Dispute resolution specialist jobs near me

To be considered for this role and move forward with the application process, please complete the short assessment below (5-8 minutes) Culture Index Link: ************************************************ Job Title: Sr. Customer Success Specialist Company Overview: Nymbl, a cutting-edge O&P and CRT software platform, is at the forefront of revolutionizing healthcare technology. Our mission is to empower healthcare providers with innovative solutions to enhance patient care and streamline workflows. Join us in shaping the future of the industry through collaborative, customer-focused, and tech-driven approaches. Position: Sr. Customer Success Specialist Location: Remote - USA. If in the Columbus, OH area, Hybrid schedule would be required. Job Type: Full-time Overview: As a Sr Customer Success Specialist at Nymbl Systems, you'll play a pivotal role in ensuring our clients receive exceptional support and strategic guidance. You'll be the voice of the customer internally, giving product and process improvements while delivering measurable outcomes for our clients. This role is ideal for someone who thrives in a fast-paced, cross-functional environment and is passionate about improving healthcare through technology. What We're Looking For: Healthcare SaaS Experience You have a solid understanding of the healthcare ecosystem-provider workflows, payer systems, or clinical operations-and experience with SaaS platforms supporting healthcare outcomes, compliance, or data management. Strategic Customer Advocacy You know how to build long-term relationships with enterprise clients, serving as a trusted advisor and advocating for their success while aligning with our business goals. Cross-Functional Collaboration You're comfortable working closely with Sales, Product, Implementation, and Support teams to ensure a seamless customer experience. You bring client feedback to the table and help drive continuous improvement in the product and service offering. Data Driven You use data and customer health metrics to identify risk, flag opportunities, and drive retention and upsell conversations. You have experience with proactive customer success activities based on customer segmentation. Outcome-Oriented Mindset You focus on measurable success. Whether it's platform adoption, renewal rates, or expansion revenue, you're always looking for ways to deliver ROI to customers and value to the business. Strong Communicator You're proactive, clear, and confident in your communication-able to manage executive-level conversations, de-escalate complex issues, and lead customer meetings with credibility and empathy. Responsibilities: Build and maintain strong relationships with customers Deliver business reviews, adoption scorecards and proactive activities based on customer segmentation Analyze customer utilization data to identify areas for improvement, churn risk, and product adoption opportunities Serve as a bridge between customers and internal departments, ensuring alignment Promote the value of the platform to drive deeper adoption and long-term retention Address and resolve customer concerns, continuously seeking ways to improve the customer experience Qualifications: Bachelor's degree or equivalent work experience 3-5 years minimum work experience as a Customer Success Account Manager or similar role Exceptional ability to communicate and foster positive executive level business relationships Technical skills required, as they relate to the use of the product. Experience using Sales Force and Microsoft Office 365 preferred. Nymbl is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We are a unique team who love to have fun but also take our jobs very seriously. Benefits and PTO are included for full-time employees. A healthy work-life balance is strongly encouraged. Apply today! Note: this job description is not exhaustive and may be subject to change based on the needs of the organization. How to Apply: Please send resumes to ************************

We are looking for a Customer Service Representative to join a local, growing Industrial Supply team! We need an enthusiastic individual who can assist with addressing clients needs. This role will balance entering orders, investigating and resolving customer issues, answering phones, coordinating service programs, and collaborating cross-departmentally with Purchasing, Warehouse and Sales to ensure we deliver the best customer service in the market. Job Duties and Responsibilities Order entry - originating from customer calls, emails, web inquiries and sales reps. Assist with credit & rebills, RMA's, product exchanges, etc. Ensure all customer issues are handled quickly, and that the customers are happy after the issue is resolved. Coordinate w/the warehouse and purchasing on urgent deliveries and inventory discrepancies as needed. Ability to talk to customers on the phone, remain calm, and provide an amazing customer experience. Abilities Required Ability to remain calm during high stress situations and interactions Strong technical aptitude Excellent project management skills Understanding of inventory allocation and concepts Curious with an inherent ability to problem solve Comfortable in a fast-paced environment Previous purchasing or distribution experience a plus, but not required Hours and Compensation Working hours will be Monday - Friday, 8am - 5:30pm. Starting pay will be between $25 - $27 per hour, depending on experience.

Job Title: Remote Client Relations Specialist Monthly Pay: $3,200 - $4,000 We're seeking a Client Relations Specialist to serve as a key connection between our team and our clients. In this fully remote role, you'll ensure each client receives timely updates, helpful support, and thoughtful follow-through. If you're an excellent communicator who enjoys keeping people informed, organized, and satisfied, this is a great opportunity to grow within a supportive team. Key Responsibilities: Proactively reach out to clients with updates, feedback requests, or check-ins Respond to inquiries related to services, timelines, or account changes Track client interactions and preferences using CRM systems Coordinate with internal teams to ensure client expectations and deadlines are met Prepare simple reports or summaries as needed Follow up after meetings or project milestones to confirm client satisfaction Qualifications: Strong written and verbal communication skills with a client-first attitude Comfortable using email, spreadsheets, and CRM tools Organized, detail-oriented, and reliable with strong follow-through Ability to manage multiple conversations and priorities in a remote setting Experience in customer service, client support, or administrative roles is a plus Quiet home workspace and dependable high-speed internet Perks & Benefits: Competitive pay: $3,200 - $4,000 100% remote role-no commute needed Paid training and onboarding Friendly, team-driven environment Flexible scheduling (part-time or full-time options) Pathways for advancement into account management or leadership roles

