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Coatings and Restoration Specialist
Polyglass USA, Inc./Mapei Group
Eligibility specialist job in Columbus, OH
Polyglass USA, Inc
., a premier roofing materials manufacturer, has an opening for a Coatings and Restoration Specialist located in the Midwest. This role is primarily responsible for providing a defined territory sales and field technical support, product knowledge/training, and project support to consultants, architects, engineers, contractors, and distributors with the goal of educating/training customers and achieving a target revenue goal for that territory and driving repeat business.
What You Get to Do:
Attain/exceed territory revenue goals by providing sales support to customers in a defined territory
Sales support responsibilities include but are not limited to providing job leads to contractors, processing substitution requests, developing contacts/repeat customers in the contractor, architectural, consultant, engineering, and distribution community within the defined territory
Develop sales strategy and execute for the defined territory, including developing the appropriate product and customer mix to attain the defined revenue
Support the Technical Services Manager with waterproofing and air and vapor barrier installation and design needs
Represent the entire BES portfolio by seeking out both waterproofing and roofing opportunities, and work with the roofing group to develop and communicate leads
Design and develop technical content upon request, including but not limited to guide specifications, installation instructions, CAD drawings/system details, etc.)
Provides project support to contractors, specifiers, consultants, architects, and building owners on the job site, in person or via conference calls, to ensure successful project completions
Provide voice of customer from the field to product management and R&D for new product development projects
Support the BES training initiatives for both internal and external parties upon request
Manage relationships and promote Polyglass image/goals within requested industry associations (for example, IIBEC, CSI, SWRI, etc.)
What You Bring:
7+ years of related industry experience in a technical and or sales role
Ability to travel up to 30%
Join the Polyglass family today. ************************
$35k-68k yearly est. 1d ago
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Onboarding Specialist
Heitmeyer Consulting
Eligibility specialist job in Columbus, OH
Contract to Hire
Onsite 4 days a week in Columbus, OH
The Broker Dealer Operations Specialist 2 supports in the day-to-day execution of institutional client onboarding, account maintenance, and asset movement activities. This role is ideal for a detail-oriented professional with experience in broker-dealer operations who thrives in a fast-paced, regulated environment.
Key Responsibilities
Review and process institutional client onboarding requests, ensuring proper documentation for various client types (Corporation, LLC, Partnership, etc.).
Perform AML, CIP, KYC, and OFAC screenings for new and existing clients.
Review and approve asset movements, including ACH and Fedwire transactions.
Process and maintain client account updates, ensuring accuracy and compliance.
Support settlement and reconciliation activities for institutional trading products, including ICS/CDARs and Money Market Funds.
Prepare and update operational procedures, job aids, and ad hoc reports.
Collaborate with audit and risk teams to provide documentation and validate controls.
Assist in training and quality assurance for new team members.
Participate in special projects to enhance process efficiency and client experience.
Basic Qualifications
High School Diploma or equivalent.
1+ year of experience in brokerage, investment operations, or institutional onboarding.
Preferred Qualifications
Working knowledge of AML, CIP, KYC, and OFAC compliance requirements.
Experience with wire and ACH processing and approvals.
Familiarity with institutional or foreign client onboarding processes.
FINRA SIE and Series 99 licenses preferred; Series 6 or 7 a plus.
Strong organizational skills and attention to detail.
Proficiency in Microsoft Office (Excel, Outlook, Word).
Ability to manage multiple priorities and collaborate effectively across teams.
$35k-68k yearly est. 3d ago
Head Start Eligibility Specialist
Mid-America Regional Council 3.8
Remote eligibility specialist job
Job Description
The EligibilitySpecialist will work as part of a team of EligibilitySpecialists who, in collaboration with the ERSEA Manager and ERSEA Coordinator, will support all aspects of the recruitment and application process to identify eligible families and ensure full enrollment for the Head Start and Early Head Start programs.
About the Mid-America Regional Council
MARC, the association of local governments and metropolitan planning organization for the bistate Kansas City region, promotes and supports cooperation on regional issues, including transportation, the environment, our workforce and economy, aging services, community development, quality early learning, public safety communications and emergency services. MARC has a collaborative work environment with a culture based on integrity, innovation, diversity and inclusion, excellence in performance and service leadership.
About this position
This position is responsible for assisting in the scheduling process and completing the Head Start/Head Start application process with all prospective families to assess eligibility and provide appropriate community resources or referrals as needed. EligibilitySpecialist will keep detailed, accurate records of each application using the ChildPlus database system.
What you'll do
Support the scheduling process for applications of prospective new families.
Support clients and/or collaborate with site staff as needed during the documentation gathering phase. This may include sharing a list of relevant items to bring and/or answering questions through multiple modes of communication prior to the application appointment.
Review all information provided by families prior to appointments.
Contact clients at a minimum within one business day prior to confirm intake appointments, answer questions, and assist with changes in scheduling preferences.
Provide an individualized face-to-face interview application with clients.
Treat clients with compassion, respect, and dignity to provide the highest customer service experience throughout the process.
Promote a consistent exchange of information in a professional manner while maintaining confidentiality during application appointments and phone calls.
Provide resources and referrals to prospective families as needed throughout the application process.
Maintain the highest attention to detail during the data entry and full completion of each application to ensure precise recordkeeping and reporting information in accordance to MARC Head Start policies & procedures.
Complete all MARC Head Start paperwork with the client during the application appointment to ensure a smooth transition to designated programming.
Use the information gathered to determine whether a family is eligible for Head Start or Early Head Start services and support the family in identifying which location best fits their needs.
Make corrections as needed based on feedback provided by the Eligibility Coordinator/ERSEA Manager within the required timelines.
Attend and participate in MARC Head Start staff meetings and other internal collaborations.
Participate in community events and any required training provided by MARC.
Maintain a thorough knowledge and understanding of Head Start Performance Standards, the Head Start Act and related regulations regarding Eligibility.
Maintain knowledge and awareness of all MARC Head Start program options and site-based details within Clay, Jackson and Platte counties to provide an overview for clients seeking assistance to locate the best fit for their specific needs.
Other related duties as needed.
About you Skills you'll need
Ability to communicate effectively and respectfully (verbally, in writing and non-verbally) with a wide range of constituents and diverse populations, including diverse socio-economic, ability/disability, rural/urban, racial, ethnic, age, gender, family make-up and education levels.
Demonstrated problem solving skills.
Ability to work with diverse constituencies in a professional manner.
Ability to work in a multicultural environment.
Strong organizational skills.
Displays thoroughness and attention to detail as evidenced through prior experience.
Ability to set priorities, organize time efficiently and handle multiple demands.
Interpersonal skills necessary to effectively interact with internal staff and outside organizations to successfully present information, respond to general questions, and consult with others.
Manage own time, priorities, and resources to achieve goals.
Diligently attend to details and pursues quality in accomplishing tasks.
Listen to others and communicates in an effective manner.
Focuses on results and desired outcomes and how best to achieve them to get the job done.
Ensures that work is complete and accurate; independently follows up with others to ensure that agreements and commitments have been fulfilled.
Basic requirements
Minimum of high school diploma / GED is required.
