**IMPORTANT NOTE: Work-from-home jobs fill quickly. While the positions linked below were active at the time this video was published, they may close with little to no notice. Please apply immediately if you’re interested. If a link doesn’t work, it likely means the job has been filled. For even more frequently updated job opportunities, check out my Mega List of Jobs or join Extra Leads Club (links below!).**

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Claims Processor

Job Details

Sana’s vision is to make healthcare easy.

 

All of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system. If you need something, you know where to go to get it with care that is a click (or as few clicks as possible!) away.

 

What’s beautiful about a vision oriented toward “easy” is how it imparts a singular feeling. We instinctively know as humans when something is easy versus hard, even if we can’t explain why. We fight as a company to make an easy pathway available to all our members at every stage of their healthcare journey. If you feel passionate about delivering better healthcare to small businesses through a seamless care experience and affordable benefits, join us!

 

 

We’re currently seeking a Claims Processor who will be responsible for processing insurance claims in a timely and accurate manner. This includes gathering and verifying claim information, researching and resolving claim issues, and communicating with claimants to ensure their satisfaction.

 

We are building a distributed team and encourage all applicants to apply, regardless of location.

What you will do:

    • Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary. Maintain accurate and up-to-date notes of all claims processed.
    • Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties.
    • Become an in-house expert on all claims-related matters and provide answers and support to  Customer Success and Customer Support teams.
    • Identify operational issues and escalate them to the appropriate internal team. 
    • Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.
    • Work independently and as part of a team to meet deadlines and daily processing quotas.  Your success will be measured on your ability to complete daily and weekly targets.

What you will do:

    • Two-year degree and/or two years of claims adjudication and processing experience
    • Unparalleled attention to detail. You love getting into the weeds to get things done.
    • Excellent written and verbal communication skills.
    • Ability to work independently and as part of a team.
    • Fast learner. Entrepreneurial. Self-directed.
    • Ability to meet deadlines and work under pressure.
    • Experience in claims processing, knowledge of insurance principles and procedures is a plus.

Benefits:

    • Stock options in rapidly scaling startup
    • Flexible vacation
    • Medical, dental, and vision Insurance 
    • 401(k) and HSA plans
    • Parental leave
    • Remote worker stipend
    • Wellness program
    • Opportunity for career growth
    • Dynamic start-up environment

$22 – $28 an hour

Our cash compensation amount for this role is targeted at $22.00 – $28.00  per hour (40 hours/week) for all US-based remote locations. Final offer amounts are determined by multiple factors including candidate experience and expertise and may vary from the amounts listed above.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

APPLY HERE: Claims Processor

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Admin Support Tier 1 Associate

Job Details

Sana’s vision is simple yet bold: make healthcare easy. 

 

We all know navigating healthcare in the U.S. is confusing, costly, and frustrating — and our members are used to feeling that pain. That’s why we’re building something different: affordable health plans designed around Sana Care, our integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them.

 

Whether it’s a quick prescription refill or guidance through a complex medical journey, Sana Care makes it feel effortless to get the right care at the right time. And for employers and brokers, we’ve built intuitive tools to make managing health benefits just as seamless.

 

If you love solving hard problems that make people’s lives easier, come build with us.

 

We are looking for an Admin Support Tier I Associate to help deliver a seamless experience for brokers and admins. You’ll be the voice of Sana, resolving issues, educating partners, and ensuring every detail behind the scenes runs smoothly. Our Admin Support team makes healthcare easier by bringing clarity, consistency, and care to every interaction. We believe great support isn’t just about solving problems — it’s about creating confidence.

 

If you love solving hard problems that make people’s lives easier, come build with us.

What you will do:

    • Provide accurate assistance to support the administrative needs of Brokers and Admins across phone and email.
    • Assist with the administrative side of onboarding and system needs for new and renewing Sana plans.
    • Address and resolve complaints or problems, such as billing discrepancies and coverage denials.
    • Issue management and tracking updates on progress
    • Excellent note taking and organization – Maintain detailed records of client interactions, inquiries, complaints, and resolutions.
    • Educate brokers and plan administrators on compliance requirements and contractual obligations of the plan sponsor
    • Assist brokers and plan administrators with navigating their online portal, accessing digital resources, and resolving administrative, technical, and legal issues.
    • Ensure compliance with HIPAA policies regarding the protection of customer information.
    • Re-route tickets accordingly and collaborate with departments like Claims, Care Teams, and Network Operations to resolve customer issues.
    • Meet or exceed performance metrics such as response time, resolution time, customer satisfaction scores, and quality standards.
    • Provide internal feedback on Product issues and safeguard the user experience.

