The Account Manager serves as an executive-level customer contact, responsible for understanding expectations, communicating them to field offices, and increasing market share through excellent service and introducing additional services. Key duties include providing consultative services, managing revenue growth for accounts over $1M each, handling collections, and conducting regular client stewardship meetings.
Remote Jobs & Work From Home Positions in United States (119,375)
Remote in = United States
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, and establishing reserves. This role involves developing action plans with case managers, coordinating return-to-work efforts, managing subrogation and litigation, and ensuring adherence to client and carrier guidelines.
The Business Analyst translates workflow processes into clear business requirements and acts as a liaison between stakeholders and development teams to drive automation, quality control, and application enhancements. Key duties involve collaborating on product projects, analyzing data for insights, participating in quality assurance, and developing comprehensive documentation and training materials.
WordPress Support Specialist (Contractor)
Mannix Marketing
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Full Time
·
14 Weeks Ago
Mannix Marketing
The specialist will resolve incoming support tickets via Zendesk, handling tasks like content updates, plugin issues, and broken layouts across custom-coded WordPress client sites. Responsibilities also include performing edits on custom PHP/theme sites and managing/troubleshooting hosting issues like cPanel and DNS records.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness, communicating with physicians, and explaining conditions and plans to patients, families, and adjusters.
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Bilingual Advanced Practiced Provider - San Luis, AZ
Monogram Health
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Full Time
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14 Weeks Ago
Monogram Health
The Advanced Practitioner will deliver personalized, compassionate medical care primarily to patients with CKD and/or ESRD/ESKD through comprehensive annual wellness exams conducted both in-home and virtually. Responsibilities also include coordinating care with other providers, maintaining accurate patient records, and implementing evidence-based treatment plans to reduce hospitalizations and maximize patient quality of life.
This role serves as the technical claims expert, auditing compliance with handling standards across areas like coverage analysis, investigation, valuation, and reserving. The position also involves interpreting trends to deliver operational reporting and participating in the development and presentation of training sessions.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and developing long-term care strategies.
Manufacturing Engineer
Industrial Technologies Group, an affiliate of The Heico Companies
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Full Time
·
14 Weeks Ago
Industrial Technologies Group, an affiliate of The Heico Companies
The Manufacturing Engineer develops and implements optimal, cost-effective manufacturing processes aligned with product specifications and quality standards, often working directly on the shop floor to analyze layout, workflow, and utilization to reduce waste. This role involves leading continuous improvement efforts using Lean Manufacturing tools and collaborating with design staff to ensure efficient production methods.
The Claims Training Specialist develops curricula to ensure adherence to best practices, improves quality metrics, and equips the claims workforce to meet client requirements. Responsibilities include conducting classroom, virtual, and field training, developing materials, and monitoring new hires.
The Professional Review Nurse analyzes medical services to determine the appropriateness of charges on medical bills and reviews medical reports to assess the quality of medical care provided. Key duties involve identifying review necessity, collecting and analyzing data, and using clinical expertise to detect inappropriate billing practices and errors.
SENIOR PROPERTY AND LIABILITY CLAIMS ADJUSTER
Arizona Department of Administration
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Full Time
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14 Weeks Ago
Arizona Department of Administration
This senior role involves managing high-exposure claims and complex civil lawsuits against the State of Arizona, requiring independent investigation, accurate reserve establishment, and comprehensive settlement authority requests. The adjuster will act as a primary negotiator, represent the State in mediations, and liaise with the Attorney General’s Office to protect state interests.
Administrative Assistant / Data Entry Clerk (Remote Work From Home Online Telecommute) 20 APPLICANTS
Jobconversion, LLC
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Full Time
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14 Weeks Ago
Jobconversion, LLC
The primary responsibility involves performing data entry tasks accurately and efficiently from a remote location. Candidates must also be prepared to handle emailing clients as needed.
The Clinical Adherence Nurse will conduct patient outreach and engagement primarily through video messaging and consultations to enroll patients in a medication adherence program. Key duties involve providing personalized clinical support, motivational coaching, medication reconciliation, and monitoring adherence through video-based interactions.
The Sales Representative is responsible for positioning Sika Sarnafil as a quality provider, achieving sales objectives for Roofing and Waterproofing systems, and coordinating with local manufacturer’s representatives. Key duties include overseeing specification activity through consultants, managing roofing contractor accounts, establishing owner relationships, and providing sales activity reports.
The IT Compliance Analyst is primarily responsible for collaborating with external and internal auditors to finalize all IT department audits, which includes maintaining and providing necessary compliance evidence. Essential functions also involve conducting regular audits on IT systems, procedures, and user accounts to ensure adherence to regulatory compliance.
Team members will assist healthcare providers and patients by phone, addressing questions and requests, and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding claim rejections and prior authorizations.
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Patient Assistance Program / Financial Advocacy Coordinator
Onco360
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Full Time
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14 Weeks Ago
Onco360
The Patient Advocacy Coordinator assists patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through Not for Profit Organizations and Manufacturer Programs. This involves explaining processes, aiding in application completion, and reviewing required documentation.
The specialist will manage prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. This involves receiving prescriptions, rectifying rejected claims, and conducting third-party authorization requests.
The specialist manages customer care escalations via email, works with the manager to address sales team escalations daily, and handles address exception reports from operations leadership. They must escalate issues to the proper director or team and collaborate with other functional areas to resolve customer problems.
The role involves assisting healthcare providers and patients via phone by answering questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
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Full Time
·
14 Weeks Ago
Onco360
The Patient Advocacy Coordinator is responsible for assisting patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through non-profit organizations and manufacturer programs. This involves explaining processes, assisting with applications, and reviewing required documentation to secure financial aid.
The Customer Care Specialist manages the customer care escalations email workflow and works with the customer service manager to ensure all sales team escalations are addressed daily. They must also resolve customer problems by working with other functional areas and notifying appropriate parties of the resolution actions taken.
Team members will assist healthcare providers and patients by phone, addressing questions and requests, and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding rejected claims and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
14 Weeks Ago
Onco360
The Patient Advocacy Coordinator is responsible for assisting patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through non-profit organizations and manufacturer programs. This involves explaining processes, aiding in application completion, and ensuring required documents are submitted.
The Customer Care Specialist manages the customer care escalations email workflow and works with the manager to ensure all sales team escalations are addressed daily. They must also work exception reports, escalate issues to the proper personnel, and collaborate with other functional areas to resolve customer problems.
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Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
The Quality Nurse ensures the organization provides quality patient care by leveraging relationships across teams, patients, and providers, participating in clinical and quality management activities like audits and medical record reviews. Major duties include performing chart audits, interacting with patients for counseling, tracking quality results for continuous improvement, and collaborating with the Director on auditing processes and training.
Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations.
The specialist manages the customer care escalations email workflow and works with the customer service manager to ensure all sales team escalations are addressed daily. They must also work exception reports, report potential issues, and escalate problems to the proper pharmacy director, sales team representative, or analytics team.
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