by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Navitus is hiring a Coordinator to join their Claims Adjudication Operations (CAO) Implementation team. This role focuses on managing operational data, tracking workflow metrics, and driving process improvements that impact service quality and performance. Ideal for someone who thrives in structured systems, loves clean data, and finds satisfaction in behind-the-scenes wins.
✅ Position Highlights
• Pay: $19.60–$23.06/hour
• Employment Type: Full-Time
• Schedule: Monday–Friday, 8 AM – 5 PM CT
• Location: Remote (U.S.-based, with some state restrictions*)
• Benefits: Health, dental, vision, 20 days PTO, 9 paid holidays, 4 weeks paid parental leave, 401(k) with 5% match, education/adoption assistance, referral bonuses up to $750
*Navitus does not hire remote workers in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
📋 What You’ll Own
• Track incoming work requests using Kanban tools
• Reconcile and verify data across systems for accuracy
• Generate dashboards and reporting metrics for team visibility
• Record time spent on requests and help assess workload sizing
• Support quality assurance and process improvements
• Maintain documentation including internal policies and training materials
• Contribute to team projects and departmental objectives
• Assist with occasional after-hours or weekend work
🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Familiarity with Kanban, workflow tools, and dashboard software
• Strong data entry and Excel skills
• High attention to detail and analytical thinking
• Able to follow through, prioritize, and adapt quickly
• Comfortable working cross-functionally and remotely
• Understanding of compliance and DEI principles is a plus
💻 Remote Requirements
• Must reside in the U.S. (with some state exclusions*)
• Reliable high-speed internet and distraction-free workspace
💡 Why It’s a Win for Remote Job Seekers
• Your work directly improves benefit accuracy and operations
• Stable, structured work environment with meaningful impact
• Great benefits and team culture
• Clear growth paths and opportunities for advancement
✍️ Call to Action
If you’re data-driven, organized, and want to play a key role in improving pharmacy care operations, this is your lane. Apply today and join a team that values precision, purpose, and progress.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Navitus is hiring a Manual Claims Coordinator to process complex pharmacy and direct member reimbursement (DMR) claims. This role blends customer service, pharmacy benefit operations, and audit support to help ensure accurate and timely claims processing—all while improving member experiences and supporting compliance.
✅ Position Highlights
• Pay: $18.67–$21.96/hour
• Employment Type: Full-Time
• Schedule: Monday–Friday, 8 AM – 5 PM
• Location: Remote (some state exclusions*)
• Benefits: Top-tier medical, dental, vision, 20 PTO days, 9 holidays, 4 weeks paid parental leave, 401(k) with 5% match, education/adoption support, FSAs
*Navitus does not hire remote workers in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
📋 What You’ll Own
• Process complex pharmacy and DMR claims
• Interpret plan designs and client-specific rules
• Manage claim-related mail, letters, and documentation
• Verify and batch large claim uploads
• Support internal audits and prepare audit documentation
• Collaborate with Member Services, Clinical, and Client Services
• Create and update training documents and workflows
• Assist with root cause analysis and recommend improvements
• Support implementations for low/moderate complexity clients
• Occasionally support after-hours or weekend work
🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Familiarity with claims, pharmacy, or customer service preferred
• Detail-oriented with strong organizational and communication skills
• Proficient in Microsoft Word and Excel
• Eager to learn benefit designs and internal systems
• Able to juggle priorities and work across departments
💻 Remote Requirements
• U.S. residency required (see state restrictions above)
• Distraction-free home office with reliable internet
💡 Why It’s a Win for Remote Job Seekers
• Strong benefits with a people-first culture
• Entry point into the pharmacy benefit management (PBM) space
• Work with a mission-driven team focused on access and accuracy
• Opportunities for growth in operations, audit, and member services
✍️ Call to Action
If you’re process-driven, love solving problems, and want to help ensure people receive fair and timely access to medications, this might be your next role. Apply now and bring your precision to a company that puts members first.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S., Eastern/Central Time)
🧾 About the Role
Enlyte is hiring a Complex Bill Reviewer 2 to perform detailed, retrospective reviews of complex medical bills. This role ensures billing accuracy and coding compliance in workers’ comp and liability claims. It’s a full-time remote position suited for licensed clinicians with a sharp eye for CPT/ICD codes and audit precision.
