Claim Reconsideration Specialist (Remote in Philadelphia) #35322

Contemporary Staffing Solutions is seeking a Claim Reconsideration Specialist to join our client for a remote opportunity (must be located in/near Philadelphia, PA)! This role is responsible for resolving provider claim reconsideration requests, addressing member billing complaints, and handling issues related to claim adjustment processing. This position requires effective communication via correspondence and telephone to ensure the satisfaction of our provider network. This Contract opportunity is offering $19.95/HR!

Key Responsibilities:
Respond to providers’ inquiries, complaints, and problems with accurate and comprehensive information.
Collaborate with internal departments to facilitate the resolution of provider issues and concerns.
Provide courteous, professional, and efficient responses to provider calls, with timely follow-up to requests for information and service.
Address provider inquiries related to member eligibility, Third Party Liability (TPL), and benefits.
Document all interactions in compliance with departmental requirements.
Review claims in the core processing system and offer high-level claim status information in response to provider inquiries.
Furnish member authorization statuses upon request.
Educate providers on the capabilities of the Provider Portal, including password resets and duplicate Explanation of Payment (EOP) requests.
Assist the team in achieving and maintaining performance standards.
Operate telephone systems effectively and efficiently, following established protocols for security, transfer, and information exchange with Utilization Management, Pharmacy, and Claims Services departments.
Meet individual performance standards, including handling a satisfactory volume of calls and complying with telephone and paperwork audit procedures.
Maintain job-relevant resources, such as the provider manual and the department’s training manual, to ensure accurate responses to provider inquiries.
Participate in ongoing projects, training, staff meetings, and committee meetings.
Perform any other necessary job duties.

Qualifications:
High School Diploma.
General understanding of data entry processing.
One-year customer service experience.
Awareness of CPT-4, HCPCS, and ICD-9 coding schemes is a plus.
Proficiency in Microsoft Office.
Demonstrates clear and professional communication skills.
Contributes to a positive internal and external customer experience.
Identifies and resolves complex issues.
Adheres to all company policies and Standard Operating Procedures (SOPs).
Acts in accordance with the company’s vision, mission, and values.

Math Video Creator – Canada (Freelance)

IXL Learning, a leading educational technology company with products used by 14 million students worldwide, needs tutors and teachers to create instructional videos. In this role, you will create short instructional videos preparing students to do well on an IXL skill for grades 6-8 math.

This is a 1099 consulting role.

This position is open only to candidates in Canada.

WHAT YOU’LL BE DOING
Create short instructional videos targeting individual math skills for grades 6-8 on IXL’s Canada edition
Most videos will be about 5 minutes long.
Conceptualize, shoot, and produce your own videos that explain the given math concept and walk through example problems.
Deliver video lessons in a clear, engaging, upbeat, and professional manner.
Adhere to video production guidelines and file specifications.
WHAT WE’RE LOOKING FOR
Experience teaching or tutoring grade 6-8 math in Canada.
Experience recording, editing, and producing videos.
Ability to present material in an engaging, effective manner.
Understanding of age-appropriate vocabulary and instructional approach.
Bachelor’s degree preferred; coursework in math or education is a plus.
Select candidates will be asked to complete their application by submitting a sample video outline. If selected to create a full video, you will be compensated with $300 USD upon delivery of the completed video and, if necessary, video edits. Candidates with the top videos will be eligible to create more videos.

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ABOUT IXL LEARNING
IXL Learning is the country’s largest edtech company. We reach millions of learners through our diverse range of products. For example:

1 in 4 students in the United States uses IXL.com
Rosetta Stone provides an immersive learning experience for 25 languages
Wyzant is the nation’s largest community of tutors, covering 300+ subjects
Teachers Pay Teachers (TPT) is a comprehensive marketplace for millions of educator-created resources
Our mission is to create innovative products that will make a real, positive difference for learners and educators and we’re looking for passionate, mission-minded people to join us in achieving this goal. We have a unique culture at IXL that fosters collaboration and the open exchange of ideas. We value our team and treat one another with kindness and respect. We approach our work with passion, tenacity, and authenticity. We find it immensely satisfying to develop products that impact the lives of millions and we are eager to have you join our team.

Math Content Tester (Freelance)

IXL Learning, a leading edtech company with products used by 14 million students worldwide, is seeking a content tester to join our math curriculum design team. In this role, you will test the newest additions to our math curriculum to ensure they are error-free and visually perfect and collaborate with curriculum designers on revisions.

This is a 1099 consulting role that is remote for 6 months with possible extension.

