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Remote Finance Data Analyst: Analyze, Model, Summarize
Labelbox 4.3
Remote dispute resolution analyst job
A leading analytics firm is seeking a Finance Associate to support analytical and operational finance work. This remote independent contractor role requires the review of financial datasets, assisting with model updates, and producing structured summaries. Ideal candidates will have strong analytical and spreadsheet skills and experience in finance or business operations. The position offers a flexible workflow with compensation of $45 to $90 per hour.
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$45-90 hourly 1d ago
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Lead Plan Compliance Administration Analyst - Retirement Plans - Remote USAPosition-Ameritas HQ is Lincoln, NE
Ameritas 4.7
Remote dispute resolution analyst job
Back Lead Plan Compliance Administration Analyst - Retirement Plans #5624 Remote USA Position-Ameritas HQ is Lincoln, Nebraska, United States Apply X Facebook LinkedIn Email Copy Position Locations Remote USA Position-Ameritas HQ is Lincoln, Nebraska, United States Area of Interests Retirement Plans Full-Time/Part Time Full-time Job Description
Position Description:
The position serves as a subject matter expert for a plan compliance administration team and is responsible for delivery of technical administrative services to qualified retirement plans. This position is accountable for ensuring the day-to-day business needs are being met for their own workload. This position will provide associate training, meeting facilitation, and development/implementation of workflow process improvement. This position also supports the daily activity of the team through team standards, answering processing or escalation questions, and acting as subject matter expert as needed to meet team and Retirement Plan division goals.
Position Location:
This position is remote (within the U.S.A.) and does not require regular in-office presence.
What you do
Produce weekly and monthly reporting to ensure that goals are being met.
Manage difficult and complex plans while working outside of the pooled environment.
Provide guidance to resolve escalated issues or concerns.
Serve as leader and subject matter expert to team ensuring accuracy, providing service on escalated issues, onboarding, and training of the team.
Ensure adherence to regulations, policies, and procedures.
Recommend innovative programs or processes to achieve results.
Monitor daily operational activity and provide directions to meet service goals.
Lead and oversee high profile RP & team projects.
Communicate by phone or written correspondence with plan sponsors and their advisors regarding compliance related matters.
Administer large and complex plans according to plan documents.
Calculate employer contributions, including cross-tested plans.
Prepare earned income calculations.
Perform annual plan compliance testing, including ADP/ACP, Top Heavy, 410(b), 401(a)(4) and 402(g) and work with clients on corrective measures for failed tests.
Prepare and file Forms 5500 and 5330.
Provide support for plan audits.
Utilize multiple systems to administer plans efficiently and by regulatory deadlines.
Guide clients through correction programs such as EPCRS and DFVC.
Research plan related compliance matters using available resources.
What you bring
Bachelor's Degree or equivalent experience required
3-5 years Retirement Plans Administration experience
Ability to manage data and process financial transactions with a high degree of accuracy
Ability to maintain data security by following all data security guidelines and by bringing any potential security threats to the appropriate contact's attention for further review
Excellent mathematical and Excel skills
Excellent communication skills
Ability to work under tight deadlines
Attention to detail
Problem solving abilities
QKA or equivalent designation preferred
What we offer:
A meaningful mission. Great benefits. A vibrant culture
Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.
At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't:
Ameritas Benefits
For your money:
401(k) Retirement Plan with company match and quarterly contribution
Tuition Reimbursement and Assistance
Incentive Program Bonuses
Competitive Pay
For your time:
Flexible Hybrid work
Thrive Days - Personal time off
Paid time off (PTO)
For your health and well-being:
Health Benefits: Medical, Dental, Vision
Health Savings Account (HSA) with employer contribution
Well-being programs with financial rewards
Employee assistance program (EAP)
For your professional growth:
Professional development programs
Leadership development programs
Employee resource groups
StrengthsFinder Program
For your community:
Matching donations program
Paid volunteer time- 8 hours per month
For your family:
Generous paid maternity leave and paternity leave
Fertility, surrogacy and adoption assistance
Backup child, elder and pet care support
An Equal Opportunity Employer
Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.
About this Position's Pay The pay range posted reflects a nationwide minimum to maximum covering all potential locations where the position may be filled. The final determination on pay for any position will be based on multiple factors including role, career level, work location, skill set, and candidate level of experience to ensure pay equity within the organization. This position will be eligible to participate in our comprehensive benefits package (see above for details). This position will be eligible to participate in our Short-Term Incentive Plan with the annual target defined by the plan. Job Details Pay Range Pay RangeThe estimated pay range for this job. Disclosing pay information promotes competitive and equitable pay.
The actual pay rate will depend on the person's qualifications and experience. $65,382.00 - $107,880.00 / year Pay Transparency Pay transparency is rooted in principles of fairness, equity, and accountability within the workplace. Sharing pay ranges for job postings is one way Ameritas shows our commitment to equitable compensation practices.
$65.4k-107.9k yearly 19h ago
Remote DoD Program Analyst - Strategy & Insights
Cfocus Software Incorporated
Remote dispute resolution analyst job
A technology consulting firm seeks a Management Analyst to provide remote support for the Department of Defense. The role requires a Bachelor's degree and at least 5 years of experience in management or program analysis. Responsibilities include analyzing program performance, supporting governance activities, and managing documentation. Strong analytical, writing, and presentation skills are essential. Candidates must be able to obtain a Public Trust clearance and maintain a DoD CAC.
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$67k-100k yearly est. 5d ago
Drug and Alcohol Program Analyst
Commonwealth of Pennsylvania 3.9
Remote dispute resolution analyst job
Are you interested in channeling your professional social service career to support broad public health initiatives? This Drug and Alcohol Program Analyst position is for you! Join the Bureau of County Program Oversight, Division of Prevention and Treatment in our new Recovery Section team to support programs that make recovery possible for all people in Pennsylvania. You will have the chance to participate in planning, organizing, implementing, directing and coordinating the department's initiatives for recovery support services at a statewide level. Unleash your potential, make history, and help change lives with us!
DESCRIPTION OF WORK
In this Program Analyst role, you will perform professional, consultative, and administrative work on recovery support services throughout the Commonwealth. Your duties will involve planning, developing, and monitoring programs associated with substance use related recovery support programs in Pennsylvania, as well as conducting and participating in training and presentations surrounding recovery support services. This includes providing technical assistance to various stakeholders and recovery community organizations regarding funding, design, and development of peer support programs. You will also be responsible for the development and revision of program guidelines, standards, and procedures around recovery support services and recovery-oriented systems of care. Apply now to help foster a resilient, diverse, and accessible recovery environment in Pennsylvania!
