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Remote Benefits Representative (Work From Home) Globe Life:Olusegun Organization
Globe Life: American Income Division
Remote enrollment specialist job
We are seeking a Remote Benefits Representative to join our team! You will be responsible for expanding the company's book of business by providing various types of insurance policies to new and existing clients via zoom. This position is fully remote!
Bilingual: French and Spanish speakers to better serve our diverse client base.
A Benefits Representative at Globe Life (AIL division) is responsible for:
1. Educating Clients - Explaining insurance benefits and policies to clients, ensuring they understand their coverage options.
2. Customer Service - Assisting policyholders with claims, policy updates, and any questions about their benefits.
3. Sales & Enrollment - Meeting with potential clients, assessing their needs, and enrolling them in suitable insurance plans.
4. Building Relationships - Developing and maintaining relationships with clients to ensure long-term satisfaction and retention.
5. Lead Management - Working with company-provided leads to set up appointments and present benefit options.
6. Remote Consultations - Conducting virtual meetings to assist clients with their benefit selections.
7. Compliance & Documentation - Ensuring all paperwork and client interactions follow company and industry regulations.
Qualifications:
Previous experience in insurance, customer service, or other related HR fields is a plus
Ability to build rapport with clients
Strong negotiation skills
Excellent written and verbal communication skills
Ability to prioritize and multitask
$30k-42k yearly est. 3d ago
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Benefits Specialist - In Office
The Whittingham Agencies
Enrollment specialist job in Tremont City, OH
Crafting Brighter Futures for Businesses & Families across the US
At the forefront of specialized financial services, we help families safeguard their assets and promise a profound purpose: ensuring a brighter future for every client.
As a Benefits Representative, you play a pivotal role in helping families protect their assets and secure their futures. You'll be the face of our company, embodying our values and commitment.
Primary Responsibilities:
Engage with clients to understand their financial goals and concerns.
Present tailored solutions to safeguard their assets effectively.
Maintain a pulse on the industry, ensuring you offer the best and most updated advice.
Foster relationships and ensure our clients always have someone they can turn to.
Why Work With Us?
Flexible Scheduling: Enjoy the benefits of a full-time role that has flexible hours.
Unlimited Earning Potential: Your dedication determines your earnings*.
Company Culture: At our company people are ambitious but respectful, high-energy, and treat every member like family. We do (optional) company outings frequently!
Grow with Us: Dive into continuous learning and development opportunities.
Application Process:
Submit Your Application: No stringent qualifications needed. We believe in potential.
Virtual Company Overview: Once your application is in, you'll receive an invite to a virtual overview, detailing everything you need to know about the position. This session lasts 20-30 minutes, and you can self-schedule at your convenience, often on the same day.
Interact with Us: During the overview, you'll have the chance to chat with our team members and ask any questions.
FAQs:
When will I hear back after applying? Typically, within 24 hours.
Is there any specific software I need for the virtual overview? No, our platform is accessible through any standard web browser. Details will be provided in the invitation.
What's the growth trajectory for a Benefits Representative? Our focus is on continuous learning and development. Many of our reps have seen exponential career growth within our organization.
* This is a commission only role with average earnings of $65,000+ in the first year and uncapped room for rapid growth based on performance.
State and federal laws require licensing to sell certain insurance products. Ability to obtain a license is required.
$65k yearly 12d ago
Member Enrollment Representative
Christian Healthcare Ministries 4.1
Enrollment specialist job in Circleville, OH
At Christian Healthcare Ministries (CHM), we exist to glorify God, show Christian love, and serve members of the Body of Christ by sharing each other's medical bills.
The Member Enrollment Representative (MER) plays a vital role in this mission by increasing membership through various communication channels while delivering exceptional member experience. The MER is responsible for converting sales leads into new memberships, guiding prospective members through the enrollment process, and ensuring that every interaction reflects CHM's core values and commitment to service excellence.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Meet sales targets, goals, and performance expectations.
Engage in inbound and outbound phone sales (no cold calling) to assist and guide prospective members through the enrollment process.
Establish referrals, build relationships, and develop contacts with potential prospects.
Respond promptly and professionally to prospective member calls and inquiries.
Ensure delivery of high-quality, Christ-centered service.
Address member questions, concerns, and provide thoughtful recommendations.
Assist in retaining memberships when appropriate.
Respond to emails, calls, and voicemail promptly.
Clearly explain CHM guidelines, programs, and options to members.
Offer suggestions for improvement to the Member Enrollment Supervisor and Team Leader.
Maintain professionalism, empathy, and a positive attitude.
Demonstrate strong communication skills in both phone and written correspondence.
Uphold CHM's Core Values and Mission Statement in all interactions.
Collaborate with other departments, including Member Services, Marketing, and Communications, to ensure seamless member experience.
Gain a deep understanding of the Member Enrollment Team's structure and objectives.
Input, track, and manage prospects using HubSpot and internal CHM systems.
Develop ongoing relationships with prospects through consistent and intentional follow-up.
OTHER FUNCTIONS
Demonstrate Christian values and adhere to ethical and legal business practices.
Support CHM initiatives and departmental goals as assigned.
EDUCATION, EXPERIENCE & SKILLS REQUIRED
Prior experience in online or phone-based sales (preferred).
College education or equivalent work experience (preferred).
Strong verbal and written communication skills, including professional phone and email etiquette.
Proficiency in CHM guidelines, programs, and policies (training provided).
Competence with Microsoft Office Suite and CRM tools such as HubSpot.
Excellent organizational and time management skills with the ability to handle multiple priorities.
Self-motivated, collaborative, and committed to teamwork.
Strong problem-solving and conflict resolution skills.
Willingness to ask questions, seek guidance, and support team initiatives.
TRAINING & DEVELOPMENT
New representatives will complete a structured training program designed to build a strong understanding of CHM's membership process, communication tools, and ministry values. Ongoing professional development and mentorship opportunities are also provided.
WORKING CONDITIONS
Must adhere to organizational policies and procedures as outlined in the employee handbook.
Occasional travel may be required for ministry or business purposes.
Flexibility to work hours between 8:00 a.m. and 6:00 p.m., based on department needs.
Requires extended periods of sitting, working on a computer, and communicating by phone or email.
Strong reasoning and problem-solving abilities to overcome objections and assist prospective members effectively.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
$27k-30k yearly est. 20h ago
Payer Enrollment Specialist
Cartwheel
Remote enrollment specialist job
Join Cartwheel to help tackle the student mental health crisis.
Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them, we collaborate with them. This means:
Earlier intervention
Higher student and family engagement in care
Better coordination among the trusted adults in a student's life
Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they're excited to live. If you join Cartwheel, you'll help make this vision a reality for millions of students across the country. We're backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team.
ABOUT THE ROLE
You will work directly with the Director of Health Plan Operations to research, prepare, and submit accurate and timely health plan enrollment requests on behalf of Cartwheel. You'll also research and resolve payer or client related questions related to submitted enrollments.
