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Intake Specialist
Job Details
Pay Range
Work Schedule Description (e.g. M-F 8am to 5pm)
Remote Work Notification
Overview
Due to growth we are adding an Intake Specialist to our team!
Under direction from the Assoc. Manager, Patient Support Services and pharmacists in the Specialty Pharmacy, the Intake Specialist I is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Intake Specialist I’s main objective is to place phone calls to new and existing patients, answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Intake Specialist I is also responsible for accurately translating prescription information and all other information obtained to dispense the medication into the pharmacy dispensing software. The Intake Specialist I may also be responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialty Pharmacist is accountable for verifying the prescription entry. This position will function with and assist any other area in the facility as needed regarding pharmacy technician type duties.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
- Responsible for placing phone calls to new and existing Specialty Pharmacy patients
- Responsible for enrolling patients into specialty services which may include, patient care management, copay assistance programs, and billing information
- Responsible for answering the inbound calls from patients, prescribers, and other healthcare professionals
- Responsible for contacting doctors to obtain necessary information
- Responsible for managing the assigned workflow queues
- Responsible for accurate and thorough documentation of information and prescription order set up
- The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
- Other duties as assigned
Qualifications
What our team expects from you?
- High school diploma or GED
- Some college preferred
- National CPhT and/or registration/licensure required per employee’s residing state’s requirements
- Minimum two years pharmacy support experience or healthcare environment experience preferred
- Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees
What can you expect from Lumicera?
• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5% – No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account
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Location : Country
APPLY HERE: Intake Specialist
Payment Accuracy Specialist 1
Job Details
Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Payment Accuracy Specialist.
A Payment Accuracy Specialist 1 is a member of the greater Data Mining Business Unit (BU). Cotiviti’s Data Mining team configures custom claim reviews to investigate untapped billing compliance issues specific to regulations and contracted policies across product, market, and provider types.
This role is responsible for auditing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for conducting or assisting in the identification, validation, and documentation of moderate to more complex audit projects. Documents relevant facts, information, and conclusions drawn to support the work performed and validate the claim. Utilizes this information to knowledge share within the audit team. Displays a high degree of independent judgment and professional skepticism that enhances the work performed in order to achieve success in the position.
Responsibilities
- This individual will receive direct supervision and ongoing support to ensure efficiency in production and quality review of assigned work.
- Demonstrates the ability to build and maintain a solid understanding of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish the correct order of liability.
- Proficient with Cotiviti audit tools Recovery Management System (RMS), specific client systems) to complete auditing, review simple – medium proprietary reports, has an advanced understanding of Microsoft Excel and client applications.
- Draws on prior experience to audit standard reports and paid claims to identify over and under-payments of claims. The scope may include Data Mining, Claim Adjudication, Contract Compliance, Provider Billing & Duplicate Payment Reviews, Policy & Reimbursement Analysis, and Quality Assurance. This role is assigned to medium/complex reports.
- Enters overpayments into Cotiviti system accurately and in accordance with standard procedures. Identifies and discusses audit findings with the audit team as a part of knowledge sharing and concept expansion.
- May update current reports, develop, and run custom queries and validate the accuracy of current reports used. Makes determinations based on prior knowledge and experience of client contract terms with the likelihood of recovery acceptance.
- Meets or exceeds standards for productivity, maintains regular and predictable attendance, and achieves production goals and standards set by the audit for the auditing concept. Ensures the expected level of quality and quantity for assigned work, including hit rate, claims written, vendor/project volume completion, ID, and/or fees per hour.
- Meets or Exceeds Standards for Quality by achieving the expected level of quality set by the audit for the auditing concept, for valid claim identification and documentation.
- Responds effectively to inquiries received on claims written. Provides verification of claims validation and confirmation, in a concise written manner, utilizing facts and details for justification purposes.
- Demonstrates aptitude in reviewing transaction types, client contracts/vendor agreements, and client data with limited supervision of how to identify potential over or underpayments. Makes recommendations on medical policy application, state and federal statues, and other reimbursement methodologies as it applies to the audit concept.
- Participates in onboarding new hires and cross-training efforts.
- Identifies New Claim Types & Concept Expansion by researching and identifying potential claims outside the audit concept. Suggests, develops, and analyzes high quality, high value concepts and/or process improvements, tool enhancements, etc.
- Recommends New Concepts & Processes by leveraging knowledge of client, contract terms, and complex claim types. Works towards developing and implementing new ideas, approaches, and/or technological improvements that will support and enhance audit production. Evaluates information and draws logical conclusions. Uses learned, tried, and proven validation methods to test and produce the desired/intended result of the new concept. May collaborate with Engineering in the development of new reports.
- Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements.
- Ensures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is safe, complying with industry standards.
Qualifications
- High School Diploma – Required.
- Bachelor’s degree (Preferred) and/or a minimum of at least (2 – 4) year/s related experience in healthcare.
- At least 2 – 3 years of Cotiviti experience is recommended for individuals seeking their next opportunity internally.
