**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!).**

Build Resume for $1 Join Extra Leads Club for $1

Claims Admin – Large Loss

Job Details

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. 

Job Description

The Process Central Services Associate III performs moderately complex claim related activities for non-technical claims in accordance with established quality and timeliness standards on specific losses. As directed by management, the individual handles one or a combination of claim files. The individual is also expected to deliver compassionate service that is fast, fair, and easy, to ensure customer retention.

We are seeking a Claims Admin to support our Large Loss unit. In this role, you will handle a variety of administrative tasks, including ordering police reports, submitting claims to other carriers, completing social media and trace report requests, and processing invoices. Strong data‑entry skills are essential for the role. The ideal candidate will have either prior claim and EPIC experience or an administrative background. If you are self-motivating and comfortable working in a detailed oriented environment, we encourage you to apply!

 

Key Responsibilities

  • Assists adjusters with more complex claim handling, analyze documentation and settle basic, straightforward, and routine claims quickly and efficiently

  • Participates in or assists in training new or less experienced employees and demonstrating work processes

  • Completes all necessary forms, logs documents into the system, and routes them to the appropriate parties

  • Contacts or receives contact from customers or other claim related third parties to obtain and/or provide necessary file information to comply with quality and process standards

  • Receives, screens and routes incoming calls and other correspondence

  • May investigate prior losses and other information on file and orders reports as needed at the direction of adjusters and management

  • Retrieves or sends supporting documentation to vendors or others as directed

  • Handles claim files (locates/requests files, files documents, reconstructs missing files, moves misfiled documents, sends to others, etc.)

  • Performs clerical duties, including data entry, filing documents, email, and calendar management

  • Makes and maintains a connection with the customer by understanding and meeting their needs

Supervisory Responsibilities

  • This job does not have supervisory duties.

#LI-KR1

Skills

Business Communications, Claims Processing, Clerical Skills, Data Entry, Detail-Oriented, Documentations, Insurance Claims, Investigative Thinking, Invoices, Microsoft Excel, Office Administration, Organizing, Outbound Calls

Compensation

Base compensation offered for this role is $18.61- $27.79 hourly and is based on experience and qualifications.

** Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) as applicable for the role.**

Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact.

Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.

For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.

For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.

To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.

To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.

It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee’s terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.

National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

Companies & Partners

Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.

Benefits

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

APPLY HERE: Claims Admin – Large Loss

Build Resume for $1 Join Extra Leads Club for $1

Appraisal Specialist

Job Details

Position Summary:

If you’re passionate about helping people restore their lives when the unexpected happens, and providing the best customer experience, then our Mercury Insurance Claims team could be the place for you! We offer dynamic and challenging opportunities to those who want to make a meaningful impact.

Upon completion of our comprehensive training program, and with ongoing guidance and support, the Appraisal Specialist takes the lead in researching vehicle values and negotiating total loss settlements accurately, efficiently and with excellent customer service.

At Mercury, we believe in nurturing growth, making time to have fun, and working together to make great things happen.

Geo-Salary Information

An in-person interview may be required during the hiring process

State specific pay scales for this role are as follows:

$30,803.47 to 53,968.69  (CA, NJ, NY, WA, HI, AK, MD, CT, RI, MA)

$28,003.16  to $49,062.44  (NV, OR, AZ, CO, WY, TX, ND, MN, MO, IL, WI, FL, GA, MI, OH, VA, PA, DE, VT, NH, ME)

$25,202.84  to $44,156.20   (UT, ID, MT, NM, SD, NE, KS, OK, IA, AR, LA, MS, AL, TN, KY, IN, SC, NC, WV)

The expected base salary for this position will vary depending on a number of factors, including relevant experience, skills and location.

Responsibilities

Essential Job Functions:

• Research actual cash value of vehicles by gathering and analyzing current market information to reach an equitable settlement of damages for losses due to theft and collision, while maintaining good customer service and shop relations. 

• Confirms title status, researches any customizations, prior damage and condition. Identifies irregularities such as vehicles with salvage titles, grey market vehicles, custom/modified vehicles, and prior damage to determine their true market value.

• Reviews DMV reports and identifies the correct transfer of ownership documents to send to the registered owner, secures lienholder payoff amounts and Letter of Guarantee.

• Negotiates storage fees with body shops and towing yards.

• Responds to written correspondence in a timely and efficient manner. Routes correspondence to Claims Document Processing to obtain correct paperwork when needed. 

• Stays updated on current vehicle values, industry and market trends, State licensing, and Company policy and procedures.

• Contacts adjusters to confirm coverage, determine potential limits issues or possible fraudulent activity, and obtains approval to settle property damage.

• Initiates contact with insureds/claimants or their representatives regarding total loss.

• Completes and maintains comprehensive documentation of material damage information for assigned files and submits appropriate reports in a timely manner.

Qualifications

Education:
 
Minimum: 
• High School Diploma or GED
• You will be required to obtain a Company sponsored Adjuster’s license to handle claims, which will include a fingerprint background check, to be secured upon hire.
 