✅ Position Highlights
• Salary: $60,000 – $70,000/year (based on experience, skill, and location)
• Employment Type: Full-Time
• Location: Remote (U.S.-based, Eastern or Central Time preferred)
• Department: Customer Service & Support
• Requisition #: 18086
📋 What You’ll Own
• Review and audit complex medical bills (hospital, surgical, specialty, etc.)
• Ensure accurate coding (CPT, HCPCS, ICD-10) and billing levels
• Apply clinical insight to analyze billed services and determine proper payments
• Identify unsupported codes, discrepancies, and potential cost savings
• Handle claims in workers’ compensation, auto liability, and orthopedics
• Use Smart Advisor Plus or similar software to evaluate and process claims
• Meet productivity and accuracy benchmarks
• Support internal teams on escalated cases or training needs
🎯 Must-Have Traits
• Active RN, LPN, or LVN license
• 3–5 years clinical experience (ER, OR, implants, etc.)
• In-depth knowledge of CPT, HCPCS, and ICD-10 coding
• Experience with medical bill review, UR, or case management
• Familiarity with Smart Advisor Plus or EMR/billing software
• CPC certification preferred
• Analytical mindset with strong problem-solving skills
• Clear, professional communication and documentation abilities
💻 Remote Requirements
• HIPAA-compliant home office
• Reliable high-speed internet
• Ability to work independently and manage tasks efficiently
• Proficient in Microsoft Office and quick to learn new systems
💡 Why It’s a Win for Remote Job Seekers
• Work-from-home flexibility with clinical and coding focus
• Help reduce billing errors and streamline care costs
• Competitive salary and full benefits package
• Be part of a mission-driven team that helps people recover from injury
✍️ Call to Action
If you’re a licensed clinician with coding chops and an eye for billing accuracy, apply today. Enlyte is looking for detail-oriented professionals who want to make an impact behind the scenes—and help restore lives, one claim at a time.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Concentrix is hiring a remote Account Manager to lead client relationship growth, boost retention, and drive revenue across a portfolio of existing accounts. This is a customer-facing, data-informed role where you’ll manage renewals, expansion efforts, and ongoing support in a fast-paced, tech-driven environment.
✅ Position Highlights
• Salary: $39,700–$59,600 + performance incentives
• Employment Type: Full-Time
• Location: Remote (U.S.-based only)
• Paid Training Provided
• Applications Accepted: Ongoing
📋 What You’ll Own
• Manage and grow a portfolio of existing accounts
• Renew and convert customer service agreements
• Communicate via phone, email, chat, and video calls
• Use data to resolve issues and boost client satisfaction
• Align clients with marketing tools, fee structures, and platform APIs
• Provide training and resources to increase service adoption
• Collaborate across levels with clients and internal stakeholders
• Monitor account health, identify risks, and propose solutions
🎯 Must-Have Traits
• 3+ years in account management, developer relations, or customer success
• Strong relationship-building and communication skills
• Proven ability to multitask and meet deadlines in fast-paced settings
• Proficient in Microsoft Office and CRM platforms (Salesforce or similar)
• Highly organized with sound decision-making skills
• Must live in the U.S. with a valid U.S. address
✨ Preferred
• Bachelor’s degree
• 5+ years in SaaS, developer ecosystems, or API-driven platforms
• Familiarity with API billing models or technical partnerships
💻 Remote Requirements
• Dedicated, quiet home office
• Reliable internet connection
• Ability to work independently and cross-functionally across remote teams
💡 Why It’s a Win for Remote Job Seekers
• DailyPay access
• Medical, dental, and vision insurance
• 401(k) with company match
• PTO, holidays, and paid training
• Career growth and leadership development
• Affinity groups: Black Professionals, LGBTQ+ Pride, Women in Tech, and more
• Company-wide events and recognition programs
• Strong promote-from-within culture (80% internal mobility)
✍️ Call to Action
If you’re looking to thrive in a high-impact, client-facing role with a global company that values growth and community, apply today. Join Concentrix and help shape what a modern remote career can be.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
One Inc is looking for a highly organized, detail-driven Payment Onboarding Specialist to manage merchant setup, documentation, and onboarding workflows. You’ll be the operational glue that holds the onboarding process together, ensuring merchants are up and running with accuracy, clarity, and speed.