WHAT YOU’LL BE DOING
Test math problems for typos, formatting issues, and mathematical errors
Verify that digital math problems match their original designs
Record grading bugs and visual issues
Collaborate with math curriculum designers to meet project deadlines
WHAT WE’RE LOOKING FOR
Exceptional attention to detail
Strong math knowledge through college-level calculus
Bachelor’s degree in math is strongly preferred
Prior experience testing digital materials for math education is preferred
Ability to communicate clearly and professionally

li-remote

ABOUT IXL LEARNING
IXL Learning is the country’s largest edtech company. We reach millions of learners through our diverse range of products. For example:

1 in 4 students in the United States uses IXL.com
Rosetta Stone provides an immersive learning experience for 25 languages
Wyzant is the nation’s largest community of tutors, covering 300+ subjects
Teachers Pay Teachers (TPT) is a comprehensive marketplace for millions of educator-created resources
Our mission is to create innovative products that will make a real, positive difference for learners and educators and we’re looking for passionate, mission-minded people to join us in achieving this goal. We have a unique culture at IXL that fosters collaboration and the open exchange of ideas. We value our team and treat one another with kindness and respect. We approach our work with passion, tenacity, and authenticity. We find it immensely satisfying to develop products that impact the lives of millions and we are eager to have you join our team.

At IXL, we value diversity in age, race, ethnicity, gender, sexual orientation, physical and mental ability, political and religious beliefs, and life experience, and we are proud to promote a work environment where everyone, from any background, can do their best work. IXL Learning is an Equal Opportunity Employer.

Trust & Safety Specialist

Roadie, a UPS Company, is a logistics management and crowdsourced delivery platform. Founded in 2014, Roadie offers businesses fast, flexible and asset-light logistics solutions for last-mile delivery. Roadie enables local delivery to more than 95% of U.S. households by providing access to more than 200,000 independent drivers nationwide – allowing businesses to offer their customers delivery optionality for almost any industry, from airlines to artisans.
Our Trust & Safety team members work together to provide tactical operations to tackle issues that introduce risk and jeopardize safety within the platform. In this role you will report directly to a Trust & Safety Team Lead within a specialized division. You will use your keen eye for details and excellent problem solving skills to identify and prevent fraudulent behavior, and take pride in knowing that you are upholding the Roadie brand by ensuring trust and safety for our users.

What You’ll Do

Identify, thoroughly investigate, and resolve fraudulent-related issues on the Roadie platform
Leverage data to identify patterns and trends in fraudulent activity
Identify procedural gaps to develop efficiency and effectiveness within the team
Manage critical and high-risk situations appropriately and with a sense of urgency
Adjudicate user consumer reports while adhering to geographic compliance & regulations
Validate the authenticity of user identification
Adhere to legal and risk-related policies and procedures
Partner with various stakeholders to implement fraud mitigation tactics and support change management efforts
Investigate, audit, and decision on sender Gig related claims
Research industry standards and best practices to improve internal processes
Reduce company losses by assessing internal and external liabilities
Partner with law enforcement as needed when managing ongoing investigations
What You Bring
At least 1 year experience in a customer or technical support role
At least 1 year experience in a compliance or operations-related role
Exceptional verbal and written communication skills, with an ability to empathize and establish trust
Knack for problem solving using investigative and analytical skills
Proficiency in Salesforce or other CRM systems
Demonstrated ability to execute consistently with high attention to detail, accuracy, and adherence to detailed and complex procedural requirements
Thrive in a fast-paced and agile environment, and navigate ambiguity with ease
Why Roadie?
Competitive compensation packages
100% covered health insurance premiums for yourself
401k with company match
Tuition and student loan repayment assistance (that’s right – Roadie will contribute directly to your existing student loans!)
Flexible work schedule with unlimited PTO
Monthly 3-day weekends
Monthly WFH stipend
Paid sabbatical leave- tenured team members are given time to rest, relax, and explore
The technology you need to get the job done

Freelance Data Entry Clerk – Temporary Contract (FULLY REMOTE)

Founded in 2007, Quimbee is one of the most widely used e-learning platforms for law students and attorneys in the United States. Quimbee has a massive digital library of content designed to help law students and attorneys succeed, every step of the way. We’re looking to expand our team of talented professionals.

We are seeking top-notch data entry clerks in Augusta, Georgia for a freelance project that will last 2-3 months. The project will involve cataloging a selection of law casebooks, which we will ship to you. After you’ve completed the project, the casebooks will be returned to us. The ideal candidate will be computer savvy, have superior typing skills, and have an excellent eye for detail.

This position is 100% remote, but you must be located in Augusta, Georgia.
All you need is a computer, an internet connection, and a quiet place to work.

Responsibilities

Provide general data entry support in a timely and efficient fashion
Transfer data from various sources into the new database
Update databases or records with new information as it becomes available
Identify and correct data entry errors
Prepare relevant reports as needed
Comply with security backups and regular checks to ensure data is saved and stored properly
Willingness to travel to our storage unit periodically
Willingness to ship casebooks
Ability to store up to 20 casebooks for a short period of time
Requirements
Bachelor’s degree
Proven experience as data entry clerk
Fast typing skills; Knowledge of touch typing system is strongly preferred
Excellent knowledge of word processing tools and spreadsheets (GSuite, MS Office Word, Excel etc.)
Excellent command of English, both oral and written
Great attention to detail
Strong ability to learn computer systems and a high focus on processes

Benefits
Hourly Pay: $15-$18 an hour
Flexible Schedule – We anticipate a minimum of 20 hours per week. When you work those hours is up to you.
Completely Remote