About Us All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. Our company is fully remote and offers a flexible work environment as well as schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick, birthday, and vacation time as well as a 410k matching plan. Additional employee paid coverage options available. Job Purpose The Provider Dispute Resolution (PDR) Specialist is responsible for managing and resolving provider disputes and appeals related to claims adjudication, reimbursement, coding, or authorization determinations. The PDR Specialist ensures timely, accurate, and compliant resolution of provider disputes in alignment with regulatory requirements, contractual obligations, and organizational policies. Duties and responsibilities Receive, log, and review provider disputes submitted in accordance with state, federal, and plan-specific requirements (e.g., DHCS, DMHC, CMS). Investigate each dispute by analyzing claims data, remittance advice, authorization records, and contractual terms. Coordinate with internal teams (Claims, Utilization Management, Provider Relations, Compliance) to gather relevant documentation and input needed for thorough review. Draft clear, accurate, and timely responses to providers in compliance with required turnaround times and documentation standards. Track dispute outcomes and trends, identifying recurring issues and recommending process improvements to prevent future disputes. Maintain detailed records and logs in tracking systems to ensure audit-readiness and compliance. Assist in regulatory audits and reporting related to PDR activity. Stay updated on changes to applicable laws, payer policies, and contracts that impact dispute resolution processes. Serve as a liaison to providers regarding dispute process education and support. Qualifications High school diploma or equivalent required; Associate or Bachelor's degree in healthcare administration, business, or related field preferred. 3+ years of experience in healthcare claims processing, dispute resolution, or provider services; Strong knowledge of managed care operations, provider contracting, and medical claims reimbursement methodologies (HMO, PPO, Medicare, Medi-Cal). Excellent analytical and problem-solving skills with a detail-oriented approach. Strong written and verbal communication skills. Ability to interpret EOBs, medical policies, and contract terms. Proficiency in claims adjudication systems and Microsoft Office Suite. Familiarity with relevant regulations (e.g., DMHC, CMS, NCQA) is a plus. Ability to manage multiple cases simultaneously and meet strict deadlines.

InDebted provides future-thinking organisations with products and solutions to support overdue consumers through debt. Backed by technology with a human touch, we use machine learning and AI to personalise the collections journey and champion positive customer experiences - all so we can change the world of consumer debt for good. Founded in Australia, today we're a team of over 300 people living and working around the world. We're rapidly expanding throughout North America, the United Kingdom, Europe, Latin America and the Middle East. We're a $50m revenue (and growing) organisation, having recently completed our Series C funding round, backed by leading investors such as Airtree. Now is an exciting time to join the team as we continue to make the experience of debt resolution smoother, and more human. Location: Missouri (In-Office - required in-office 5 days per week, M-F) SummaryThe Dispute Resolution Specialist is responsible for managing client inquiries and ensuring timely and accurate responses to client validation requests. This role supports InDebted's commitment to high-quality client service by researching, validating, and resolving account discrepancies while maintaining compliance with client requirements and applicable regulations. The position requires close collaboration with internal teams, external clients, and consumers to ensure effective and professional issue resolution.What You'll Do Serve as the primary contact for client validation requests, and related account inquiries for T-Mobile. Review and process consumer validation requests in compliance with client directives and applicable laws. Processing outbound mail with confirmed validations to consumers. File processed validation requests in appropriate system of record (e.g. FACS, Latitude) confirming completion of validation process. Coordinate with Compliance and Quality Assurance teams as needed with respect to validation completed. Deliver exceptional customer service through professional, accurate, and timely communication by email and/or phone. Assist the Compliance with special projects and reporting as assigned. What You'll Bring High School diploma or equivalent required; associate's degree preferred. Minimum 1 year of experience in client service, customer service, or third-party collections preferred (or ability to learn!). Demonstrated experience handling validation requests or similar account resolution processes or proven ability to learn. Strong analytical and research skills with exceptional attention to detail. Excellent written and verbal communication skills with a professional and empathetic approach. Proficiency in computer systems and client/customer software applications. Strong problem-solving abilities and capacity to manage multiple tasks with limited supervision. Proven ability to maintain confidentiality and uphold company values. Reliable attendance and a commitment to consistent, high-quality work performance. 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 duties, responsibilities, and skills required of the position. Duties, responsibilities, and activities may change or evolve at the company's discretion or in response to changing business needs. InDebted is an equal opportunity employer. We are committed to creating an inclusive environment for all employees and encourage applications from people of all backgrounds, experiences, and identities. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, disability status, veteran status, or any other characteristic protected by applicable law. Our benefits Adaptive working - We're a remote first team, with office hubs in Australia, the United Kingdom and the United States - with hybrid options determined at team level to foster collaboration and flexibility Flexible schedules - As a global team working across timezones, we offer flexible working schedules to ensure you're able to balance work and life Flexible paid leave - Our trust-based leave model isn't capped by standard entitlements. This means you can choose how much leave you take and when you take it, while balancing business needs Remote work set-up - Budget of AUD $750 (or local equivalent) to help you create a working environment that supports your productivity Work from anywhere scheme - Work from anywhere on a short-term basis (overseas or otherwise away from your usual place of work) for a maximum period of 4 months, so long as there is a reasonable overlap (4-hours) with your team and/or leader in your home country Gender neutral parental leave - Our global offering for all new parents includes 16 weeks paid leave Our benefits packages vary depending on region and role requirements. Our talent acquisition team will be able to share more during the recruitment process. At InDebted, we respect and celebrate the unique attributes, characteristics, and perspectives that make each person who they are. We also believe that bringing diverse individuals together allows us to build better products and a better overall company. InDebted is an Equal Opportunity Employer.

