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Intake specialist work from home jobs

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  • Kronos/UKG Workforce Management Support Specialist

    Techprojects

    Remote job

    Greetings! Welcome to TechProjects! We specialize in IT-System integration to help with some of the biggest names in the public sectors around New York state. Our company provides exceptional IT solutions for our clients, while also offering top-notch career opportunities for our employees. At our firm, we work with a diverse range of clients, from cutting-edge startups to established industry leaders. If you're a tech professional looking for a challenging and rewarding career, we'd love to hear from you. Our company offers competitive salaries, comprehensive benefits packages, and a range of professional development opportunities. Whether you're a seasoned veteran or just starting out in your career, we have a role that's perfect for you. Thank you for considering our company as your potential employer. We look forward to hearing from you and discussing the exciting opportunities that await you at our firm. Job Summary: We are seeking a highly skilled and motivated Kronos Workforce Management (WFM) Support Specialist to join our global support team. This is a Onsite role focused on Level 2 and Level 3 support, requiring deep expertise in Kronos WFM (UKG), strong troubleshooting skills, and excellent communication to resolve issues, collaborate with stakeholders, and ensure uninterrupted workforce operations. Key Responsibilities: Provide L2/L3 support for Kronos WFM suite (Timekeeping, Scheduling, Accruals, Absence Management, etc.). Troubleshoot complex system issues, escalating to vendors or engineering as needed. Manage and resolve service tickets, perform root cause analysis, and document resolutions. Support Kronos integrations with other systems (e.g., HRIS, Payroll, ERP). Handle configuration changes, system patches, and upgrades. Work closely with HR, Payroll, and IT teams to understand business needs and deliver timely solutions. Perform regular health checks, system audits, and ensure data integrity. Participate in system enhancements, testing, and UAT support. Create and maintain clear support documentation and knowledge base articles. Deliver prompt, courteous, and effective communication to users and business stakeholders. Required Skills & Qualifications: 7 to 10+ years of experience supporting Kronos/UKG Workforce Management systems. Strong hands-on experience in Timekeeping, Scheduling, Accruals, Workforce Integration Manager (WIM). Proven expertise in troubleshooting, root cause analysis, and resolving escalated technical issues. Familiarity with Kronos application architecture, job scheduler, and logs. Experience with interface monitoring, data flow, and integration troubleshooting. Solid understanding of business processes in HR and Payroll. Excellent communication skills - both written and verbal - to work effectively across remote teams. Comfortable working in a fast-paced, high-availability support environment. Ability to work independently with minimal supervision in a fully remote setting. Preferred Qualifications: Experience with UKG Dimensions or transition/migration projects from Kronos WFC. Knowledge of SQL, API integrations, or reporting tools (e.g., Cognos, Power BI). ITIL certification or experience working in ITSM frameworks.
    $40k-70k yearly est. 2d ago
  • Intake Specialist

    Vital Connect 4.6company rating

    Remote 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.
    $22-24 hourly 60d+ ago
  • Appeals Intake Specialist

    Reliant 4.0company rating

    Remote job

    Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As an Appeals Intake Specialist, you will play a critical role in resolving post-payment disputes related to Workers' Compensation bills. This includes conducting provider outreach, negotiating disputed charges, and ensuring compliance with state-specific regulations. Your work will directly support our cost containment efforts and ensure appropriate bill reimbursement for our clients. Primary Responsibilities Responsible for screening/returning all voicemails and answering questions Offer guidance to providers including sharing details on documents needed to process their appeal/reconsideration request If the situation appears to have issues escalating to the senior appeal specialist for direction Responsible for monitoring/managing the shared appeals inbox Locating the bill in question and assigning to the appropriate team member for handling Creation of appeal case in Salesforce or Claimsave Update the attorney referred cases spreadsheet based on received emails Bimonthly report updates shared with clients on cases referred to attorneys Responsible for updating claim platform with new status received from attorneys Work with senior appeal specialist on updates needed to the process SOP's Insures accurate and thorough documentation in claims platform for every email and voicemail. Demonstrates knowledge about workers' comp and Reliant processes Adheres to our department TAT, either individual claim based or organization wide Understands the support function of the job and assumes responsibility for assignments. Establishes and prioritizes job tasks, desired solutions to problems and develops a realistic plan for their accomplishment. Qualifications 1 -2 years of relevant experience in Workers' Compensation bills or appeals. Strong understanding of Workers' Compensation reimbursement methodologies, state regulations, and provider billing practices. Experienced communicator with providers and clients Ability to collaborate with a variety of individuals both internally and externally. Familiarity with claims processing systems and provider communications. Excellent communication and organizational skills. Requires organizational skills, communication proficiency, discretion, ethical conduct, decision making, technical skills Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency$50,000-$55,000 USDBenefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
    $50k-55k yearly Auto-Apply 21d ago
  • Utilization Review Intake Specialist