Role type: This is a full-time position
Location: 100% remote in the U.S.
WHAT YOU'LL DO
Research payer enrollment requirements by state and prepare complete enrollment applications for Medicaid, Medicare commercial, and managed care plans (including all required forms, documentation, and supporting materials)
Submit and track group and individual provider enrollment requests from application retrieval through completion notification
Follow up with payers and providers via phone, email, and online portals to gather information, resolve questions, and expedite approvals
Maintain enrollment trackers and organize payer/provider documentation (NPPES, CAQH, DEA, CDS profiles, etc.) accessible to internal stakeholders
Build relationships with payer representatives and contracting departments to streamline submissions and improve approval timelines
Process demographic updates and prepare reports on enrollment status as needed
Follow all company procedures and meet team performance metrics around enrollment application submissions and credentialing turnaround times
Ability to pass a background check without concerns
Other duties as assigned
WHO YOU ARE
3+ years of experience with payer enrollment applications and processes, including Medicaid and commercial payers (outpatient behavioral health group contracting experience is a plus)
Expert with Google Suite tools (Sheets, Docs, Gmail)
Strong preference for experience in Salesforce and/or Verifiable
Exceptionally detail-oriented with strong organizational skills - you ensure complex enrollment packages are complete and accurate
Able to work independently and collaboratively in a fast-paced environment, taking initiative to break down projects and identify process improvements
Strong communicator who builds effective relationships with internal teams and external contacts at all organizational levels
WHY YOU'LL LOVE CARTWHEEL
Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time, at a company well-positioned to do so, you'll have:
Mission-oriented and inclusive colleagues who will go to bat for you
Competitive compensation of $60,000-$70,000 dependent on experience
Generous PPO medical, vision, and dental coverage
Generous paid time off, including company closure from Christmas-New Years (12/25-1/1)
Paid parental leave
401K with employer match
Meaningful equity ownership stake in Cartwheel
Remote role with regular in-person retreats
$500 annual learning stipend
Macbook
Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. We're committed to equal employment opportunity regardless of race, color, religion, ancestry, national origin, gender, sexual orientation, disability status, or veteran status.
We participate in E-Verify. Please be prepared to provide acceptable documentation to verify your identity and work authorization.
Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. We're committed to equal employment opportunity regardless of race, color, religion, ancestry, national origin, gender, sexual orientation, disability status, or veteran status.
We participate in E-Verify. Please be prepared to provide acceptable documentation to verify your identity and work authorizat
ion
Note: Please do not contact our Care, Provider, or Patient Services lines regarding job postings or application status. These teams support our patients and families and are not involved in the hiring process. For all recruitment-related questions, please email ************************.
$60k-70k yearly Auto-Apply 3d ago
Payer Enrollment Specialist - Full Time
Big Leap Health 3.9
Remote enrollment specialist job
About Big Leap
We are a fast-growing, multi-state medical & behavioral clinician group dedicated to delivering high-quality outpatient and tele-health services focused on interventional mental health treatments (Spravato & TMS). To keep pace with expansion, we're adding an experienced Payer EnrollmentSpecialist to our remote operations team.
Job Summary
We're looking for a proactive, detail-oriented team member to help keep our clinician payer enrollment process moving smoothly. In this role, you will play a key part in submitting payer enrollments, tracking enrollment statuses, following up with payers to identify and resolve blockers, and requesting fee schedules to support our operational planning. You'll help ensure our clinicians get paneled quickly and stay on track, especially with plans in New York, New Jersey, California, Texas, Florida, Pennsylvania, and Colorado.
This is a great opportunity for someone who's organized, persistent, and excited to dive into the fast-paced world of healthcare operations.
Key Responsibilities
Submit new provider enrollments with Medicare, Medicaid, and major commercial payers (e.g., BCBS, UHC, Aetna, Cigna).
Proactively track provider enrollment and credentialing statuses with Medicare, Medicaid, and major commercial payers (e.g., BCBS, UHC, Aetna, Cigna).
Request and follow up on payer fee schedules to support internal planning.
Maintain and update CAQH, PECOS, NPPES, and state portals; resolve discrepancies and follow-up requests quickly.
Maintain up-to-date payer status logs; report in real time on turnaround times, expirations, and pending items utilizing our tracking tools.spreadsheet.
Collaborate with credentialing team members and liaise with payer representatives to escalate issues, unblock delays, and shorten approval timelines.
Minimum Qualifications
2+ years' recent, hands-on experience with payer enrollment.
Documented success credentialing providers with health plans in NY, NJ, CA, TX, FL, PA and CO (please list payers).
Fluency with credentialing databases, spreadsheets, and document-management tools.
Strong written communication, follow-through, and problem-solving skills.
Preferred Qualifications
Experience with payer enrollments for behavioral practices.
Schedule & Compensation
Contract position averaging 40 hours per week; additional hours available during peak cycles.
Remote-work from anywhere in the U.S. (reliable high-speed internet required).
Competitive hourly rate, commensurate with experience.
Why Join Us?
Work from anywhere in the US .
Consistent weekly workload.
$34k-47k yearly est. Auto-Apply 30d ago
Outbound Patient Enrollment Specialist
Cadence Health
Remote enrollment specialist job
In the U.S., 60% of adults - more than 133 million people - live with at least one chronic condition. These patients need frequent, proactive support to stay healthy, yet our care system isn't built for that level of attention. With rising clinician shortages, strained infrastructure, and reactive care models, patients too often end up in the ER or the hospital when those outcomes could have been prevented.
At Cadence, we're building a better system. Our mission is to deliver proactive care to one million seniors by 2030. Our technology and clinical care team extend the reach of primary care providers and support patients every day at home. In partnership with leading health systems, Cadence consistently monitors tens of thousands of patients to improve outcomes, reduce costs, and help patients live longer, healthier lives.
The Cadence Health team seeks a remote Patient EnrollmentSpecialist to act as an Outbound Call Agent, to call and enroll patients who are referred to Cadence by our partner physicians. You will be the patient's first point of contact and experience with Cadence and will interact with patients via phone call and text.
This role will be Monday - Friday, 9am to 6pm on Mountain, Pacific, Alaska, or Hawaii-Aleutian time zone.
WHAT YOU'LL DO:
Clearly communicate program details, benefits, expected outcomes, patient responsibilities, and the value proposition to patients.
Facilitate virtual patient enrollments and schedule follow-up appointments with the Cadence Care team.
Build strong rapport and trust with potential patients, nurturing lasting relationships based on mutual respect and understanding.
Follow established scripts to meet quality assurance standards, while adapting your communication to connect authentically with patients.
Maintain a balance between delivering high-quality patient interactions and achieving productivity targets.
WHAT YOU'LL NEED:
Experience working in a healthcare services organization with accountability for performance metrics.
Prior experience conducting a high volume of outbound calls.
