🌐 Coordinator, Manual Claims 💼

by | Jul 14, 2025 | Uncategorized

(Remote – U.S. Based*)

🧾 About the Role
Navitus is hiring a Manual Claims Coordinator to help process complex pharmacy and Direct Member Reimbursement (DMR) claims. This is a hybrid role that touches customer support, pharmacy operations, and benefit accuracy. You’ll be key to making sure claims are handled quickly and correctly—while supporting audits, compliance, and team-wide success.

✅ Position Highlights
• Pay: $18.67–$21.96 per hour
• Employment: Full-time
• Schedule: Monday–Friday, 8:00 AM – 5:00 PM
• Location: Remote (U.S.-based, with state restrictions*)
• PTO: 20 days + 9 paid holidays
• Paid Leave: 4 weeks parental leave
• Retirement: 401(k) with 5% company match (immediate vesting)
• Perks: Education & adoption assistance, FSA, comprehensive health/dental/vision

📋 What You’ll Own
• Process all manual pharmacy and DMR claims, ensuring accuracy
• Interpret plan designs and rules for multiple clients
• Manage physical and digital intake of claim materials
• Prepare and send member and pharmacy communications
• Support large batch uploads and claim verification
• Participate in internal and external audits
• Assist with client implementations and updates
• Document and maintain training materials and workflow guides
• Suggest process improvements and help troubleshoot issues
• Occasionally support after-hours work as needed

🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Experience in claims, pharmacy, or customer service is a plus
• Strong Microsoft Word and Excel skills
• Excellent attention to detail and documentation habits
• Effective communicator and multitasker
• Willing to learn internal systems and benefit plan structures
• Comfortable working cross-functionally and independently

💻 Remote Requirements
• Must reside in the U.S.
• Navitus does not hire in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
• Stable internet and a distraction-free work environment

💡 Why It’s a Win for Remote Job Seekers
• Meaningful, accuracy-driven work
• Break into the pharmacy benefits management (PBM) space
• Strong training, supportive team, and solid career runway
• Comprehensive benefits package

✍️ Call to Action
If you’re organized, detail-minded, and ready to support timely pharmacy reimbursements, apply now to join Navitus as a Manual Claims Coordinator.

APPLY HERE

🌐 Family Health Advocate 🩺

by | Jul 14, 2025 | Uncategorized

(Remote – U.S.)

🧾 About the Role
Sharecare is looking for empathetic, resourceful Family Health Advocates to support individuals and families in navigating healthcare with clarity and compassion. Through remote voice and chat channels, you’ll guide members through everything from insurance benefits to provider searches and care coordination. If you’re driven to help others and comfortable in a fast-paced environment, this is a meaningful way to make an impact.

✅ Position Highlights
• Employment: Full-time
• Location: Remote (U.S. only)
• Start Date: Monday, August 11, 2025
• Paid Training: Monday–Friday, 8:00 AM–4:00 PM CST
• Assigned Shift: May fall between 7:00 AM–7:00 PM CST after training
• Industry: Digital healthcare and member advocacy

📋 What You’ll Own
• Answer member questions via phone and chat about eligibility, benefits, ID cards, and claims
• Help members navigate open enrollment, provider searches, and pharmacy/durable medical equipment needs
• Support resolution of complex issues with insurers, providers, or third parties
• Proactively close care gaps and prep members for procedures
• Connect members to additional care teams as needed
• Promote available health resources and benefits to improve engagement
• Accurately document all member interactions

🎯 Must-Have Traits
• High school diploma or GED (required)
• Associate’s degree or equivalent healthcare experience (preferred)
• Strong written and verbal communication skills across platforms
• Comfortable working across multiple systems simultaneously
• Past experience in any of the following roles is a bonus:
– Health Advocate or Navigator
– Medical Secretary or Assistant
– Pharmacy or Phlebotomy Technician
– Home Health or Patient Care Aide
– Medical Coder, PT/OT Aide, EKG Tech, etc.
• Proven ability to resolve sensitive issues calmly and effectively

💻 Remote Requirements
• Must be U.S.-based
• Reliable high-speed internet
• Quiet and private home office
• Availability for full-time work and training

💡 Why It’s a Win for Remote Job Seekers
• Do meaningful work from home
• Help real people navigate real health challenges
• Grow within a respected, mission-driven health tech company
• Strong onboarding and support structure
• Long-term career potential in a growing industry

✍️ Call to Action
If you want to make healthcare easier, kinder, and more accessible for families across the country, apply now to become a Family Health Advocate at Sharecare.

APPLY HERE

🌐 Credentials Examiner I 🗂️

by | Jul 14, 2025 | Uncategorized

(Remote – U.S.)

🧾 About the Role
American Specialty Health is hiring a Credentials Examiner I to support their Practitioner Contract Administration team. This fully remote, detail-focused position involves reviewing credentialing paperwork and verifying practitioner data to meet internal and regulatory standards. Ideal for someone organized and self-motivated.