    Virginpulse 4.1company rating

    Remote job

    Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future. Responsibilities Ready to Connect Members to Care Through Expert Pre-Certification Support? We're seeking a customer-focused professional who can perform critical clerical and administrative duties in the utilization management division while managing high volumes of member interactions with precision and care. As our Utilization Review Intake Specialist, you'll provide accurate information about pre-certification processes while gathering essential demographic and provider data that supports clinical decision-making. This flexible position is ideal for candidates seeking reduced hours while making meaningful impact, with weekend availability required. What makes this role different: āœ“ Flexible schedule: Reduced hours with required weekend availability to support healthcare operations and member needs āœ“ First impression impact: Serve as initial point of contact for pre-certification inquiries, setting tone for positive member experience āœ“ Process expertise: Master pre-certification processes while providing accurate information to internal and external customers āœ“ Data integrity: Ensure complete documentation and data accuracy that supports downstream utilization review decision-making What You'll Actually Do Manage customer interactions: Answer and route all incoming phone calls while providing accurate information to internal and external customers regarding pre-certification process. Gather critical information: Collect demographic, non-clinical, and provider data for pre-certification using phone, fax, inter/intranet, and various computer software programs. Review and route requests: Analyze service requests and manage them efficiently, involving appropriate departments as needed for optimal resolution and timely processing. Maintain comprehensive documentation: Perform accurate data entry and maintain complete case information documentation while assisting in document maintenance, revisions, and monthly report compilation. Meet performance standards: Achieve productivity, quality, and turnaround time requirements on daily, weekly, and monthly basis while supporting team excellence. Manage high-volume operations: Handle multiple customer service calls while maintaining logs, files, and organized documentation systems in fast-paced environment. Schedule Requirements Candidates will be assigned one of the below shifts. Tuesday - Saturday, 12:30 - 5pm PST Sunday - Thursday, 12:30 - 5pm PST Qualifications What You Bring to Our Mission The foundational experience: Associate degree preferred in business, management, or related field Prior experience in customer service and/or medical background Prior insurance and/or claims background preferred Experience in medical front office, hospital patient intake, medical claims processing, or equivalent combination of education and experience The technical competencies: Proficiency in Microsoft Excel, Word, and Outlook Accurate data entry skills (40wpm minimum) Knowledge of medical terminology; ICD-10, CPT & HCPCS coding desirable Ability to navigate various computer software programs for data collection and documentation The professional qualities: Strong written and verbal communication skills for diverse customer interactions Ability to manage high volumes of customer service calls while maintaining quality and accuracy Capability to organize, prioritize, and multitask in fast-paced, deadline-driven environment Demonstrate ability to work independently with excellent judgment and decision-making Strong customer orientation with commitment to providing accurate, helpful information Flexibility to work weekends as required to support operational needs Adaptability to changing priorities and ability to involve appropriate departments for complex requests Why You'll Love It Here We believe in total rewards that actually matter-not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) Mental health support and wellness programs designed by experts who get it Flexible work arrangements that fit your life, not the other way around Financial security that makes sense: Retirement planning support to help you build real wealth for the future Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: Professional development opportunities and clear career progression paths Mentorship from industry leaders who want to see you succeed Learning budget to invest in skills that matter to your future A culture that energizes: People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: Competitive base salary that rewards your success Unlimited PTO policy because rest and recharge time is non-negotiable Benefits effective day one-because you shouldn't have to wait to be taken care of Ready to create a healthier world? We're ready for you. No candidate will meet every single desired qualification. If your experience looks a little different from what we've identified and you think you can bring value to the role, we'd love to learn more about you! Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $15 to $18 per hour. Note that compensation may vary based on location, skills, and experience. This position is part time and therefore not eligible for benefits. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth #TPA #HPA #Selffunded Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to **************************. All of our legitimate openings can be found on the Personify Health Career Site.
    $15-18 hourly Auto-Apply 21h ago
  • Claimant Outreach & Intake Specialist