Strong communication and problem-solving skills, with the ability to address concerns and guide patients toward informed decisions.
Prior experience working in a fast-paced work environment.
Ability to maintain the highest degree of patient confidentiality.
Comfort using CRM platforms.
Excellent verbal and written communication skills.
Passion for providing an outstanding patient experience.
Skilled in building strong patient relationships and overcoming objections in a phone-based environment.
Ability to thrive in a results-driven, autonomous environment built on trust, open communication, and constructive feedback.
WHO WE ARE:
Cadence Health was built around a simple promise: patients always come first. Our technology-enabled remote care model pairs continuous health insights with a highly skilled clinical Care Team, empowering seniors to stay healthier, avoid complications, and live more independent, fulfilling lives, all without the limits of a traditional office visit.
Your expertise is the heart of our system.
Nurse practitioners, registered nurses, medical assistants, patient-success coordinators, and other frontline clinicians are the face and beating heart of Cadence. You'll bring warmth, clinical precision, and the empathy that turns a virtual touchpoint into a human connection. Every chat, phone call, and care plan you deliver shapes how patients experience “what healthcare should be.”
A modern toolkit to practice top-of-license care
We've replaced reactive visits with real-time data, intelligent workflows, and seamless collaboration tools. That means you can spend less time on busywork and more time practicing at the top of your license, coaching patients, spotting risks early, and coordinating with physicians to keep care proactive and personal.
Thriving in a fast-moving, mission-driven culture.
Change excites us. Innovation fuels us. If you're energized by technology, eager to re-imagine care delivery, and motivated to improve outcomes for both patients and the providers who serve them, you'll feel at home here. We invest in continuous learning, clinical mentorship, and transparent growth paths so you can advance your skills while making a measurable impact every day.
Join us in redefining healthy aging.
If you're passionate about compassionate care and ready to transform how seniors across the country manage chronic conditions, recover after hospitalization, and age with confidence, let's talk. Together, we'll build a future where exceptional care is consistent, connected, and just a call away.
WHAT YOU'LL GET:
Cadence recognizes the unique needs of its diverse, distributed workforce and seeks to provide an inclusive work environment for its world-class clinicians and technologists.
Company culture all about impact, shared growth mindset, empowerment, and integrity
An opportunity to help improve the quality of life of millions of Americans
Unique chance to support the development of an amazing product; Cadence's in-house clinicians are our super users and beta testers
Competitive salaries and quarterly incentives
Medical, dental, and vision insurance
TelaDoc (virtual primary care)
Competitive PTO
401K and 401K match
National and local discounts powered by TriNet
Onboarding stipend for remote equipment and home office setup
Paid Parental Leave
Charitable Donation Match program
Expected compensation range: up to $20-$23 per hour plus incentive ($60,000-$70,000 OTE)
Location: Remote
We are committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. Candidates must be willing to comply with all pre-employment drug screening requirements and, where applicable, comply with additional drug screening requirements as a condition of continued employment in accordance with company policy and applicable law.
*A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at ********************************** Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.
$20-23 hourly Auto-Apply 3d ago
Enrollment Specialist
Nabi 4.2
Remote enrollment specialist job
About Us
Nabi Health is a fast-growing digital health platform helping people access high-quality eating disorder care covered by insurance. We match patients with registered dietitians and help them get scheduled quickly and compassionately.
We're hiring a Patient EnrollmentSpecialist who is warm, organized, and proactive with follow-ups. This role has a direct impact on helping patients access care during a vulnerable moment.
Role Overview
As a Patient EnrollmentSpecialist, you will speak with prospective patients, answer questions, guide them through scheduling, and ensure they feel supported throughout the process. Experience in enrollment, intake, scheduling, customer support, or other phone-heavy roles is helpful.
What You'll Do
Call and text patients to schedule their first appointment
Handle a steady volume of outreach each day
Follow up consistently and document touchpoints
Explain our program clearly and compassionately
Navigate common questions or concerns
Coordinate closely with the care team for smooth handoff
What We're Looking For
Experience in a phone-based role (healthcare, intakes, enrollment, call center, customer support, admissions, aesthetics, etc.)
Strong communicator with warm and confident energy
Reliable, organized, and proactive with follow-ups
Comfortable using scripts and following clear processes
Available across morning/afternoon/evening shifts (some weekend availability is a bonus)
Compensation
Competitive base pay
Additional commission-based incentives tied to performance
Total compensation increases meaningfully with strong results
Why Join Us
Mission-driven company helping people access eating disorder care
Supportive team and clear, structured processes
Opportunity to make a meaningful impact on patients' lives
Fast-moving environment with room to grow
$36k-47k yearly est. Auto-Apply 40d ago
Benefits Enrollment Specialist - WFH
Spade Recruiting
Remote enrollment specialist job
We are growing our remote team and are looking for dependable, people-focused individuals to support members who have requested information. This role centers on clear communication, virtual assistance, and delivering a positive customer experience. Success in this position comes from professionalism, consistency, and strong interpersonal skills.
About the Organization
This opportunity is with a long-standing organization that has served working professionals and union-affiliated members across North America for many years. Its programs are designed to help individuals and families maintain financial security when traditional workplace benefits change, reduce, or end due to retirement or career transitions.
Built on principles of integrity, transparency, and long-term stability, the organization maintains a strong financial foundation and prioritizes training, advancement, and leadership development. Team members are supported in building sustainable, long-term careers.
Key Responsibilities
Communicate with members who have requested additional information
Schedule and conduct virtual meetings and presentations
Clearly explain program options through online platforms
Assist with digital applications and required documentation
Enter and update information accurately within internal systems
Follow quality standards and internal compliance procedures
Participate in ongoing training and leadership development programs
What We Offer
Weekly advances plus performance-based bonuses
Clear career progression and leadership opportunities
Flexible scheduling options
Fully remote, work-from-home structure
Residual income potential
Comprehensive health benefits
One-on-one onboarding, training, and continued mentorship
Eligibility for annual incentive and travel programs
Supportive, growth-driven team environment
Candidate Qualifications
Strong verbal and written communication skills
Excellent time management and organizational abilities
High school diploma required (post-secondary education considered an asset)
Customer service, call center, or retail experience is beneficial but not required
$29k-44k yearly est. Auto-Apply 14d ago
Patient Enrollment Specialist - Contractor
Recora, Inc.
Remote enrollment specialist job
Job Title: Patient EnrollmentSpecialist
Classification: Full Time/1099 Contractor
Hours/Schedule: Mon-Fri; 10am-6pm ET OR 11am-7pm ET
Work Structure: Fully Remote
Team: Clinical Operations
Reporting to: Manager, Enrollment Operations
Location: United States
Compensation: $20-$22 per hour + potential for an additional $200/week bonus
About Us:
One in three people die of heart disease - it's time to change that. We're redesigning heart health from the ground up so that everyone can live fuller lives. Our team consists of mission-driven clinicians, engineers, and professionals attacking a problem using evidence-based research and guidelines for cardiovascular rehabilitation. We're working to deliver exercise and wellness for the older adult cardiovascular disease using telemedicine. We are dedicated to delivering exceptional services that enhance the lives of our patients.
