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.