Preferred: 
• Associate Degree
 
Experience:
 
Minimum: 
• Experience with Total Loss handling or customer service experience.
 
Preferred: 
• 6+ months related experience.
• Experience with handling high call volume in a professional call center.
 
Skills & Abilities:
 
Minimum: 
• Solid comprehension of basic principles and practices of Company policies and procedures upon completion of formal and informal Claims Training.
• Ability to muti-task in a fast-paced environment, prioritize responsibilities, and deliver accurate work products to expedite a claims resolution.
• Has a passion for serving customers in their time of need.
• Possesses advanced written and verbal communication skills to professionally represent the Company in multi-channel correspondence with internal and external customers.
• Ability to facilitate engagement to maintain high morale and ensure employee retention.
• Collaborates well with others. We are one team with a common goal.
• Ability to build rapport utilizing emotional intelligence.
• Views conflict resolution as an opportunity.
• Has self-motivation and accountability while working remotely.
• Demonstrated proficiency with MS Office products (Outlook, Word, Teams) and claims related software.
• Must have dedicated workspace that is free from distractions.
 
Preferred: 
• Demonstrates intellectual curiosity by seeking out efficiencies through process improvement or technology.
• Takes ownership of any process they can improve.
• Assumes positive intent in all interactions.
• Seeks growth within and beyond this role.

Physical Requirements

Continuously (66%-100%):
• Must be able to maintain a sedentary position for extended periods.
• Must be able to communicate (electronically and telephonically) with team members, customers, and external parties.
• Must be able to operate and type on a computer, laptop, and/or other Company-issued electronic device for extended periods of time.
• Must be able to access and operate Company computer system, including preparing documents, entering data into computer system, and reading documents from a computer database or email system.
Occasionally (Up to 33%):
• Must be able to bend, stoop, reach, climb, and/or stand to access files, documents, and other equipment.
• Must be able to grasp, open, and close drawers, filing cabinets, and other equipment.

About the Company

Why choose a career at Mercury?

At Mercury, we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are one team with a common goal to help others. Everyone needs insurance and we can’t imagine a world without it.

Our team will encourage you to grow, make time to have fun, and work together to make great things happen. We embrace the strengths and values of each team member. We believe in having diverse perspectives where everyone is included, to serve customers from all walks of life.

We care about our people, and we mean it. We reward our talented professionals with a competitive salary, bonus potential, and a variety of benefits to help our team members reach their health, retirement, and professional goals.

Learn more about us here: https://www.mercuryinsurance.com/about/careers

Perks and Benefits

We offer many great benefits, including:

  • Competitive compensation
  • Flexibility to work from anywhere in the United States for most positions
  • Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours)
  • Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus)
  • Medical, dental, vision, life, and pet insurance
  • 401 (k) retirement savings plan with company match
  • Engaging work environment
  • Promotional opportunities
  • Education assistance
  • Professional and personal development opportunities
  • Company recognition program
  • Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more

Mercury Insurance is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by federal, state, or local law.

Pay Range

USD $32,363.00 – USD $56,701.00 /Yr.
 
Build Resume for $1 Join Extra Leads Club for $1

Provider Enrollment Specialist – Remote – Nationwide

Job Details

At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.

Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

  • Prepare, submit, and scan approximately 1,000 provider enrollment applications per year for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH and other payer programs as needed and is responsible for all aspects of payer portal access for individual providers.
  • Submit all applications to supervisor/manager for audit, working towards an error rate of less than 10%.  
  • Monitor submitted provider enrollment applications to ensure approvals are received and communicated to billing team prior to timely filing, working towards the team’s overall goal of not having pending applications over 6 months after the start date.  
  • Approvals are received and communicated to billing team prior to timely filing, working towards the team’s overall goal of not having pending applications over 6 months after the start date.  
  • Manage daily administrative duties with an emphasis on enhancing efficient workflows.
  • Prioritize requests, manage time, and workload to execute project plans within given deadlines.  
  • Comfortable with working remotely full-time. Ability to work independently with little guidance and adapt.  
  • Respond to internal and external inquiries on routine enrollment and contract matters, including follow-up with payers on applications as frequently as every 2 weeks.
  • Serve as liaison between billing company, providers, and payer representatives to resolve all provider enrollment issues with assistance from supervisor/manager.
  • Coordinate credentialing process with assistance of an on-site administrator as needed to complete credentialing for initial, updating, and add-on applications and maintenance processes.
  • Communicate with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of confidentiality for all matters pertaining to provider credentials.
  • Salesforce configuration changes including but not limited to record types, dashboards, reports, and custom settings.  
  • Update records in Salesforce with billing numbers, contract information, submission dates of applications, and notation of any communications or problems that require attention. Record extensive documentation in databases for any ongoing or open tasks.
  • Ability to use Salesforce data loader for bulk import of data to individual enrollment contracts.  
  • Ability to use DocuSign to send out PE documents, obtain required client signatures, and follow up with the carriers on documentation submitted.  
  • Deactivate inactive providers from Medicare, Medicaid, and other payers to remain compliant with federal and state regulations.
  • Ensure data integrity and participate in trainings and development to mitigate compliance risk with state and federal regulations.  
  • Work with multiple departments to review proforma for new contracts and assist to protect revenue.
  • Learn to research numerous payer issues and work to resolve with payers and billing company quickly and effectively with oversight from supervisor/manager with overall goal to lose less than $100K in revenue per year.  
  • Contribute and assist with implementation of process improvement ideas by participating in payer trainings and webinars as needed.
  • Support research, review, and testing of educational materials for organization growth.