Job Summary:
As a Patient EnrollmentSpecialist in our dynamic team, you will play a pivotal role in enrolling patients in our healthcare service and ensuring patient satisfaction. The primary responsibility of this role is engaging potential patients over the phone, provide information about our healthcare service, address their questions, and ultimately sign them up for our program. You will provide potential patients and family members with information regarding the program, offer technical support, and schedule the patients for their sessions with our care team.
Responsibilities:
Educate potential patients and family members on the program, answer any questions they might have, emphasizing program benefits and features, objection handle, and enroll patients in the program
Assist patient in navigating the program app and/or website and address any technical issues
Initiate outbound calls to potential patients and respond to inbound calls promptly.
Assess patient eligibility with provided documentation and address patient inquiries and concerns.
Record and maintain accurate information and call notes in our system including insurance, provider, and clinical updates regarding patient health
Achieve weekly targets as a productivity measure
Ensure timely follow-up response for patients expressing interest in the program and provide excellent customer service to build trust.
Stay informed about the latest developments in cardiac rehabilitation and attend training sessions to enhance knowledge of the program
Send educational material to interested patients through email and other communication channels
Communicate insurance or other information as needed with relevant parties
Qualifications:
Ability to thrive in a fast-paced start-up environment
Experience working in a quota driven environment
Passionate about making healthcare more effective and efficient. You believe technology has the power to improve clinical outcomes and you want to make that a reality. Prior healthcare experience is nice to have but not required.
Experience engaging with customers / patients in a sales capacity
Experience with outbound calling and high EQ / IQ when navigating different types of situations
Experience leveraging technology in a professional setting
*Note: This is a 1099 contractor position
$20-22 hourly Auto-Apply 27d ago
Specialist-Payer Enrollment
Baptist Anderson and Meridian
Remote enrollment specialist job
With direct impact on reimbursement timelines, patient satisfaction, and regulatory compliance, the Payer EnrollmentSpecialist plays a foundational role in healthcare administration. By ensuring timely and accurate enrollment of healthcare providers with commercial and government payers, this position directly contributes to the financial health of the organization and uninterrupted access to care for patients. Effective payer enrollment minimizes delays in reimbursement, supports provider scheduling, and ensures compliance with payer-specific and regulatory requirements. The specialist serves as a liaison between providers, internal departments, and payers to streamline application processing, manage revalidations, and resolve enrollment-related issues. Attention to detail, understanding of credentialing standards, and proactive communication are essential for success in this role.
Job Responsibilities:
Verify all required documentation for provider enrollment with insurance payers (e.g., applications, licenses, certifications).
Submit enrollment applications and documentation required for both new providers, as well as location adds or practice changes
Maintain and update records of provider enrollment status, ensuring that all information is accurate and up-to-date.
Complete timely revalidation through payer portals, recredentialing applications, or profiles such as CAQH to ensure that providers maintain enrollment with commercial and governmental payers.
Follow up with payers to ensure timely and accurate processing of provider enrollments within payer-specific turnaround time metrics, communicating directly with payer representatives to resolve enrollment issues or discrepancies, and escalating trends or new payer requirements to leadership
Monitor payer enrollment timelines and ensure that all required steps are completed in a timely manner to avoid delays in provider participation.
Address provider inquiries regarding enrollment status, billing issues, or payer-specific requirements.
Coordinate with other internal departments (e.g., credentialing, billing) to ensure that enrollment information is aligned across systems.
Research and maintain current knowledge of payer-specific enrollment requirements and changes, ensuring that provider data is compliant with payer guidelines.
Support the creation and maintenance of documentation for payer enrollment processes and procedures.
Monitor and Resolve Enrollment-Related Claim Denials: Investigate and resolve claim denials or rejections related to provider enrollment issues, including missing or incorrect NPI, TIN, or payer ID information.
Maintain Accurate Provider Data: Ensure provider information is accurately reflected in payer systems to prevent claim processing delays or denials.
Follow Up with Payers: Communicate with insurance payers to verify provider enrollment status and resolve any issues affecting claims adjudication.
Experience
2 years focused payer enrollment experience
Education
High School/GED
Credentialing/Payer Enrollment certificate from an accredited facility.
$33k-46k yearly est. Auto-Apply 47d ago
Benefits Enrollment Specialist - Remote
Americanome Life Insurance Company
Remote enrollment specialist job
About the Company
American Income Life is an international organization dedicated to protecting working families across the United States, Canada, and New Zealand, as well as New York through its wholly owned subsidiary, National Income Life Insurance Company.
Since 1951, American Income Life has specialized in life, accident, and supplemental health coverage designed to support members of labor unions, credit unions, associations, and their families. Our representatives focus on building long-term relationships by providing personalized service and meeting clients in the setting where they feel most comfortable.
Key Responsibilities
Distribute benefit enrollment materials and verify eligibility
Manage incoming customer service and inquiry calls
Route and respond to customer phone requests in a timely manner
Assist clients with coverage requests while prioritizing their best interests
Create and explain customized coverage options using our Needs Analysis system
Collaborate with management to stay informed on new products, services, and policies
What We Offer
Comprehensive training provided
100% remote work environment
Competitive compensation structure
Clear career advancement opportunities
Full benefits eligibility after three months
Strong emphasis on work-life balance
$34k-50k yearly est. Auto-Apply 16d ago
Member Enrollment Specialist
Wellth
Remote enrollment specialist job
Wellth is a fast growing digital health company based in Los Angeles that just raised our Series B from leading investors including SignalFire. We use behavioral economics, habit science, and technology to motivate behavior change in some of the highest need and most underserved populations in the US, drastically changing their health outcomes for the better. We have demonstrated our results with several large health insurers (e.g., cut down hospitalization rates by 44% on behalf of Centene AZ) and now are scaling rapidly (>120% year over year revenue growth). Our goal is not to just be another digital health startup but to be the category leader in improving health outcomes for hard to engage populations.
Most importantly, our work quite literally saves lives every day. We are a mission-driven company where you would have the chance to work with extremely talented people and see tangible differences that directly result from your initiative.
Visit us at ***************** for more information.
JOB DESCRIPTION
As a Member EnrollmentSpecialist, you will be the first point of contact to our prospective members, with the task of contacting them via phone to introduce and explain the Wellth program and assist them with enrollment by showing them how to download and use our app. You will also work with the rest of the Member Operations team to conduct feedback outreaches to better help members' voices be heard.
Our ideal candidate has a passion for healthcare and a desire for personal growth, and a motivated individual will have the opportunity to grow within the company as it expands.
