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Precertification and Authorization Rep – Remote

Job Details

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
 
Benefits Highlights
  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.



Responsibilities

The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts, as well as working assigned registration denials for government and non-government accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit’s performance expectations.



Qualifications

High School Diploma or GED and 2+ years of relevant experience required

OR

Bachelor’s degree required


Additional Requirements include:
Prior Auth / Authorization, Cancer Services, Microsoft Office, Radiation Oncology, Insurance Verification, Appeals, and Pre Determination experience preferred.

Ability to read and communicate effectively
Basic computer/keyboarding skills, intermediate mathematic competency
Good written and verbal communication skills
Knowledge of proper phone etiquette and phone handling skills
Position requires general knowledge of healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred. Healthcare Financial Management Association (HFMA) Certification Preferred.

*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question – Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.



Exemption Status

Nonexempt

Compensation Detail

$21.48 -$33.60/ hour

Benefits Eligible

Yes

Schedule

Full Time

Hours/Pay Period

80

Schedule Details

Rotating schedule (time listed are Central Time) Week 1 – 7:00am-3:30pm Week 2 – 8:00am-4:30pm Week 3 – 8:30am-5:00pm *All with a 30 minute lunch*

International Assignment

No

Site Description

Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the “EOE is the Law”.  Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee’s Form I-9 to confirm work authorization.



Recruiter

Ronnie Bartz

APPLY HERE: Precertification and Authorization Rep – Remote

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Claims Examiner – Long Term Care (Remote)

Job Details

This position is responsible for examining routine and non-routine claims for one or more products and multiple series of contracts by evaluating the extent of liability within established guidelines. This position is accountable for analyzing claims to determine benefit/contract eligibility and processing claim transactions within specified dollars limits in compliance with state and federal regulatory standards, and NAIC (National Association of Insurance Commissioners) guidelines. Additionally, this position is a member of a team, actively partners with peers on meeting established service and quality standards, provides coaching and training to other Examiners and identifies opportunities for process improvements.Job Duties and Responsibilities

  • Determine extent of liability on routine and non-routine claims and make final claim decisions within specified dollar limits. Contribute to accurate fraud detection and reporting by referring suspected fraud to appropriate staff for review according to established procedures.
  • Analyze claim transactions and process payments utilizing various work flow, administrative, and LOB (Line of Business) systems, accurately and cost effectively according to contract provisions and in compliance with internal service and state and federal regulatory standards.
  • Ensure high level of customer satisfaction by partnering with members, financial associates, doctors, providers, attorneys, police, vendors and other internal and external customers regarding claims, settlements and interpretation of policy provisions, which may include highly confidential information or complaints, often educating the recipient on products/benefits and regulatory requirements.
  • Handle sensitive written and verbal communications. May be called upon to influence behavior via these communications.
  • Actively participate in the development and implementation of business processes, standard operating procedures, documentation and other support materials required for unit operation. May also analyze data and offer remediation in response to audit inquiries or compliance examinations as determined by the Claims Consultant.
  • Provide consultation to Associate Claims Examiners in helping to answer questions and make decisions on claims with a moderate level of complexity.

Required Job Qualifications

  • High school required. College degree preferred.
  • Minimum of 2 years relevant experience.
  • Professional credentials preferred (e.g. LOMA, ICA).
  • Intermediate knowledge of claim administration and operations as well as pertinent laws and regulations.
  • Must possess strong interpersonal skills, as well as excellent verbal and written communication skills.

Other Critical Factors

  • As part of Thrivent Financial’s hiring process, a verification of a candidate’s background will be made to complete the hiring process.
  • May represent the company at depositions and court appearances.

Pay Transparency


 

Thrivent’s long-term growth depends on attracting, rewarding, and retaining people who are committed to helping others thrive with purpose. We accomplish this by offering a wide variety of market competitive compensation programs to attract, reward, and retain top talent. The applicable salary or hourly wage range for this full-time role is $24.06 – $32.56 per hour, which factors in various geographic regions. The base pay actually offered will be determined by a variety of factors including, but not limited to, location, relevant experience, skills, and knowledge, business needs, market demand, and other factors Thrivent deems important.


 

Thrivent is unique in our commitment to helping people to be wise with money and live balanced and generous lives. That extends to our benefits.