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
Full-time employment
Work hours are 8:00 AM to 4:30 PM Monday - Friday, with a 60-minute lunch.
Telework: You may have the opportunity to work from home (telework) part-time. You will be required to report to the office two days per week and for special events as necessary. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
Free parking!
Salary: In some cases, the starting salary may be non-negotiable.
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
QUALIFICATIONS
Minimum Experience and Training Requirements:
Two years of professional experience in social service or human development programs including one year of program planning, developing, and monitoring experience of the same; and a bachelor's degree; or
Any equivalent combination of experience and training.
Other Requirements:
You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
You must be able to perform essential job functions.
How to Apply:
Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
Your application must be submitted by the posting closing date
.
Late applications and other required materials will not be accepted.
Failure to comply with the above application requirements may eliminate you from consideration for this position.
Veterans:
Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to ************************************************ and click on Veterans.
Telecommunications Relay Service (TRS):
711 (hearing and speech disabilities or other individuals).
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.
EXAMINATION INFORMATION
Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
Your score is valid for this specific posting only.
You must provide complete and accurate information or:
your score may be lower than deserved.
you may be disqualified.
You may only apply/test once for this posting.
Your results will be provided via email.
$42k-52k yearly est. 1d ago
Resolution Analyst, Denials
Enablecomp 3.7
Remote dispute resolution analyst job
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified
E360 RCM
™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.
Position Summary
The ResolutionAnalyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The ResolutionAnalyst is responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the departments revenue. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.Key Responsibilities
Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using EnableComp's proprietary software, systems and tools.
Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement.
Efficiently review hospital contracts to identify and collect cash payments from insurance companies, ensuring prompt payments of denied and underpaid claims.
Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement.
Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate resolution of outstanding receivables.
Ensures smooth operations and improves customer satisfaction.
Other duties as required.
Requirements and Qualifications
High School Diploma or GED required. Associates or Bachelor's Degree preferred.
5+ years' experience in healthcare field working in billing or collections.
1+ years' client facing/customer services experience.
Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
Equivalent combination of education and experience will be considered.
Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology.
Strong understanding of the revenue cycle process.
Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements.
Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims.
Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms.
Demonstrate strong ability to review client/payer contracts to identify complex underpayments.
Regular and predictable attendance.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Special Considerations and Prerequisites
Practices and adheres to EnableComp's Core Values, Vision and Mission.
Proven ability to meet and/or exceed productivity targets and goals.
Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders.
Must be a self-starter and able to work independently without direct supervision.
Proven written and verbal communication skills.
Strong analytical and problem-solving skills.
Proven experience working with external clients; strong customer service skills and business acumen.
Ability to prioritize and manage multiple competing priorities and projects concurrently.
Must be able to remain in stationary position 50% of the time.
Occasionally moves about inside the office to access office equipment, etc.
Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.
EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.
Don't just take our word for it! Hear what our people are saying:
“I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.”
- Revenue Specialist
“I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.”
- Supervisor, Operations
$43k-62k yearly est. Auto-Apply 11d ago
Dispute Analyst - Remote (LATAM)
Paymentology
Remote dispute resolution analyst job
At Paymentology, we're redefining what's possible in the payments space. As the first truly global issuer-processor, we give banks and fintechs the technology and talent to launch and manage Mastercard and Visa cards at scale - across more than 60 countries.
Our advanced, multi-cloud platform delivers real-time data, unmatched scalability, and the flexibility of shared or dedicated processing instances. It's this global reach and innovation that sets us apart.
We're looking for a Card Authority and Disputes Administrator to manage and process chargebacks, transaction disputes, and card authority operations across global card networks. This role ensures every case and authorisation exception is validated, documented, and resolved in line with regulatory and card scheme standards. You'll play a key role in protecting clients and cardholders from financial loss while upholding Paymentology's operational integrity, operating independently on assigned cases and prioritising workload against SLA and regulatory deadlines.
Handle and process cardholder disputes involving authorised and unauthorised transactions.
Conduct detailed investigations using multiple internal systems and external partners.
Validate data accuracy and ensure all documentation meets compliance and network standards.
Determine appropriate actions and craft timely, accurate responses to networks within SLA and regulatory timelines.
Oversee card authority processes including transaction approvals, declines, and authorisation reviews.
Provide guidance to internal teams and clients on dispute outcomes, escalations, and card authorisation queries.
Maintain current knowledge of card scheme rules, dispute categories, and operational procedures.
Contribute to continuous improvement initiatives in disputeresolution, authorisation processes, and reporting accuracy.
What it takes to succeed:
Strong understanding of Visa/Mastercard dispute and card authorisation processes and compliance standards.
Skilled in Microsoft Office Suite (Excel, Outlook, Word) and case management tools.
Excellent written and verbal English communication skills.
Analytical, customer-centric, and detail-oriented, with the ability to work to tight deadlines.
Able to coordinate with card network partners, client operations teams, and internal reconciliation staff to ensure compliance and customer satisfaction.
2-4 years in disputeresolution, card operations, or financial customer service.
At Paymentology, it's not just about building great payment technology, it's about building a company where people feel they belong and their work matters. You'll be part of a diverse, global team that's genuinely committed to making a positive impact through what we do. Whether you're working across time zones or getting involved in initiatives that support local communities, you'll find real purpose in your work - and the freedom to grow in a supportive, forward-thinking environment.
$43k-60k yearly est. 47d ago
Certified Epic Resolute HB App Analyst
Jupitermed
Remote dispute resolution analyst job
Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.
Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).
Education
Proficient in Microsoft applications including Word, Excel, and PowerPoint
Associate or bachelor's degree preferred with a focus in healthcare, business, or information systems.
Experience / Qualifications
Prior analyst experience working with inpatient hospital billing systems.
Work history/knowledge of hospital inpatient billing operations.
Prior experience with Epic's Resolute HB system a plus.
Strong understanding of the core fucntions and processed of the billing office
Understanding of the billing office's integration with other departments in the organization
Solid comprehension of revenue cycle management
Position Summary
The Epic Resolute Hospital Billing Application Analyst supports the mission of JMC by configuring and supporting financial applications within the Epic electronic health record (EHR) software. The Epic Resolute Hospital Billing Application Analyst serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Epic Resolute Hospital Billing Application Analyst will provide application support and optimization. The Epic Resolute Professional Billing Application Analyst must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments.
Participates in planning, implementation and go-live activities for the assigned application which will include being on-site with the customer, gathering specifications, discovery questions, capturing process gaps, demonstrating Epic foundation build and workflow design, and tracking risk/issues and requests.
Comprehends and practices standards such as shared vs separate build guidelines, change control process, Guiding principles, Affiliate naming and numbering convention, data migration, support incident tracking and optimization request process for affiliates.