Job Description Customer Resolution Specialist Position Type: Full-time, hourly position that is eligible for overtime. This is a 100% remote role; therefore, strong reliable home internet service is required along with an efficient home office environment. Job Summary: The Customer Resolution Specialist is responsible for handling complex, high-priority cases that require strong communication, problem-solving, and conflict resolution skills. This role requires the ability to provide appropriate and timely resolution, always ensuring that customer satisfaction is achieved. You will be the primary point of contact for escalated customer issues. You will analyze customer complaints or concerns and determine the best course of action to resolve them. You will collaborate with internal teams to investigate and address the root cause of customer issues. Essential Functions: The Essential Functions are representative, but not all-inclusive, of the knowledge, skills, and abilities required to perform this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this position. Resolve Complex Issues: Handle intricate customer service inquiries and complaints that have been escalated beyond the initial support level. Coordinate Across Departments: Collaborate with different teams, such as field staff, legal, or CS leadership, to find and implement solutions. Track and Document: Monitor the status of all escalation cases, ensuring timely resolution and documenting all actions in a CRM or other system. This includes a strong attention to detail, and the ability to meticulously track cases through various stages of completion. Communicate with Stakeholders: Keep customers, leadership, and other relevant parties informed about the status of an issue. Provide Feedback: Make recommendations for service enhancements and process improvements based on the trends and recurring issues identified. Customer Coordination and Support: Address customer surveys promptly and effectively, with empathy & understanding. Coordinate with contractors to arrange repairs for damages. Collaborate efficiently with insulation team members, including field crews, to resolve challenges as they arise. Maintain a consistently positive, empathetic, and professional demeanor with all customers at all times. Respond to emails from field crews, home energy specialists, lead vendors and others in the shared email inbox promptly. Update all relevant Salesforce, Lead Vendor, and HWE Calendar entries accurately based on appointment needs. Perform additional tasks as required. Education & Experience: Requires a high school diploma or equivalent 3+ years of experience in a high-volume call center dealing with complex escalations Familiarity with Customer Relationship Management (CRM} software (Salesforce} Strong problem-solving and decision-making skills Advanced mediation, conflict resolution, and de-escalation skills Excellent written and verbal communication, as well as interpersonal skills Ability to remain calm and professional under pressure Ability to work well in a team environment Strong organizational skills and attention to detail, with the ability to manage multiple tasks simultaneously in a fast-paced environment Requires proficiency in reading, writing, and communicating in English Perks/Benefits: Health Insurance Dental Insurance Vision Insurance 401k Retirement Plan with match Remote PTO with accrual schedule Paid holiday schedule Employee Assistance Program Fast growth opportunities! Compensation: $22-$30 per hour Supervisory Responsibilities: This is an individual contributor position with no supervisory responsibilities. Work Environment: Remote position: This position is in the employee's residence and requires the employee to have a workspace free of distraction during work hours to perform job duties. Physical Demands: Requires sitting at a desk for long periods of time in your remote office, performing tasks on a computer and performing a high volume of phone calls while simultaneously performing data entry. Equal Opportunity Employer: At HomeWorks Energy, we celebrate diversity, inclusion, and collaboration. As an Equal Opportunity Employer, we do not discriminate against race, color, religion, national origin, sex, age, gender identity, or expression, sexual orientation, physical or mental disability, veteran status, or any other applicable characteristics. All employment decisions are based on qualifications, skills, and experiences needed to successfully perform the job.

Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As an IDR dispute specialist, you are responsible for all IDR disputes, documenting the dispute in the queue, managing the queue, responding to the initial dispute, requesting IDRe/admin fees payment from the finance team, research disputes and submit to the compliance team for offer and supporting documents, compiling folders for individual disputes & cataloging documents, responding to initiating providers/IP, CMS and IDRe inquires. Primary Responsibilities Monitor, manage and add appeals to the queue. Monitor and manage all IDR emails from CMS, initiating provider, finance, compliance team and client. Research and communicate via CMS portal for the initial dispute within 3 business days from the received date. Research and communicate with the finance team for IDRe/admin payment within 3-5 business from the received date. Research and communicate with the compliance team to request an offer & supporting documents for the IDRe within 3-5 days business days from the received date. Document & upload IDR documents in queue. Compile folders for individual disputes to catalog documents and prep for offer & supporting documents from our compliance team. Communicate IDR rulings with NSA Manager & compliance team. Process IDR rulings and if needed, send adjustment to the client. Document all IDR processes in manual. Highlight special scenarios and maintain examples for complex disputes and or rulings. Maintain acceptable levels of production including but limited to turn around time standards as mandated by the regulation(s). Adhere to client specific and Reliant protocols, scripts, and other requirements. Perform other job-related duties and special projects as required. Other duties as assigned Qualifications 2-3 years of relevant job experience - No Surprises Act, negotiations and or medical claim processing. Experience conducting outreach to clients & providers via email or other means of communication. Experience understanding company critical behaviors and compliance requirements. Broad healthcare policy and payment understanding. Experience with claims workflow tools or systems. Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency$50,000-$60,000 USDBenefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.