    Advocates 4.4company rating

    Remote job

    OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and case managers. We are seeking a dynamic and persistent Outreach & Intake Specialist to be the crucial first point of contact for potential claimants. In this role, you will engage new leads, guide them through the initial information gathering and contract signing process via our Onboarding Flow, and effectively convert interested individuals into Advocate claimants. You'll focus on initiating the claimant journey, ensuring potential claimants feel supported and informed from the very beginning. If you are results-oriented, possess excellent communication skills, and are passionate about helping people navigate complex processes, this role offers the opportunity to make a significant impact without managing ongoing case submissions.Job Responsibilities Act as the first point of contact for potential claimants, managing inbound leads via phone, text, and potentially other channels. Conduct prompt and persistent outreach to new leads (within 5 minutes) using tools like Salesforce and Aircall Power Dialer, following established contact sequences (calls, texts, voicemails). Clearly articulate Advocate's value proposition and answer frequently asked questions to build trust and encourage engagement. Guide potential claimants through Advocate's online Onboarding Flow, assisting them in providing necessary initial information and signing the representation contract. Maintain accurate and timely records of all outreach activities, claimant interactions, and lead statuses within Salesforce. Identify and appropriately handle leads who may not be eligible for services based on initial criteria. Collaborate with the team to meet and exceed lead conversion goals. Monitor Advocate's Intake communication lines for new client calls and texts, responding appropriately. Qualifications Proven experience in a high-volume outreach, sales, or customer engagement role (e.g., call center, intake specialist, sales development). Excellent verbal and written communication skills, with an ability to explain processes clearly and empathetically. Strong interpersonal and persuasion skills with a persistent approach to achieving goals. Experience using CRM software (Salesforce preferred) and communication tools (Dialers like Aircall preferred). Highly organized with strong attention to detail for tracking lead progress and documenting interactions. Ability to work independently and manage time effectively in a remote setting. Passionate about helping others and contributing to a mission-driven company. Familiarity with the Social Security disability process is a plus, but not required. This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.
    $26k-31k yearly est. Auto-Apply 60d+ ago
  • Mortgage Intake Specialist