Maintains a positive attitude, welcomes and incorporates feedback, and shows appreciation for colleagues, patients, partners, and customers in a consistent manner.
Demonstrates great teamwork, shares information with others, responsive with all communications/deliverables, collaborates with the team to resolve open issues, and anticipates the needs of colleagues in a consistent manner.
Takes personal ownership of issues, ensures a high degree of accuracy with all communications/deliverables, completes tasks according to committed timelines, demonstrates excellent service recovery, and communicates with customers in a consistent manner.
Actively monitors assigned support tickets, documents activities thoroughly, and resolves issues within the established service levels in a consistent manner.
Under direction of senior team members, performs workflow analysis and design with input and guidance from key operational leadership. Facilitates workflow adoption on new processes.
Participates in system testing events by executing scripts. Accurately documents and reports any noted errors or deficiencies.
Provides support to departments/end users during system upgrade and optimization activities
Executes assigned tasks under the supervision of senior team members/management. Tasks are completed within specified time frame.
Utilizes system knowledge and available resources to address routine issues.
Actively participates in departmental and customer team meetings. Provides input, and acts as a team resource by taking notes or other support activities.
Maintains up-to-date application knowledge for assigned applications/process areas. Utilizes appropriate resources to further knowledge to address issues or complete assigned tasks.
Actively participates in testing of downtime processes. Activities may include executing test scripts, working with end users or other tasks to support downtime activities.
Participates in discussions related to the development of training content for users. Provides support to formal training classes when necessary in the form of proctoring, materials preparation or other tasks as necessary.
Performs other duties as assigned.
Team Member Competencies
Establishing Relationships
Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.
Peer Support
Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.
Inspiring and Motivating Others
Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments. Works well with others, build consensus, and ensures cooperation to complete tasks and positive workflow.
Demonstrating Emotional Intelligence
Exercises self-leadership, self-awareness, and self-regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.
Acting with Integrity
Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments.
Being a Champion for Change and Innovation
Supports people in their efforts to try new things. Things creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes. Accepts new ways of doing things and adapts to change.
Communicating Effectively
Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Is adept at tailoring the message to fit the interests and needs of the audience. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization.
Promoting Diversity and Inclusion
Treats all people with dignity and respect. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenges bias and intolerance. Develops all-inclusive groups in the realms of social interaction and communication. Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.
Physical Requirements
Requires sitting for long periods of time, use of computer and other telecommunication devices. Must be able to work in a stressful environment, work independently, and be capable of critical thinking, making sound decisions, detail oriented, alert, and self-motivated.
Threshold Requirements
These threshold requirements are required and completed yearly basis.
Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation.
TB/PPD Surveillance Program
Maintenance of required professional licensing and/or certification(s).
$43k-60k yearly est. Auto-Apply 37d ago
Fraud Analytics Analyst
Live Oak Banking 3.8
Remote dispute resolution analyst job
About Us
Live Oak Bank is a digital bank that serves small business owners across the country. Our groundbreaking spin on service and technology has fueled our mission to be America's Small Business Bank. Our products help customers buy, build, and expand their business, and our high-yield savings and CD products help them grow their hard-earned money. At Live Oak, we never lose sight of the well-being of our people. We believe our employees are the heart of our company. Our commitment to our customers and culture is intertwined, and we seek those who embody and embrace what it takes to empower the American dream.
How This Role Impacts Live Oak and its People
Drive strategic decisions at Live Oak by analyzing and presenting data and supporting fraud prevention strategies. This analyst will collaborate with the fraud analyst, fraud investigators, and the investigations manager to enhance data and reporting.
What You'll Do at Live Oak
Design and build new data set processes for modeling, data mining, and data analysis
Provides alert support to address emerging threats
Analyze data to determine fraud system rules for fraud mitigation
Ability to communicate with management to present analysis in a concise and actionable way
How You'll Do It
Implement and maintain systems/processes for data analysis and data management
Identify trends and develop assumptions to model various strategic initiatives
Responsible for gathering data from a variety of data sources and performing meaningful analysis
Regularly performs analysis and reporting as needed
Maintain proper documentation as required for record retention purposes
Required Experience
2 years related fraud analytics experience
Strong analytical skills
Experience in Microsoft Office
Proficiency in Data Visualization Tools such as Tableau and Python
Proficiency with Database Tools (SQL Server, MySQL, etc.)
Our Values
Dedication: Possess a deep commitment to Live Oak Bank's mission and core values, exemplified through a strong work ethic, adaptability and pride in your work.
Ownership: Take initiative to deliver positive results by proactively and creatively solving problems, while maintaining a high degree of quality.
Respect: Treat everyone with courtesy, politeness, and kindness.
Innovation: Embrace fresh ideas and fearlessly contribute new solutions to emerging or existing problems.
Teamwork: Foster collaboration, accountability, and trust with others and understand that together, we do more
For a detailed overview of our employee benefits please visit: ***********************************
Live Oak Bank is an Affirmative Action and Equal Opportunity Employer, Minorities/Women/Veterans/Disabled. We consider applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, veteran status or disability. Equal access to programs, service and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources at ***************************.
EEO is the Law
The base pay range for this position is $56,540.00 - $92,520.00 per year. Compensation may also include annual bonuses and long-term incentives, subject to various metrics and company policy. A candidate's salary is determined by several factors including travel, relevant work experience or skills and expertise.
Please note that we provide at least the minimum requirement of paid sick leave to our employees who reside in states that require employer-paid sick leave, including but not limited to Arizona, California, Colorado, District of Columbia, Maine, Maryland, Massachusetts, Michigan, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island, Vermont, and Washington.
$56.5k-92.5k yearly Auto-Apply 8d ago
Fraud Analyst
Slope 4.0
Remote dispute resolution analyst job
Reporting to the Compliance Lead, the Fraud Analyst will provide fraud mitigation support through the utilization of analytic tools for fraudulent trend recognition, identifying and preventing potential fraud on customer applications and providers. The Fraud Analyst will work closely with the Compliance Lead to detect and mitigate new fraud trends, while aligning with outside departments to optimize the fraud controls and communication in place. The utilization of data & trend identification techniques will be key in the decision-making aspects of the position.