Who We Are… Since our founding in 1901, Limbach's primary core value has always been: We Care. We are committed to creating a culture of belonging for our employees, our We Care culture, and our industry as a whole. Limbach Facility Services LLC, a subsidiary of Limbach Holdings, Inc., (NASDAQ: LMB) is an integrated building systems solutions firm whose expertise is the design, installation, management, service, and maintenance of HVAC, mechanical, electrical, plumbing and control systems. We engineer, construct, and service the mechanical, plumbing, air conditioning, heating, building automation, electrical and control systems in both new and existing buildings and infrastructure. We work for building owners in the private, not-for-profit, and public/government sectors. Our vision is to create value for building owners targeting opportunities for long term relationships. Our purpose is to create great opportunities for people. We carry out our vision and purpose through a commitment to our four core values… We Care We Act with Integrity We Are Innovative We Are Accountable The Benefits & Perks… Base salary range of $58K - $62K Full portfolio of medical, dental, and vision benefits, along with 401K plan and company match. HSA, FSA, and life insurance offerings. Maximize your professional development with our award-winning Learning & Engagement team. Engage in our “We Care” culture through our ERGs, brought to you by EMBRACE. Career pathing flexibility and mobility. Who You Are… As Accountant - Shared Services, you are responsible for providing accounting activities to support business operations by ensuring accurate and timely billings, cash management and general data entry accounting tasks. This Position… Some examples of the work you might do includes: Reviews and enters project-related documentation for new project setups, change orders, initial cost projections, and estimate/phase code adjustments while ensuring documentation is accurate and compliant with the Limbach Way. Updates purchase orders in the relevant system for proper cost commitments and researches and resolves any pending invoice exceptions. Creates and files project preliminary notices and maintains Certificates of Insurance. Updated project commitments, enter job cost adjustments, and processes project closures as directed by project and accounting managers. Generates and distributes monthly customer billings for quoted or time and material work orders and projects under $500K to ensure accuracy and timeliness including the renewal of maintenance contracts. Perform cash management tasks, including cash applications, distributing customer statements, collections, maintaining collection notes and payment status, and escalating issues to project and accounting managers as needed. What You Need… Bachelor's Degree in Business, Finance, Accounting, or a related field, OR 2+ years of relevant, job-related experience in a service or construction industry (without a degree). Foundational knowledge of accounting principles and practices. Proficiency with Microsoft Office products (Excel and Word in particular) Must be organized, attentive to detail, and possess strong analytical skills. Ability to effectively communicate (both written and verbally) with diverse audiences. Capacity to produce results when working both independently and as a part of a team. Ability to travel up to 5% of the time. Preferred Qualifications: Familiarity with Viewpoint accounting software. Conduct Standards: Maintains appropriate Company confidentiality at all times. Protects the assets of the Company and ethically upholds the Code of Conduct & Ethics in all situations. Cultivates and promotes the “Hearts & Minds” safety culture. Consistently exemplifies the Core Values of the Company (we CARE, we act with INTEGRITY, we are INNOVATIVE, and we are ACCOUNTABLE). Work Environment: This position operates in a professional office environment, and routinely utilizes standard office equipment such as computers, phones, copiers, printers, and scanners. The Company's “Work from Home” policy is applicable to this position. Physical Demands: In performing the duties of this job, the incumbent is regularly required to talk, hear, perform repetitive motion, and possess an appropriate degree of both visual acuity and manual dexterity. This is considered a sedentary position, which means possible exertion up to ten (10) pounds of force occasionally, and/or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. This job description is intended to describe the general nature of work being performed by the individual who assumes this role, not an exhaustive list of responsibilities. Duties, responsibilities, and activities may change at any time, with or without notice, as business needs dictate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Limbach Facility Services LLC is an Equal Opportunity Employer. #LFS