    Crosscountry Mortgage 4.1company rating

    Remote job

    CrossCountry Mortgage (CCM) is the nation's number one distributed retail mortgage lender with more than 7,000 employees operating over 700 branches and servicing loans across all 50 states, D.C. and Puerto Rico. Our company has been recognized ten times on the Inc. 5000 list of America's fastest-growing private businesses and has received many awards for our standout culture. A culture where you can grow! CCM has created an exceptional culture driving employee engagement, exceeding employee expectations, and directly impacting company success. At our core, our entrepreneurial spirit empowers every employee to be who they are to help us move forward together. You'll get unwavering support from all departments and total transparency from the top down. CCM offers eligible employees a competitive compensation plan and a robust benefits package, including medical, dental, vision, as well as a 401K. We also offer company-provided short-term disability, an employee assistance program, and a wellness program. Position Overview: The Mortgage Intake Specialist plays a critical role in the front end of the mortgage process by ensuring every lead is contacted quickly, accurately documented, and nurtured with professionalism and urgency. This dynamic role requires exceptional organization, consistent follow-up, and clear communication with both clients and referral partners. Candidates for this role have a growth-oriented mindset with the desire to build a career in the mortgage industry, thrive in a high-call-volume environment, convert opportunities effectively, and contribute to overall branch growth. Job Responsibilities: Contact new leads within 1 hour of receipt to maximize conversion opportunities. Accurately gather and enter lead information into the company CRM system in real time. Call the referring Realtor directly after each lead conversation to provide status updates and request additional referrals. Proactively ask each lead for introductions to their network to generate at least 5+ new leads per week. Make 70 outbound calls per day to clients and/or referral partners. Send 10+ texts per day to clients and/or referral partners for follow-up. Hold 15+ quality conversations daily with prospective clients and/or referral partners. Take a minimum of 7 complete loan applications weekly; collect all required mortgage documents to prepare for preapproval. Schedule appointments for Loan Officers and ensure smooth lead handoff. Maintain a well-organized, prioritized daily workflow to ensure no lead is overlooked or delayed. Follow established scripts, systems, and processes for consistency and performance tracking. Provide timely, professional communication to internal team members and external partners. Meet or exceed conversion and production metrics on a monthly basis. Qualifications and Skills: High School diploma or equivalent. Associates or Bachelor's Degree, preferred. 1+ year of experience in a call center, customer service, inside sales, or mortgage/financial services role. CRM experience, preferred. Experience managing high outbound call volumes and meeting performance goals. Experience working independently in a remote environment while meeting performance metrics. Experience thriving in a structured, metric-driven environment. Experienced in consistent follow-through with both clients and partners. Advanced organizational and time management skills with attention to detail. Excellent efficient, friendly, and professional communication skills. Skilled in quick response time with a focus on lead conversion. Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). This is intended to convey information essential to understanding the scope of the job and the general nature and level of work performed by job holders within this job. However, this job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position. Pay Range: Hourly Rate: $19.23-$28.84 Eligible for monthly bonus incentive based on production. The posted pay range considers a wide range of compensation factors, including candidate background, experience and work location, while also allowing for salary growth within the position. CrossCountry Mortgage, LLC offers MORE than a job, we offer a career. Apply now to begin your path to success! careersatccm.com CrossCountry Mortgage, LLC strives to provide employees with a robust benefit package: ********************************** California residents: Please see CrossCountry's privacy statement for information about how CrossCountry collects and uses personal information about California applicants. CrossCountry Mortgage supports equal employment opportunity in hiring, development and advancement for all qualified persons without regard to race, color, religion, religious creed, national origin, age, physical or mental disability, ancestry, marital status, uniformed service, covered veteran status, citizenship status, sex (including pregnancy, childbirth, and related medical conditions, and lactation), sexual orientation, gender identity, gender expression, transgender status, domestic violence victim status (where applicable), protected hair style or texture, genetic information (testing or characteristics), or any other protected status of an individual or because of the individual's association with a member of a protected group or any other characteristic protected by federal, state, or local law (ā€œProtected Characteristicsā€). The collective sum of the individual differences, life experiences, knowledge, inventiveness, innovation, self-expression, unique capabilities and talent that our employees invest in their work represents a significant part of not only our culture, but our reputation. The Company is committed to fostering, cultivating and preserving a culture that welcomes diversity and inclusion. CrossCountry Mortgage, LLC (NMLS3029) is an FHA Approved Lending Institution and is not acting on behalf of or at the direction of HUD/FHA or the Federal government. To verify licensing, please visit ***************************
    $19.2-28.8 hourly Auto-Apply 52d ago
  • Medicaid Enrollment & Intake Specialist (Onsite) Lakeland, FL

    RSi 4.0company rating

    Remote job

    Join a USA Today Top 100 Workplace & Best in KLAS Team! Enrollment & Intake Specialist Pay Range: $23-$25 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!
    $23-25 hourly 60d+ ago
  • Intake Specialist

    Jacoby and Meyers

    Remote 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: Intake Specialist Type of Position: Full Time Location: Fully Remote Pay: $20.00/hour - $25.00/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: * Some sales and/or PI experience 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.
    $20-25 hourly Auto-Apply 43d ago
  • Intake Specialist - Remote **MST Hours**