What You'll Do:
Perform manual reviews and analysis of new account applications and existing customer/provider accounts, identifying and preventing potential fraud
Perform alert triage utilizing risk scores and trend analysis in the decisioning of alerts
Manage case management for large scale fraud cases
Assist Leadership in ongoing identification of high-risk behaviors of the current customer base by performing customer monitoring, assessing transactional activity, and tracking customer behavior to ensure it aligns with their expected behavior and to identify fraud among existing customer base
Aggregate and analyze internal data to understand performance of fraud decisioning, finding insights from internal data sets to improve fraud mitigation strategies and customer evaluation rules to curb new fraud trends and patterns
Work closely with Customer Service, Operations and Compliance teams to optimize policies and controls to improve monitoring and due diligence of transactions, consumers and providers
Work closely with other departments in the identification, management and communication of fraud and ID Theft cases
Leveraging AI tools to improve review efficiency and quality, including AI-generated risk summaries, memo drafting support, and automated alert triage to enhance decision-making and workflow throughput
Assist with various fraud related duties as needed
Perform back-office functions related to research and resolution of fraudulent activity and applicable reporting
Support in ongoing bank audits, monitoring and testing, and risk assessments as applicable
Monitoring industry trends relative to money laundering or fraud schemes including detection and reporting of suspicious activity
Work effectively in a fully remote environment with teams spanning multiple time-zones
About You:
Bachelor's degree in related field; or equivalent job experience
3+ years prior banking or Fintech experience, preferably in an investigative and analytical role or exposed to fraud-related behavior in Consumer and/or Business segments
Proficiency in online and internal application research across applicable systems and reporting and analytical tools
An innovative and creative mind looking to suggest new solutions to old problems
Detail-oriented, highly analytical and comfortable digging into data
Experience/familiarity with Slack, Apple MacOS and GSuite
Nice to Have:
CAMS, CFCS, or CFE certification a plus
$60k-86k yearly est. Auto-Apply 9d ago
Billing Resolution Specialist - PST (M-F)
Kestra Medical Technologies
Remote dispute resolution analyst job
The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets.
The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable
technologies with proven device therapies. Kestra's solutions combine high quality and technical performance
with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new
ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect
life.
The Billing Resolution Specialist is responsible for resolving billing issues (bill holds) while identifying issue-trends and opportunities for continuing education to reduce the number of future billing issues. This role works in collaboration with Field Sales, Care Coordination, IT, and COS Team Members to quickly and efficiently resolve issues preventing claims release.
ESSENTIAL DUTIES
Closely monitors and takes decisive action pertaining to all claims on bill hold.
Ensures that all issues preventing claim submission are resolved in a timely and effective manner.
Works assertively, but collaboratively, with Revenue Cycle Management, Field Sales, Sales Support, and other departments to pursue outstanding documents/information while closely tracking and monitoring issues to achieve resolution.
Ensures that all metrics pertaining to resolving bill holds are met on a consistent basis.
Documents trends and then provides this information to leadership to identify gaps and improve outcomes.
Adhere to Pledge of Confidentiality
Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient's case.
COMPETENCIES
Passion: Contagious excitement about the company - sense of urgency. Commitment to continuous improvement.
Integrity: Commitment, accountability, and dedication to the highest ethical standards.
Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service.
Action/Results: High energy, decisive planning, timely execution.
Innovation: Generation of new ideas from original thinking.
Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind.
Emotional Intelligence: Recognizes, understands, manages one's own emotions and is able to influence others. A critical skill for pressure situations.
Requirements
Education/Experience Required:
High school diploma
5-7 years of experience in the healthcare industry, with a focus on revenue cycle management
Able to work effectively in a remote environment
Proven record of achieving aggressive metrics and outcomes
Experience with the Microsoft Office suite, inclusive of Microsoft Teams
Preferred:
Bachelor's degree
7+ years of experience in a revenue cycle management capacity
WORK ENVIRONMENT
Fast-paced remote work from your home/workstation
Must maintain steady, consistent internet access
Extended/overtime hours when needed
Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug
Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a
condition of employment, post-offer.
PHYSICAL DEMANDS
Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage
Frequent stationary position, often standing or sitting for prolonged periods of time
Frequent computer use
Frequent phone and other business machine use
Occasional lifting required, up to 20 pounds
TRAVEL
Minimal domestic travel, approximately 5% of the time
OTHER DUTIES:
This is not designed to cover or contain a comprehensive listing of activities, duties or
responsibilities that are required of the Team Member. Duties, responsibilities, and activities may change or new
ones may be assigned at any time with or without notice.
Benefits
Kestra offers a very competitive benefit package including Medical, Dental, 401K with Match, etc.
Pay equity is an important part of Kestra's Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity. Each role is benchmarked based on the job description provided. If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted.
Salary: Annualized between $78,000 and $90,000. Depending on experience and location.
Kestra Medical Technologies is an equal opportunity employer. Kestra Medical Technologies does not discriminate on the basis of race, color, religion, national origin, veteran status, disability, age, sexual orientation, gender identity and/or expression, marital status, or any other characteristic protected by law.
We are unable to sponsor or take over sponsorship of employment visas at this time. Applicants must be eligible to work for any employer in the U.S.
Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment.
$78k-90k yearly Auto-Apply 5d ago
Rapid Resolution Specialist (Tier 1 IT Help Desk)
Marco 4.5
Remote dispute resolution analyst job
The Rapid Resolution Specialist is responsible for providing quality services and solutions to our clients while maintaining a high level of client satisfaction. You will be responsible for determining problem severity, performing basic remediation, and assigning service requests to appropriate resources.
ESSENTIAL FUNCTIONS:
Respond to client calls, client emails, system alerts and other correspondence in an appropriate and timely manner.
Participate as a primary resource within the inbound calling contact center for Managed IT clients.
Determine problem severity, establish priorities, and assign service request to the appropriate resource.
Accurately and promptly log client problem information and create a service request.
Provide prompt communications to clients (internal and external) on detailed status information and estimated resolution times for issues.
Remediate support requests for move/add/change type work.
Troubleshooting and remediate support requests for basic and intermediate break/fix type work.
Verify systems and applications functionality to identify proper resources to assign for resolution.
Verify and maintain client contact and database information.
Participate in best practices and follow operations procedures to create efficiencies.
Accurately maintain and comply with documentation and administrative procedures in a timely basis to include time entry process.
Attend required company and departmental meetings.
Act in accordance with Marco policies and procedures as set forth in the employee handbook.
EDUCATION AND EXPERIENCE:
High School diploma and two years of relevant experience or an Associate's degree; or equivalent combination of education and experience.
Previous IT experience preferred.
REQUIRED SKILLS:
Proficiency with business collaboration tools including MS Office applications, Outlook and company specific programs.
Solid customer service abilities including telephone skills.
Excellent verbal and written communication with internal and external clients.
Excellent organizational and time/task management skills with the ability to prioritize tasks and work within a defined timeline and to operate with changing priorities.
Ability to gather and analyze information.
Performs work with accuracy and thoroughness.
