables companies to manage their food spend in a single, customizable platform. For restaurant partners, ezCater helps them grow their business by bringing them more orders and new high-value customers. To learn more, visit www.ezcater.com.

We’re looking for a Catering Partner Operations Associate to join our team. This person will be responsible for educating and promoting reliability across our growing catering partner and delivery network.

What You’ll Do:

  • Serve as an internal consultant to our partners to help drive improvement in their catering operations
  • Establish relationships with high level contacts across different account types
  • Proactively assess, clarify, and validate caterer’s operational opportunities on an ongoing basis 
  • Become an subject matter expert on all things delivery, such as:
    • Delivery Reliability – Best practices for consistent operational excellence
    • Delivery Visibility – Tracking delivery progress for all orders
    • Driver App – Our app for self-tracking deliveries
    • ezDispatch – Our offering that connects caterers with third-party delivery services
  • Educate partners on insights and best practices for how to to best optimize their operational excellence
  • Promote and encourage delivery tracking for all our customers
  • Collaborate cross-functionally with our Strategic Accounts, Partner Operations, Marketing, and Menus teams to ensure new partners are supported and set up for success
  • Get in on the ground floor of a new department and be an integral part of developing documentation, best practices, playbooks, etc.
  • Be an advocate for our catering partners!

What you have: 

  • 3+ years experience partnering with and managing external vendors or accounts
  • Experience or familiarity with restaurant or delivery industries preferred 
  • Strong interpersonal skills with the ability to motivate, coach, and develop strong relationships with both internal and external partners
  • Experience analyzing data to make informed recommendations or decisions
  • Experience using analytics software such as Tableau, Sigma, Periscope, etc. a plus 
  • The ability to work effectively with people in a cross-functional environment
  • Proactive tendencies in identifying opportunities for operational improvement and driving solutions 
  • A love of solving challenging problems and working in uncharted territory

The national cash compensation range for this role is $57,000-$67,000*

*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).

Please have fun with the Cover Letter portion of the application! It does not need to follow “traditional” cover letter guidelines – we would love for you to write 150-500 words explaining why you are interested in ezCater and the role, and highlighting anything else you think we should know!

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

What You’ll Get from Us:

You’ll get a terrifically compelling opportunity, in an environment of radical transparency, open access to all the data, and collaborative colleagues at every level of our organization. You’ll also get sane working hours and great flexibility around work/life balance. 

Have people in your life – of any age – who always, often, or sometimes need your help? We make room for that. Have a bad thing or a good thing happen to you? We make room for that, too.

Oh, and you’ll get all this: Market salary, stock options that you’ll help make worth a lot, the usual holidays, all-you-can-eat vacation, 401K with ezCater match, health/dental/FSA, long-term disability insurance, remote-hybrid work from our awesome Boston or Denver offices OR your home OR a mixture of both home and office (you choose!), a tremendous amount of responsibility and autonomy, wicked awesome co-workers, cupcakes (and many more goodies) when you’re in one of our offices, and knowing that you helped get this rocket ship to the moon.

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.


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

Remote Payment Processing Associate

Full-time 100% Remote Payment Processing Associate Position with amazing benefits!

As a Payment Processing Associate, your primary responsibility is the data entry of miscellaneous customer information that includes client statements, banking documents, and settlement offers.

Responsibilities:

  • Verifying data on payments and accompanying documents, processing documents according to a customer’s detailed instructions and document review
  • Team Members must understand the workflow, deadlines and requirements for each individual task. Team Members will train to be able to assist in other departments as needed and perform other duties as assigned
  • Develops and maintains productive working relationship with team members
  • Navigate computer systems to properly assist the customer and locate customer data or other electronic information
  • Ability to think on your feet and overcome objections well

Qualifications:

  • Ability to think on your feet and overcome objections well
  • 6+ months of data entry experience
  • Great attention to detail
  • Desired Qualifications
  • Experience meeting departmental, pre-established, and data entry quotas
  • Good problem-solving skills
  • Ability to navigate multiple computer systems, applications, and programs
  • Ability to follow specific guidelines

Benefits:

  • $15/hr. paid weekly
  • Medical, Vision and Dental insurance per the company plan (First of the month following 30 days of employment)
  • 4O1k/Retirement Benefit Options (See Summary Plan Description)
  • Paid vacation in accordance with the Company PTO Policy
  • 100% company covered life Insurance
  • 100% company covered Short/Long-Term Disability
  • Flexible spending accounts
  • Employee Assistance Program (EAP)

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.