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this link for a closer look at what it's like to work at Children's Wisconsin: *********************************** Job Summary Responsible for researching and resolving all Professional Billing overpaid and underpaid balances. This role will also be responsible for reviewing insurance underpayments to ensure claims are paid at maximum reimbursement from third party payers, state programs and contracted organizations for Children's Wisconsin and Children's Specialty Group. This role is also responsible for following-up on customer inquiries related to overpayments and underpayments. Essential Functions Investigates credit balances to include research of EOB's and verification of accurate contractual discounts. Reviews written requests for refunds from insurance companies and other payers to protect CHW's financial interests and completes appropriate paperwork for management authorization. Maintains knowledge of primary care and complex specialty billing guidelines pertaining to each provider group for Professional Billing. Collaborates with Payer Contracting team and maintains current knowledge of managed care payer contracts and third-party payer billing/reimbursement policies for Professional Billing along with all lines of business (Government, HMO and Commercial). Identifies coding issues relating to CPT-4 and ICD-10 and use of appropriate modifiers that resulted in overpayments/underpayments balances. Collaborates with leadership and coding team on resolution. Utilizes payer websites to verify patient insurance information, claim status/payments/denials/appeals as necessary. Analyzes and investigates improper insurance credits, identify and/or track trends associated to payers. Keeping leads and management appraised of identified issues having an impact on reimbursement. Works with Lead and Manager to resolve claim/credit issues. Submits written and online correspondences and appeals to payers when disputing a refund/recoup request as needed to obtain maximum reimbursement. Maintains productivity and quality standards as set by management. Education: High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) or Certificate of General Educational Development (GED) required Experience: 2+ years of experience in professional billing and follow up required Pediatric experience preferred Prior experience in a large health system working with professional billing claims and functions preferred Medical billing experience preferred Prior credit resolution/payment posting experience preferred Experience in Epic Resolute preferred Knowledge, Skills and Abilities Working knowledge of medical terminology, ICD-10 and CPT. Excellent verbal and written communication skills. Ability to work independently with minimal supervision. Interpersonal skills necessary to efficiently respond to questions from patients, parents, clinic staff and insurance companies to effectively resolve billing issues. Proficient in Microsoft Office applications and technology skills required to perform duties. The ability to multi-task and function effectively in a team environment and maintain effective relationships with coworkers, patients, physicians, management, staff and other customers. Required for All Jobs: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job. Employment is at-will. This document does not create an employment contract, implied or otherwise. Fully Remote Work Opportunity! Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law. Certifications/Licenses:

Our Company Amerita Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. The Refund/Dispute Specialist is responsible for processing incoming payer refund requests by researching to determine whether the refund is appropriate or a payer dispute is warranted in accordance with applicable state/federal regulations and company policies. The Refund/Dispute Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. The employee must have the ability to prioritize, problem solve, and multitask. This is a Remote opportunity. Applicants can reside anywhere within the Continental USA. Schedule: Monday-Friday, 7:00AM to 3:30PM Mountain Time We Offer: • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts • Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance • 401(k) Retirement Plan with Employer Match • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability • Employee Discounts • Tuition Reimbursement • Paid Time Off & Holidays Responsibilities Reverses or completes necessary adjustments within approved range. Ensures daily accomplishments by working towards individual and company goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable over 90 days, and other departmental goals Understands and adheres to all applicable state/federal regulations and company policies Understands insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds Verifies dispensed medication, supplies, and professional services are billed in accordance to the payer contract. Validates accuracy of reimbursement and the appropriate deductible and cost share amounts billed to the patient per the payer remittance advice. Reviews remittance advices, payments, adjustments, insurance contracts/fee schedules, insurance eligibility and verification, assignment of benefits, payer medical policies and FDA dosing guidelines to determine if a refund or dispute is needed. Completes payer/patient refunds as needed and validates receipt of previously submitted refunds/disputes. Creates payer dispute letters utilizing Amerita's standard dispute templates and gathers all supporting documentation to substantiate the dispute. Submits disputes to payers utilizing the most efficient resources, giving priority to electronic solutions such as payer portals. Scans and attaches disputes to patient's electronic medical record in CPR+. Works closely with intake, patients, and payers to settle coordination of benefit issues. Communicates new insurance information to intake for insurance verification and authorization needs. Submits credit rebill requests as needed to the billing department or coordinates patient-initiated billing efforts to insurance companies. Initiates and coordinates move and cash research requests with the cash applications department. Utilizes approved credit categorization criteria and note templates to ensure accurate documentation in CPR+ Works within established departmental goals and performance/productivity metrics Identifies and communicates issues and trends to management Qualifications High School diploma/GED or equivalent required; some college a plus A minimum of one to two (1-2) years of experience in revenue cycle management with a working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursement Working knowledge of automated billing systems; experience with CPR+ and Waystar a plus Working knowledge and application of metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminology Solid Microsoft Office skills with the ability to type 40+ WPM Strong verbal and written communication skills with the ability to independently obtain and interpret information Strong attention to detail and ability to be flexible and adapt to workflow volumes Knowledge of federal and state regulations as it pertains to revenue cycle management a plus Flexible schedule with the ability to work evenings, weekends, and holidays as needed About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X. Salary Range USD $18.00 - $20.00 / Hour