About you:

    • 2 years+ of experience in work areas adjacent to support
    • Strong time management and organizational skills
    • Experience in health insurance or a related field preferred
    • Comfortable with remote work and modern web applications
    • Bilingual in Spanish and English is a plus
    • Ability to handle stressful situations with patience and resilience
    • Adaptable to changing policies, procedures, and technology
    • Outstanding communication skills in-person, over the phone, in writing, via email, chat, carrier pigeon, etc.
    • Unparalleled attention to detail. You love getting into the weeds to get things done.
    • Gritty. You’re willing to jump into any of the team’s work and support. We’re a small team and sometimes when a few of us are out, we all need to help fill in for each other.
    • You are mission-driven. You care about making our healthcare system work better for people and business owners.
    • You ask questions from a place of genuine curiosity and humility.
    • You assume positive intent and meet your teammates with compassionate candor to solve problems together.
    • You remain flexible, resilient, and foster a culture of continuous learning even in the face of hardship. 
    • You bring a bias for action paired with intelligent risk-taking.
    • You follow through on your commitments and foster trust with your colleagues

Benefits:

    • Remote company with a fully distributed team – no return-to-office mandates
    • Flexible vacation policy (and a culture of using it)
    • Medical, dental, and vision insurance with 100% company-paid employee coverage
    • 401(k), FSA, and HSA plans
    • Paid parental leave
    • Short and long-term disability, as well as life insurance
    • Competitive stock options are offered to all employees
    • Transparent compensation & formal career development programs
    • Paid one-month sabbatical after 5 years
    • Stipends for setting up your home office and an ongoing learning budget
    • Direct positive impact on members’ lives – wait until you see the positive feedback members share every day

$26.44 – $26.44 an hour

Our cash compensation amount for this role is targeted at $26.44 per hour for all US-based remote locations. Final offer amounts are determined by multiple factors including candidate experience and expertise and may vary from the amounts listed above.

About Sana

 

Founded in 2017, Sana is a health plan solution built for small and midsize businesses — designed around our integrated primary care service, Sana Care. It’s the foundation of everything we build: ensuring members can easily access high-quality, affordable care while employers and brokers have the tools they need to manage company benefits with confidence.

 

We’ve been remote-first since day one, with a fully distributed team across the U.S. We value curiosity, ownership, and speed — and we build in the open, together. If you’re energized by solving complex, meaningful problems and want to help reshape how healthcare works from the inside out, we’d love to meet you.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

APPLY HERE: Admin Support Tier 1 Associate

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Call Center CT Remote

Job Details

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary

As a Call Center CT Remote at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

  • Answers telephones and responds to basic customer questions and/or forwards call to appropriate personnel.
  • Records call on account history record with results of the inquiry; initiates required confirmation without direct supervision. Researches customer inquiries and responds to appropriate parties in a timely manner.
  •  Processes calls in a manner that ensures service level agreements (SLAs) are met or exceeded. Records calls, processes requests and updates account history with results of inquiry to include proper documentation.
  •  Performs data entry and matches documents to appropriate accounts to ensure up to date and accurate information.
  •  Interfaces with team members, management, and customers in reference to customer service issues.

What we’re looking for

  • 2 or more years of customer service experience in any industry
  • Knowledge of basic help desk software, computer software and Microsoft Office applications 
  • Strong problem-solving skills to bring inquiries to effective resolution
  • Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally
  • Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries

What you should expect in this role

  • Work from home
  •  Training 8am – 4:30pm Monday – Friday
  •  Shift 8:30 – 5pm after training Monday – Friday

#LI-LS2

#LI-REMOTE

 

The pay range for this position is $29,100.00 – $41,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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Prior Authorization Associate – US Remote

Job Details

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

 

Summary

The Prior Authorization Associate supports healthcare operations by performing back-office prior authorization (PA) review and decisioning activities. This role is primarily analytical and documentation-focused, applying established policy and program criteria to ensure accurate and timely determinations. While limited provider interaction may occur, this position is not a high-volume inbound call center role.