Bachelor's degree in a human service field such as early childhood education, family services, or social work preferred.
Experience working with computers, including Microsoft Office applications is required.
Experience in Head Start is strongly preferred.
Experience with the ChildPlus database is strongly preferred.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Occasional need to lift typical office items, including small furniture, some equipment, boxes, etc.
May be required to lift up to 20 pounds.
Travel by car, bus, airplane or train may also be required associated with attendance at conferences, meetings and other duties carried out at distant locations in and out of state and in some cases where some overnight travel may be required.
Noise level in work environment may be moderate to loud.
Must be available, as requested, for a variety of evening and weekend meetings as well as social and community events.
Salary and benefits
Starting salary for this position is from $46,000 to $50,000 per year, depending upon qualifications. MARC offers an attractive team-oriented work environment along with a competitive fringe benefit package. MARC offers employees flexibility to work remotely for up to two days per work week.
$46k-50k yearly 26d ago
Eligibility Specialist II
Johnson Service Group 4.2
Remote eligibility specialist job
Johnson Service Group (JSG) is seeking an EligibilitySpecialist II. This position is fully remote. Bi-lingual Spanish Work Schedule: Monday-Friday. 7:00am-4:00pm Pay: $20.00- 21.00 per hour This role involves evaluating employee eligibility, processing benefits enrollments and terminations, and providing support to employees regarding their benefits options. The incumbent ensures compliance with company policies and legal regulations.
**The EligibilitySpecialists work with Excel and payroll records to develop 1095 reports.
QUALIFICATIONS
• High School diploma or equivalent and/or three (3) to five (5) years of accounting/business experience preferred.
• Intermediate knowledge of generally accepted health care eligibility and billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), California Continuation Benefits Replacement Act (Cal-COBRA) and Employee Retirement Income Security Act (ERISA) legislation.
• Proficient experience with Microsoft Office Suite. Excel.
• Proficiency in HR and benefits management software preferred.
• Strong knowledge of processing Electronic Data Interchange (EDI) file updates in a legacy system.
• Experience providing customer service to a variety of client contacts via email and telephone.
• Demonstrated ability to research and resolve technical issues and/or client problems as they arise with minimal direction.
• Written and oral communication skills including modern business communications, formatting of professional letters, reports, and phone etiquette.
• Demonstrated time management skills including, multi-tasking, working under pressure and deadlines, and working independently with minimal supervision or in a team environment.
• Intermediate knowledge of health insurance operations and industry.
• Fluent in Spanish, both verbal and written a plus.
• Ability to work overtime based on department needs and compliance.
• Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
• Home router with wired Ethernet (wireless connections and hotspots are not permitted).
• A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. #D800
$20-21 hourly 9d ago
Benefits Eligibility Specialist
PGA Peck Glasgow
Remote eligibility specialist job
Grow With Us! At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious Benefits EligibilitySpecialist to join our team. This position will report to our agency located in Cranston, RI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a remote or hybrid position.
Responsibilities:
Process employee benefit transactions (adds, terminations, coverage changes) across multiple Insurance enrollment platforms.
Manage weekly EDI (Electronic Data Interchange) file feed discrepancy reports
Respond to internal team inquiries regarding client eligibility with precision and professionalism.
Send professional correspondence directly to clients upon processing completion.
Accurately log transactions in our agency management system (BenefitPoint).
Prioritize tasks and maintain data integrity in a deadline-driven environment.
Navigate multiple software applications, chats, and calls simultaneously.
Qualifications:
Minimum high school degree
Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams).
Excellent verbal and written communication skills.
Highly organized with exceptional attention to detail.
Collaborative team player with a growth mindset and eagerness to learn
Background with Employee Benefits / Insurance preferred
Processing eligibility changes/updates within carrier sites preferred
Managing discrepancy reports from Insurance Data exchanges preferred
Benefits:
Company Paid Life Insurance, Long-Term and Short-Term Disability.
Medical, Dental, Vision and FSA/HSA plans.
401(k) with company match.
Additional voluntary benefits include Critical Illness, Accident Insurance, Hospital Indemnity and Supplemental Life Insurance, Legal and Identity protection, and Pet benefits.
Generous PTO.
An awesome team of professionals!
The Hilb Group is an equal opportunity employer, and we actively support and comply with all applicable federal, state, and local laws prohibiting all forms of discrimination in employment. Additionally, we have a zero-tolerance policy for all forms of harassment in violation of federal, state, and local laws.
$33k-41k yearly est. Auto-Apply 4d ago
Medicaid Eligibility Specialist - REMOTE - KS
Conduent 4.0
Remote eligibility specialist job
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Must include a resume when applying
Position is Remote - individual should reside in Kansas
Tentative Start Date: (Early April) April 6, 2026
Hours: 8 - 4:30 pm CST
Training length: approximately 10 weeks mandatory to include sandboxing
** No Time off during training
Wage:
Transaction Processing Associate III $17.25/hr, which may be below your state's minimum wage. Please take this into consideration when applying.
Transaction Processing Associate III Bilingual - $17.75/hr, which may be below your state's minimum wage. Please take this into consideration when applying.
Benefits
Health benefits (medical, dental, vision) are available on the first day of employment.
Paid time off is accrued after 180 days (about 6 months) of employment.
Job Description:
As part of the KanCare Clearinghouse Program, the Transaction Processing Associate III (ES) will perform a variety of duties. The position is responsible for gathering thorough documentation and entering information into various systems
Essential duties may include, but are not limited to:
Analyze the initial applications and reviews (for Family Medical programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance. Investigate the applicant circumstances thorough the use of available computer systems (Databases, registries, and informational deposits) researching records provided by the applicant and their contacts to provide the information about the household income, resources, and expenses upon which the eligibility determination is made.
Entering household information and authorizing eligibility within the Kansas Economic and Enforcement System (KEES). Professional completes determinations using State and Federal regulations to determine eligibility for medical benefits based on financial and non-financial criteria. Document the eligibility decision in the electronic case journal and send appropriate system-based and manual correspondence to customers and representatives explaining the results of the eligibility determination and information regarding appeal rights.
Eligibility Professionals are expected to use knowledge of State eligibility processes, policies, and procedures governing managed care enrollment to communicate with consumers regarding a variety of issues.
Attend training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Through training and experience, begin to develop expertise in additional areas of determination categories.
Maintain with up-to-date knowledge of regulations, policies, and guidelines.
Preferred Skills or Knowledge:
Knowledge of Medicaid and managed care programs
Minimum of two (2) years' experience in determining Long-Term Care, Elderly and Disabled, or Family Medical eligibility
Successfully complete KDHE Eligibility Training and sandboxing
Ability to manage competing priorities
Demonstrated critical thinking skills
Must possess good interpersonal and communication skills both verbally and in writing including knowledge of basic grammar, spelling & punctuation
Willingness to work as part of a team
Maintain the integrity and confidentiality of all records and communications
All other duties as assigned.
Bilingual Spanish/English with the ability to speak and read both languages fluently.