- Healthcare industry experience, including knowledge of Medicaid Claims is strongly preferred.
- Computer proficiency including Microsoft Office (Word, Excel, Outlook, Access).
- Excellent verbal and written communication skills.
- Strong interest in working with large data sets and various databases.
- Ability to work well in an individual and team environment demonstrating self–motivation to deliver success.
Mental Requirements:
- Communicating with others to exchange information.
- Assessing the accuracy, neatness, and thoroughness of the work assigned.
Physical Requirements and Working Conditions:
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- No adverse environmental conditions expected.
Base compensation ranges from $25.00 to $29.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 10/10/2025
Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/10/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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APPLY HERE: Payment Accuracy Specialist 1
Build Resume for $1 Join Extra Leads Club for $1Denials Specialist – REMOTE
Job Details
Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary,
- Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations.
- Follow specific payer guidelines for appeals submission
- Escalate exhausted appeal efforts for resolution
- Work payer projects as directed
- Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues, and referral to refund unit on overpayments.
- Perform research and makes determination of corrective actions and takes appropriate steps to code the DCM system and route account appropriately.
- Escalate denial or payment variance trends to NIC leadership team for payor escalation.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements
- Intermediate knowledge of hospital billing form requirements (UB-04)
- Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology
- Intermediate Microsoft Office (Word, Excel) skills
- Advanced business letter writing skills to include correct use of grammar and punctuation.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
- High School Diploma or equivalent, some college coursework preferred
- 3 – 5 years experience in a hospital business environment performing billing and/or collections
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Ability to sit and work at a computer terminal for extended periods of time
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.
- Call Center environment with multiple workstations in close proximity
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
- Pay: $18.60 – $28.00 per hour. Compensation depends on location, qualifications, and experience.
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
- Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
- For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
Pay Range: $18.60 – $28.00 hourly **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
APPLY HERE: Denials Specialist – REMOTE
Build Resume for $1 Join Extra Leads Club for $1Tier 1 IT Support Specialist
Job Details
NetImpact Strategies is seeking an experienced Tier 1 Enterprise IT Help Desk Support professional to serve as the first line of defense in the IT support structure for a federal customer. As the initial point of contact, you’ll quickly and efficiently resolve basic and routine technical issues—such as password resets, account unlocks, network and software troubleshooting—minimizing disruption to users’ workflows. You’ll also create and escalate tickets for issues beyond Tier 1 scope, ensuring seamless service continuity.
Key Responsibilities
- Provide and manage toll-free SPOC access for all end users and the public.
- Manage IVR and ACD systems to collect, track, queue, and route incoming calls and contacts per NCUA cloud managed services requirements.
- Respond to issues via voice, email, and self-service portal; ensure option to connect to a live agent.
- Coordinate and resolve incidents and service requests in-person, by phone, and through remote assistance tools.
- Provide Tier 1 support for desktop applications, enterprise tools (Microsoft 365, Exchange Online, Intune), and NCUA-specific systems (e.g., SFTP portal, HRLinks).
- Interface with Tier 2/3 teams, AOS, SOC, CSIRT, and other IT service providers for escalated issues.
- Escalate unresolved issues to higher-tier support per guidelines.
- Update ServiceNow KB articles with Tier 2+ feedback to enhance Tier 1 and self-service effectiveness. ServiceNow+1Giva+1
- Resolve common support requests—network, access, passwords, account unlocks—on the first contact. Giva
- Follow ServiceNow and NCUA SOPs: open, update with work notes, escalate if no response after three attempts in 72 hours, and close tickets appropriately.
- Monitor and manage Tier 1 ticket queues to ensure timely and effective resolution.
Qualifications
Required Qualifications
- An associates degree in computer science, information systems, engineering, or related field or a minimum of one (1) year of experience in a relevant IT area
- Proficient in managing multi-channel support (phone, email, tickets).
- Strong troubleshooting skills for hardware, software, and network issues.
- Excellent written and verbal communication with empathy and customer focus.
- Experience using ServiceNow or comparable ITSM platforms for ticket and knowledge management.
- Ability to collaborate with Tier 2/3 teams and communicate escalation paths.
Preferred Qualifications
- Familiarity with federal agency IT standards and compliance requirements.
- Experience supporting Microsoft 365, Intune, and enterprise applications.
- Working knowledge of IVR/ACD systems and call routing technologies.
- Experience contributing to and maintaining knowledge bases and self-service portals.
About Us
Perks of working at NetImpact Strategies
- Your health comes first – we offer comprehensive medical, dental, & vision insurance that starts the first of the month after you join the team
- Invest in your future – 401(k) Plan – Immediately vested employer contributions; no matching required
- Work hard, play hard – we offer a generous Paid Time Off (PTO) policy, one (1) additional day of paid wellness leave per calendar year, and observe ten (10) federal holidays
- Pawsitively pawesome – Pet Insurance (because our little critters are part of our families, too!)
- Invest in your education – Tuition reimbursement, internal training programs, & company-sponsored industry certifications!