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

Our Company Amerita Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. The Refund/Dispute Specialist is responsible for processing incoming payer refund requests by researching to determine whether the refund is appropriate or a payer dispute is warranted in accordance with applicable state/federal regulations and company policies. The Refund/Dispute Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. The employee must have the ability to prioritize, problem solve, and multitask. This is a Remote opportunity. Applicants can reside anywhere within the Continental USA. Schedule: Monday-Friday, 7:00AM to 3:30PM Mountain Time We Offer: * Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts• Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance• 401(k) Retirement Plan with Employer Match• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability• Employee Discounts• Tuition Reimbursement• Paid Time Off & Holidays Responsibilities * Reverses or completes necessary adjustments within approved range.Ensures daily accomplishments by working towards individual and company goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable over 90 days, and other departmental goals * Understands and adheres to all applicable state/federal regulations and company policies * Understands insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds * Verifies dispensed medication, supplies, and professional services are billed in accordance to the payer contract. Validates accuracy of reimbursement and the appropriate deductible and cost share amounts billed to the patient per the payer remittance advice. * Reviews remittance advices, payments, adjustments, insurance contracts/fee schedules, insurance eligibility and verification, assignment of benefits, payer medical policies and FDA dosing guidelines to determine if a refund or dispute is needed. Completes payer/patient refunds as needed and validates receipt of previously submitted refunds/disputes. * Creates payer dispute letters utilizing Amerita's standard dispute templates and gathers all supporting documentation to substantiate the dispute. Submits disputes to payers utilizing the most efficient resources, giving priority to electronic solutions such as payer portals. Scans and attaches disputes to patient's electronic medical record in CPR+. * Works closely with intake, patients, and payers to settle coordination of benefit issues. Communicates new insurance information to intake for insurance verification and authorization needs. Submits credit rebill requests as needed to the billing department or coordinates patient-initiated billing efforts to insurance companies. * Initiates and coordinates move and cash research requests with the cash applications department. * Utilizes approved credit categorization criteria and note templates to ensure accurate documentation in CPR+ * Works within established departmental goals and performance/productivity metrics * Identifies and communicates issues and trends to management Qualifications * High School diploma/GED or equivalent required; some college a plus * A minimum of one to two (1-2) years of experience in revenue cycle management with a working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursement * Working knowledge of automated billing systems; experience with CPR+ and Waystar a plus * Working knowledge and application of metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminology * Solid Microsoft Office skills with the ability to type 40+ WPM * Strong verbal and written communication skills with the ability to independently obtain and interpret information * Strong attention to detail and ability to be flexible and adapt to workflow volumes * Knowledge of federal and state regulations as it pertains to revenue cycle management a plus Flexible schedule with the ability to work evenings, weekends, and holidays as needed About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X. Salary Range USD $18.00 - $20.00 / Hour

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

Job DescriptionDescription:We are hiring in the following states: AR, AZ, CA, CO, FL, GA, IA, IL, LA, MA, ME, MO, NC, NE, NV, OK, PA, SD, TN, TX, VA, WA, and WI This is a remote position. Candidates who meet the minimum qualifications will be required to complete a pre-interview. At 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. Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management. Job Overview The Coding Denial Resolution Specialist I plays a vital role in Operations, working remotely and responsible for clearly identifying, investigating, and resolving coding-related denials from payers. This position helps prevent lost reimbursements and supports denial prevention efforts. This role is responsible for timely, accurate, and thorough corrections and appeals for all assigned accounts, identifying the root causes of denials, and ensuring compliance with local, state, and federal regulations, as well as accrediting body guidelines. They are expected to resubmit corrected claims accurately, resolve coding denials effectively, and maximize client reimbursements by collaborating with internal and client teams. Job Duties and Responsibilities Execute tasks focused on revenue generation through account resolution for any company client. Review documentation to support or contest payer coding decisions for multiple facilities. Prepare clear, concise, and well-supported appeals where applicable, using all available documentation, coding guidelines, and regulatory references to defend billed claims and secure reimbursement on insurance accounts receivable. Investigate the root causes of denials and downgrades, as needed. Provide targeted training on coding practices to Currance team members, promoting accuracy, compliance, and efficiency in resolving coding-related issues. Participate in daily shift briefings and contribute actively. Resubmit corrected claims according to Federal, State, and payer-mandated guidelines. Research, analyze, and correct claim errors and rejections to ensure accurate resubmission and to avoid payer denials due to preventable errors. Escalate problematic accounts, recurring issues, or trends to Supervisor and recommend education or denial prevention measures to the client. Stay current on payer updates, process changes, and coding guidelines to maintain compliance with Federal, State, and payer requirements. Meet productivity standards while maintaining quality output. Communicate payer-specific issues to the team and management for timely resolution. Engage in continuous learning to remain up to date on coding and payer policies. Requirements: Performance Expectations Productivity: Achieve 100% of the project daily goal. Quality: Achieve 95% monthly quality assurance score. Other expectations: As outlined by the department. Qualifications High school diploma or equivalent (GED) required. Associate or bachelor's degree in healthcare management, Health Information Management/Technology (HIM/HIT) preferred. Current/active CCS or CPC certification required Minimum of 3 years' experience resolving payer denials and/or conducting coding audits. At least 3 years' experience in medical claim payments, follow-up, and appealing denials, with proven success resolving complex, high-value claims. Advanced knowledge of ICD-10, CPT/HCPCS, NCCI edits, DRG/APC assignment, payer policies, and reimbursement regulations. Strong negotiation, research, written communication, and problem-solving skills, with the ability defend coding-related positions. Experience correcting and resubmitting denied claims due to coding issues, including modifiers, revenue codes, bundling, and NPI discrepancies. Ability to research regulatory references (CMS, Medicaid, LCD/NCD guidelines) and apply them to appeals. Demonstrated ability to analyze denial trends and recommend process or coding improvements. Familiarity with compliance standards (OIG, CMS, HIPAA) related to coding and billing. Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms for billing and account resolution. Ability to collaborate effectively with other coders, clinicians, and account resolution specialists to resolve complex coding and reimbursement issues. Proficiency in Microsoft Office Suite, Teams, and various desktop applications. Knowledge, Skills, and Abilities Understanding of ICD-10 diagnosis and procedure codes, as well as CPT/HCPCS codes. Familiarity with regulations related to Healthcare Revenue Cycle administration. Skill in investigating medical accounts and resolving claims. Ability to validate payments and make informed decisions quickly. Capacity to learn and use collaboration and messaging tools effectively. Ability to maintain a positive attitude, pleasant demeanor, and act in the best interests of both the organization and the client. Competence in researching healthcare revenue cycle rules and regulations. Ability to maintain a positive attitude, pleasant demeanor, and act in the best interests of both the organization and the client. Professional commitment to the quality and timeliness of work. Capacity to achieve results with minimal supervision while balancing multiple priorities. Strong organizational skills with the ability to manage high-volume workloads and meet deadlines.