Minimum Qualifications/Experience
High School diploma or GED equivalent; post-secondary education preferred
Strong computer skills with the ability to maneuver in complex software systems
Requires excellent data entry skills the ability to type 28-30 minutes per minute accurately
MS Office, Outlook, and Internet usage experience
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $17/hr.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to ********************. You may also click here to access Conduent's ADAAA Accommodation Policy.
At Conduent we value the health and safety of our associates, their families, and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.
$17-17.8 hourly Auto-Apply 10d ago
Eligibility Specialist
Cvr Associates 4.2
Remote eligibility specialist job
Qualifications
For more than 30 years, CVR's team of professionals has provided technical assistance and program management to affordable housing programs across the country. CVR prides itself on providing extensive training, mentoring, and succession planning to its employees. We continue to expand, adding to approximately 200-member team across the nation. CVR has offices in Atlanta, Chicago, Miami, New York, and Tampa, to name a few
CVR is looking for a professional, well-organized, compassionate individual with great attention to detail to serve as a Housing EligibilitySpecialist. This position will service participants in assisting low-income families and individuals, who may include homeless, elderly or disabled, to secure affordable housing and improved living conditions with the goal of improved quality of life and self-sufficiency.
General Responsibilities Include:
Perform and complete annual re-certifications, interim re-certifications, new admissions, transfers, port outs, port ins, special program referrals (as assigned), terminations, and rent increases for the Housing Choice Voucher Program participants for Affordable Housing.
Notify participant and owner of the results of interim re-certification.
Collect re-certification information, including income and any other required documentation for the administration of the HCV program.
Schedule re-certifications and appointments with participants; interview participants for Affordable Housing.
Monitor participant moves and lease terminations for Affordable Housing.
Accurately enter data into appropriate databases.
Conduct briefing with tenants to explain HUD, and administrative plan guidelines
Accurately prepare weekly reports on re-certification and other reports.
Candidates must have:
Bachelor's degree or at least 3 years equivalent experience working with economically and socially disadvantaged individuals and or families
Attention to Detail
Basic Math skills
Excellent Organization skills
Excellent Customer Service skills
Intermediate knowledge of Microsoft Office applications: Outlook, Word, and Excel
Must be able to perform assigned tasks in a remote work environment when required
Must have the ability to adapt to a changing work environment
Must be able to meet productivity and accuracy requirements
Must have critical thinking skills
Job Type: Full-time
$29k-35k yearly est. 1d ago
Intake Specialist
Vital Connect 4.6
Remote eligibility specialist job
Purpose
The Intake Financial Clearance Specialist role belongs to the Revenue Cycle team and is responsible for coordinating all financial clearance activities by navigating all pre-registration (to include acquiring or validating patient demographic, insurance, and other required elements along with insurance verification activities), obtaining referral authorization, or precertification number(s). The role ensures timely access to care while maximizing reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. This position reports to the Intake Financial Clearance Manager and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, and practice staff.
**This is a fully remote role**
Responsibilities
Monitors accounts routed to registration, referral and prior authorization work queues and clears work queues by obtaining all necessary patient and/or payer-specific financial clearance elements in accordance with established management guidelines.
Maintains knowledge of and complies with insurance companies' requirements for obtaining prior authorizations/referrals and completes other activities to facilitate all aspects of financial clearance.
Acts as subject matter experts in navigating payer policies to get the appropriate approvals (authorizations, pre-certs, referrals, for example) for the ordered services to proceed. The Intake Financial Clearance Specialist is an important part of the larger patient care team and helps clinicians understand what payer requirements are necessary for the widest possible patient access to services.
Supports staff at all levels for hands-on help understanding and navigating financial clearance issues.
Uses appropriate strategies to underscore the most efficient process to obtaining insurance verification, authorizations, and referrals, including online databases, electronic correspondence, faxes, and phone calls.
Obtains and clearly documents all referral/prior authorizations for scheduled services
Works collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients, and any other parties to ensure that required managed care referrals and prior authorizations are obtained and appropriately recorded in the relevant systems.
When it is determined that a valid referral does not exist, utilize computer-based tools, or contact the appropriate party to obtain/generate referral/authorization and related information. Record the referral/authorization in the practice management system.
Contact physicians to obtain referral/authorization numbers.
Perform follow-up activities indicated by relevant management reports.
Collaborates with patients, providers, and departments to obtain all necessary information and payer permissions prior to patients' scheduled services.
Communicates with patients, providers, and other departments such as Utilization Review to resolve any issues or problems with obtaining required referral/prior authorizations.
Work collaboratively with the practices to resolve registration, insurance verification, referral, or authorization issue to the extent that these unresolved issues impact the ability to obtain a referral/authorization.
Escalates accounts that have been denied or will not be financially cleared as outlined by department policy
Accept registration updates from various intake points, including but not limited to those received via paper forms, internet registration forms, telephones located in practices and direct calls from patients.
Ensure that all updated demographic and insurance information is accurately recorded in the appropriate registration systems for primary, secondary, and tertiary insurances.
Review all registration and insurance information in systems and reconcile with information available from insurance carriers. For any insurance updates, utilize any available resources to validate the updated insurance information, insurance plan eligibility, primary care physician, subscriber information, employer information and appointment/visit information. Contact patients as necessary if clarifications or other follow-up is required, and at all times maintain sensitivity and a clear customer friendly approach.
For self-pay patients or patients with unresolved insurance, and for financial counseling, refer patients Patient Financial Counseling.
Maintains confidentiality of patient's financial and medical records; adheres to the State and Federal laws regulating collection in healthcare; adheres to enterprise and other regulatory confidentiality policies; and advises management of any potential compliance issues immediately.
Demonstrates knowledge & skills necessary to provide level of customer experience as aligned with BMC management expectations.
Demonstrates the ability to recognize situations that require escalation to the Supervisor.
Establishes relationships and effectively collaborates with revenue cycle staff to support continuous improvement aligned with management expectations as outlined.
Takes opportunity to know and learn other roles and processes and works together to assist with process improvement initiatives as directed.
Consistently meets productivity and quality expectations to align performance with assigned roles and responsibilities.
Handle telephone calls in a timely fashion, following applicable scripting and customer service standards. Appropriately manage all calls by either working with the customer or referring the call to the appropriate party.
Communicate with all internal and external customers effectively and courteously.
Maintain patient confidentiality, including but not limited to, compliance with HIPAA.
Perform other related duties as assigned or required.
Requirements
Qualifications
High School Diploma or GED required, Associates degree or higher preferred.
1-3 years patient registration and/or Insurance experience desirable. At least one year of experience must be in a customer service role
General knowledge of healthcare terminology and CPT-ICD10 codes.
Complete understanding of insurance is required.
Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues.
Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff, and other customers.
Able to communicate effectively in writing.
Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.
Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.
Must be able to maintain strict confidentiality of all personal/health sensitive information.
Ability to effectively handle challenging situations and to balance multiple priorities.
Basic computer proficiency inclusive of ability to access, enter and interpret computerized data/information including proficiency in Microsoft Suite applications, specifically Excel, Word, Outlook and Zoom.
Displays a thorough knowledge of various sections within the work unit to provide assistance and back-up coverage as directed.
Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management
Salary & Benefits
The estimated hiring salary range for this position is $22/hr - $24/hr. * The actual salary will be based on a variety of job-related factors, including geography, skills, education and experience. The range is a good faith estimate and may be modified in the future. This role is also eligible for a range of benefits including medical, dental and 401K retirement plan.
As a Medicare/Medicaid EligibilitySpecialist, you will advocate and assist low-income Medicare beneficiaries enrolled in a contracted health plan in the application and eventual requalification for government assistance programs. This will require you to project empathy over the phone to gain the applicant's trust and gain their consent for us to provide application assistance. You will then provide program qualifications and expertise to the applicant, manage outreach to government offices to the point of decision.
The person performing this role must have a strong working knowledge of program qualification requirements spanning 50 states, 3 territories and hundreds of counties specific to Medicaid, Special Needs Programs (SNP), Low Income Subsidy (LIS) and the Medicare Savings Program (MSP).
Role Responsibilities:
Conducts telephonic outreach activities for members who need to apply or recertify and are potentially eligible for various Medicaid programs including the Medicare Savings Programs.
Collaborates with government offices to ensure accurate application and recertification process.
Secures documentation for Medicaid/MSP renewal applications if needed for members.
Attention to detail by adhering to state requirements and securing supporting documentation.
Meets daily, weekly, and monthly production goals. Must also meet quality standards by ensuring proper phone etiquette and adherence to scripts, state regulations, HIPAA compliance, meet ongoing corporate compliance standards, and make accurate and descriptive documentation.
Participates as required in operational development programs.
Monitor research changes with any state and federal regulatory requirements to adhere to strict compliance of all aspects of Medicare programs and Medicaid Outreach Operations.
Demonstrates behaviors, actions, and attitudes that reflect our vision, mission and values.
Performs other duties as assigned.
Role Requirements:
Medicare/Medicaid program experience, and experience with screening for Medicaid eligibility a strong plus
Expertise and knowledge of Medicaid, Special Needs Programs (SNP), Low Income Subsidy (LIS) and the Medicare Savings Program (MSP)
Strong working knowledge with Microsoft Office programs, and some experience with Excel.
Excellent oral communication skills; ability to communicate with elderly individuals and governmental personnel
2-3 years related experience with direct consumer interaction
Outstanding customer service and communication skills
Strong organizational, analytical, critical thinking and customer service skills
Ability to analyze and interpret governmental program criteria
Ability to manage a fast-paced environment
Must be able to navigate through multiple databases/monitors with a minimum typing speed of 45 wpm
Telephone experience and ability to interact and decipher information via telephonic or correspondence inquires
Strong subject matter expertise of Medicaid programs regulations and industry standards
Case management experience or related experience / intermediate
A compassionate and empathetic nature with a strong desire to help and make a difference
Bachelor's or Associate's Degree a plus
The Insurance Education and EligibilitySpecialist is a strategic contributor responsible for developing advanced insurance education content that supports system-wide process improvement. This role is focused on creating high-level educational materials and workflow guidance that other departments can leverage to address operational barriers and enhance insurance-related accuracy. Reporting to department leadership, the specialist brings deep expertise in insurance protocols, payor systems, and eligibility workflows. They analyze complex data, identify systemic issues, and translate findings into actionable training resources that empower teams across the organization to improve processes, reduce errors, and ensure proper reimbursement within the healthcare system
EDUCATION/EXPERIENCE REQUIRED:
* Bachelor's degree in healthcare, business administration, or a related field; equivalent experience in training or education may be considered.
* Minimum of four (4) years of professional healthcare experience required.
* Strong background in healthcare revenue cycle and insurance verification preferred.
* Experience in a large, complex, integrated healthcare organization strongly preferred.
* Epic experience preferred. Proficiency in Microsoft Office Suite, including PowerPoint, Excel, and Word.
* Exceptional problem-solving and analytical skills.
* Excellent oral and written communication skills, especially in developing educational content.
* Demonstrated ability to work independently, manage multiple priorities, and meet deadlines.
* Deep understanding of insurance workflows, payor requirements, and eligibility systems.
* Commitment to the mission and goals of Henry Ford Health and the Revenue Cycle team.
Additional Information
* Organization: Corporate Services
* Department: Insurance Verification
* Shift: Day Job
* Union Code: Not Applicable
Join a USA Today Top 100 Workplace & Best in KLAS Team!
Enrollment & Intake Specialist
Pay Range: $21.00- $22.75 per hour | Schedule: Sunday-Thursday 8:00am-4:30pm or Monday-Friday 8:00am-4:30pm | Location: Lakeland, FL
Work Where Excellence is Recognized At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers-and an unbeatable work culture for our team. We seek high-performing individuals willing to join our sharp, committed, and enthusiastic team. Here, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day. Your Role: Essential, Rewarding, Impactful As an Enrollment Specialist, you have the unique opportunity to advocate for patients and their families, while working hand in hand with hospital personnel to determine eligibility for Medicaid, Social Security Disability, and various County programs. We are looking for you to act as liaisons between government entities and patients to secure funding for healthcare services rendered at Lakeland Regional Hospital. What You'll Do:
Determine patient's eligibility for state, federal, or county programs.
Maintain case load, uphold productivity standards.
Develop and maintain processional relationships with hospital staff, patients, and state workers.
Prepare documents, ensure accuracy and completion.
Adhere to and support organizational standards, policies, and procedures.
Perform other duties as assigned.
What We're Looking For:
Bachelor's Degree preferred.
High School Diploma or equivalent required
Exceptional customer services skills
Demonstrates problem solving and case management skills.
Proficient with technology such as phone systems, computers, Microsoft software applications such as Word, Excel, Outlook, etc.
Excellent written and verbal communication skills
Knowledge of Medicaid, Social Security Administration, and County Social Service programs
An understanding of HIPAA and HITECH patient confidentiality laws to protect the patient, client, and company.
Knowledge of major hospital systems and healthcare environment
Bilingual (English & Spanish)
Why You'll Love RSi:
Competitive pay with ample opportunities for professional growth.
Fully remote position with a stable Monday-Friday schedule.
Collaborative, performance-driven environment with expert leadership.
Mission-driven work supporting essential healthcare services.
Recognition as a nationally respected leader in healthcare revenue management.
Physical Requirements:
Requires prolonged sitting, standing, and walking.
Requires eye-hand coordination and manual dexterity enough to operate a keyboard, photocopier, telephone, calculator, and other office equipment.
Requires normal range of hearing and eyesight to record, prepare, and communicate appropriate reports.
Requires lifting papers or boxes up to 15 pounds occasionally.
Work must be performed inside the hospital or facility.
Travel to other offices and/or client facilities may be required.
What to Expect When You Apply: Our hiring process is designed to find exceptional candidates. Once your application is received, you'll receive an invitation to complete an initial skills assessment. This step is essential: completing this assessment promptly positions you for an interview and demonstrates your commitment to excellence. We believe in creating exceptional teams, and this process ensures that every member at RSi has the opportunity to thrive and grow. Ready to be part of something special? Apply now and join our team!