JOB LOCATION
This is a remote position (United States)
JOB HOURS
Full-time: 40 hours weekly
Scheduling ranges from Monday - Saturday, between the hours of 6 AM - 8 PM PST
Initial base pay: up to $18/hr, plus monthly bonus
REQUIRED SKILLS
Excellent interpersonal skills
Ability to quickly build rapport with prospective members over the phone
Capable of effectively overcoming objections and conveying benefits to a population base that will benefit from the Wellth program
Positive attitude and empathy for patient needs
Strong organizational skills and the ability to efficiently make a high volume of outbound calls on a daily basis
Attention to detail and ability to follow proper processes and procedures with care
Ability to simplify information and communicate effectively, verbal + written
High School Diploma or GED
Knowledge of Android and iOS mobile technology; capable of guiding less tech savvy individuals through app download and usage
Bilingual nice to have - English and Spanish
OTHER JOB REQUIREMENTS
We are looking to hire someone who is self-motivated and goal-oriented with a high degree of professionalism. You will be the face of our company to these patients, and we want you to represent the company at all times. As a representative, you will be expected to provide a high level of service when introducing the Wellth program and helping patients enroll. You must have a clear and professional speaking voice/telephone manner with the ability to be friendly, courteous, and helpful. This role requires patience as we work with a population struggling with chronic diseases who are oftentimes intimidated by technology. Patients are not always familiar with Wellth and require directed guidance to download the app and learn to use it. Individuals best suited for this role are empathetic and want to make a positive impact in the healthcare field.
BENEFITS
Benefits for Full-Time employees include Health, Dental, and Vision Insurances, 401(k) and FSA accounts, Life Insurance, PTO and Paid Holidays.
Wellth is an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
$18 hourly Auto-Apply 60d+ ago
VERIFICATION SPECIALIST: 1099
Kentech Consulting Inc. 3.9
Remote enrollment specialist job
Job DescriptionBenefits:
Flex- Time
Opportunity for advancement
Training & development
KENTECH Consulting Inc. is an award-winning background technology screening company. We are the creators of innovative projects such as eKnowID.com, the first consumer background checking system of its kind, and ClarityIQ, a high-tech and high-touch investigative case management system.
MISSION
We are on a mission to help the world make clear and informed hiring decisions.
VALUE
To achieve our mission, our team embodies the core values aligned with it:
Customer Focused: We are customer-focused and results-driven.
Growth Minded: We believe in collaborative learning and industry best practices to deliver excellence.
Fact Finders: We are passionate investigators for discovery and truth.
Community and Employee Partnerships: We believe there is no greater power for transformation than delivering on what communities and employees care about.
IMPACT
As a small, agile company, we seek high performers who appreciate that their efforts will directly impact our customers and help shape the next evolution of background investigations.
KENTECH Consulting Inc. is seeking a detail-oriented, hardworking, and team-focused Verification Specialist / Call Center Representative to support accurate and timely background verifications. This role requires strong communication skills, professionalism, and the ability to manage a high volume of outreach efficiently.
Key Responsibilities
Verification and Outreach, contact employers, educational institutions, and references to verify candidate information.
High-Volume Calls, conduct 70 or more clear and professional phone calls each day to collect required verification details.
Multi-Channel Communication, gather and confirm information by phone, fax, and email while ensuring accuracy.
Data Research and Accuracy, retrieve and verify data from various websites and databases to support background checks.
Client Updates and Reporting, provide timely updates on verification progress and maintain detailed records.
Team Collaboration, support team goals by assisting with additional tasks as assigned.
Qualifications and Experience
Two or more years of experience in call center or customer service roles and one or more years in an office environment.
College Degree (preferred), Criminal Justice, Pre-Law, Paralegal, Journalism, or Political Science, or three or more years of relevant work experience.
Fast and Accurate Typing, minimum 50 words per minute with strong accuracy.
Security Clearance Requirement, must be able to pass background checks to obtain a Permanent Employee Registration Card (PERC).
Soft Skills
Strong Communication, professional, clear, and client-focused verbal and written communication.
Organized and Detail-Oriented, able to manage multiple verifications and meet deadlines.
Quick Problem Solver, adaptable and resourceful when resolving verification challenges.
Team Player, comfortable working in a fast-paced, team-oriented environment with a customer-first approach.
Why Join KENTECH?
Remote and Flexible, work from anywhere while supporting a global team.
Professional Growth, gain valuable experience in background verification and compliance.
Impactful Work, play a key role in helping organizations make informed hiring decisions.
Apply Now
If you are a detail-driven professional with strong communication and research skills, we would love to hear from you.
KENTECH Consulting Inc. is an equal opportunity employer. We celebrate diversity and remain committed to fostering an inclusive workplace.
This is a remote position.
$25k-32k yearly est. 14d ago
Head of Patient Enrollment
Breathesuite
Remote enrollment specialist job
About the job
BreatheSuite is at the forefront of telehealth, delivering innovative virtual pulmonary rehabilitation to help patients with chronic lung conditions lead healthier lives. Our mission is to make quality pulmonary rehabilitation accessible, empowering patients to take control of their respiratory health from the comfort of their own homes. Founded by healthcare innovators, BreatheSuite leverages advanced technology and a multidisciplinary approach to provide personalized care that drives real, measurable outcomes. We are passionate about transforming pulmonary care, and we invite a dedicated professional to join us in expanding our patient community.
What We're Looking For
BreatheSuite is seeking a strategic, data-driven, and clinically-minded leader to serve as our Head of Patient Enrollment. We need a leader who can own the patient journey from referral to enrollment, managing a high-performing intake team while holding them accountable to conversion metrics.
Key Responsibilities
Departmental Leadership & Accountability: Manage and mentor the Enrollment Team. You will be responsible for the enrollment funnel metrics, analyzing data trends to identify areas for improvement and implementing strategies to increase conversion and patient re-engagement.
Growth Strategy & Direct Access: Oversee the workflow for patients entering through marketing channels and direct access. You will collaborate with the CEO and marketing partners to optimize outreach strategies as we scale into new states and networks.
Team Development: Facilitate regular huddles and training sessions (e.g., with enrollmentspecialists) to ensure the team is effectively overcoming patient barriers and articulating the clinical value of BreatheSuite.
Qualifications
Leadership Experience: Proven experience leading patient enrollment teams, preferably within a digital health or high-growth healthcare startup.
Analytical Mindset: Highly comfortable utilizing CRM data and enrollment metrics to drive business decisions and team accountability.
Strategic Communication: Excellent verbal and written communication skills, with the ability to collaborate effectively with executive leadership and external marketing firms.
Tech Savvy: Expert-level comfort with remote work tools, patient management software, and virtual communication platforms.
Location
This is a remote position and we are open to candidates in the US and Canada.
Company Profile
Medicines are powerful - they can prevent and heal disease, but they can also be costly, ineffective or even harmful if not prescribed and taken correctly. The team at Mosaic Pharmacy Service is helping people get more from their medicines™.