Required Experience and Competencies

  • HS Diploma in combination with relative work experience required.
  • 2-4 years related healthcare experience required.
  • Bachelor’s degree is preferred.
  • 3+ years of related healthcare experience preferred.
  • Knowledge of billing or reimbursement is desired
  • Provider Enrollment experience is desired
  • Ability to effectively interact with providers, payer representatives, internal departments, team members, and other stakeholders, both in written and verbal communication.
  • Ability to accomplish tasks thoroughly and accurately
  • Ability to effectively manage time and organize
  • Ability to learn billing processes, including timely filing and claims denial reasons
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, OneDrive, PowerPoint, etc.)
  • Knowledge of additional technology-based assistance (Teams, SharePoint, etc.)
  • Knowledge of online Medicare/Medicaid enrollment systems, Identity & Access system, Counsel for Affordable Quality Healthcare system, Medicare enrollment specialties, and National Provider Identifier taxonomies
  • Knowledge of Medicaid enrollment process (including revalidations, medical license expirations, deactivations, NPI taxonomy importance, how data flows to Medicaid managed cares, Medicaid billing manuals, state administrative codes, border state enrollment process, out of state enrollment process, etc.)
  • Knowledge of Salesforce (including Individual Enrollment Contracts, Group Enrollment Contracts, Contracts, Work History, Provider Status, and Clinical Activities objects), and utilizing dashboards and reporting to develop internal preference for ongoing workload management
  • Develop critical thinking skills and professional relationships

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

  • Monthly wellness events and programs such as yoga, HIIT classes, and more.
  • Trainings to help support and advance your professional growth.
  • Team building activities such as virtual scavenger hunts and holiday celebrations.
  • Flexible work hours.
  • Opportunities to attend Vituity community events including LGBTQ+ History, DĂ­a de los Muertos Celebration, Money Management/Money Relationship, and more.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

  • Superior health plan options
  • Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
  • Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)
  • Generous paid time off starting 3-4 weeks’ annually
  • Student Loan Refinancing Discounts
  • Professional and Career Development Program
  • EAP and travel assistance included
  • Wellness program
  • Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are excited to share the base salary range for this position is $22.90 – $28.63, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants only. No agencies please.

 

APPLY HERE: Provider Enrollment Specialist – Remote – Nationwide

Build Resume for $1 Join Extra Leads Club for $1

Office Assistant – Remote – Nationwide 

Job Details

Who is EMS|MC

At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.

Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

  • Verifies and ensures documents for accuracy (i.e., refund checks, compares account notes/documentation, letters, addresses, etc.).
  • Identifies any documents/files/accounts that may have an error/oversight/printing issues during processing.
  • Notes in patient accounts all action; mailing or faxing and if fax confirmation received.
  • Completes data entry and documentation in patient accounts and/or billing system(s).
  • Provides documentation for accounts when requested or required.
  • Processes, sorts, and routes incoming data.
  • Performs other office support tasks, including but not limited to: data entry, correspondence, filing, printing, and faxing.
  • Maintains a high level of customer service for our external and internal customers.

Required Experience and Competencies

  • High School Diploma or GED equivalent required.
  • One (1) year of on-the-job working experience required.
  • Must be able to type a minimum speed of 40 words per minute or 7,000 data entry keystrokes per hour required.
  • Experience in an office setting, preferably in an administrative or clerical role preferred.
  • Experience with billing insurance claims preferred.
  • Ability to perform detail-oriented tasks with attention to accuracy.
  • Skilled in effective and appropriate verbal and written communication, including spelling, grammar, and punctuation.
  • Ability to read and comprehend simple instructions, short correspondence, and memos.
  • Ability to write simple correspondence.
  • Ability to provide excellent customer service and demonstrate strong interpersonal skills.
  • Organizational skills, ability to prioritize, and comfortable working independently.
  • Skilled in basic computer programs and ability to operate general office equipment.
  • Knowledge of billing systems.
  • Ability to navigate multiple computer applications/systems.
  • Ability to use 10-key by touch.
  • Ability to establish and maintain effective working relationships and work in a team environment.
  • Ability to correctly add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
  • Ability to apply common sense understanding to carry out instructions furnished in written, verbal, or diagram form.
  • Ability to deal with problems involving several concrete variables in standardized situations.
  • Ability to prioritize workflow and meet performance and/or volume expectations.
  • Ability to take accountability and responsibility with all assigned daily tasks.
  • Ability to comply with Vituity – RCM policies and procedures.
  • Ability to identify and problem solve challenges that may not be outlined in a manual or know when to seek assistance.
  • Ability to perform tasks as directed by supervisor or manager.