Your role in our mission

  • Support state healthcare programs by accurately reviewing and processing prior authorization requests in accordance with established policies and timelines

  • Help ensure members receive appropriate, timely access to care through consistent and well-documented decisioning

  • Contribute to the integrity of healthcare operations by maintaining accurate records and adhering to regulatory and compliance standards

  • Collaborate with internal teams to resolve authorization-related inquiries and improve operational workflows

  • Uphold Gainwell’s commitment to service excellence, accountability, and quality in delivering critical healthcare support services

What we’re looking for

  • At least 2 years of experience in healthcare operations such as prior authorization, utilization management, claims processing, provider services, or related administrative healthcare roles

  • Experience interpreting and applying healthcare policies, procedures, or regulatory guidance

  • Strong written communication skills with the ability to clearly document decisions and outcomes

  • High attention to detail with the ability to balance accuracy, quality, and productivity

  • Ability to work independently in a remote environment while collaborating effectively with internal teams

What you should expect in this role

  • A 100% remote role requiring a reliable high-speed internet connection (minimum 24 Mbps download / 8 Mbps upload)

  • A back-office, analytical work environment focused on prior authorization review, documentation, and decisioning

  • Limited phone interaction compared to traditional call center positions

  • Frequent use of multiple systems to review requests, apply criteria, and document outcomes

  • A comprehensive Gainwell benefits package including medical, dental, and vision coverage, 401(k) with company match, paid time off, paid holidays, floating holidays, and employee wellness programs

#LI-REMOTE

#LI-JT1

 

The pay range for this position is $33,500.00 – $47,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

 
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E-Referral Specialist Home Health

Job Details

Become a part of our caring community and help us put health first
 

 

 

This is a full-time position scheduled for 40 hours/week.

 

Shift/Availability requirements:

  • Monday-Friday from 9:30am-6pm ET.

  • Available to work weekend shifts twice a month.

  • Available to work 3 holidays a year.

 

As an E-Referral Specialist you will report to the E-Referral Supervisor. You will be an important part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. You will be responsible for data collection and documentation, compliance, and follow up on the initial referral process and decision.

 

Essential Functions you will be responsible for:

  • Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications.

  • Monitor email for request to pull referrals from all applicable referral systems. Perform follow-up and manage all related communication.

  • Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.)

  • Help with authorizations.

  • Monitor status of all referrals received, follow up with each throughout process, reports on status weekly.

  • Communicate with branch, sales, leadership by email or phone for status updates and referral decisions.

  • Daily management of ERST log with all referrals and ROCs decisions.

  • Maintain acceptable productivity level, as determined by work assignment and departmental standards.

  • Comply with and follow all regulatory compliance areas, policies & procedures, and company best practices.


Use your skills to make an impact
 

Required Experience:

  • High School Diploma or its equivalent

  • Can type a minimum of 40 wpm

  • Comprehend and apply principles of basic math while analyzing data and generating reports

  • Good logical thinking and decision-making skills

  • Can follow strict timelines

  • Communication with all levels of management

  • Can work with multiple screens/systems ensuring attention to detail

  • Time management skills and can work in a fast-paced environment

  • Must read, write and speak fluent English

  • Must have good and regular attendance

  • Approximate percent of time required to travel: 0%

 

Preferred Experience:

  • Patient referral and insurance verification experience

  • Minimum 1 year customer service or other healthcare related experience; preference working in a home health environment

  • Knowledge of the issues related to the delivery of home health services

  • Working knowledge of Medicare enrollment and guidelines governing home health agencies

  • Associates degree

 

 

Additional Information:

 

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

 

 

Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.

 

Scheduled Weekly Hours

 

40

 

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$40,000 – $52,300 per year


 

 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

 

 

Application Deadline: 02-09-2026


About us
 

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

 

 

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

​
Equal Opportunity Employer

 

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

 
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Inbound Contact Representative

Job Details

Become a part of our caring community and help us put health first
 

The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.

 

 

Required Qualifications
  • Must reside in one of the following states: KY, IN, CO, FL, OH, TX, AZ, TN, VA, OK, and NC​
  • Must be able to work a full-time shift of 40 hours per week and must be available to work a shift of Monday through Saturday 8am-11pm EST (Day off will be determined by business).
  • Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 25×10 (25mbs download x 10bs upload) is required. ​
  • Proficiency in all Microsoft Office Programs including Word, PowerPoint, Excel, Access, Outlook, etc.