✅ Position Highlights
• Pay: $16/hour
• Employment: Full-time
• Schedule: Monday–Friday, standard business hours
• Location: Remote (U.S. only)
• Equipment provided
• Internet required: 50 Mbps download / 50 Mbps upload

📋 What You’ll Own
• Process and verify provider credentialing and recredentialing applications
• Contact practitioners to collect missing or incomplete info
• Maintain accurate records in Promis, PCT, and SharePoint
• Close 150–200 credentialing files monthly
• Respond to provider questions within 48 hours
• Process termination or resignation requests in a timely manner
• Ensure credentialing procedures comply with internal and industry guidelines
• Maintain a 99%+ accuracy rate
• Complete all assigned compliance training on schedule
• Follow remote attendance and productivity policies

🎯 Must-Have Traits
• High school diploma or equivalent
• Typing speed: 45–50 WPM
• Proficient in Microsoft Office (Excel especially)
• Sharp attention to detail and accuracy
• Strong communication and documentation skills
• Able to self-manage in a high-volume, deadline-driven setting
• Ethical, reliable, and able to work with confidential data

💻 Remote Requirements
• Must reside in the U.S.
• Stable high-speed internet (50/50 Mbps minimum)
• Quiet and dedicated workspace
• Able to attend video calls and remote onboarding

💡 Why It’s a Win for Remote Job Seekers
• Entry-level healthcare admin role with career growth
• Training and support provided
• Performance-focused culture with clear metrics
• Work-from-home with provided equipment
• Ideal for those with admin or data-entry backgrounds

✍️ Call to Action
If you’re tech-savvy, reliable, and ready to build a career in healthcare credentialing, apply now to join American Specialty Health as a Credentials Examiner I.

APPLY HERE

🌐 Housekeeping Quality Assurance Agent 🧹

by | Jul 14, 2025 | Uncategorized

(Part-Time, Remote – U.S.)

🧾 About the Role
Pacaso is hiring a part-time, remote Housekeeping Quality Assurance Agent to help ensure every luxury second home meets five-star cleanliness standards. You’ll review post-cleaning inspections, flag issues, and support local teams—all from your home office.

✅ Position Highlights
• Schedule Options:
– Sundays (4 hrs, evening) + Mon & Tue (8 hrs each)
– Or: Sundays (4 hrs, evening) + Mon (8 hrs), Tue & Wed (4 hrs each)
• Employment: Part-time
• Location: Remote (U.S. only)
• Industry: Real Estate Tech / Hospitality
• Perks: Remote culture, home office stipend, growth opportunities

📋 What You’ll Own
• Review inspection photos and checklists after every cleaning
• Verify homes meet Pacaso’s “Stay Ready” standards
• Provide clear, actionable feedback to housekeeping teams
• Monitor restock alerts, maintenance flags, and team responsiveness
• Compile weekly QA reports and escalate repeat issues
• Track and support partner compliance with SLAs
• Coordinate with Market Operations and Central Housekeeping leadership

🎯 Must-Have Traits
• 2+ years in quality assurance, housekeeping ops, or property management
• Sharp attention to detail and strong follow-through
• Direct, clear writing skills for giving professional feedback
• Familiarity with Salesforce or Jotform a plus
• Organized and self-motivated in a fully remote setting
• Bonus: Spanish fluency

💻 Remote Requirements
• Based in the U.S.
• Reliable internet and functional home workspace
• Available during set weekly hours and able to meet quality benchmarks

💡 Why It’s a Win for Remote Job Seekers
• Consistent part-time hours with schedule flexibility
• Join a fast-growing, mission-driven real estate tech company
• Work-from-anywhere model
• Hands-on impact on guest satisfaction and operational excellence
• Foot in the door for tech + hospitality crossover careers

✍️ Call to Action
If you’re detail-driven, comfortable working independently, and passionate about creating flawless guest experiences, apply now to be part of Pacaso’s Housekeeping QA team.

APPLY HERE

🌐 Medical Biller 🧾

by | Jul 11, 2025 | Uncategorized

📍 Remote – U.S. | 💼 Client-Based | 🕒 Full-Time

🧾 About the Role
CrewBloom is hiring a Medical Biller to support a healthcare client with accurate claims processing, insurance verification, coding, and patient billing. If you’ve got a knack for detail, a good handle on billing software, and thrive under pressure, this role is made for you.

✅ Position Highlights
• Full-time, fully remote
• Direct coordination with providers, patients, and insurers
• Fast-paced environment with real impact
• Competitive compensation (rate not listed)

📋 What You’ll Own
• Submit claims to Medicare, Medicaid, and private insurers
• Generate and manage patient invoices
• Confirm insurance eligibility and track referrals/authorizations
• Accurately apply ICD-10, CPT, and HCPCS codes
• Post payments, reconcile accounts, and manage aging balances
• Investigate and appeal denials with supporting documentation
• Answer patient billing questions and set up payment plans
• Maintain accurate documentation and compliance with HIPAA

🎯 Must-Have Traits
• High school diploma required; billing certification preferred
• At least one year of experience in a medical billing role
• Familiarity with systems like Epic or Cerner
• Knowledge of medical coding, insurance plans, and billing regulations
• Clear communicator with patients and providers
• Organized, focused, and good under pressure
• Able to work independently and manage multiple billing cases

💻 Remote Requirements
• Internet: 15 Mbps primary, 10 Mbps backup
• Computer: i5 (8th gen+) or Ryzen 5+, 8 GB RAM minimum
• Backup device: i3 equivalent or better
• Webcam, noise-canceling USB headset
• Smartphone for authentication
• Quiet, dedicated workspace

💡 Why It’s a Win for Remote Job Seekers
You’ll play a key role in making the healthcare billing process smoother, more accurate, and patient-friendly—all from the comfort of your home. It’s a great fit for professionals who want to make a difference behind the scenes.

✍️ Call to Action
If you’re a billing pro who thrives on precision and wants a remote-first setup, apply now and join a team that values clarity, consistency, and compassion.

APPLY HERE