✅ Position Highlights
• Pay: $26–$30/hour
• Employment Type: Full-Time
• Location: Remote (U.S.-based)
• Reports To: Director, Payment Operations
• Department: Payment Operations
• Status: Non-Exempt (Hourly)
📋 What You’ll Own
• Collect and track merchant onboarding documentation
• Coordinate between clients, partners, and internal teams
• Monitor project timelines and status updates
• Troubleshoot merchant setup issues and ensure resolution
• Keep all onboarding documentation current across systems
• Process and follow through on merchant applications
• Conduct due diligence and review for application completeness
• Build and maintain vendor and client relationships
• Support internal reporting and documentation using Excel, JIRA, and Salesforce
🎯 Must-Have Traits
• Advanced Excel skills (formulas, pivot tables, tracking systems)
• Clear, professional communication—written and verbal
• Detail-oriented with strong time and project management
• Independent problem-solver with a collaborative spirit
• Organized and calm under pressure
• Familiarity with JIRA and Salesforce is a plus
📚 Preferred Background
• Bachelor’s in Business, Project Management, or equivalent experience
• Background in onboarding, merchant services, or finance ops
• Experience in the payments or insurance space highly preferred
💻 Remote Requirements
• Quiet, professional home office
• Reliable internet
• Ability to collaborate across departments and time zones
💡 Why It’s a Win for Remote Job Seekers
• Full-time remote with long-term stability
• Work at the intersection of fintech and insurance
• High-impact role where detail and execution matter
• Competitive pay with a culture that values your input
✍️ Call to Action
If you thrive on structure, live in spreadsheets, and love smoothing out operational friction, One Inc wants your precision on the Payment Ops team. Apply now and bring clarity to complexity in the digital payments space.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
One Inc is hiring a detail-oriented and results-driven Collections Specialist to manage B2B collections and recover outstanding debt or negative balances. If you’re skilled in communication, organization, and problem-solving, this fully remote role might be a perfect fit.
✅ Position Highlights
• Pay: Not listed
• Employment Type: Full-Time
• Location: Remote (U.S. only)
• Department: Payment Operations
• Status: Non-Exempt
• Company: One Inc
📋 What You’ll Own
• Communicate with customers to resolve receivables and past-due balances
• Negotiate payment terms and drive timely recoveries
• Investigate delinquencies and recommend next steps
• Resolve disputes across departments to maintain client relationships
• Document all collection activities and generate reports
• Send collection notices, invoices, and statements as needed
• Ensure compliance with SOC audit standards on collections and write-offs
• Manage collections tasks through JIRA and Salesforce
• Deliver exceptional customer service throughout the process
🎯 Must-Have Traits
• Associate’s or Bachelor’s degree in Business or related field
• 2+ years of proven experience in collections
• Strong communication, negotiation, and conflict resolution skills
• Self-motivated with solid organizational and documentation habits
• Familiarity with collection laws and data confidentiality
• Ability to work independently and meet deadlines
💻 Remote Requirements
• Reliable internet and a functional home office setup
• Ability to work in a focused, distraction-free environment
• Proficient with Salesforce, JIRA, and Microsoft Office tools
💡 Why It’s a Win for Remote Job Seekers
• Fully remote, flexible work environment
• Join a fast-growing fintech company transforming digital payments
• Competitive benefits: medical, dental, vision, 401(k), and more
• Culture of internal growth and support
✍️ Call to Action
If you’re a collections expert with a passion for accuracy and client service, One Inc is ready to bring you aboard. Apply now and help power the future of insurance payments.
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