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

  • Monthly wellness events and programs such as yoga, HIIT classes, and more
  • Trainings to help support and advance your professional growth
  • Team building activities such as virtual scavenger hunts and holiday celebrations
  • Flexible work hours
  • Opportunities to attend Vituity community events including LGBTQ+ History, DĂ­a de los Muertos Celebration, Money Management/Money Relationship, and more

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

  • Superior health plan options
  • Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
  • Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)
  • Generous paid time off starting 3-4 weeks’ annually
  • Student Loan Refinancing Discounts
  • Professional and Career Development Program
  • EAP and travel assistance included
  • Wellness program
  • Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are excited to share the base salary rate for this position is $14.67 – $17.97 per hour, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants only. No agencies please.

APPLY HERE: Office Assistant – Remote – Nationwide

Build Resume for $1 Join Extra Leads Club for $1

Onboarding Support Specialist

Job Details

About Lyra Health
Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions.
 

About the Role

Lyra Health is looking for an Onboarding Support Specialist to help us provide a world-class concierge experience that guides new Lyra Health members from enrollment through booking their first appointment.

Responsibilities

  • Act as the primary point of contact for members at the start of their journey, providing proactive outreach to guide them through the online onboarding process until they are successfully placed in care.

  • Facilitate the successful booking of the initial evaluation appointment, ensuring members are matched and scheduled with the appropriate clinical provider.

  • Communicate insurance eligibility information to members, helping them understand their coverage and financial responsibility early in the process.

  • Serve as the first line of defense for members experiencing tech issues during account setup, portal navigation, or digital form completion.

  • Identify and address common questions or barriers to care with empathy and urgency, ensuring no member “drops off” during the enrollment phase.

  • Operate within Zendesk and other internal platforms to document member interactions and investigate tiered escalation needs.

  • Work closely with the clinical and billing teams to resolve complex onboarding hurdles and help create documentation for a “frictionless” entry experience.

Qualifications

  • A details-driven rockstar, with a ‘knock-it-out-of-the-park’ mentality, keen on delighting members by creating a one-of-kind experience

  • Exceptional customer service skills, specifically the ability to explain complex insurance or technical information in a warm, accessible way.

  • Specific experience in onboarding, engagement, and customer service within a digital health or telehealth environment.

  • Ability to learn and utilize new tools (like Zendesk and scheduling software) effectively and troubleshoot on behalf of less tech-savvy users.

  • Ability to work independently and decisively to move a member from “signed up” to “booked.”

  • A genuine passion for expanding access to mental health care and improving the member experience.

As a full-time Onboarding Support Specialist, you will be employed by Lyra Health, Inc. The anticipated base rate for this full-time position is $24.00 per hour. The base rate is determined by role and level, and the base rate will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location. 

The base rate is only one part of an employee’s total compensation package at Lyra. We also offer generous benefits that include: 

Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances)
Lyra for Lyrians; coaching and therapy services
Competitive time off with pay policies including vacation, sick days, and company holidays
Paid parental leave 
401K with up to 3% matching
Monthly tech allowance
We like to spread joy throughout the year with well-being perks and activities, surprise swag, regular community celebration…and more!  

We can’t wait to meet you.

“We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.
By applying for this position, you acknowledge that your personal information will be processed as per the Lyra Health Workforce Privacy Notice. Through this application, to the extent permitted by law, we will collect personal information from you including, but not limited to, your name, email address, gender identity, employment information, and phone number for the purposes of recruiting and assessing suitability, aptitude, skills, qualifications, and interests for employment with Lyra.  We may also collect information about your race, ethnicity, and sexual orientation, which is considered sensitive personal information under the California Privacy Rights Act (CPRA) and special category data under the UK and EU GDPR.  Providing this information is optional and completely voluntary, and if you provide it you consent to Lyra processing it for the purposes as described at the point of collection, for example for diversity and inclusion initiatives.  If you are a California resident and would like to limit how we use this information, please use the Limit the Use of My Sensitive Personal Information form.  This information will only be retained for as long as needed to fulfill the purposes for which it was collected, as described above. Please note that Lyra does not “sell” or “share” personal information as defined by the CPRA. Outside of the United States, for example in the EU, Switzerland and the UK, you may have the right to request access to, or a copy of, your personal information, including in a portable format; request that we delete your information from our systems; object to or restrict processing of your information; or correct inaccurate or outdated personal information in our systems. These rights may be subject to legal limitations. To exercise your data privacy rights outside of the United States, please contact globaldpo@lyrahealth.com. For more information about how we use and retain your information, please see our Workforce Privacy Notice.”