Mosaic Pharmacy Service provides comprehensive pharmacy care to medically complex and vulnerable seniors. We provide a patient-focused, pharmacist-driven care model in collaboration with health systems, assisted living facilities and health plans. Our goal is to help our patients feel better about the medications they take every day by simplifying medication regimens, improving adherence, and driving positive outcomes. Mosaic is looking for caring, motivated, and creative individuals to join our team for an innovative new career opportunity.
Job Overview
As a Patient Enrollment Representative, you are a great communicator who is energized, empathetic, and ready to serve at the frontline of helping seniors and their caregivers. In this role, you'll interact by phone with prospective patients who are interested in learning more about Mosaic and how to enroll. You will be responsible for clearly communicating the value of our service to patients who may ask general questions, request specific information, or need assistance with issues.
This role requires strong communication and listening skills that demonstrate compassion and empathy. This is a chance to join a highly motivated team that makes a difference in the lives of people every day
Job Duties:
Make an average of 120 outbound calls per day to prospective patients using call center technology to educate, inform, and answer questions about available services; enroll patients in the program and schedule an onboarding call with a pharmacy technician.
Clearly and compellingly communicate on behalf of Mosaic Pharmacy Service using an approved script provided by the organization.
Guide prospective members through the enrollment process, ensuring they understand the commitment and steps to becoming a Mosaic patient.
Maintain a positive, professional, and enthusiastic tone on every call.
Consistently meet departmental performance metrics (e.g., outbound calls, average appointments scheduled per day, schedule adherence, quality targets, etc.).
Escalate patient complaints or concerns promptly to the appropriate supervisor.
Appropriately track and record patient interactions/outcomes, and schedule enrollment appointments in Mosaic's technology systems, ensuring accurate documentation.
Accept and respond to inbound calls from prospective or current patients, addressing inquiries and completing calls according to procedure.
Make follow-up calls as needed to reschedule patients, confirm appointments, and ensure completion of onboarding steps.
Demonstrate a strong understanding of Mosaic's offerings to maintain effective, informative conversations with patients.
Show discretion and empathy when working with sensitive or confidential patient information.
Apply excellent written, verbal, and interpersonal communication skills to deliver accurate information, manage challenging conversations, and uphold Mosaic's standards of professionalism.
Use multiple communication channels including sending digital messages to support patient onboarding and ensure timely completion of the enrollment process.
Adhere to all required scripting, processes, and protocols.
Collaborate with providers (doctors' offices) to review the status of patient onboarding and support a smooth transition into Mosaic's services.
Always observe all patient confidentiality laws and organizational guidelines.
Benefits
Annual accrual 160 hours of Paid Time Off
401(k) Plan with employer matching contribution
Health, dental, vision insurance
Health savings account (HSA)
Life insurance
Quarterly incentive program
We strongly encourage candidates from all backgrounds and every walk of life to apply. We are committed to creating an inclusive and diverse workforce. Every person on our team brings their own unique perspective and it's what makes our products better and our work more rewarding. We're eager to support you so that you can do work you're proud of
Requirements
Education
High School Diploma, GED, or equivalent is required
Experience
At least 1 year of contact center, patient-facing provider (doctor) office, or customer service experience is required
Prior experience with CRM systems, data entry skills, enrollment communications, quickly learning online management software platforms while multi-tasking on calls strongly preferred
Additional Matters
This is a full-time position.
Employee will work remotely from home
Days worked at are Monday through Friday; 40 hours worked per week with shifts between the hours of 9:00 am and 6:30 pm Eastern time and Saturday 10:00 am-2:00 pm. Schedule assigned upon hire.
Bilingual/English+Spanish fluency is a plus.
Work from home requirements:
Qualified applicants must have reliable Internet service (with a minimum of 100 Mbps) and ethernet access at your home. Mosaic will provide equipment (keyboard, monitor, laptop computer, headset etc.). All applicants must provide their own workspace furniture and ensure a secure, quiet workspace free from personal distractions and interruptions. If you experience performance or technology issues, and are within 30 miles of Sterling, Virginia, you may be asked to come on site for further training and technology support.
Employee will be required to sign acknowledgement of these job requirements.
Salary Description $18-$20/hr
$18-20 hourly 10d ago
Retirement Plan Specialist
Mercer Advisors 4.3
Remote enrollment specialist job
Why Work at Mercer Advisors?
For 40 years, Mercer Advisors has worked with families to help them amplify and simplify their financial lives. How? By integrating financial planning, investment management, tax, estate, insurance, and more, all managed by a single team. Today we proudly serve over 31,300 families in more than 90 cities across the U.S. Ranked the #1 RIA Firm in the nation by Barron's, we are an independent, national fiduciary legally obligated to always act in the best interest of our clients.*
Mercer Advisors offers a distinct work environment that stands out in the financial industry. Our overall employee base and client-facing team are composed of 50% women, reflecting our commitment to diversity. We attract top talent from across the country, with no formal headquarters and flexible working arrangements, allowing us to assemble the best team possible.
Join us and be a part of a team dedicated to making a meaningful impact on the financial lives of families across the country.
* Mercer Advisors was ranked #1 for RIA firms with up to $70 billion in assets. The Barron's top RIA ranking is based on a combination of metrics - including size, growth, service quality, technology, succession planning and others. No fee was paid for participation in the ranking, however, Mercer Advisors has paid a fee to Barron's to use the ranking in marketing. Please see important information about the ranking criteria methodology here.
Job Summary:
The Retirement Plan Specialist provides support to Wealth Advisors, plan sponsors, administrators, and participants. The Retirement Plan Specialist reports to the Retirement Plan Manager and is responsible for supporting Wealth Advisors with plan design, preparing meeting materials, and serving as a liaison to plan providers. The Retirement Plan Specialist collaborates with plan providers, including recordkeepers, third-party administrators (TPAs), and custodians, to facilitate plan needs.
Essential Job Functions for this role include:
Service Plan Execution:
Prepare Fiduciary Investment Reviews (FIRs) for meetings and delivery.
Prepare Fiduciary Plan (Design) Review for meetings and delivery.
Prepare Provider Review for meetings and delivery.
Advisor Support:
Plan design and proposal preparation.
Facilitate and navigate plan changes, including plan design, fund changes, etc.
Onboarding new clients - collaborate with sales team to ensure a seamless onboarding process.
Transitioning clients - collaborate with advisors to ensure a seamless transition process.
Client Support:
Answer inquiries regarding the plan from plan administrators/sponsors and participants.
Ensure strong client satisfaction and retention from plan administrators/sponsors.
Provider Collaboration:
Communicate with recordkeepers, Third-Party Administrators (TPAs), and custodians.