$21-22.8 hourly 60d+ ago
Senior Intake Specialist
Jacoby and Meyers
Remote eligibility specialist job
Do you want to LOVE where you work and make a positive impact on people? Do you bring passion to your job? Do you love talking to prospective clients and generating new business? Do you thrive on earning incentive compensation for generating the business you bring in? If you do, Jacoby & Meyers has an opportunity for you!
Jacoby & Meyers is the nation's preeminent law firm protecting consumers since 1972. We are currently seeking a smart and determined Intake Specialist to join our growing team. At Jacoby & Meyers, every single employee gets to make an impact. Our values guide the way we work with each other. It's a culture where you have the freedom to experiment and push your talents as far as they can go.
Job Title: Senior Intake Specialist
Type of Position: Full Time
Location: Fully Remote
Pay: $25.00/hour - $35.00/hour PLUS Bonus Incentive of 1K+ per Month (based on sign-ups)
Hours: You will be assigned a 40-hour shift that may include weekends, evenings and holidays. Hours may range from:
* M-F: 7:00am - 10:00pm Pacific Time
* Saturday: 8:00am - 4:30pm Pacific Time
* Sunday: 9:00am - 5:30pm Pacific Time
* Overtime available
Job Description:
The role of the Intake Specialist is vital to the success of Jacoby & Meyers. This role is on the front line personally speaking to people coming to us for help at a time in which they are most vulnerable and need legal assistance. "I have been injured in a car accident - how do I get to work?" "I'm in pain and I don't know where to turn." "How do I get my kids to school?" That's where you come in.
In this role, we will train you to use your top-notch sales & customer service skills to understand their case and qualify whether it is a situation that merits the help of our firm. You will be the front-line team member who will best understand their injury and details, as well as being the first to help them. Your success is ultimately measured by your ability to turn those qualified prospective clients into signed clients. You will enjoy the ultimate measure of success in this role if you can convert 95% of qualified prospective clients into retained clients.
Core duties and responsibilities include the following. Other duties may be assigned:
* Lead Interaction: Serve as the first point of contact for leads seeking legal assistance through one of our communication channels. No Cold Calling - All leads have asked us to contact them or are calling us.
* Case Assessment: Evaluate the potential viability of cases based on the gathered information and the qualifications of our partner firm.
* Make a great and lasting impression on clients and potential clients
* Follow-up with callers in a consistent and respectful manner.
* Documentation and Record Keeping: Maintain accurate and organized records of all client interactions, case details, and related documents. Input data into case management systems or databases for easy access and retrieval.
* Refer clients with non-personal injury cases to partner law firms
* Convert 95% of qualified leads into retained clients by using your sales skills to build rapport with callers and explaining the value that Jacoby & Meyers provides to their clients
* Training: Participate in continuous guided and self directed training to stay updated on procedures, terminology, and best practices for client interaction.
* Earn incentive compensation in addition to a competitive base salary
Requirements:
* 4+ Years of Experience with legal intake, paralegal work, or auto insurance sales
* Legal Knowledge: Basic understanding of personal injury and motor vehicle accident law to better assess case viability and communicate effectively with clients and attorneys considered a plus
* Excellent verbal communication skills: Specialists will spend a majority of time on the phone with potential clients
* Empathetic, caring and persuasive communication skills
* Conflict Resolution Skills: Ability to handle and defuse potential conflicts with callers while maintaining a professional demeanor.
* Apply active listening skills through the ability to comprehend information presented and respond thoughtfully
* Excellent time management skills to handle all aspects of their responsibilities efficiently without compromising service quality.
* Bilingual fluency in Spanish is required
* Open to constructive feedback and adaptable to changes
* Salesforce or similar CRM experience considered a plus
* Bachelor's Degree a plus
What We Offer:
* Medical, Dental, Vision and Pet Insurance
* 401(k) with Company Match
* Company-paid Life Insurance and AD&D Coverage, Voluntary Life Insurance
* Short-term and Long-term Disability
* Employee Assistance and Travel Assistance Programs
* Paid Time Off, Paid Sick Time, Paid Holidays
* Health FSA and Dependent Care FSA
* Accident Insurance
* Commuter Transportation Incentive
* Cell Phone and Internet Stipend
* Fully-paid parking
* Learning and Development Programs
* Remote Positions
About J&M:
Jacoby & Meyers was founded in 1972 with the intention of making the legal system more accessible to the average person. Now, more than 50 years later, we continue to help people get the justice and compensation they deserve. Specializing in all types of accident claims, including automobile, motorcycle, bicycle, Uber/Lyft, or trucking accidents, slip and falls, dog bites, construction accidents and other wrongful conduct, the attorneys at Jacoby & Meyers have recovered over a billion dollars for their clients' personal injury and wrongful death claims caused by the negligence of a third party.
REQUIRED: Resume, Pay Expectation
Jacoby & Meyers is an Equal Opportunity Employer.
$25-35 hourly Auto-Apply 60d+ ago
Bilingual Client Intake Specialist - Remote
Keches Law Group PC 3.9
Remote eligibility specialist job
Job DescriptionDescription:
Keches Law Group, P.C. is a well-established, 50 attorney law firm with offices in Milton, Bridgewater, and Worcester, practicing in the areas of workers' compensation, personal injury, medical malpractice, and discrimination.
We are seeking bilingual Client Intake Specialists to join our team. This is a remote position.
Duties:
Receiving incoming client calls and initiates outbound calls to potential clients, as received electronically and by live transfer
Producing information by transcribing, formatting, inputting, editing, retrieving, copying, and transmitting text, data, and graphics
Using the firm software to enter all case and client details, and maintains detailed logs and task history within the database
Conveying accurate information to clients with regard to different case types with confidence and assurance
Setting the tone and pace of all calls, while maintaining a professional attitude and showing empathy and patience when speaking with potential clients
Demonstrating the ability to converse with varying client personalities to collect pertinent details to determine the viability of their claims
Maintaining client confidence by keeping client information confidential
Enhancing the reputation of the department and the organization by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to the position
Requirements:
Skills/Qualifications:
High School diploma or equivalent
1-2 years of customer service/call center experience or law firm experience is preferred
Multi-lingual abilities are required (Haitian Creole, Cape Verdean Creole, Spanish, or Portuguese require)
Ability to accurately translate verbal information into written correspondence
Ability to prioritize and escalate client calls appropriately
Strong phone, typing, and computer skills are a must; experience with Microsoft Office Suite is preferred
Ability to absorb, retain, and apply new information
Strong attention to detail
Ability to interact professionally and appropriately with clients, attorneys, and others
Must be energetic, well organized, and have the ability to multi-task
Must possess and demonstrate exceptional customer service skills, and the ability to handle situations with tact and diplomacy
Ability to work in a high intensity, high stress environment
Ability to work effectively in a fast-paced environment while accomplishing short-term goals without losing sight and commitment to the longer-term needs of the firm
Excellent verbal and written communication skills
Excellent problem-solving, analytical, and evaluative skills
Schedule
Remote
Monday - Friday
8:30am - 5:00pm (EST)
Benefits
Health, Dental, and Vision Insurance
401(k) Plan with Profit Sharing
Flexible Spending Account
Paid Time Off
Paid Holidays
Basic Life Insurance
Long Term Disability
Employee Referral Bonuses
The anticipated salary range for this position, which we in good faith expect to pay at the time of posting, is $38,000.00 - $41,000.00 annually. This range allows us to make an offer that reflects multiple factors, including experience, education, qualifications, and job-related knowledge and skills, as well as internal pay equity. It's not typical for an individual to be hired at or near the top of the range, as we strive to provide room for future and continued salary growth. Base pay is just one component of our Total Rewards package, which may also include discretionary bonuses, commissions, or other incentives depending on the role.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk or hear. This is largely a sedentary role, however the employee may at times be required to sit; stand; walk; use hands to handle or feel; and reach with hands and arms. The employee must occasionally lift or move office products and supplies, up to 20 pounds.