APPLY HERE: Onboarding Support Specialist

Build Resume for $1 Join Extra Leads Club for $1

Patient Onboarding Associate – Call Center (Part time hours) 

Job Details

Since 2018, Luna has redefined physical therapy with award-winning technology and proven clinical models. Operating in 28 states with 25+ nationwide partners, we connect patients and providers through an intuitive, evidence-based & tech-enabled platform—removing barriers to care and delivering a better physical therapy experience for therapists and patients. Guided by our values, we believe in a future in which anyone, anywhere can get care and start feeling better.

 

 

Join our amazing team and start your career with Luna as a Part- Time Onboarding Associate!

 

Are you ready to kick-start your career in a dynamic and rewarding role? Luna Physical Therapy is seeking a motivated and customer-oriented individual to join us as an Onboarding Associate.

 

As an Onboarding Associate, you will be the first point of contact for our new and existing patients, responsible for answering incoming calls and scheduling appointments with our network of physical therapists. We are looking for someone part time who can work efficiently, demonstrate exceptional communication skills, and maintain a high level of professionalism to ensure outstanding customer service and patient satisfaction. Join Luna and be a part of our mission to deliver quality care and support to our patients.

 

 

 Please note: Due to budgetary and payroll regulations, we are currently hiring only in select U.S. states listed below.

AR, KY, MS, SC, Norfolk VA, Virginia Beach VA, WV

AL, FL, GA, ID, MI, MO, IN, NJ, OH, TX (except Houston), TN, WI

 

 

 

 

Physical therapy, delivered.www.getluna.com

 

Key Responsibilities

  • Manage the registration, scheduling, and rescheduling processes for new and existing patients.
  • Ensure accurate record management by obtaining and communicating relevant patient information, such as identification, patient history, insurance details, missed appointment policy, therapist arrival instructions, and intake forms.
  • Receive, screen, and coordinate telephone calls from healthcare providers.
  • Proactively make outbound calls and send emails to patient leads.

Requirements:

  • Office Admin experience, 1 year required
  • Demonstrates a high level of customer service and interpersonal communication skills
  • Call/Contact center or other high call volume experience, 1 year preferred
  • Proficient with Google Suite
  • Highly detail-oriented
  • Ability to multi-task in a fast-paced work environment
  • High School Diploma or equivalent
  • Must be able to work in the US without restriction
  • Candidates must have reliable, high-speed internet to perform the duties of this remote role. Additionally, a backup internet option is required to ensure uninterrupted connectivity in case of outages.
  • Please Note:
  • While this is a remote position, we are currently only able to hire in select U.S. states due to employment and tax requirements. Unfortunately, we are not hiring in all states at this time.
  • We still encourage applicants to apply as eligibility will be confirmed during the early stages of the hiring process.
  • To qualify for a fully remote role candidates must reside outside of a 50 mile radius from our Nashville office.

What we can offer you:

  • Part time hours – Work a consistent, fixed schedule! We have a variety of part-time shifts, and your schedule will remain the same each week, providing stability and work-life balance.
  • A fun collaborative and supportive work environment with a fast-growing, innovative company.
  • Realistic growth opportunities

Available Shift Options

Days

PST

CST

EST

Mon–Fri

2:00 PM – 6:00 PM

4:00 PM – 8:00 PM

5:00 PM – 9:00 PM

Sat–Wed

12:00 PM – 4:00 PM

2:00 PM – 6:00 PM

3:00 PM – 7:00 PM

Sat–Wed

12:00 PM – 4:00 PM

2:00 PM – 6:00 PM

3:00 PM – 7:00 PM

Thu–Mon

10:00 AM – 2:00 PM

12:00 PM – 4:00 PM

1:00 PM – 5:00 PM

Sat–Wed

11:00 AM – 3:00 PM

1:00 PM – 5:00 PM

2:00 PM – 6:00 PM

$16 – $16 an hour

Care Exceptionally * Incredibly Relentless * Be Impactful * 1% Better, Every Day

 

#3 Best Employer in Healthcare (Forbes, 2025)

#1 Best Company in MSK Care (Forbes, 2025)

#13 World’s Most Innovative Companies in Healthcare (Fast Company, 2024)

Exceptional Performance Designation (Medicare/CMS MIPS, 2022, 2023, 2024)

Gold Indigo Design Award for mobile app design excellence 2020

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: Patient Onboarding Associate – Call Center (Part time hours

Build Resume for $1 Join Extra Leads Club for $1

Fleet Analyst 

Job Details

Meet VestisŽ: For the People Who Make It All Work

At VestisÂŽ, we provide uniforms, workplace supplies, and professional cleaning that help businesses simplify their workday and keep their teams safe, confident, and focused on what matters most. More than a provider, we are a partner in productivity, trusted to keep you running.

Join us and build a career supporting the people who make it all work.