Use your skills to make an impact
 

Preferred Qualifications

  • 1+ year of customer service experience

 

Additional Information

As part of our hiring process for this opportunity, we will be using exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

 

If you are selected for a first-round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone or text, and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

 

 

Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.

 

Scheduled Weekly Hours

 

40

 

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$38,000 – $45,800 per year


 

 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

 

 


About us
 

About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

 

 

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

​
Equal Opportunity Employer

 

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

 
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Call Center Service Advocate I – Remote

Job Details

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

 

 

 

Company: Oak Street Health

 

Title: Contact Center Service Advocate I

 

Location: Remote

 

 

Role Description:

The CC (Contact Center) Service Advocate helps us meet the goal of successfully managing comprehensive care and providing an unmatched patient experience for all Oak Street Health patients. The CC Service Advocate is responsible for providing exceptional customer service by scheduling patient appointments efficiently and accurately. This role involves handling inbound and outbound calls, managing appointment schedules, and ensuring an unmatched patient experience.
 

Core Responsibilities:

  • Appointment Scheduling: Handle inbound and outbound calls to schedule, reschedule, and cancel patient appointments.
  • Customer Interaction: Provide courteous and professional service to patients, addressing their inquiries and concerns.
  • Data Entry: Accurately enter patient information and appointment details into the scheduling system.
  • Communication: Communicate appointment details and any necessary instructions to patients clearly and effectively.
  • Problem Resolution: Address and resolve any scheduling conflicts or issues promptly.
  • Collaboration: Work closely with medical staff and other departments to ensure smooth scheduling operations.
  • Follow-Up: Conduct follow-up calls to confirm appointments and provide reminders to patients.
  • Documentation: Maintain accurate records of all interactions and transactions with patients.
  • Other duties or special projects as assigned.

 

Working Conditions:

  • Environment: Remote office setting with a focus on phone-based interactions.
  • Hours: Assigned schedules of 40 hours per week; schedule assignments vary based on business needs. The Service Excellence Contact Center is open 24/7; some schedules may include one weekend shift.

Remote Work Requirements:

  • Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systems
  • Prior remote work experience
  • Ability to obtain high-speed internet and hardwire equipment to router/modem
  • Distraction-free and private remote work environment required as well as reliable dependent care during working hours
  • Ability to provide own transportation for instances where on-site support is required for employees located within 50 miles of a physical OSH location/center
  • Ability to participate in classroom-style remote training sessions
  • An understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment

 

Career Development Opportunities:

The career path from CC Service Advocate I to CC Service Advocate II includes:

  • A minimum tenure of 6 months in the CC Service Advocate I role
  • Consistently demonstrates strong problem-solving abilities, effective communication, and a thorough understanding of customer needs
  • Demonstration of a strong desire to learn and grow in their role
  • Meet “Exceptional” performance metrics for a minimum of 3 consecutive months (targets are subject to change with 30-day advance notice) for all job skills:
    • Average Handle Time
    • Unavailable time
    • Quality Metrics
    • Schedule Adherence (adhering to your assigned work schedule set by Workforce Management based on business needs [shift arrival and departure times, and assigned lunch/break times])
  • Demonstrate proven reliability and satisfactory attendance

The progression path from CC Service Advocate Level I, Level II, and Level III positions within the Service Excellence Contact Center is a structured path that encourages advocates to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Each role level builds upon the skills learned in the previous one, with the ultimate goal of enabling advocates to provide superior support and contribute to the overall success of the contact center.

 

What are we looking for?

 

  • High School diploma or equivalent required, some undergraduate education preferred
  • 1 year of customer service experience, call center environment experience preferred
  • A flexible and positive attitude
  • A friendly and nurturing attitude toward our patient population of older adults
  • Experience with EMR (Electronic Medical Record) documentation preferred
  • Ability to multitask, prioritize, and manage time effectively
  • Outstanding phone demeanor and etiquette
  • High level of integrity
  • Proficient PC skills, including basic Microsoft Excel skills
  • Spanish, Mandarin, Cantonese, or Polish speakers preferred
  • US work authorization

 

 

 

 

Anticipated Weekly Hours

40

 

 

Time Type

Full time

 

 

Pay Range

The typical pay range for this role is:

 

$17.00 – $34.15

 

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

 

Great benefits for great people

 

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

 

For more information, visit https://jobs.cvshealth.com/us/en/benefits

 

 

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

 

 

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

 
 
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Data Entry – Mail Room

Job Details

Start Date (Tentative): 2/23/2026

Pay Rate: $14/hr

The Data Entry Operator is an entry level position which is production oriented.  Individuals are responsible for the introduction of data into the system which is then provided to the client for use in their internal adjudication system.

