Investigate and resolve complex negative receipts, retractions, and recoup postings to ensure accurate claim balances. Collaborate with internal teams and insurance payers to execute appeals and perform root cause analysis on recurring billing issues.
Remote Jobs & Work From Home Opportunities (200,955)
Handle inbound and outbound calls to provide personalized support and financial tools to business members and clients. Focus on understanding client challenges to propose value-added solutions aligned with their business goals.
Serve as the first point of contact for technical inquiries, managing the end-to-end lifecycle of support tickets for a Point-of-Sale system. Responsibilities include troubleshooting hardware connectivity, conducting remote customer training, and utilizing AI tools to streamline solution discovery.
The Senior Site Navigator coordinates site-level activities during the start-up phase of clinical studies, serving as the primary contact for investigative sites. Responsibilities include managing regulatory submissions, negotiating contracts and budgets, and ensuring compliance with ICH/GCP guidelines.
Account Representative (Remote- West Coast) 18 APPLICANTS
CVS Health
·
Full Time
·
3 Days Ago
CVS Health
Acts as the primary day-to-day contact for customers regarding enrollment, claims, and escalated issues for Aetna Student Health. Collaborates with sales and account management teams to drive growth strategies and support plan administration activities.
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Drive strategic business expansion by partnering with major urology groups, clinics, and academic medical centers. Develop and implement comprehensive territory business plans to maximize client-bill contracting and laboratory services agreements.
The Clinical Science Liaison provides subject matter expertise to drive provider engagement and support commercial strategies for drug launches in oncology and rare diseases. They lead clinical education programs and manage external engagement with advocacy organizations and professional conferences.
Lead the global multi-mode transportation strategy and network optimization to ensure cost-effective and reliable movement of goods. Manage global carrier relationships, procurement, and financial governance while partnering with Finance to develop landed-cost models.
Lead and grow a software engineering team within the Digital Advisory Products division, balancing hands-on delivery with technical leadership. Responsible for defining engineering best practices, overseeing multiple concurrent projects, and aligning technical solutions with business objectives.
Design and build scalable backend platform services to power AI-enabled customer data products and real-time configuration workflows. Collaborate cross-functionally to implement AI assistants, orchestration flows, and high-traffic APIs using modern Java frameworks.
Provide enterprise-level remote technical support for automated material handling and fulfillment systems, focusing on troubleshooting PLCs and SCADA systems. Manage support cases from identification to resolution while coordinating with customers and internal teams to ensure system uptime.
The role involves cleansing, transforming, and consolidating historical workforce and financial data for a legal services client. The engineer will develop automated conversion processes and collaborate with stakeholders to translate business requirements into scalable data solutions.
Manage patient enrollment and reimbursement processes while maintaining strong relationships with prescribing physicians and clinics. Coordinate patient access to therapy, provide financial assistance navigation, and act as a liaison between manufacturers and healthcare providers.
Project Manager/Trial Lead - FSP - EMEA
Thermo Fisher Scientific
·
Full Time
·
3 Days Ago
Thermo Fisher Scientific
The Project Manager serves as the primary sponsor contact and is accountable for the overall delivery of cross-functional projects regarding quality, time, and cost. Key duties include managing customer expectations, ensuring financial stewardship, and driving risk identification and issue resolution.
Responsible for investigating, evaluating, and negotiating first-party property claims of moderate severity and complexity. This includes performing field inspections, calculating damages, and ensuring compliance with state regulations and internal quality standards.
Lead local study teams at the country level to deliver clinical studies according to budget, timelines, and international guidelines. Oversee site identification, qualification, monitoring, and the archiving of essential documentation.
Leads a team of Customer Care professionals to deliver outstanding service and achieve operational and financial goals. Manages employee performance through coaching, accountability, and the implementation of best practices to ensure customer satisfaction.
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Lead the end-to-end delivery of requirements throughout the project lifecycle to align with business and enterprise strategies. Collaborate with technology, finance, and business partners to support process changes and project benefits across multiple lines of business.
The Collections Representative follows up with insurance companies and customers to resolve unpaid or underpaid claims. Responsibilities include researching overdue accounts, resubmitting appeals, and ensuring accurate documentation in the billing system.
The role involves either handling customer inquiries and adjusting invoices in Customer Care or monitoring app usage to detect and prevent fraud. The goal is to ensure an excellent customer experience and maintain a trustworthy ticketing system.
Lead large-scale external audit programs for cloud platforms and drive the strategic shift toward AI-driven compliance automation. Redesign the compliance source of truth using Git-based workflows and mentor junior program managers.
Implement full-stack applications following 12-factor principles and lead the development of front-end and back-end services. Provide architectural input, coach junior engineers, and manage CI/CD pipelines to ensure product quality.
Responsible for creating comprehensive damage estimates for 1st and 3rd party material damage claims. The role involves negotiating settlements with repair shops and documenting all activities within authority limits.
Create comprehensive damage estimates for 1st and 3rd party material damage claims to determine proper disposition. Negotiate settlements and document all activities within established authority limits.
Lead the global Application Managed Services organization with full accountability for strategy, operating model, and business results. Focus on improving profitability and scalability through AI-enabled capabilities, automation, and operational discipline.
Lead functional and solution design for healthcare IT transformation projects, aligning business objectives with technology implementation. Manage the full project lifecycle, including budgeting, scheduling, and coordinating between stakeholders and third-party vendors.
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Provide remote administrative and front-desk support for medical practices, including managing patient calls and scheduling appointments. Responsible for verifying insurance coverage, maintaining EMR records, and ensuring HIPAA compliance.
The Lead Consultant manages programs to drive business results and improve Net Promoter Scores while supporting strategic objectives. They are responsible for designing change management efforts, executing large-scale program strategies, and providing technical guidance on service-based programming.
Handle complex non-catastrophic first-party injury claims by interpreting policy wording and determining coverages. Investigate, negotiate, and settle accident benefit claims while maintaining professional communication with claimants, lawyers, and medical professionals.
Social Worker/Therapist - Telehealth - Must reside in Greater Louisville area.
Seven Counties Services
·
Full Time
·
3 Days Ago
Seven Counties Services
Perform clinical services including intakes, therapeutic interventions, and crisis intervention for individuals, groups, and families. Maintain detailed service documentation and collaborate with external agencies and school officials to coordinate client care.
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