AAP/EEO Statement
Keches Law Group is an equal opportunity employer. Keches Law Group does not discriminate based on race, ancestry, national origin, color, religion, gender, age, marital status, sexual orientation, disability, veteran status, or any other protected classification under the law.
$38k-41k yearly 17d ago
Intake Specialist
Modern Family Law 3.7
Remote eligibility specialist job
Modern Family Law, a rapidly expanding law firm specializing in Family Law, is seeking a remote Intake Specialist to join our sales team in Colorado, Texas or Georgia. This candidate will be required to work an MT timezone shift.
If you are a dedicated professional seeking a dynamic and rewarding career in client services, this is your opportunity to shine with a leading firm.
As a key member of our intake department, you will play a critical role in welcoming potential clients and guiding them through their initialinteractions with the firm. Your ability to communicate clearly and empathetically, manage client records with precision, and collaborate with other departments will ensure a positive and seamless intake experience.
Primary Duties:
Monitor and respond promptly to inquiries across email, chat, and web forms, providing potential clients with information about the firm's services and setting expectations for the intake process.
Conduct conflict checks to ensure compliance with firm policies.
Answer incoming calls with professionalism and empathy, transferring calls to the appropriate team members, and handling voicemails and follow-ups as needed.
Manage and update client records in the CRM, ensuring accuracy and timeliness in data entry.
Distribute, collect, and process fee agreements and credit card authorizations, entering details into the system with precision and facilitatingretainer fee transactions.
Schedule meetings and initial consultations for attorneys, coordinating with both clients and firm calendars.
Follow up with potential clients via phone, email, or chat to address questions, encourage engagement, and guide them through the next steps.
Track and log follow-up activities to maintain a complete record in the CRM.
Identify high priority leads and escalate them to attorneys or senior intake team members as necessary.
Actively participate in weekly intake meetings and contribute to continuous improvement efforts within the intake department.
Collaborate with other departments, including marketing, IT, and sales, to ensure smooth client experiences.
Requirements
Two to Five (2-5) years of experience in sales, customer service, or a related field, with a proven track record of client engagement and follow-up.
Experience in legal intake or a client service role is a plus.
As our culture is remote-first, all employees are expected to have the ability to work from home with a reliable internet connection and to set up a workstation that supports productive work during normal business hours.
Proficiency with Apple products and CRM systems, with a typing speed of 50 WPM or higher and excellent attention to detail.
Ability to communicate calmly and effectively with clients in stressful situations, demonstrating empathy and professionalism.
Strong organizational skills and the ability to prioritize multiple competing tasks in a fast-paced environment.
Client-focused mindset, dedicated to delivering exceptional service and fostering positive client relationships.
Skills and Competencies:
Excellent written and verbal communication skills with the ability to handle client interactions with care and clarity.
Strong organizational skills, with the ability to handle multiple priorities and meet tight deadlines.
High attention to detail, ensuring accuracy in client records, communications, and transaction processing.
Ability to collaborate effectively within a supportive, professional work culture.
Adaptability and flexibility, thriving in both remote work and in-person settings when required.
Proficiency in CRM systems and technology used in remote client management.
Mandatory Notices for Applicants:
ADA Compliance: All candidates and incumbents are expected to perform the duties as assigned so long as they can meet the expectations set forth with or without reasonable accommodations. Should a candidate require accommodation, they need to advise the Director of People & Culture in advance.
Compensation: $20- $24 per hour. The range presented is a reliable estimate of the base salary that this individual is expected to receive. Actual pay will be adjusted based on experience, location, internal and external pay equity, and other job-related factors as permitted by law. Full-time employees may be eligible for health insurance with an optional Flexible Spending Account or a Health Savings Account, short-term disability, long-term disability, dental insurance, vision care, life insurance, 401(k) Retirement, vacation, sick time, and an employee assistance program to support the personal wellness needs of our employees.
Additional voluntary programs are available and include voluntary accident insurance, voluntary life, voluntary disability, voluntary long-term care, voluntary critical illness and cancer insurance, as well as pet insurance. Additionally, in some markets, commuter and transit benefit programs are available.
Benefits
Health Care Plan (Medical, Dental & Vision)
Retirement Plan (401k, IRA)
Life Insurance (Basic, Voluntary & AD&D)
Paid Time Off (Vacation, Sick & Public Holidays)
Short Term & Long Term Disability
Training & Development
Work from Anywhere -- eligible after 6 months.
Be part of our Team! We are committed to providing equal employment opportunities in all employment practices. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship status, marital status, age, disability, genetic information, protected veteran status, gender identity or expression, sexual orientation or any other characteristic protected by law. We are a second-chance employer and a recovery friendly workplace.
Highly Competitive Employee Benefits and Generous Paid Time Off 11 Paid Holidays, Immediately Begin with 40 hours Paid Vacation if No Prior Service.
Ohio Public Employee Retirement System which includes 14% Employer Contribution AND a defined benefit option.
Highly Competitive and Comprehensive Benefits Package: Medical, HRA, Dental, Vision, Employer-Paid Life Insurance, Long-Term Disability, Tuition Reimbursement, Paid Parental Leave, Public Service Loan Forgiveness Eligibility, Commuter Stipend or Free On-Site Parking, Wellness Incentives, robust Employee Assistance Program, access to Free Medical and Rx through Marathon Health, plus expansive Behavioral and Mental Health Resources, and More! DEADLINE TO APPLY: Open until filled WORK LOCATION: Job & Family Services Family and Adult Assistance 222 E. Central Parkway Cincinnati, Ohio 45202 WORK HOURS: Full Time - 80 hours biweekly (Potential for Hybrid Remote Work Schedule) HOURLY PAY: $21.22 NOTE: Applicants for positions with Hamilton County Job and Family Services are subject to background screening in accordance with the document: "Offenses that May Disqualify Candidates for Employment." Convictions from this list may disqualify a candidate for employment with HCJFS. REQUIREMENTS (EDUCATION, EXPERIENCE, LICENSURE, CERTIFICATION):
Associate degree OR
the equivalent of an associate degree (at least ninety-four (94) quarter credit hours or the equivalent in semester/trimester hours) with at least one three (3) hours course in each of the following: interviewing, office/information technology, basic mathematics, public relations, communications and nine (9) credit hours in English which must include basic grammar, writing skills and composition or two (2) years experience in public contact work involving interviewing and collecting, organizing, analyzing and interpreting complex data; or equivalent.