The above job description 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.

An Equal Opportunity Employer

We do not discriminate based on race, color, religion, national origin, sexual orientation, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.

Feed Integrations Specialist

RemoteApply

Garner’s mission is to transform the healthcare economy, delivering high quality and affordable care for all. By helping employers restructure their healthcare benefit to provide clear incentives and data-driven insights, we direct employees to higher quality and lower cost healthcare providers. The result is that patients get better health outcomes while doctors are rewarded for practicing well, not performing more procedures. We are backed by top-tier venture capital firms, are growing rapidly and looking to expand our team.

The Role:

Garner is seeking a diligent and detail-oriented Specialist to join our Feed Integrations team. The Feed Integrations team is responsible for implementing and maintaining the eligibility and claims data feeds that power Garner’s product.

This role is crucial for ensuring smooth and efficient feed operations. You will handle operational workflows that support the success of the Feed Integrations team. Using Garner’s internal tools and other software (e.g., Excel), you will research and validate data, fetch and load files, and create file configurations. You’ll also develop expertise in feed operations and healthcare data.

Responsibilities:

  • Support key operational workflows, ensuring workflows meet SLA and quality standards
  • Use Excel and internal tools to validate data file quality and identify and resolve data discrepancies
  • Create, debug, and maintain feed configurations to ensure accurate loading of claims and eligibility files
  • Fetch and load claims and eligibility data files
  • Research questions related to feed data and respond to inquiries from internal stakeholders (e.g., account managers)
  • Provide feedback and reports about file quality to other members of the Feed Integrations team and internal stakeholders (e.g., account management)

The Ideal Candidate Has:

  • A bachelor’s degree, ideally in a major that required quantitative analysis
  • Experience with Excel, understanding data reports, and reviewing data files
  • Strong analytical and problem-solving skills
  • Ability to follow workflows, maintain clear documentation, and communicate effectively in writing, including writing reports and providing feedback via email
  • Comfort working in an operations environment with clear SLAs, quality assurance programs, and metrics-based management, and the ability to work collaboratively in a team setting
  • A high level of detail- and process-orientation, digital organization, and resourcefulness
  • A desire to work in a rapidly evolving startup environment; comfortable with some ambiguity
  • A desire to be a part of our mission to improve the U.S. healthcare system

What We Look For at Garner:

  • Mission First: Our mission is to transform our healthcare system, delivering high quality and affordable care to all. Everything else is secondary.
  • Expect Extraordinary: Our mission is audacious, so we will only succeed by producing exceptional results. We continually push ourselves and each other to new heights and beyond our comfort zones.
  • Courageous Communication: Transparency and candor are imperative to realizing our potential as an organization and as individuals—even when uncomfortable. Many companies talk about these values. We live them. 
  • Supportive community: We know that people do their best work and learn the most when they feel genuinely supported and cared for. It’s also more fun that way. 

The target salary range for this position is: $50,000–$60,000. Individual compensation for this role will depend on a variety of factors including qualifications, skills and applicable laws. In addition to base compensation, this role is eligible to participate in our equity incentive and competitive benefits plans.

Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.

Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at [email protected]. 

Beware of job scam fraudsters! Our recruiters use getgarner.com email addresses exclusively. We do not post open roles on Indeed, conduct interviews via text, instant message, or Teams and we do not ask candidates to download software, purchase equipment through us, or to provide sensitive information such as bank account or social security numbers. If you have been contacted by someone claiming to be a Garner recruiter or hiring manager from a different domain about a job offer, please report it as potential job fraud to law enforcement here and to [email protected]