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. 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. 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

What will your job look like? The Resolution Specialist is responsible for managing complaints, incidents and accidents for designated Clients, in accordance with Client requirements and MTM Policies and Procedures for Quality & Compliance. Location: Work From Home Hours: 8am - 5pm Monday - Friday (Schedule may vary slightly.) What you'll do: Document, review, investigate, resolve and provide follow up for all complaints and complaint issues reported for assigned clients within the specified timeframe Closely adhere to client service level agreements to ensure complaints do not go out of compliance Obtain responses within 24-48 hours from Transportation Providers to complaints and complaint issues Provide immediate follow up for complaint responses that are not submitted within the specified timeframe Respond to client, Program Director, or Account Executive inquiries sent via email, or fax, within the specified timeframe Ensure accuracy of information in report prior to deadline submission Triage issues and provide assistance to MTM's internal departments with complaint issues Assist with monthly trending information in regards to potential network inadequacies, transportation provider deficiencies, and training opportunities to applicable departments; report trends to leadership for further review Monitor and report incident/accident issues Monitor and report issues of non-compliance to the leadership staff and Network Management as indicated Compile weekly/monthly summaries of incident/accident investigations, findings, and resolutions as required Send out monthly Quality & Compliance Tips to transportation providers and Network Management regarding prevention measures identified Ensure all training documents received per Q&C request Create relevant workflows, and tracking mechanisms as assigned Perform activities and participate in quality improvement projects for the Quality Improvement Program(s) as assigned to ensure ongoing compliance with URAC standards Compile daily/weekly/monthly complaint reports to be submitted to designated clients per contract What you'll need: Experience, Education & Certifications: High School Diploma or G.E.D. 2 years of customer service experience Skills: Proficient in Microsoft Suite Strong and effective communication skills, with an emphasis on grammar and spelling Ability to tactfully question and obtain information Excellent organizational skills Excellent interpersonal skills Ability to manage multiple priorities required Ability to handle confidential information in a professional manner Strong problem solving skills Even better if you have... Previous Quality & Compliance experience preferred Some college preferred A minimum of six months in the MTM Customer Service Center preferred Working knowledge of MTM Customer Service protocols and procedures preferred What's in it for you: Health and Life Insurance Plans Dental and Vision Plans 401(k) with a company match Paid Time Off and Holiday Pay Maternity/Paternity Leave Casual Dress Environment Tuition Reimbursement MTM Perks Discount Program Leadership Mentoring Opportunities Rate of Pay: $18.50 an hour This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss this with us as you move through the selection process. Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact MTM's People & Culture. #MTM

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. 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. 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:

About the Company Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for more than 40 years. As North America's largest independent provider of connected care, we deliver a growing portfolio of innovative technologies that help bridge the gap between healthcare providers, individuals, and their care partners. Our easy-to-use solutions support health and safety in a way that leads to enhanced quality of life, earlier interventions, reduced hospitalizations and peace of mind for an estimated 10 million lives every year. Together, we are enabling independence and redefining the global home healthcare market. Connect America has been recognized as one of Philly Happening's Best Places to Work. Our award-winning customer service team has received the Best Service Award from Today's Caregiver. In addition, our healthcare division was named Top Ten Home Healthcare Solutions Provider in 2019 & 2020. At Connect America, we treat all our customers and team members ethically and respectfully, creating relationships built on trust. We work as supportive team members, developing customer solutions in a collaborative manner. If you are a dedicated, compassionate team player, come be a part of an organization that makes a positive difference in the lives of those we serve. Our headquarters are located close to the city of Philadelphia, in Bala Cynwyd, PA. Learn more at *********************** Position Summary We are seeking a detail-oriented and experienced Chargeback Specialist to join our Finance/Accounting team. The successful candidate will be responsible for resolving chargeback disputes, protecting company revenue, and ensuring compliance with all relevant payment network regulations. This role requires strong analytical and communication skills, as you will interact with company Merchant Processor and internal teams. Responsibilities * Investigate and resolve credit card disputes and chargebacks in a timely and accurate manner. * Gather and analyze transaction data and documentation to build compelling dispute cases. * Communicate with merchant processor and internal departments (such as Customer Care, Special Projects & collections) to clarify issues and resolve disputes. * Maintain accurate records of all chargeback activity and reconciliation efforts. * Stay up-to-date on all card network rules (Visa, Mastercard, etc.) and industry regulations. * Assist with external audits related to chargeback processes. * Update Customers account to reflect the ongoing and completed chargeback process Qualifications * Education: Bachelor's degree in Finance, Accounting, or a related field is preferred; relevant experience may be considered in lieu of a degree. * Experience: Experience in a finance or accounting role with direct or indirect exposure to the chargeback process, billing or customer analysis functions * Technical Skills: Proficiency with Microsoft Office(word/PDF/Excel) is required. * Soft Skills: Strong analytical, problem-solving, and organizational abilities. Excellent written and verbal communication skills. Monday-Friday, 9am-5:30pm Eastern Time