All candidates must be able to demonstrate strong oral and written communication skills and strong interpersonal relations skills.
JOB DUTIES (SUMMARY):
Interviews applicants/recipients to determine their eligibility for public assistance (i.e., TANF, Medicaid, nursing home, supplemental and emergency assistance, foster care; all public assistance programs including food stamps) through office or home visits; computes applicants budget; verifies all documentation submitted to support request for assistance in accordance with public assistance guidelines; approves or denies applications; explains to recipients their rights, income maintenance procedures and other available welfare services; refers applicants and recipients to other welfare units, community and/or government agencies when appropriate (i.e., social services, Bureau of Employment Services, Social Security.
Receives and investigates complaints concerning lost, stolen or undelivered assistance checks; prepares and maintains case records regarding applicant/recipient eligibility status for assistance programs to include address changes; household composition, assistance needs, resources and income and other necessary entries; prepares notification letters informing recipients of suspension, reduction or termination of assistance; prepares and refers form to investigation unit to report cases of suspected fraud or over-issuance; assists applicants and recipients in completing assistance or hearing appeal forms; appears with client in hearings or prepares summaries and appears in hearings upon request; processes corrections in cases identified by quality control; answers routine inquiries either by telephone or correspondence; completes special data assignments.
Performs other related duties as assigned.
Attends necessary training as required.
BACKGROUND CHECKS REQUIRED: Background checks consistent with requirements in OAC 5101:2-5-09 must be completed at employment and every ten years following, including but not limited to the following systems:
State Automated Child Welfare Information System (SACWIS)
State Child/Abuse Neglect Central Registry Check for any state in which the applicant resided within the last five years
Ohio Bureau of Criminal Identification Investigation (BCI)
FBI
National Sex Offender Public website (WWW.NSOPW.Gov) Code 5101:2-5-09 must be conducted for each prospective employee
For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive.
As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022!
Job Description:
We are looking for a motivated Intake Specialist to join a dynamic legal team. In this role, you will be the first point of contact for clients, handling calls with professionalism and empathy while gathering essential information for ongoing cases. You'll contribute to smooth operations by entering accurate data, coordinating with staff, and supporting administrative tasks. This role is perfect for someone who thrives in a fast-paced environment, enjoys helping clients, and takes pride in attention to detail and clear communication.
Monthly Compensation: 1,150 to 1,220
Responsibilities include, but are not limited to:
Provide general administrative assistance as needed
Coordinate with internal staff to support ongoing cases
Answer and professionally route incoming phone calls
Ensure client inquiries are addressed promptly and courteously
Maintain organization of records and follow up on pending items
Accurately input client data into Clio and Excel spreadsheets
Conduct intake calls to collect critical client information
Requirements:
1-2 years of experience in client intake or administrative support preferred
Strong verbal and written communication skills
Ability to multi-task and prioritize efficiently
Comfort with technology and CRM systems, particularly Clio
Key Skills
Strong verbal communication and excellent phone etiquette
Detail-oriented with high accuracy in data handling
Ability to manage multiple calls and tasks simultaneously
Tech-savvy and comfortable with Clio, Excel, Microsoft 360, Teams, and Google Sheets
Professional, friendly, and approachable demeanor
Reliable, punctual, and consistent with attendance
Team-oriented and collaborative
Customer service mindset: patient, empathetic, and solution-focused
Traits and Values
Organized and proactive
Solution-oriented and adaptable
Empathetic and professional in client interactions
Dependable and trustworthy
Collaborative and willing to support colleagues
Positive attitude and resilience in fast-paced environments
Software
CRM: Clio
VoIP: RingCentral
Internal Communication: Teams
Email and Calendar: Outlook
Other Tools: Google Sheets, Microsoft 360
Working Schedule
Monday to Friday
Work Shift:
9:00 AM - 6:00 PM [EST][EDT] (United States of America)
Languages:
English
Ready to dive in? Apply now and make sure to follow all the instructions!
Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process.
Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.
$29k-41k yearly est. Auto-Apply 60d+ ago
Care Team Intake Specialist
Synapticure Inc.
Remote eligibility specialist job
About SynapticureAs a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases like Alzheimer's, Parkinson's and ALS.
The RoleDrives clinical and administrative support functions across the market, such as customer service, scheduling, registration, referrals, and prior authorizations. Serves as a Synapticure's representative to our members, external healthcare organizations, payer partners, and other partners to ensure that our members have the care and assistance they need to thrive.
Job Duties - What you'll be doing
Engagement-Manages new patient intake calls-Obtain brief medical history Obtain details of current/past medical provider-Gather insurance information Schedule and manage appointments per protocol or at the direction of the care team-Schedule clinical appointments-Track scheduling tasks and ensure execution by due date-Meet minimum required appointments scheduled daily-Follow all proper scheduling policies and procedures-Reschedule members who cancel, no show, or request to reschedule appointments send appointment reminders and confirmation-Manage related correspondence (e.g., document calls and texts) Completes FMLA forms
Operations and Follow-Up-Partner with the care team to complete visit-related tasks-Request and obtain medical records from health plans and external providers and organizations per protocol-Obtain completed member forms (e.g., consents and HIPPA forms)-Review medical records to ensure all necessary components of the medical record are available for appointments-Conduct eligibility checks-Communication tasks; Manage faxing tasks, including assignment of received faxes, Coordinate outgoing member communications, including standard mailings, news and member resources, Other printing/mailing/faxing as needed-Utilize our care facilitation and scheduling platforms to collect data, document member interactions, organize information, track tasks, and communicate with your team, members, and community resources-Generate and communicate standard reporting as needed-Fulfill other duties to support member care and operations as assigned Requirements - What we look for in you
HS Diploma or equivalent
Knowledge of healthcare operations
Medical Assistant or equivalent
Experience handling and reviewing medical records.
Experience in a startup or organization that has experienced rapid growth and change.
Experience in coordinating and managing referrals.
Exceptional communication skills.
Experience with EHR systems, Mac, and GoogleExperience with patient communication (ie scheduling and coordinating care) Basic knowledge of frequently prescribed medications
This position is remote and work would be based in your home. The necessary technology would be provided to work out of your home.
Salary and Benefits:Position is full time/exempt with competitive salary and benefits package including health insurance offering. Salary range for this role is competitive depending on the candidate's level of experience.
$30k-44k yearly est. Auto-Apply 60d+ ago
Intake Specialist (Client Service Sales) - Remote
Heard & Smith 3.8
Remote eligibility specialist job
Intake Specialist (Client Service - Sales) Heard and Smith, LLP was founded on the principles of compassion, humility and the relentless desire to pursue financial assistance for our clients. Our law firm has been helping the disabled for over 30 years and has a proven record. Do you have a heart for those in need? We are seeking individuals with excellent customer relations, strong work ethic, and a true desire to help others. Being part of the Heard and Smith team is more than a job; each day provides you with opportunities to change someone's life!