Excellent follow through to see tasks through completion.
Function collaboratively as part of a fast-paced, client orientated team.
Pay Range: $19.94 - $29.92 hourly + bonus
The pay range listed for this position is based on candidate's skill level, experience, relevant licenses, and educational background. For detailed information about our benefits, please visit our careers page at *************************
Location: This is a remote-eligible position, however, Marco Technologies requires employees to reside within one of the following states: DE, FL, IA, IL, IN, KY, MD, MI, MN, MO, ME, NE, ND, NJ, PA, RI, SD, TX, WI
$19.9-29.9 hourly 19h ago
Fraud Prevention Analyst - ATO (Daytime/Weekends)
Open 3.9
Remote dispute resolution analyst job
Our roster has an opening with your name on it
The Fraud and Risk Analyst - ATO role is responsible for analyzing and monitoring daily risk reporting to identify and prevent account takeovers across the FanDuel Group brands. This position plays a key role in assisting our organization with our fraud prevention response and is responsible for reviewing and resolving inbound and outbound customer fraud contacts across the platform.
This role requires intermediate to advanced experience in customer service and an intermediate to advanced understanding of existing and emerging fraud risks within Daily Fantasy Sports, online gaming, or related industries. Candidates for this role must pass the required licensing as mandated by various state gaming and racing regulatory bodies. Failure to be licensed or retain licensure will result in termination of employment. This position reports to the Fraud and Risk Lead Supervisor
In addition to the specific responsibilities outlined above, employees may be required to perform other such duties as assigned by the Company. This ensures operational flexibility and allows the Company to meet evolving business needs.
THE GAME PLAN
Everyone on our team has a part to play
Conduct daily reviews of risk reporting to detect, prevent and mitigate account takeover activity; including but limited to customer deposits and withdrawals
Perform detailed account due diligence and settlement of customer accounts
Assist with applicable state-specific regulatory fraud form reporting
Support internal teams with various fraud and risk reviews or requests
Resolve customer issues in relation to fraud and risk matters
Additional tasks and projects as assigned by team leadership
THE STATS
What we're looking for in our next teammate
Preferably 2+ years of fraud experience in daily fantasy sports, online gaming or related industries preferred
Experience with digital payments and understanding of e-Commerce platforms ideal
Bachelor's degree in related field preferred
Intermediate knowledge of common fraud prevention strategies and systems
Intermediate understanding of Check, ACH, Wire, Debit/Credit card, PayPal and other payment channel operating rules
Strong communication, organizational, problem-solving and analytical skills
Available to work flexible hours that include nights and weekends
Passion for sports and/or gaming industry a plus
Licensure: Must be able to pass required licensing as mandated by various state racing and gaming regulatory bodies
ABOUT FANDUEL
FanDuel Group is the premier mobile gaming company in the United States and Canada. FanDuel Group consists of a portfolio of leading brands across mobile wagering including: America's #1 Sportsbook, FanDuel Sportsbook; its leading iGaming platform, FanDuel Casino; the industry's unquestioned leader in horse racing and advance-deposit wagering, FanDuel Racing; and its daily fantasy sports product.
In addition, FanDuel Group operates FanDuel TV, its broadly distributed linear cable television network and FanDuel TV+, its leading direct-to-consumer OTT platform. FanDuel Group has a presence across all 50 states, Canada, and Puerto Rico.
The company is based in New York with US offices in Los Angeles, Atlanta, and Jersey City, as well as global offices in Canada and Scotland. The company's affiliates have offices worldwide, including in Ireland, Portugal, Romania, and Australia.
FanDuel Group is a subsidiary of Flutter Entertainment, the world's largest sports betting and gaming operator with a portfolio of globally recognized brands and traded on the New York Stock Exchange (NYSE: FLUT).
PLAYER BENEFITS
We treat our team right
We offer amazing benefits above and beyond the basics. We have an array of health plans to choose from (some as low as $0 per paycheck) that include programs for fertility and family planning, mental health support, and fitness benefits. We offer generous paid time off (PTO & sick leave), annual bonus and long-term incentive opportunities (based on performance), 401k with up to a 5% match, commuter benefits, pet insurance, and more - check out all our benefits here: FanDuel Total Rewards. *Benefits differ across location, role, and level.
FanDuel is an equal opportunities employer and we believe, as one of our principles states, “We are One Team!”. As such, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, creed, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, or any other characteristic protected by state, local or federal law. We believe FanDuel is strongest and best able to compete if all employees feel valued, respected, and included.
FanDuel is committed to providing reasonable accommodations for qualified individuals with disabilities. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please email ********************.
The applicable hourly range for this position is $25.96 - $32.69 USD, which is dependent on a variety of factors including relevant experience, location, business needs and market demand. This role may offer the following benefits: medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses and stock program participation. This role includes paid personal time off and 14 paid company holidays. FanDuel offers paid sick time in accordance with all applicable state and federal laws.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
#LI-Hybrid
$26-32.7 hourly Auto-Apply 13d ago
SME - Fraud Analytics
EXL Talent Acquisition Team
Remote dispute resolution analyst job
Salary: $120k-$165k + Bonus For more information on benefits and what we offer please visit us at ***************************************************
The EXL - Fraud Practice will be responsible for shaping, scaling, and executing integrated fraud management solutions for EXL. The role will focus on helping global banks and financial institutions to reduce their fraud losses and modernize their fraud ecosystems - embedding AI, GenAI, and automation across the lifecycle.
This role demands a candidate who brings deep fraud domain expertise, consulting acumen, and the ability to translate technology and analytics into measurable business outcomes.
Minimum 5 years of experience in Fraud analytics, Strategy, or Risk Management, preferably across Banking, Fintech, or Payments.
Proven ability to lead multi-dimensional transformation integrating analytics, digital, operations, and advisory levers.
Deep domain understanding across the fraud lifecycle - including application, transaction, merchant, and dispute/chargeback management.
Experience with fraud platforms, rules strategy configuration, and decision orchestration tools.
Strong client engagement and consulting skills with ability to influence senior stakeholders and CXO-level clients.
Exposure to Operational Excellence and continuous improvement frameworks.
Excellent communication, presentation, and storytelling skills with a data-driven orientation.
Graduate or Postgraduate in Statistics, Economics, Finance, or an MBA with relevant domain experience.
High energy, intellectual curiosity, and self-driven mindset, comfortable operating in fast-evolving, ambiguous environments.
EEO/Minorities/Females/Vets/Disabilities
Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits.
Lead short-cycle diagnostic and transformation initiatives across the fraud value chain - identifying pain points, quantifying impact opportunities, and developing executable roadmaps.