FOUNDATION KNOWLEDGE, SKILLS, AND/OR ABILITIES REQUIRED

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

ESSENTIAL DUTIES AND RESPONSIBLITIES

•         Enter data from scanned and/or processed images into the data capture system. 

•         Meet expected hourly production volume goals.

•         Maintain quality levels above minimums set by management

•         Increase speed and difficulty of tasks as expected with training and practice

•          

ADDITIONAL RESPONSIBILITIES

•         Maintain awareness of and actively participate in the Corporate Compliance Program.

•         Maintain a neat and orderly workstation.

•         Assist with other projects as assigned by management

•         Must be prompt and dependable (excellent attendance)

•         Must be comfortable working in a production environment

•         Proficient typing skills are required (35wpm / 98% accuracy min) (test required).

•         Possess excellent organization skills

•         Reliability of task completion and follow-up

 

Qualifications – External

EDUCATION/PREVIOUS EXPERIENCE

High School diploma or equivalent

Excellent Data Entry Skills

Computer Knowledge

Basic Math Skills

 
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Renters Claims Examiner – MSI

Job Details

Why MSI? We thrive on solving challenges.

 

As a leading MGA, MSI combines deep underwriting expertise with insurer and reinsurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers’ unique needs. 

 

We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products – from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property – delivered through agents, brokers, wholesalers and other brand partners.

 

Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle. 

 

Bring on your challenges and let us show you how we build insurance better.

 

As we expand our in-house renters claims handling capabilities, we’re seeking a Claims Examiner who is excited to be part of a growing team where renters claims experience is highly valued.

 

The Claims Examiner is considered an expert in managing insurance claims for our policyholders. The Claims Examiner must have technical knowledge of insurance claims handling and the skills to deliver superior service to our customers. The ability to build relationships and communicate effectively with a diverse range of clients, carriers, and colleagues is a key success factor in this role. Strategic vision, coupled with tactical execution to deliver results aligned with goals and objectives, is critical to the overall success of this position. Previous renters’ claim handling experience is a plus but not required.

 

PRIMARY RESPONSIBILITIES:

  • Investigates and analyzes claim information to determine the extent of liability.
  • Handles First Party Property Claims.
  • Assist in suits, mediations, and arbitrations. Works with Counsel in the defense of litigation.
  • Sets timely, adequate reserves in compliance with the company’s reserving philosophy.
  • Engages experts to assist in the evaluation of the claim.
  • Monitors vendor performance and controls expenses.
  • Evaluates, negotiates, and determines settlement values.
  • Communicates with all interested parties throughout the life of the claim.
  • Proactively discusses coverage decisions, the need for additional information, and settlement amounts with interested parties.
  • Handles all claims in accordance with Best Practices.
  • Responsible for monitoring and completing assigned claims inventory.
  • Acquire and maintain a state adjuster’s license and meet state continuing education requirements.
  • Provides best-in-class customer service for insureds and agents.
  • Updates and maintains the claim file.
  • Identifies opportunities for subrogation and ensures recovery interests are protected.
  • Identifies fraud indicators and refers files to SIU for further investigation.
  • Participates in claims audits, internal and external.
  • Provides oversight of TPAs.

 

KNOWLEDGE, SKILLS & ABILITIES:

  • Ability to communicate clearly, professionally, and provide superior customer service over the phone and through written correspondence.
  • Strong organizational and time management skills.
  • Strong writing skills.
  • Excellent analytical, investigative, and negotiation skills.
  • Proficient with Microsoft Office, Teams, Word, Excel, and various other computer skills with the ability to learn and utilize new computer systems and other technologies.

 

EDUCATION & EXPERIENCE:

  • Associates or Bachelor’s degree preferred.
  • Claims handling experience preferred; Renters’ claims handling experience a plus.
  • Must have Property & Casualty Insurance License or be willing to obtain a license within the first 90 days of hire and maintain a license going forward.

 

 

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The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.

 
 
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