General Position Information:

This is a full-time remote work position. Any candidate wishing to apply must have the ability to work effectively and efficiently in a 100% remote work environment that is generally free from distractions. Candidate must possess a solid grasp of technology, demonstrating proficiency that goes beyond the basic level yet does not necessarily require advanced expertise.

 

Overview:

Facilitate the processes and data flow between internal and external stakeholders for various Fleet and Logistics programs, including but not limited to: fleet registrations, toll devices, fuel cards, accident management and claims, asset transfer and disposals, for US and Canadian entities. Ensure fleet systems are up to date with pertinent information and be a point of contact for the field and our vendors for any questions or issues. Assist throughout an asset’s lifecycle from procurement monitoring, transfers, disposal, and remarketing. The ideal candidate should comfortably navigate technological tools and concepts, showcasing an intermediate skill level. This proficiency will enable them to effectively utilize and adapt to the technological aspects of the role while contributing to the fleet team’s goals.

 

Responsibilities / Essential Functions:

  • Fleet Registration, Titles, Permits and Insurance
    • Ensure registrations and insurance cards are current by coordinating with vendors and field personnel to have prerequisites completed and submitted to the vendor for submission
    • Work with vendors to enroll fleet assets in IFTA, IRP, and any required state permitting programs
    • Facilitate any title changes necessary when leased units are paid off or disposed of

 

  • Toll Devices and Accounts
    • Ensure fleet assets have active toll devices applicable to the state of operation
    • Keep the toll account updated with toll device and unit information

 

  • Fuel Delivery Program and Fuel Cards
    • Assist the field in ordering new fuel cards and PINs for drivers and vehicles
    • Validate fuel card and PIN assignments to ensure no duplicates or incorrect cards/PINs are issued
    • Management of the company’s Car Allowance Program for eligible employees

 

  • Asset Transfer, Disposals and Accidents
    • Assist throughout an asset’s lifecycle from monitoring acquisition status to the disposition of assets
    • Assist the field with requests for asset transfers and disposals/remarketing requests through our vendors
    • Process transfers and disposal requests once complete and provide updates on status throughout the process
    • Coordinate documents and other requirements to close out accident claims with our DOT team and vendors

 

  • Analysis and Reporting
    • Identify, collect, transform, and integrate data from external and internal systems
    • Perform database queries for analysis and reporting
    • Support team in maintaining KPI dashboards and reports (e.g., fuel delivery program reports)
    • Support field operators with data and reports to properly execute objectives

 

  • General Fleet Administration
    • Update the fleet system with the current information and report any issues or data inaccuracies (e.g., registration information, equipment status, remarketing)
    • Assist the field with fleet issues or questions on registration renewals, permits, insurance cards, tolling and violations, etc.
    • Manage a shared inbox for the Corporate Fleet team by responding to requests and directing email traffic in a timely and coordinated manner
    • Ensure any physically mailed materials are collected and processed
    • Ad hoc administrative tasks as required

 

Knowledge / Skills / Abilities:

  • Detail oriented with the ability to manage and complete multiple tasks accurately
  • Customer oriented with the ability to handle or escalate issues to ensure proper resolution
  • Strong communication skills to effectively convey issues and opportunities for improvement
  • Capable of working together with other team members from a remote setting via video and phone calls, scheduled team meetings, and company internal messaging and email
  • Desire to be an effective member of a growing and integral team!

 

 

Experience / Qualifications:

  • Bachelor’s degree or equivalent, preferably in computer science, business management, logistics or supply chain

OR:

  • Associate degree plus 2+ years of relevant fleet experience
  • Experience coordinating with vendors and navigating online vendor portals and systems
  • Experienced in using Power BI applications to present data visualizations
  • Experience and strong background with SQL Server Management Studio (SSMS) for data scripting and manipulation
  • Experience in Microsoft Excel to navigate datasets and create reports is crucial to success in this role

 

Benefits: Vestis offers a wide array of comprehensive benefit programs and services including medical, dental, vision, short and long term disability, basic life insurance, and paid parental leave. Employees are able to enroll in the company’s 401k plan. Employees are eligible for 80 hours of vacation, 16 hours of floating holidays, and paid sick time every year. Employees will also receive 9 paid holidays throughout the calendar year.

Compensation: The salary rate for this position ranges from $65,000 to $80,000, depending on circumstances including an applicant’s skills and qualifications, certain degrees and certifications, prior job experience, market data, and other relevant factors.

 

 

Headquartered in Roswell, GA, Vestis® is the second largest provider in the industry with over 300,000 customer locations and approximately 20,000 teammates across North America. Vestis® is a leader in the B2B uniform and workplace supplies category. Vestis® provides clean and safe uniform services and workplace supplies to a broad range of North American customers from Fortune 500 companies to locally owned small businesses across a broad set of end markets. The Company’s comprehensive service offering includes a full-service uniform rental program, cleanroom and other specialty garment processing, floor mats, towels, linens, managed restroom services, first aid supplies and more.