Support sales and client pursuits by leading solution design, RFP/RFI responses, and development of differentiated value propositions.
Drive end-to-end transformation programs leveraging analytics, AI-first frameworks, and automation to optimize fraud prevention, detection, and claims management.
Conduct research and benchmarking to generate actionable insights on emerging fraud typologies, regulatory shifts, and best-in-class practices.
Develop and continuously evolve knowledge assets including capability decks, frameworks, case studies etc. to strengthen the fraud offering.
Evangelize fraud and disputes solutions by collaborating with delivery, digital, and analytics teams to embed innovation and enhance solution maturity.
Identify performance bottlenecks and enable data-driven interventions to drive measurable outcomes in fraud savings, false positive reduction, and recovery rates.
Build domain and analytics capability through structured training programs, certification paths, and knowledge transfer across global delivery teams.
$39k-71k yearly est. Auto-Apply 60d+ ago
Fraud Analyst (Remote from US)
Jobgether
Remote dispute resolution analyst job
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Fraud Analyst in the United States.This role offers the opportunity to take full ownership of fraud detection and prevention within a fast-growing, data-driven environment. You will analyze large datasets, identify fraud patterns, and design risk logic to protect users and optimize transactions. The position combines strategic thinking with hands-on execution, allowing you to shape verification strategies, optimize authentication flows, and improve approval rates while maintaining a seamless user experience. You will collaborate closely with product, payments, data, and engineering teams, gaining exposure to multiple markets and complex payment systems. The ideal candidate thrives on autonomy, accountability, and leveraging data to drive actionable outcomes. This role provides a chance to make a tangible impact on a global, high-volume marketplace.Accountabilities:
Take ownership of fraud detection and prevention for assigned products
Analyze large datasets using SQL to identify patterns, anomalies, and emerging attack vectors
Design, implement, and optimize dynamic fraud risk rules to scale with business growth
Monitor and improve False Positive Rates, balancing security and user experience
Manage 3DS decisioning and authentication strategies across multiple regions
Track and report fraud trends, providing data-driven insights and recommendations
Collaborate with Product, Payments, Data, and Engineering teams to enhance fraud prevention systems
Maintain fraud detection workflows, alerts, and decision logic used by the team
Requirements:
Proven experience in fraud analysis, payments risk, or risk management with clear ownership over results
Strong SQL skills and hands-on experience with large datasets (mandatory)
Experience creating and maintaining dynamic fraud risk rules
Knowledge of 3DS and regional authentication strategies
Ability to manage False Positive Rates and approval rates effectively
Solid understanding of fraud patterns, user behavior, and payment-related risks
Strong problem-solving, critical thinking, and data-backed decision-making skills
Full professional proficiency in English
Nice-to-Haves: Python experience, familiarity with fintech/payment tools (e.g., Adyen, Stripe Radar, Sift, Forter), experience in multi-market international environments, and knowledge of PSD2/SCA concepts
Benefits:
Competitive salary range (€37,200 - €42,780, depending on experience)
Employee Stock Options program
Performance-based bonuses, referral bonuses, and additional paid leave
Personal learning and professional development budget
Paid volunteering opportunities
Flexible work location: office, remote, or hybrid, with opportunities to travel
Clear growth and promotion processes with structured feedback
Why Apply Through Jobgether?We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.We appreciate your interest and wish you the best! Why Apply Through Jobgether?
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
#LI-CL1
$39k-71k yearly est. Auto-Apply 5d ago
Rapid Resolution Specialist (Tier 1 IT Help Desk)
Marcoculture
Remote dispute resolution analyst job
The Rapid Resolution Specialist is responsible for providing quality services and solutions to our clients while maintaining a high level of client satisfaction. You will be responsible for determining problem severity, performing basic remediation, and assigning service requests to appropriate resources.
ESSENTIAL FUNCTIONS:
Respond to client calls, client emails, system alerts and other correspondence in an appropriate and timely manner.
Participate as a primary resource within the inbound calling contact center for Managed IT clients.
Determine problem severity, establish priorities, and assign service request to the appropriate resource.
Accurately and promptly log client problem information and create a service request.
Provide prompt communications to clients (internal and external) on detailed status information and estimated resolution times for issues.
Remediate support requests for move/add/change type work.
Troubleshooting and remediate support requests for basic and intermediate break/fix type work.
Verify systems and applications functionality to identify proper resources to assign for resolution.
Verify and maintain client contact and database information.
Participate in best practices and follow operations procedures to create efficiencies.
Accurately maintain and comply with documentation and administrative procedures in a timely basis to include time entry process.
Attend required company and departmental meetings.
Act in accordance with Marco policies and procedures as set forth in the employee handbook.
EDUCATION AND EXPERIENCE:
High School diploma and two years of relevant experience or an Associate's degree; or equivalent combination of education and experience.
Previous IT experience preferred.
REQUIRED SKILLS:
Proficiency with business collaboration tools including MS Office applications, Outlook and company specific programs.
Solid customer service abilities including telephone skills.
Excellent verbal and written communication with internal and external clients.
Excellent organizational and time/task management skills with the ability to prioritize tasks and work within a defined timeline and to operate with changing priorities.
Ability to gather and analyze information.
Performs work with accuracy and thoroughness.
Excellent follow through to see tasks through completion.
Function collaboratively as part of a fast-paced, client orientated team.
Pay Range: $19.94 - $29.92 hourly + bonus
The pay range listed for this position is based on candidate's skill level, experience, relevant licenses, and educational background. For detailed information about our benefits, please visit our careers page at *************************
Location: This is a remote-eligible position, however, Marco Technologies requires employees to reside within one of the following states: DE, FL, IA, IL, IN, KY, MD, MI, MN, MO, ME, NE, ND, NJ, PA, RI, SD, TX, WI
$19.9-29.9 hourly 19h ago
Resolution Specialist
Gifthealth
Dispute resolution analyst job in Columbus, OH
About Us
At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives.
Shift Options: 12:00 PM-8:00 PM or 1:00 PM-9:00 PM
Note: Bilingual candidates will be given priority.
Work location: 4343 Equity Drive, Columbus, OH
Position Summary
As the Resolution Specialist at Gifthealth, you will oversee the resolution of complex patient issues, ensuring timely and effective responses. This role requires close collaboration with cross-functional teams to enhance the patient experience and drive continuous improvement in our support processes.
Key Responsibilities
Escalation Management:
Serve as the primary point of contact for high-priority patient concerns.
Coordinate with internal teams to resolve issues promptly.
Develop and implement protocols for handling escalations efficiently.
Team Leadership:
Mentor and support Patient Care Representatives in managing challenging cases.