 

The following benefits may be offered: various bonuses (including, for example, annual or long-term incentives); medical, dental, and vision insurance; health savings account; flexible spending account; 401k; pension; life and accidental death and dismemberment insurance; disability insurance; supplemental protection insurance; 20 days of Paid Time Off each year; Sick and Safe Time; 10 paid company holidays; Volunteer Time Off; paid parental leave; EAP; well-being benefits, and other employee benefits. Eligibility for receipt of these benefits is subject to the applicable plan/policy documents. Thrivent’s plans/policies are subject to change at any time at Thrivent’s discretion.


 

Thrivent provides Equal Employment Opportunity (EEO) without regard to race, religion, color, sex, gender identity, sexual orientation, pregnancy, national origin, age, disability, marital status, citizenship status, military or veteran status, genetic information, or any other status protected by applicable local, state, or federal law. This policy applies to all employees and job applicants.

Thrivent is committed to providing reasonable accommodation to individuals with disabilities. If you need a reasonable accommodation, please let us know by sending an email to human.resources@thrivent.com or call 800-847-4836 and request Human Resources

APPLY HERE: Claims Examiner – Long Term Care (Remote)

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PLADS Account Manager I 

Job Details

Salary Range: $45,000 – $55,000

Job Posting End Date: January 23rd 2026

 

We’ve Got You Under Our Wing

We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all…The Aflac Way.

 

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America’s best-known brands. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com.

 

Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac.

 

Worker Designation – This role is a remote role. This means you will be expected to work from your home, within the continental US. If the role is remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.

 

What does it take to be successful at Aflac?

  • Acting with Integrity
  • Communicating Effectively
  • Pursuing Self-Development
  • Serving Customers
  • Supporting Change
  • Supporting Organizational Goals
  • Working with Diverse Populations

 

What does it take to be successful in this role?

• Understanding of financial transactions, debits/credits and reconciliation.

 

• Knowledge of insurance policies, billing cycles, and premium payment structures.

 

• Awareness of financial regulations such as HIPAA and state insurance laws.

 

• Attention to detail

 

• Time Management

 

• Software proficiency

 

Education & Experience Required

  • High School Diploma or Equivalent
  • Three or more years of experience in billing and premium remittance, account management or professional job-related experience

Or an equivalent combination of education and experience

 

Education & Experience Preferred

  • Bachelor’s Degree
  • Insurance Billing
  • Life, Disability and Absence Management Product Knowledge

 

Principal Duties & Responsibilities

• Collects and reconciles premiums and non-premiums based on customer invoicing and reconciliation.

 

• Collects and minimizes outstanding balances and delinquencies to assigned accounts.

 

• Proactively reaches out and follows up on customer delinquency status, including timely communication with internal Account Executive team.

 

• Responds to incoming calls and email communication to resolve issues regarding customer billing inquiries according to departmental service level agreements.

 

• Prepares and delivers new PLADS customer meetings, to include premium calculations and billing interview documents.

 

• Analyzes billing statements and calculations, performing audit discrepancy reviews, and works with customer to correct invoicing as needed.

 

• Uses state guidelines in order to prepare and send Certified Notice of Cancellation documents to accounts with past due balances.

 

• Contacts past due accounts to collect past due premium.

 

• Negotiates pay agreements with accounts including payment schedule, amount owed, method of payment, etc.

 

• Cancels accounts when necessary and produces detailed final bill

 

• Conducts pro-active outbound contact to PLADS small group customers on a routine basis.

 

• Assist small group customers with the following: administrative changes, eligibility inquiries and updates, premium payments, billing inquiries, and requests for forms.

 

• Will be responsible for responding to customer inquiries in a timely manner.

 

• Ensures compliance for assigned transactions to agreed service levels.

 

• Identifies and resolves problems, verifies accuracy of processed transactions, reconciles, and performs duties per defined procedures.

 

• Provides administrative support to local team and participates in projects as assigned.

 

• Collects account data from well-established sources, and prepares high-quality and timely reports including verification, commentary, and analysis of trends to facilitate the decision-making process.

 

• Monitors finance business processes and reporting in ordered to identify opportunities for improvement.

 

• Reviews and analyzes customer service levels using standard reporting tools and highlights discrepancies against plan; anticipates, recognizes, and responds to the needs of the customer.

 

• Provides detailed procedural advice, and specialized administrative support to internal clients, to ensure internal standards adherence.