The Consulting Services Account Specialist 3 exercises sound judgment and works independently with minimal instruction to lead services sales efforts in their assigned accounts. The role develops solutions aligned to customer outcomes, coordinates with delivery and sales teams, and resolves moderately complex service sales issues within their scope of responsibility. Note: This role may come into contact with confidential or sensitive customer information requiring special treatment in accordance with Red Hat policies and applicable privacy laws. What you will do: Own the full services sales lifecycle, from identification to proposal to close Build and manage relationships with key stakeholders (executive and technical) within assigned accounts Lead development and presentation of proposals aligned to customer business outcomes across training, consulting and TAM Collaborate with architects and delivery teams to scope and align solutions with capability Maintain and forecast pipeline accurately in RHSC, Anaplan, or designated tools Identify follow-on business opportunities post-delivery to grow account value What you will bring: Service Solution Design: Skill in scoping consulting, training and TAM solutions to meet client business needs Opportunity Management: Independently manage and advance sales cycles Sales Forecasting: Ability to provide accurate forecast inputs aligned to pipeline health Customer Relationship Management: Managing and maintaining key customer stakeholder relationships effectively. Executive Communication: Capability to engage confidently with senior decision-makers Negotiation: Facilitating contract negotiations and pricing agreements. Delivery Governance: Responsible for delivery plan being properly aligned between customer and delivery team throughout engagement. The salary range for this position is $202,380.00 - $323,780.00 (inclusive of base pay + target incentive compensation). Actual offer will be based on your qualifications. Pay Transparency Red Hat determines compensation based on several factors including but not limited to job location, experience, applicable skills and training, external market value, and internal pay equity. Annual salary is one component of Red Hat's compensation package. This position may also be eligible for bonus, commission, and/or equity. For positions with Remote-US locations, the actual salary range for the position may differ based on location but will be commensurate with job duties and relevant work experience. About Red Hat Red Hat is the world's leading provider of enterprise open source software solutions, using a community-powered approach to deliver high-performing Linux, cloud, container, and Kubernetes technologies. Spread across 40+ countries, our associates work flexibly across work environments, from in-office, to office-flex, to fully remote, depending on the requirements of their role. Red Hatters are encouraged to bring their best ideas, no matter their title or tenure. We're a leader in open source because of our open and inclusive environment. We hire creative, passionate people ready to contribute their ideas, help solve complex problems, and make an impact. Benefits ● Comprehensive medical, dental, and vision coverage ● Flexible Spending Account - healthcare and dependent care ● Health Savings Account - high deductible medical plan ● Retirement 401(k) with employer match ● Paid time off and holidays ● Paid parental leave plans for all new parents ● Leave benefits including disability, paid family medical leave, and paid military leave ● Additional benefits including employee stock purchase plan, family planning reimbursement, tuition reimbursement, transportation expense account, employee assistance program, and more! Note: These benefits are only applicable to full time, permanent associates at Red Hat located in the United States. Inclusion at Red Hat Red Hat's culture is built on the open source principles of transparency, collaboration, and inclusion, where the best ideas can come from anywhere and anyone. When this is realized, it empowers people from different backgrounds, perspectives, and experiences to come together to share ideas, challenge the status quo, and drive innovation. Our aspiration is that everyone experiences this culture with equal opportunity and access, and that all voices are not only heard but also celebrated. We hope you will join our celebration, and we welcome and encourage applicants from all the beautiful dimensions that compose our global village. Equal Opportunity Policy (EEO) Red Hat is proud to be an equal opportunity workplace and an affirmative action employer. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, veteran status, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law. Red Hat does not seek or accept unsolicited resumes or CVs from recruitment agencies. We are not responsible for, and will not pay, any fees, commissions, or any other payment related to unsolicited resumes or CVs except as required in a written contract between Red Hat and the recruitment agency or party requesting payment of a fee.Red Hat supports individuals with disabilities and provides reasonable accommodations to job applicants. If you need assistance completing our online job application, email application-assistance@redhat.com. General inquiries, such as those regarding the status of a job application, will not receive a reply.