Provide training on best practices for issue resolution and customer service.
Monitor team performance and provide feedback for continuous improvement.
Process Improvement:
Analyze escalation trends to identify areas for operational enhancements.
Collaborate with stakeholders to implement solutions that reduce recurrence of issues.
Maintain documentation of processes and updates for transparency and training purposes.
Compliance and Reporting:
Ensure all patient interactions comply with HIPAA and other regulatory standards.
Generate reports on escalation metrics and outcomes for leadership review.
Participate in audits and quality assurance activities as needed
Qualifications
Bachelor's degree in Healthcare Administration, Business, or related field.
Minimum of 3 years in a patient support or customer service role, with at least 1 year in a supervisory capacity.
Strong problem-solving skills and the ability to handle high-stress situations calmly.
Excellent communication and interpersonal skills.
Proficiency in customer service software (e.g., Zendesk) and Microsoft Office Suite.
Knowledge of pharmacy operations and healthcare regulations is a plus.
Success Metrics:
Reduction in escalation resolution time.
Improvement in patient satisfaction scores.
Decrease in repeat escalation cases.
Enhanced team performance and morale.
Work Environment
Location: Hybrid
Schedule: Full-time
May require additional availability or flexibility for escalations.
Regular meetings with teams, departments, or leadership to ensure alignment.
Key Essential Functions
Must be able to remain seated and work at a computer for extended periods (up to 8 hours).
Must be able to type and perform repetitive hand/wrist motions throughout the shift.
Must be able to use a headset for phone-based communication for the majority of the workday.
Must be able to navigate multiple computer systems and applications simultaneously.
Must maintain focus and attention to detail while managing a high volume of calls or tasks.
Must be able to communicate clearly and professionally via phone, chat, and email.
Must be able to work onsite/remote (customize) for all scheduled shifts, including potential weekends or evenings depending on business needs.
Must be able to handle occasional escalated or emotionally charged interactions with composure.
Must be able to meet productivity and quality standards consistently.
Pharmacy Technician Trainee license will be required prior to starting with Gifthealth. Gifthealth will assist in this process.
Employment Classification
Status: Full-time
FLSA: Non-Exempt
Equal Employment Opportunity (EEO) Statement
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.
We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply!
Disclaimer
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.
Salary Description $22-$28/hr
$22-28 hourly 59d ago
Payment Resolution Specialist
Currance Inc.
Remote dispute resolution analyst job
Job DescriptionDescription:This is a remote position. We're looking for great talent from and can accept applicants living in: AR, AZ, CA, CO, CT, FL, GA, IA, IL, MN, MO, NC, NJ, NE, NV, OK, PA, SD, TN, TX, VA, WA, WIAt Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals.
Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work-life balance, and more.
Overview:
The Payment Resolution Specialist is responsible for reviewing and resolution of outstanding missing payment insurance balances for hospital patient accounts. The primary responsibility of this role is to complete tasks related to timely resolution of accounts receivable which have been paid by the payer but are outstanding in the AR.
Duties and Responsibilities:
Conduct thorough investigation into the root cause of any missing payments to ensure that all transactions are accurately applied to the correct patient accounts.
Research missing payment/unidentified reports weekly to ensure accurate missing payment inventory and timely review.
Perform insurance cash posting within the system to resolve missing payments with deposit confirmation.
Communicate clearly and concisely with insurance companies about any missing payment deposit details.
Collaborate internally with leadership to identify and communicate trends of missing payments, such as issues with ERA/EFT payor enrollment, insurance payments being sent to the wrong entity, remit reconciliation discrepancies, etc.
Complete timely follow-up on assigned accounts, documents research findings in detail and notates next steps towards resolution.
Ability to prioritize job responsibilities and manage time effectively for completion of assignments.
Serve as a payment posting backup as needed.
Perform other duties as assigned.
Requirements:
Qualifications:
High school diploma or equivalent.
4+ years of work experience in revenue cycle management, cash posting or a related field.
Knowledge, Skills & Abilities
Knowledge of computer applications or other automated systems, such as Microsoft Office, TEAMS, email, and database software in working assignments.
Skilled in making accurate arithmetic computations.
Excellent communication, good judgment, tact, initiative, and resourcefulness.
Skilled in navigating payer portals and electronic medical record systems.
Knowledge of revenue cycle data analysis and interpretation.
Must be detail oriented, organized, and ability to multi-task.
Possess ability to concentrate for long periods of time.
Ability to work individually and/or as part of a team.
Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
Must be flexible with a positive attitude and the ability to remain professional under high pressure situations.
Demonstrate the ability to learn new systems quickly and develop proficient operating skills within a reasonably short timeframe.
Understand oral and written directives.
Ability to problem-solve and organize tasks across multiple projects.
Disclosure Statement:
As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General's List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).
These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.
$36k-53k yearly est. 7d ago
Resolution Specialist
Gifthealth Inc.
Dispute resolution analyst job in Columbus, OH
Description:
About Us
At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives.
Shift Options: 12:00 PM-8:00 PM or 1:00 PM-9:00 PM
Note: Bilingual candidates will be given priority.
Work location: 4343 Equity Drive, Columbus, OH
Position Summary
As the Resolution Specialist at Gifthealth, you will oversee the resolution of complex patient issues, ensuring timely and effective responses. This role requires close collaboration with cross-functional teams to enhance the patient experience and drive continuous improvement in our support processes.
Key Responsibilities
Escalation Management:
Serve as the primary point of contact for high-priority patient concerns.
Coordinate with internal teams to resolve issues promptly.
Develop and implement protocols for handling escalations efficiently.
Team Leadership:
Mentor and support Patient Care Representatives in managing challenging cases.
Provide training on best practices for issue resolution and customer service.
Monitor team performance and provide feedback for continuous improvement.
Process Improvement:
Analyze escalation trends to identify areas for operational enhancements.
Collaborate with stakeholders to implement solutions that reduce recurrence of issues.
Maintain documentation of processes and updates for transparency and training purposes.
Compliance and Reporting:
Ensure all patient interactions comply with HIPAA and other regulatory standards.
Generate reports on escalation metrics and outcomes for leadership review.
Participate in audits and quality assurance activities as needed
Qualifications
Bachelor's degree in Healthcare Administration, Business, or related field.
Minimum of 3 years in a patient support or customer service role, with at least 1 year in a supervisory capacity.
Strong problem-solving skills and the ability to handle high-stress situations calmly.
Excellent communication and interpersonal skills.
Proficiency in customer service software (e.g., Zendesk) and Microsoft Office Suite.
Knowledge of pharmacy operations and healthcare regulations is a plus.
Success Metrics:
Reduction in escalation resolution time.