 

• Performs account management tasks and processes, including data and document storage, maintaining accurate records and transactions, and reconciliations for various accounts.

 

• Performs other related duties as required.

 

Total Rewards

The salary range for this job is $45,000 to $55,000. This range is specific to the job and salary offers consider a wide range of factors that are considered in making compensation decisions, including, but not limited to: education, experience, licensure, certifications, geographic location, and peer compensation. The range has been created in good faith based on information known to Aflac at the time of the posting.

 

At Aflac, it is not typical for an individual to be hired at or near the top of the range for the role to allow for future and continued salary growth, and compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate.

 

In addition to the base salary, we offer an array of benefits to meet your needs including medical, dental, and vision coverage, prescription drug coverage, health care flexible spending, dependent care flexible spending, Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee), 401(k) plans, annual bonuses, and an opportunity to purchase company stock.  On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to, sick and safe leave, and adoption and parental leave, in all states and localities.

 
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Customer Support Specialist 

Job Details

Sendoso is where you go to build something bigger than yourself. We’re a venture-backed company with multiple revenue streams, more than 500 customers and 15,000 active users, and tens of millions of dollars of funding. Our company is on an unprecedented growth trajectory and we’re looking for people who want to do great things. 

 

Ranked #1 on software review sites like G2, Sendoso helps companies stand out by giving them meaningful, new ways to engage with their buyers and customers. Our award-winning Sending Platform connects online and offline experiences via cloud software, automation, and real-world logistics—a feat that few companies have achieved.

 

And we believe that relationships matter, so we’re on a mission to create more human connections in a digital world. If you’re ready to seize tremendous opportunity, take ownership, and do meaningful work that moves the needle, you’re in the right place. 

 

About Your Role: 

We are seeing a highly ambitious individual who is passionate about interacting with and servicing our customers. The Customer Support Specialist is a customer-facing role, delivering ongoing support and guidance post-sale for our US and International customers. You’ll interact through email, phone, and chat to provide an exceptional customer experience for everyone you encounter. 

 

Who You Are: 

  • You live to create clarity, confidence, and great customer experiences by going deep to solve customer concerns.
  • You enjoy the challenge and detective work needed to get to the bottom of complex issues.
  • You are a lifelong student of the industry, our product, and customer experience best practices. 

 

Your Typical Day: 

  • You’ll spend most of your scheduled day on the front lines working with customers over email, phone, and chat.
  • You’ll maintain a queue of cases that you will continue to work through customer contact up to the resolution.
  • Advocate for our customers to help prioritize future enhancements and trouble spots to improve the customer and internal team’s usage of our product.

Experience: 

  • 1+ years history of success interacting with customers over email, phone, and chat
  • An exceptional customer experience background while proving customer advocacy and empathy
  • Excellent written/verbal communication and interpersonal skills
  • Comfortable working in a performance-based and structured environment 
  • A history of meeting and exceeding KPI’s and Customer Expectations
  • Analytical approach to navigating, investigating, and understanding how products work
  • An aptitude for learning new products, processes, and systems
  • Organizational management in setting priorities, adherence to scheduled activities, and timely responses to customers
  • Strong technical troubleshooting skills, perseverance, and patience
  • Creative problem solving to bring issues to resolution including discovering workarounds using any and all available resources
  • Ability to work independently

 

Bonus Points If…

  • Having experience working in a SaaS Support environment
  • You have worked in a fast-paced call center environment

Remote position 

What We Believe: 

  • One Team – Everyone belongs here, and whether it’s your first day or you’re the CEO, your voice and ideas matter to us. By embracing the “One Team* core value, we can harness the power of collaboration to drive innovation, overcome challenges, and achieve outstanding results.
  • Fuel Potential – Providing individuals with the necessary tools, resources, and support to enable their success and uplift their potential. We empower our team and lift them to higher levels of achievement, both personal and professional.
  • Real Connections – It’s a cluttered, digital world out there, but our connections are real. Personal connections matter, and we want to build real connections with our peers and customers.
  • Unboxed Thinking – We encourage our team to think creatively and approach challenges from fresh perspectives. We believe that by encouraging and supporting diverse ideas, we can uncover innovative/groundbreaking solutions and deliver an exceptional product and experience.
  • Customer Centric – We understand that our success depends on our customers’ success, and we are dedicated to giving every customer that wow moment at every touchpoint. At the end of the day, our customers’ satisfaction and happiness are our ultimate measures of success.