Fast-paced, professional environment;
Fulfilling, challenging, and rewarding;
Great team environment;
Paid Holidays, Accrued Paid Time Off (FT only);
Great Medical Benefits Package (FT only);
Wellness Program (FT only);
Competitive Salary $14.50-$16.50 per hour DOE
401k with Annual Employer Profit-Sharing contributions (historically 5% annual salary - employee contributions not required!)
As the Intake Specialist you are the first point of contact for potential clients who are seeking Social Security Disability (SSD) and/or Social Security Income (SSI) assistance. In a call center environment, you will guide potential clients through a screening process (triage) to determine eligibility for SSD/SSI and if eligible, invite them to become a client. You will assist clients in the completion of initial applications as well as addendums and updates for submission to the Social Security Administration.
In this role you will:
Build the initial client relationship and confidence in our firm with every prospective client interaction
Take 150 - 200 calls per day in a professional inbound/outbound call center environment
Sign up 4 new cases per day to the firm
Be expected to meet occupancy and adherence goals
Be expected to maintain a minimum call quality score of 90%
Consistently build the client relationship and confidence in our firm with every client interaction while proactively contacting clients to ensure the relationship is maintained
Solve problems and maintain confidentiality
Keep updated records and detailed documentation of client interactions, concerns, and complaints in a paperless database system
Use good judgment to discern what issues may be urgent and need a manager's or director's attention immediately
To be successful as an Intake Specialist you will need:
High School Diploma; Degree preferred; or equivalent combination
Call center and customer service experience
Strong people skills
Excellent telephone, communication, and active listening skills
Ability to meet performance standards whether in office or working remotely from home
Knowledge in computer technology and the Internet (MS Office, Outlook). Including the ability to learn new programs easily
Minimum 40 WPM typing speed
Multi-tasking skills and the ability to work well under pressure
Detail oriented
Excellent spelling and grammar
Problem analysis and problem-solving
Self-motivated, self-disciplined, able to work with little supervision
Reliability and dependability
Ability to work in fast paced environment
Ability to work in a confidential environment always maintaining client confidentiality
Has professional manner and high energy level, exhibits a positive attitude
Strong organizational skills
Good time management skills
Accepts new ideas and challenges and is highly motivated
Ability to work well with others as a team
Ability to work remotely from home as needed per business needs (see remote requirements)
Sales experience a plus
Fluent Spanish a plus
Minimum Requirements for a Remote Home Office Intake Specialist:
Computer with up-to-date operating system (No Macs, Chromebooks, Tablets)
Camera - internal to computer or external
Fast internet connection (20MB+)
Wired Ethernet cable Internet connection in your home office
Land line telephone or good cell phone signal in home office
Quiet, private home office with no distractions during business hours
Reside in Texas
$14.5-16.5 hourly Auto-Apply 60d+ ago
Care Management Intake Specialist
Integrated Services for Behavioral Health 3.2
Eligibility specialist job in Lancaster, OH
Job Description
We are seeking a Care Management Intake Specialist!
Join our team!
Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services - working with local partners to promote healthy people and strong communities. All of our services are intended to be collaborative and personalized for the individual.
The salary range for this position is $22.93- $25.38 per hour based on experience.
Essential Functions:
Processes youth assigned to ISBH for OhioRISE care coordination to ensure each client is eligible, set up, and referred to care coordinators within the established program timelines.
Manages transfers of care and ensures documentation is completed according to program standards
Provides follow-up for any missing information when necessary.
Documents all youth information in our data systems.
Manages communication from ISBH staff, guardians, community, and state partners via phone, text, and email.
Interacts with ISBH staff and external partners in a positive manner, providing excellent customer service.
Maintains advanced knowledge of OhioRISE assignment processes and systems, including but not limited to CareLogic software, Ohio MCO referral requirements, ISBH, and the partner required content.
Performs other related duties as required.
Minimum Requirements:
High School diploma or GED.
Three years of experience working in a medical referral position and/or nonprofit administrative management environment required.
Demonstrated a high degree of cultural awareness.
Ability to use appropriate databases, spreadsheets, and other software.
Able to effectively communicate through verbal/written expression.
Must be able to operate in an Internet-based, automated office environment.
Must be able to attend all trainings in-person
Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!
Benefits include:
Medical
Dental
Vision
Short-term Disability
Long-term Disability
401K w/ Employer Match
Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.
To learn more about our organization: *****************
OUR MISSION
Delivering exceptional care through connection
OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope
Collaboration - We listen to understand and ask how we can best support the people and communities we serve
Wellbeing - We celebrate one another's strengths, and we support one another in being well
Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team
Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Who we are:
Access TeleCare is the largest national provider of telemedicine technology and solutions to hospitals and health systems. The Access TeleCare technology platform, Telemed IQ, enables life-saving patient care through telemedicine and empowers healthcare organizations to build telemedicine programs in any clinical specialty. We provide healthcare teams with industry-leading solutions that drive improved clinical care, patient outcomes, and organizational health.
We are proud to be the first provider of acute clinical telemedicine services to earn The Joint Commission's Gold Seal of Approval and has maintained that accreditation every year since inception.
We love what we do and if you want to know more about our vision, mission and values go to accesstelecare.com to check us out.
What you'll be responsible for:
We are seeking an experienced and detail-oriented Patient Registration Specialist on a full-time contractual basis from January 5, 2026 through March 5, 2026. During this defined period, the Patient Registration Specialist will support the team by accurately capturing patient demographic data and insurance coverage details to ensure correct insurance billing. This role requires a strong understanding of healthcare eligibility processes and insurance verification protocols throughout the assignment.
What you'll work on:
Perform comprehensive patient registration, including obtaining accurate demographic and insurance information from multiple Electronic Medical Record (EMR) systems and entering this info into Access TeleCare's billing system
Verify insurance eligibility and coverage benefits using payer portals, phone calls, and real-time eligibility tools
Identify and resolve issues related to insurance eligibility, including coordination of benefits and out-of-network policies
Escalate complex coverage or registration issues to management or the billing department as needed
Maintain compliance with HIPAA and all regulatory guidelines regarding patient data and insurance handling
Other duties as assigned
What you'll bring to Access TeleCare:
High school diploma required
A minimum of 1-2 years' experience in Revenue Cycle, Registration and Medical Billing
Solid understanding of registration and billing
Knowledge of medical terminology, anatomy, and physiology
Must also have a focus on regulatory and billing requirements
Ability to maintain confidentiality
Strong communications skills (written and oral) as well as demonstrate the ability to work effectively across departments
Demonstrated proficiency with Microsoft office programs (Excel, Word, and PowerPoint) communication, and collaboration tools in various operating systems
Ability to work effectively under deadlines and self-manage multiple projects simultaneously
Strong analytical, organizational, and time management skills
Flexibility, detail-oriented, and adaptability in a fast-paced environment
Ability to thrive in a high growth, fast-paced organization and 100% Remote based environment
Must be able to remain in a stationary position 50% of the time
About our recruitment process: We don't expect a perfect fit for every requirement we've outlined. If you can see yourself contributing to the team, we would like to speak with you. You can expect up to 2 interviews via Zoom. Access TeleCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, age, religion, color, marital status, national origin, gender, gender identity or expression, sexual orientation, disability, or veteran status.