Improvement in patient satisfaction scores.
Decrease in repeat escalation cases.
Enhanced team performance and morale.
Work Environment
Location: Hybrid
Schedule: Full-time
May require additional availability or flexibility for escalations.
Regular meetings with teams, departments, or leadership to ensure alignment.
Key Essential Functions
Must be able to remain seated and work at a computer for extended periods (up to 8 hours).
Must be able to type and perform repetitive hand/wrist motions throughout the shift.
Must be able to use a headset for phone-based communication for the majority of the workday.
Must be able to navigate multiple computer systems and applications simultaneously.
Must maintain focus and attention to detail while managing a high volume of calls or tasks.
Must be able to communicate clearly and professionally via phone, chat, and email.
Must be able to work onsite/remote (customize) for all scheduled shifts, including potential weekends or evenings depending on business needs.
Must be able to handle occasional escalated or emotionally charged interactions with composure.
Must be able to meet productivity and quality standards consistently.
Pharmacy Technician Trainee license will be required prior to starting with Gifthealth. Gifthealth will assist in this process.
Employment Classification
Status: Full-time
FLSA: Non-Exempt
Equal Employment Opportunity (EEO) Statement
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.
We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply!
Disclaimer
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.
Requirements:
$31k-54k yearly est. 29d ago
Fraud & Verification Analytics, Lead
Braviant Holdings 4.2
Remote dispute resolution analyst job
Please note: while we appreciate interest from all applicants, Braviant Holdings is unable to sponsor visas at this time.
Who We Are:Founded in 2015 and based in Chicago, IL, privately held Braviant Holdings, Inc is a leading providerof tech- enabled credit products which combine breakthrough technology and cutting-edge machinelearning to transform how people access credit online. The Company's next-generation approach to lendingreduces credit barriers and creates a Path to Prime helping millions of underbanked consumers build credithistory, reduce their cost of borrowing, and take control of their personal finances. Braviant has beennamed multiple times to the Inc. 5000 list of fastest growing private companies and has beenrecognized as a Best Place to Work.
Position Summary:Reporting to the Chief Growth & Strategy Officer, the Fraud Analytics Lead role is a compellingopportunity for a data-driven professional with strong expertise to design and execute fraud and riskmitigation strategies. The successful candidate will leverage advanced analytics to optimize businessoperations and develop proactive fraud prevention solutions. This role requires a combination ofcritical thinking, technical expertise, and the ability to collaborate with partners across Operations,Credit, Technology and Compliance to identify, mitigate, and solve complex business challenges.What you'll be doing:
Monitor applications, transactions, and customer activity to detect and prevent fraud and identity risks such as synthetic identities, account takeovers, and first-party fraud.
Apply machine learning models and statistical techniques to enhance fraud detection and prevention capabilities.
Access and manage fraud and verification tools and data providers to ensure effectiveness and ROI
Develop and maintain dashboards to track key fraud and risk performance metrics
Stay current on industry best practices, regulatory requirements, and emerging technologies in online-lending fraud prevention
Partner with Operations, Credit, Technology and Compliance to align fraud strategies with enterprise objectives
What you'll bring:
Degree in Data Science, Applied Mathematics, Statistics, Economics, Computer Science or a related field
4-6 years of experience in fraud analytics, data science, or a related field within FinTech or online lending space.
Advanced proficiency in Python for programming, data analysis, and predictive modeling
Proficiency in SQL, Excel and experience with data visualization tools
Knowledge of optimization, stochastic processes, experimental design and A/B testing
Strong knowledge of various fraud typologies impacting online financial services, relevant regulatory requirements and compliance framework
Passion for keeping your skills up to date and exploring new methodologies
The ability to distill complex problems and analysis into a clear and concise narrative
Benefits and Perks• Medical benefits paid by employer/employee split of 80/20• Dental and Vision covered at zero cost to you for employee only coverage• PTO, Sick and Floating Holidays• 14 Company Holidays• Participation in the Company Profits Interest Units long term incentive plan• Remote work environment• Internet stipend• Team and company events/get togethers
Braviant is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, or any other characteristic protected by applicable law
$33k-57k yearly est. Auto-Apply 56d ago
Contract Resolution Specialist
Cox Barton County Hospital
Remote dispute resolution analyst job
Facility:
Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802
Department:
1722 CoxHealth Network
Scheduled Weekly Hours:
40
Hours:
8:00-5:00
Work Shift:
Day Shift (United States of America)
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
Named one of Modern Healthcare's Best Places to work five times.
Named one of America's Greatest Workplaces by
Newsweek
.
Recognized as a Greatest Workplace for Women in both 2023 and 2024.
Listed as one of the Greatest Workplaces for Diversity in 2024.
Acknowledged by
Forbes
as one of the Best Employers for New Grads.
Ranked among the Best Employers by State for Missouri.
Healthcare Innovation's
Top Companies to Work for in Healthcare in 2025.
Benefits
Medical, Vision, Dental, Retirement Plan with employer match, and many more!
For a comprehensive list of benefits, please click here: Benefits | CoxHealth
Job Description:
The Contract Resolution Specialist primary function will be to assist network providers with any contractual issues. The Contract Resolution Specialist will also act as a trainer/educator of all CoxHealth Network contracts to the network providers and their staff. They must be a self-starter and work with minimal supervision. Some local travel is required along with organizing and hosting meetings when required. They will possess an in-depth working knowledge of managed care plans and CoxHealth contracts and how they pertain to successful operations of a hospital/provider's office. The responsibility of this position impacts the revenue cycle for approximately 40% of the provider's business. They must understand the legality of the messenger process CoxHealth Network uses for independent providers. They must be able to analyze and communicate contractual terms and their requirements to the provider. They will perform initial and recredentialing on-site reviews and chart audits for providers, as needed. Responsibilities include, but are not limited to; contract resolution, delivery and interpretation of policy and procedure changes as it relates to specific contracts, communication of regulatory changes as it relates to the insurance industry as needed, researching new technology with respect to payors medical necessity and coverage, Maintains contacts and provides educational information to network, tertiary/affiliate PHO networks that impact over 3000 providers/facilities. Able to organize, prioritize and multi-task to execute projects and day to day work flow. Education: ▪ Required: High School Diploma or Equivalent ▪ Preferred: Bachelors in a Related Field Experience: ▪ Required: 3-5 Years experience working in the provider office, healthcare billing, healthcare insurance and/or Managed Care industry. ▪ Preferred: Previous experience in provider relations and/or physicians office management. Skills: ▪ Ability to understand complex multi-provider payor contract agreements and determine compliance standards are being adhered to. Licensure/Certification/Registration: ▪ N/A