    Adapthealth

    Remote job

    AdaptHealth Opportunity - Apply Today! At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients' lives, please click to apply, we would love to hear from you. Intake Specialist The Intake Specialist has a broad range of responsibilities including accurate and timely data entry, understanding, and selecting inventory and services in key databases, communicating with referral sources, and appropriately utilizing technology to notate patient information/communication. Intake Specialist's schedules can vary based on the need of the branch. The lead specialist serves as a subject matter expert, conducts new hire training and mentor to the team. Essential Functions and Job Responsibilities: * Accurately enters referrals within allotted timeframe as established; meeting productivity and quality standards as established. * Communicates with referral sources, physician, or associated staff to ensure documentation is routed to appropriate physician for signature/completion. * Works with leadership to ensure appropriate inventory/services are provided. * Communicates with patients regarding their financial responsibility, collects payment and documents in patient record accordingly. * For non-Medicaid patients communicate with patients * Responsible for reviewing medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered. * Follows company philosophies and procedures to ensure appropriate shipping method utilized for delivery of service. * Answers phone calls in a timely manner and assists caller. * Reviews medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered. * Demonstrates expert knowledge of payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services. * Works with community referral sources to obtain compliant documentation in a timely manner to facilitate the referral process. * Contacts patients when documentation received does not meet payer guidelines, provide updates, and offer additional options to facilitate the referral process. * Works with sales team to obtain necessary documentation to facilitate referral process, as well as support referral source relationships. * Must be able to navigate through multiple online EMR systems to obtain applicable documentation. * Works with insurance verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments. * Assume on-call responsibilities during non-business hours in accordance with company policy. * Lead Responsibilities: * Supervise and provide guidance to team members in daily operations and complex case resolution * Lead team meetings and facilitate training sessions for staff development * Monitor team performance metrics and productivity standards, providing feedback and coaching as needed * Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions * Develop and implement process improvements and workflow optimization strategies * Coordinate with management on staffing needs, scheduling, and resource allocation * Conduct new employee onboarding and ongoing training programs * Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team decisions * Prepare reports and analysis on team performance, trends, and operational metrics for management review * Maintains patient confidentiality and functions within the guidelines of HIPAA. * Completes assigned compliance training and other education programs as required. * Maintains compliance with AdaptHealth's Compliance Program. * Performs other related duties as assigned. Competency, Skills and Abilities: * Ability to appropriately interact with patients, referral sources and staff. * Decision Making. * Analytical and problem-solving skills with attention to detail. * Strong verbal and written communication. * Excellent customer service and telephone service skills. * Proficient computer skills and knowledge of Microsoft Office. * Ability to prioritize and manage multiple tasks. * Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. * Ability to work independently as well as follow detailed directives * Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction. Requirements Education and Experience Requirements: * High school diploma or equivalent required; Associate's degree in healthcare administration, Business Administration, or related field preferred * Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry. * Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services * Specialist Level: (Entry Level): One (1) year of work-related experience * Senior Level: One (1) year of work-related experience plus Two (2) years exact job experience * Lead Level: One (1) year of work-related experience plus Four (4) years exact job experience Physical Demands and Work Environment: * Extended sitting at computer workstations with repetitive keyboard use; occasional standing, bending, and lifting to 10 pounds. * Professional office setting with variable stress levels during authorization deadlines, appeals processes, and urgent patient authorization needs. * Proficiency with computers, office equipment, payer portal systems, and healthcare software applications * Sustained concentration, diligence, and ability to manage confidential patient and insurance information with discretion. * Communication: Professional verbal and written communication skills for payer interactions and healthcare provider coordination at all organizational levels * Ability to work independently with minimal supervision and availability for extended hours when required. * Mental alertness to perform the essential functions of position.
    $31k-49k yearly est. 3d ago
  • V105 - Legal Intake Specialist

    Flywheel Software 4.3company rating

    Remote job

    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: If you're someone who thrives on helping others and keeping things organized, this role is for you. You'll be the first point of contact in opening claims, drafting and sending letters, and gathering essential medical records. Your work will directly support clients and providers, making a meaningful impact every day. This position is ideal for someone who communicates clearly, stays positive under pressure, and enjoys being part of a collaborative team. Monthly Compensation: 1,150 USD to 1,220 USD Responsibilities include, but are not limited to: Supporting internal team processes with accuracy and timeliness Drafting and sending professional correspondence Opening new claims and initiating documentation Communicating with clients and healthcare professionals Requesting and collecting medical records from providers Requirements: Previous experience in legal roles Ability to manage multiple tasks in a fast-paced environment Strong interpersonal skills Key Skills Strong written and verbal communication Excellent organizational and time management abilities Attention to detail in all aspects of documentation Ability to work efficiently and prioritize tasks Comfortable handling sensitive information Positive and proactive attitude Team-oriented mindset Reliable and trustworthy Detail-oriented and thorough Empathetic and client-focused Software Familiarity with document management systems Basic proficiency in Microsoft Office or Google Workspace Work Shift: 8:00 AM - 5:00 PM [PST][PDT] (United States of America) Languages: English, Spanish 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 36d ago
  • Remote Patient Intake Specialist