Knowledge, Skills, and Abilities:
Education:
Bachelor's degree or equivalent (preferably Business, Economics, Accounting or Finance related)
Experience:
Minimum 3 years of financial industry related experience
Experience with interacting with individuals at all income levels in a professional and confidential manner
Certifications:
Notary designation a plus
Job Skills:
Self-motivated, well-organized individual with demonstrated ability to work independently and in a team environment to follow through on details to completion
Excellent verbal, written, analytical, and organization skills
Technical and analytical training and ability to multi-task and manage multiple projects at once
Ability to simplify complex issues and communicate them to advisors and clients clearly and concisely.
Results-oriented individual with proven ability to thrive in a fast-paced environment
High attention to detail and the ability to see things through from concept to implementation
Proficiency with RPAG, Salesforce and MS Office Suite
Flexible, Reliable, Trustworthy, and Confidential with all matters
Work Schedule:
This professional role requires availability during standard business hours of Monday through Friday from 8AM to 5PM. At times, the role may have early or late hours to meet business tasks and deadlines for external and internal clients across multiple time zones.
All roles classified as non-exempt are required to record working time into the timekeeping system daily at the start and end of each workday plus a 30-minute unpaid lunch period.
Working Conditions:
This position may be in a professional office environment or a dedicated home office workspace which is free of interruptions. Whether position is in a dedicated office space or home office workspace, basic technology needs will be provided to satisfy position requirements. Routinely sitting and standing for periods of time.
Actual base pay within this range will be based on a variety of factors, including but not limited to the applicant's geographic location, relevant experience, education, skills and licenses/certifications. This position is also eligible to earn incentive compensation through one of Mercer Advisors' incentive compensation programs.
Pay Range $67,996.60-$79,996 USD
Benefits:
Mercer Advisors offers a competitive and robust benefit package to our employees. Our benefit programs are focused on meeting all of our employees and their eligible dependents health and welfare needs. We offer the following:
Company Paid Basic Life & AD&D Insurance
Company Paid Short-Term and Long-Term Disability Insurance
Supplemental Life & AD&D; Short-Term Disability; Accident; Critical Illness; and Hospital Indemnity Insurance
Three medical plans offerings including two High Deductible Health Plans and a Traditional Co-Pay medical plan.
Health Savings Account (HSA) with company contributions on a per pay period basis if enrolled in either HDHP medical plan.
Two comprehensive Dental Plans
Vision Insurance Plan
Dependent Care Savings Account for child and dependent care.
14 Company Paid Holidays with a full week off at Thanksgiving.
Generous paid time off program for vacation and sick days
Employee Assistance Plan
Family Medical Leave
Paid Parental Leave (6 weeks)
Maternity benefits utilizing company paid STD, any supplemental STD, plus Parental Leave (6 weeks) to provide time for recovery, baby bonding, and enjoying your family time.
Adoption Assistance Reimbursement Program
Company Paid Concierge Services for you and your loved ones for the spectrum of caring needs for your aging parents, young children, life's challenges and more.
401(k) Retirement Plan with both Traditional and Roth plans with per pay period match
Pet Insurance
We are not accepting unsolicited resumes from agencies and/or search firms for this job posting.
Mercer Advisors provides equal employment opportunity to all applicants and employees without regard to age, color, disability, gender, marital status, national origin, race, religion, sexual orientation, gender identity and expression, physical or mental disability, genetic predisposition or carrier status, or any other characteristic protected by law in accordance with all applicable federal, state, and local laws. Mercer Advisors provides equal employment opportunity in all aspects of employment and employee relations, including recruitment, hiring, training and development, promotion, transfer, demotion, termination, layoff, compensation, benefits, and all other terms, conditions, and privileges of employment in accordance with applicable federal, state, and local laws.
If you need an accommodation seeking employment with Mercer Advisors, please email *****************************. Accommodations are made on a case-by-case basis. This email is for accommodation requests only. We are unable to respond to general inquiries sent to this email address.
Applicants have rights under federal employment laws:
Family and Medical Leave Act (FMLA)
Employee Polygraph Protection Act (EPPA)
Equal Employment Opportunity (EEO)
U.S. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. Mercer Advisors participate in E-Verify to confirm work authorization.
E-Verify
Right to Work
If you are a resident of California, learn more about Mercer's California Consumer Privacy Policy here.
CCPA Notice at Collection
$68k-80k yearly Auto-Apply 3d ago
Retirement Plans Specialist
Le_ICMA-RC International City Management Association Retirement Corporation
Remote enrollment specialist job
Join a great place to work with MissionSquare, a financial services corporation with approximately $79 billion in assets under management and administration and over 600 employees. Founded in 1972, MissionSquare is dedicated to the retirement needs of public sector employees. We focus on delivering results-oriented retirement and retiree health savings plans, education, investment options, personalized guidance, and related services to public sector participants in more than 9,200 plans and nearly 2 million participant accounts. We strive to make the administration of retirement programs as easy and cost-effective as possible. We have an extraordinary talent base and invite you to consider joining MissionSquare.
$70,000.00 - $70,000.00
The Retirement Plans Specialist will be responsible for providing on-site service and education to assigned client base to expand current plan enrollment and participation, increase savings levels, retain current participant base, and enhance the investment knowledge of plan participants.
REQUIRES RESIDENCY IN GEORGIA
Essential Functions for this role include:
Conduct one-on-one consultations on-site at employers, engaging participants and improving their outcomes in the areas of investment education, enrollment, savings rates, outside asset acquisition, and account level retention.
Give group education presentations on a wide variety of financial and retirement education topics to a diverse group of constituencies
Host Annual Plan Reviews with key decision makers of employer sponsored retirement plans with a focus on plan trends, investment, and participant education outcomes
Build and maintain positive working relationships with key plan level decision makers including elected officials, board members, union representatives, and C-suite administrators
Proactively schedule, organize and effectively market all daily activities and onsite client visits
Exceed all assigned production, activity, and service-related goals
Record all daily activity in contact management systems accurately
Identify and refer new group or individual business opportunities to the appropriate manager
Represent MissionSquare at benefit fairs, conferences, and other special events which promote building retirement security for public sector employees
Perform other duties as assigned.
If you have the following credentials, we encourage you to apply:
3-5 years related experience in financial services sales strongly preferred. Customer service experience is helpful.
Series 65 licensing required.
Significant knowledge of retirement and investment products with an emphasis on deferred compensation defined benefit and defined contribution plans. Good understanding of specific plan provisions and legislative regulations
Experience with IRAs, 401ks, 403b, 401a, or DB plans
Demonstrated ability to effectively market and service a geographically diverse client base
Direct sales experience desired with experience in closing the sale preferred. Ability to overcome objections and resistance during sales presentation necessary
Strong communication, listening, interpersonal skills, and ability to follow directions necessary. Demonstrated ability to make effective group presentations
Ability to work independently as well as in a team environment
Demonstrated proficiency in basic computer skills, including Windows, internet, email systems, Word, Excel and Power Point
Strong time management and organizational skills
Ability to work in a fast-paced, task-oriented environment preferred
Spanish bilingual preferred.