 

VestisŽ is an equal-opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, relation, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or veteran status.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

 

Vestis Commitment to Equal Opportunity Employment

If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you will find the contact information below to request the appropriate accommodation.

Reasonable Accommodations and the Online Application Process
Consistent with Vestis and Canadian Linen’s commitment to equal employment opportunity, we provide reasonable accommodations to qualified individuals with disabilities who need assistance in applying electronically for a position with Vestis or Canadian Linen, unless doing so would impose an undue hardship. To request a reasonable accommodation for this purpose, please call 1-833-901-8823 or email us at accessibility@vestis.com.

Please note that this phone number is to be used solely to request an accommodation with respect to the online application process. Calls for any other reason will not be returned. Reasonable accommodation requests are considered on a case-by-case basis.

Thank you for your interest in an employment opportunity with Vestis, Canadian Linen and QuĂŠbec Linge.

APPLY HERE: Fleet Analyst

Build Resume for $1 Join Extra Leads Club for $1

Certified Pharmacy Technician – Refill & Medication Adherence

Job Details

Are you a certified pharmacy technician passionate about patient support, medication access, and high-quality service? As a Patient Engagement Specialist, you’ll serve as a critical connection between patients, pharmacists, clinicians, and health system partners—ensuring timely medication refills, resolving pharmacy claims, and delivering compassionate support across the care continuum.

This is a remote pharmacy role ideal for professionals who thrive in a fast-paced, patient-centered environment and enjoy proactive outreach and problem-solving.

What You’ll Do

In this role, you will manage both inbound and outbound pharmacy communications while supporting medication access and adherence.

Core Responsibilities

  • 📞 Handle inbound pharmacy calls and place outbound patient refill calls
  • ✅ Guide patients through the complete medication refill process
  • 💊 Coordinate prescription refills including data entry and pharmacy claim adjudication
  • 🔍 Perform prescription status checks and resolve adjudication issues
  • 🤝 Serve as a liaison between patients, pharmacists, clinicians, payors, and internal teams
  • 🧾 Clarify prescription orders with pharmacists and/or clinicians as needed
  • ❄️ Identify medications requiring special handling (e.g., refrigerated or hazardous)
  • 📊 Accurately manage and update patient and prescription data across systems
  • 📈 Identify trends, resolve recurring issues, and recommend process improvements
  • 🔒 Maintain strict confidentiality of sensitive patient and healthcare data
  • 🧠 Participate in training, professional development, and quality initiatives
  • ⏰ Maintain schedule flexibility to meet health system partner needs
    (8-hour shifts, Monday through Friday between 7am and 7pm EST, weekends as needed)

Additional duties may apply as business needs evolve.

What We’re Looking For

Licensure & Certification

  • ⭐ National certification (CPhT) required
  • ✅ State-registered Pharmacy Technician (obtainable with national certification)
  • Willingness to obtain additional required licensure within an agreed timeframe
    (continued employment contingent upon licensure compliance)

Experience & Education

  • 🧪 1–3 years of pharmacy technician experience preferred
    • Refill management
    • Pharmacy claim adjudication
    • Specialty pharmacy exposure
    • Clinical care team collaboration
    • Remote or call-center pharmacy experience (plus)
  • 🎓 High school diploma or GED required

Key Skills

  • Exceptional phone presence and patient communication skills
  • Comfortable with outbound patient engagement
  • Strong collaboration skills with clinicians, payors, and pharmacy teams
  • Proficiency in Microsoft Excel and Word
  • Ability to quickly learn new systems and workflows
  • Excellent organization, multitasking, and attention to detail

Attributes for Success

  • Empathetic, patient-focused, and service-oriented
  • Reliable, accountable, and highly dependable
  • Collaborative team player with a quality mindset
  • Strong listener and clear communicator
  • Consistently punctual with minimal unscheduled time off

Remote Work Requirements

To ensure optimal patient care and team collaboration, remote team members must have:

  • 🖥️ A dedicated desk setup with two company-provided monitors
  • 🌐 High-speed, stable, and reliable internet connection
  • 🤫 A quiet, distraction-free workspace
  • ⏱️ Willingness to work overtime as patient care volumes fluctuate
  • 🎥 Ability to keep camera on for most meetings with leaders and teammates

Why This Role Matters

You’ll play a vital role in improving medication access, adherence, and patient experience—while enjoying the flexibility of a remote pharmacy position. Your work directly supports patients, providers, and health system partners every day.

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.  

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying ‘STOP.’ Consent is not a condition of employment.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

APPLY HERE: Certified Pharmacy Technician – Refill & Medication Adherence

Build Resume for $1 Join Extra Leads Club for $1

Initial Review Pharmacy Technician

Job Details

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

 

Initial Review Pharmacy Technician

Job Description

 

 

Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while utilizing additional clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. Primary activities center on reviewing both prospective and retrospective requests for therapeutic appropriateness using sound clinical criteria. Responsible for making and receiving calls to and from physicians, patients, and pharmacies to gather additional clinical information to determine medication reimbursement. Recommendations will be based on an in-depth understanding of specific specialty medications and industry guidelines, on both pre- and post-service requests. Coordinates with operations, clinical, medical, reporting and other internal departments as needed.