- Be part of a dynamic and collaborative work environment recently ranked by The Washington Post as a Top Work Place in 2019, 2021,2022, 2023, & 2024!
- Have fun and celebrate and give back – Team building activities, community volunteering, quarterly HQ days, wellness events, happy hours, family fun events, and more!
ABOUT US
NetImpact Strategies Inc. (NetImpact) has been a Trusted Advisor driving impact through digital transformation for the Federal Government for over a decade. We solve complex problems with innovation and agility to create meaningful, transformative, and enduring change. As Trusted Advisors, NetImpact professionals partner with customer agencies to deliver solutions that empower them to not only meet their missions but also realize their strategic vision through agile, outcome-focused solutions addressing both strategic and tactical requirements. We design and implement comprehensive, tailored solutions that are both mindful of the client’s culture and organizational dynamics. NetImpact’s core values and commitment to a customer and results-oriented delivery approach has propelled our growth and enabled us to deliver impactful value across Strategic Consulting, Process Automation, Cloud, DevSecOps, Data and Analytics, and Cyber Security for the Federal Government.
ACCESSIBILITY NOTE
NetImpact Strategies is committed to complying with all applicable provisions of the Americans with Disabilities Act, as amended (“ADA”), and applicable state and local laws. It is NetImpact’s policy not to discriminate against any qualified person or applicant with regard to any terms or conditions of employment on the basis of such individual’s disability. Consistent with this policy of non-discrimination, NetImpact will provide reasonable accommodations to an individual with a disability, as defined in the ADA or applicable law, who has made NetImpact aware of his/her disability, unless doing so would cause undue hardship to NetImpact. If you are an applicant and need reasonable accommodation when applying for job opportunities within NetImpact, or request reasonable accommodation to utilize NetImpact’s online employment application, please contact careers@netimpactstrategies.com.
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APPLY HERE: Specialist, Customer Acquisition
Build Resume for $1 Join Extra Leads Club for $1Remote Healthcare Customer Representative
Job Details
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Remote Call Center Representative
Would you enjoy being part of a team that makes a difference in people’s lives? Do you love helping people solve complex problems and deliver solutions? We are looking for people with a passion for helping others, naturally empathy, and are determined to deliver a comprehensive solution to healthcare-related calls. To be successful customer service experience is a plus, but not a requirement.
Conduent has plenty of growth opportunities within the healthcare team.
The pay rate is $16 per hour which may be below your state’s minimum wage. Please take this into consideration when applying.
Training is 5 weeks classroom and 2 weeks nesting.
Successfully complete a mandatory paid training program with 100% attendance.
Hours of operation: Monday – Sunday 7:30am – 11:00pm EST
Medical, dental and vision benefits are available on the 1st day of employment.
Paid time off is accrued after 180 days (about 6 months) of employment.
Successfully navigate 6 systems and average 32 calls per day.
Responsibilities for Remote Call Center Representative:
Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans.
Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups.
Actively attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately within the billing system.
Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and resolution.
Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed.
Meet or exceed established ACD (Automated Call Distribution) system call volume and quality performance goals.
Achieve all assigned individual monthly performance metrics.
Maintain current and thorough knowledge of all Member Services policies, procedures, and dental plan updates.
Perform additional duties and responsibilities as assigned by management.
Requirement for Remote Call Center Representative:
Successfully complete customer service assessment & typing test.
High school diploma, GED, or college degree
At least 1 year of Call Center experience preferred.
1 year of face-to-face customer service experience.
Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred.
Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.
Must possess strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving.
Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.
Effective communication skills over the phone.
Ability to deal with problems involving several concrete variables in standardized situations.
Successful completion of background check is required for this position.
Equipment and workspace requirements:
We provide all equipment. (Computer, Monitor, Mouse, Keyboard, Headset, Ethernet Cord, Power Cables)
You must have a home internet connection of 10 Download and 3 Upload Speed (you may do a quick check through https://www.speedtest.net/
Must be able to hardwire your work computer directly to your home modem via ethernet. Ensure the available connection meets the minimum bandwidth requirements to perform your job function. Satellite internet and wireless internet are not acceptable.
Must have a distraction free and secure work environment. (Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area).
The application process will take less than 20 minutes and includes everything required to be considered.
Apply to the role and provide your basic profile information (2 minutes)
Answer prescreens questions to be sure you meet the minimum requirements for the role (3 minutes)
Complete a typing test (1 minute) You will need a keyboard.
Take a short assessment to determine your fit for the role and set everyone up for success (10 minutes).
Important
Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.
We are currently NOT hiring in the following geographies, including but not limited to:
States: AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA.
Metro Areas: Minneapolis – MN, Washington, DC, Denver – CO, Boulder – CO, Edgewater – CO, Flagstaff – AZ.
Be part of the future
Are you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking? Come join us and grow with a team of people who will challenge and inspire you to be the best!
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $16.00/hour.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent’s ADAAA Accommodation Policy.