To benefit your career and support your wellbeing, we offer:
Competitive Total Rewards package, including base pay, incentive programs, benefits, and a 401(k) plan with matching contributions
Flexible and hybrid work schedules to support work-life balance
Tuition reimbursement to support continued education
Professional and career development opportunities, including courses and certifications
Comprehensive wellness programs promoting physical, mental, and emotional health
Volunteerism initiatives to encourage community engagement
Click
here
to learn more about MissionSquare's benefits.
Equal Employment Opportunity
As a company, MissionSquare is an Equal Opportunity Employer. We strive to create an environment that reflects the value and diversity of our employees and fosters respect among them. We believe that talent from diverse backgrounds will further enhance our ability, and mission, to serve those who serve their communities.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or any other protected classifications under any applicable law.
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Our company has moved to 100% virtual, work-from-home positions. This position allows you to build your career around your life, rather than being forced to build your life around your career!
We're looking for enthusiastic, self-driven individuals to assist existing and prospective clients within our organization. In this position, you will work with multiple clients throughout the day, providing outstanding service and product knowledge.
Preferred Skills:- Excellent communication skills, including active listening and problem-solving- Ability to learn, adapt, and adjust on-the-go- Work well with others and individually- Possess a strong work ethic and drive to succeed
What You Can Expect:- Flexible schedule- 100% Remote position- Weekly trainings led by top leaders- Life insurance- Health insurance reimbursement- Industry-leading resources and technology
$27k-33k yearly est. Auto-Apply 60d+ ago
Workers Compensation Authorization and Verification Specialist
Miravistarehab
Remote enrollment specialist job
State of Location:
At Ivy Rehab, we're "All About the People"! As a Workers Compensation (WC) Authorization and Verification Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest.
Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.
Job Description:
The Workers Compensation (WC) Authorization and Verification Specialist will report to the WC Authorization and Verification Team Lead and will work in combination with front office teammates and any external authorization and verification vendors to ensure Ivy's authorization and verification processes and workflows are executed successfully, set goals and best practices are achieved, and the risk of lost revenue is minimized. In this role, you will be driving both internal and external customer satisfaction through a focus on faster and more efficient reimbursement. The ideal candidate will not only ensure a positive experience for patients, providers, and fellow teammates but will also be a key contributor in optimizing and standardizing authorization and verification workflows within Ivy.
Please note: This position falls under the Workers' Compensation Department and is dedicated to supporting functions related to work-related injury claims, compliance, and case management.
Your responsibilities will include:
Submit authorization requests timely within EMR, following payer and state specific guidelines
Specialize in Workers Compensation Financial Class and fluidity within different state and payer specifics
Partner with Front Desk teammates and/or Workers Compensation Centralized Scheduling (WCCS) teammates within clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission
Provide regular feedback to front desk and/or WCCS regarding areas of opportunity in authorization or verification timeline or process
Address and respond to authorization or verification related queries from Ivy teammates and WC Payers
Ensure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to WC Team Lead
Accurately complete verifications for same day or walk-in patients by contacting the provided insurance via phone, fax, or online portal to obtain outpatient therapy benefits, eligibility, and authorization information
Request, follow-up, and secure authorizations prior to and during treatment episode for Workers Compensation patients
Assist with training and education for new A&V teammates as well as ongoing training and education for established team members
Maintain a professional and collaborative relationship with all teammates and vendors to resolve issues, increase knowledge of insurance requirements, and create standardized workflows
Run EMR or BI reports as needed to monitor maximum benefits, missing authorization, or other areas of focus as determined by the A&V Team Lead
Attend and participate in Department and Organizational meetings to discuss departmental goals and progress
Perform other duties as assigned by leadership staff
To excel in this role, you should possess:
1 year+ of experience with Workers Compensation insurance in a healthcare environment required; experience with outpatient therapy preferred
Demonstrates flexibility in responding to priorities and organizational change
Demonstrates ability to work under pressure and follow through on assignments
2-3 years previous experience in pre-auth verification; experience with obtaining authorizations, referral coordination and patient services preferred
Ability to multi-task, prioritize needs to meet required timelines.
Customer service experience
Effective written and verbal communication skills.
Solution oriented mindset and ability to use critical thinking and analytical skills
Ability to use standard office equipment to include copiers, fax machines, and other methods of electronic communications.
Open availability Monday through Friday from 8am-5pm EST
Ability to self-motivate and focus in a remote position
Proficient in Microsoft applications
Why choose Ivy?
Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.
Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.
Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays.
Empowering Values: Live by values that prioritize teamwork, growth, and serving others.
Compensation ranges up to an hourly rate of $23.00 based on experience.
#LI-remote
#LI-ST1
We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
ivyrehab.com
$23 hourly Auto-Apply 60d+ ago
Entry-Level Data Verification Specialist (Work-at-Home)
Focusgrouppanel
Remote enrollment specialist job
Remote Telecommute Work From Home Job Description:
We are looking for remote, telecommuting candidates from all types of work backgrounds and skill levels to join us.
This is a flexible, work from home position with highly competitive pay working as a research participant for various companies.
Work-info: Due to increased demand we are now accepting a limited number of individuals to take part in our nationwide online or in person market research studies.
Work-Pay info:
$50 - $350 (Per 30min. to 2hr. Sessions)
$150 - $3,000 (Multiple Session Studies)
Work-Benefits: **Applicants will have the flexibility to choose particular studies which can be either online, in person or over the telephone.
Flexibility to take part in discussions online or in-person..
No minimum hours or commitment. You can do this part-time or full-time
You get to review and use new products or services before they are launched to the public.
Take part and enjoy free samples from our sponsors and partners in exchange for your honest - feedback of their products.
No commute needed if you choose to only work from home
Participants are wanted to help with research for a variety of topics including but not limited to:
· Food & Beverages
· Entertainment
· Social Media
· Financial
· Retirement
· Gender
· Housing
· Health Issues
· Consumer Products
· Shopping
· Internet Usage
· Vehicles
· Employment
* Participants will have the flexibility to choose any studies based on their ability to participate either online, in person or over the telephone.
Work Responsibilities:
Show up at least 10 minutes prior to discussion start time.
Participate by following any and all written and oral instructions.
Fully complete written survey provided for each panel or study.
MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to the meeting date.
Work Qualifications:
Willing and wanting to participate in one or several of the topics listed above
Be able to read, understand and follow oral and/or written instructions
Have working and reliable internet access
Must be self-motivated and 100% willing & able to complete tasks assigned to you.
Must have either a phone, computer or tablet with either a working camera or webcam
Work Education Requirements:
- Will vary by study but all education backgrounds are acceptable
This is a perfect position for those looking for either temporary, part-time or full-time remote work at home.
Whether your current position or job skill is a data entry clerk, administrative assistant, receptionist, warehouse or factory worker, driver, medical assistant, nurse or health care worker, call center or customer service representative or anyone who is looking for a part-time, remote, work from home job, this is an excellent position to supplement your income with great flexibility and zero prior experience needed.