 

What You’ll Love:

  • Comprehensive Medical Plans plans – we’ve got you covered!
  • Take-What-You-Need Time Off
  • LSA (Lifestyle Spending Account) with Compt
  • 401K Plan
  • FSA Plan
  • Free General Medical & Mental Health care via Healthjoy
  • Volunteer Time Off
  • Birthday Time Off
  • Generous parental leave benefits for both birthing and non-birthing parents
  • Access to Employee Assistance Programs (EAPs)
  • End-to-end family planning discounts through KindBody
  • Discounted pet insurance through Pin Paws
  • Free and discounted legal benefits through Rocket Lawyer
  • Financial wellness benefits through Morgan Stanley

 

How we work:

  • We offer PTO, and have a genuine, supportive culture around work life balance and boundaries. 
  • We are consistently building, refining and automating processes to aid our work; we encourage each team member to propose and adopt new technologies, frameworks, and processes that make us more effective as an organization.
  • We provide comprehensive benefits to reward and support our employees.      
  • $20/hour 
  • Shift:  8:30 am – 5:00 pm MST

 

Sendoso is an equal opportunity employer: we value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

By submitting your application, you agree that Sendoso may collect your personal data for recruiting, global organization planning, and related purposes.

 
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Document Services Specialist

Job Details

Epiq is seeking a permanent, full-time Document Specialist working 30 hours/week with full medical, dental and vacation benefits. Specialists are responsible for providing document production, administrative, and clerical support. Under general direction from the coordination team, the specialist will also be responsible for managing their assigned tasks in the day-to-day operations of the client. This position requires engaging with client personnel to provide task updates, and to inspire collaboration with the end-user.

Shift: Friday/Monday -12:00 pm to 8:00 pm EST / Saturday/Sunday – 9:00 am to 5:00 pm EST

RESPONSIBILITIES

  • Create, revise, reformat, and convert documents using various support software including Microsoft Office applications, PDF editing tools, and transcription software
  • Prepare and edit complex documents, spreadsheets, charts
  • Provide coordination and administrative support for special projects
  • Efficient handling of time sensitive and confidential materials
  • Perform document diagnostic activities related to troubleshooting documents inconsistencies
  • Create and/or revise work product using direct keyboard entry, scanner or electronic conversion methods of input; transcribes audio and digital dictation including deposition transcripts as required
  • Spell check, proofread and/or cross-check documents to ensure accuracy and completeness
  • Maintain up-to-date knowledge of specialized applications and upgrades to achieve maximum efficiency and productivity with the Document Services applications
  • Provide feedback and insight into each team member’s performances when requested
  • Promote and encourage teamwork, confidence, and positive attitudes
  • Provide directions, instructions, and guidance to the team
  • Assist with reviewing re-works or poor job outputs from team members

REQUIREMENTS

  • HS Diploma or GED
  • 2-5 years working in document outsourcing or legal industry preferred
  • Ability to learn the responsibilities listed above through a combination of in-person training, remote training, and self-guided learning
  • Strong initiative required; ability to work independently with minimal direct supervision
  • Working knowledge of Microsoft applications (Outlook, Word, Excel, and PowerPoint)
  • Experience working with Adobe Acrobat or Kofax for the manipulation of PDF files a plus
  • Excellent skills in spelling, grammar, punctuation, sentence structure and proofreading
  • Ability to organize and prioritize multiple assignments
  • Ability to excel under pressure within established timeframe and provide quality work product
  • Possess strong communication, interpersonal, teamwork and customer service skills

The Compensation range for this role is 20.00 to 26.00 USD per hour and may be eligible for an annual bonus. Actual compensation within that range will be dependent upon the individual’s location, skills, experience and qualifications.

Click here to learn about Epiq’s Benefits.

If you like wild growth and working with happy, enthusiastic over-achievers, you’ll enjoy your career with us!

It is Epiq’s policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual’s race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. Epiq’s policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. In addition Epiq will take affirmative action for minorities, women, covered veterans and individuals with disabilities. If you need assistance or an accommodation during the application process because of a disability, it is available upon request. Epiq is pleased to provide such assistance and no applicant will be penalized as a result of such a request.  Pursuant to relevant law, where applicable, Epiq will consider for employment qualified applicants with arrest and conviction records.

 
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