 

Responsibilities

  • Reviews pertinent patient information and checks appropriateness using clinical criteria. Makes approval recommendations on all services that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer.
  • Practices and maintains the principles of utilization management by adhering to the company policies and procedures. Upholds clinical integrity of pharmaceutical solutions by participating in on-going training programs to ensure quality performance in compliance with applicable standards and regulations. Expert within the organization.
  • Conducts Program Integrity Audits including outreach and review of medical records to audit authenticity of provider response during Prior Authorization and reporting results to client.
  • Assists with the documentation and implementation of both written and verbal communications to physicians/prescribers and assists in the maintenance of the edits and data elements that support the edits.
  • Available for consultation in pharmacy related questions to resolve claims submission related to medication edits.
  • Contacts physicians/prescribers to obtain pertinent clinical history/information. Provides optimum customer service through professional/accurate communication while maintaining NCQA and health plan`s required timeframes.
  • Regularly reviews and monitors information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data.
  • Supports Intake call volume and order entry if necessary.
  • Determines eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enters approvals or denials in the system.
  • Electronically documents both written and verbal communications with physicians, their staff, cardholders, and pharmacies.
  • Escalates medical exception requests to nurse, pharmacist or physician on the utilization review clinical team when further review is necessary.
  • Other duties as assigned.

 

Minimum Qualifications

  • Associate’s degree in or equivalent combination of education and/or work experience in similar field; HS diploma or GED is required
  • 2+ years of Pharmacy Experience
  • CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements – Pharmacy

 

Must be eligible to work in the United States without the need for work visa or residency sponsorship

 

Additional Qualifications

  • Must have an active pharmacy technician licensure or registration in accordance with state requirements.
  • If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or
  • registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
  • In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
  • Minimum of 2 years of pharmacy experience without a Bachelors degree OR 2 years of pharmacy experience with a
  • Bachelors degree in Science, Health, Medical or related field.
  • Specialty or retail pharmacy experience, previous reimbursement experience, and/or working in a health plan/health care setting.
  • Experience as Pharmacy Technician, Utilization Management or Customer Service in a high-volume, multi-functional call center environment.
  • Must be comfortable with using computers and the internet; basic skills with Microsoft office products and ability to quickly learn proprietary systems, typing.
  • Strong team orientation with respect for all members.
  • Excellent verbal and written communications skills.
  • People skills are essential that allow for the successful consultation with physicians, prescribers and pharmacists and for successful collaboration with company employees and external vendors who do not directly report to this position.
  • Analytic skills which can translate into practical and pragmatic recommendations.
  • In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques and medical terminology.

 

Preferred Qualifications

  • Oncology pharmacy or other clinical pharmacy experience.
  • 4 years of pharmacy experience

 

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

 

 

Potential pay for this position ranges from $23.08 – $37.02 based on experience and skills.

 

 

 

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the “Benefits at a glance” button for more detail (https://www.primetherapeutics.com/benefits).

 

 

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

 

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

 

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

 

 

Positions will be posted for a minimum of five consecutive workdays.

APPLY HERE: Initial Review Pharmacy Technician

Build Resume for $1 Join Extra Leads Club for $1

Provider Data and Enrollment Specialist I – Remote in FL and VA

Job Details

Sentara Health Plan is currently hiring a Provider Data and Enrollment Specialist I- Remote in FL and VA!

Status: Full-time, permanent position (40 hours)

Standard work hours: 8am to 5pm EST, M-F

Location: Remote in Florida and Virginia.

Overview 

The primary role of the Provider Data Enrollment Specialist I is to ensure the data integrity of provider records entered and maintained in the credentialing and/or payment systems. This position may be responsible for all aspects of ensuring accurate and timely processing of provider setup to initiate credentialing, provider record updates and edits, processing provider terminations, and researching and resolving provider setup issues in the applicable systems. This data maintenance will support network adequacy and growth, regulatory reporting, provider directories, as well as downstream systems and processes.

Education 

  • HS – High School Grad or Equivalent REQUIRED

Experience 

  • Minimum of 1-year experience in healthcare insurance working with provider, network, or contract data; or a combination of education and experience, which would provide an equivalent background REQUIRED

  • Strong Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, etc.)

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. 

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com(Opens in a new tab) and use the following as your Keyword Search: JR-97246

Talroo-Health Plan

Keywords: Managed Care, MCO, Healthcare, Health Plan, Health Insurance, Remote, Virginia, Provider Data, Enrollment, Claims, Florida

APPLY HERE: Provider Data and Enrollment Specialist I – Remote in FL and VA

Build Resume for $1 Join Extra Leads Club for $1