    Evolution Sports Group

    Remote job

    Remote Patient Intake Specialist Evolution Sports Group is a leading provider of sports medicine and rehabilitation services. Our team of highly trained professionals is dedicated to helping athletes and active individuals recover from injuries and reach their peak performance. We are committed to providing the highest quality care and innovative treatment options to our patients. Job Overview: We are seeking a Remote Patient Intake Specialist to join our dynamic team. This is a full-time, remote position that will play a crucial role in the initial patient intake process. The ideal candidate will have excellent communication skills, a strong attention to detail, and a passion for helping others. This is a great opportunity for someone who is looking to make a difference in the lives of athletes and active individuals from the comfort of their own home. Key Responsibilities: - Conduct initial patient intake calls to gather necessary information for treatment - Schedule appointments and follow-up with patients as needed - Verify insurance coverage and obtain necessary authorizations - Maintain accurate and organized patient records - Communicate with healthcare providers and insurance companies to ensure timely and accurate billing - Provide exceptional customer service to patients and their families - Collaborate with other team members to ensure efficient and effective patient care Qualifications: - High school diploma or equivalent, some college preferred - 1-2 years of experience in a medical office or healthcare setting - Excellent communication skills, both written and verbal - Strong attention to detail and ability to multitask - Proficient in computer skills and electronic medical records systems - Knowledge of insurance verification and authorization processes - Ability to work independently and as part of a team - Empathetic and compassionate attitude towards patients and their families - Availability to work full-time hours, with flexibility for occasional evenings and weekends as needed Benefits: - Competitive salary - Comprehensive benefits package, including medical, dental, and vision coverage - 401(k) retirement plan with company match - Paid time off and holidays - Remote work flexibility - Opportunities for professional growth and development If you are passionate about helping others and have a strong background in medical office administration, we encourage you to apply for our Remote Patient Intake Specialist position. Join our team at Evolution Sports Group and make a difference in the lives of athletes and active individuals from the comfort of your own home. Package Details Pay Rate: $35-50 per hour, depending on experience Training Pay: $30 per hour (1-week paid training) Training Bonus: $700 incentive upon completion Work Schedule: Flexible - Full-time (30-40 hrs/week) or Part-time (20 hrs/week) Work Type: 100% Remote (U.S.-based only) Benefits: Paid Time Off, Health, Dental & Vision Coverage Home Office Setup: Company-provided workstation and equipment Growth Opportunities: Internal promotion and career development support
    $27k-40k yearly est. 23d ago
  • Intake Specialist (Client Service Sales) - Remote

    Heard & Smith 3.8company rating

    Remote 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 43d ago
  • Bilingual Client Intake Specialist - Remote

    Keches Law Group PC 3.9company rating

    Remote 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 15d ago
  • Scheduling Specialist - Remote after training

    Radiology Partners 4.3company rating

    Remote job

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position, working 11:30am to 8pm. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and staff Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only) (10%) Insurance Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as assigned
    $33k-39k yearly est. 12h ago
  • Home Health Eligibility Specialist

    Centerwell

    Remote job

    **Become a part of our caring community and help us put health first** is scheduled for 32 hours/4 days a week. Availability requirements:** + **Days: Friday - Monday** + **Shift: 8am - 5:30pm ET** + **Available to work 1-3 holidays a year** As a **Home Health Eligibility Specialist** , you will: + Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition + Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue. + Prepare, submit and follow up on eligibility requests according to applicable state and commercial payor guidelines. + Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing + Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements. + Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, and level of care change required documents. + Alerts appropriate team members at the Site regarding late or missing documents required for billing. + Establish and maintain positive working relationships with Sites, Nursing Home Facilities, and AR Teams. + Maintain the confidentiality of patient/client and agency information at all times. + Maintain accurate and up to date information for all vendor and nursing facility contracts. + Keep information in an orderly manner readily accessible for review. Presents status as requested. + Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures + Participate in special projects and performs other duties as assigned. + Assist with training of newly-hired associates, as well as re-education of revenue teams as necessary. + Act as an information resource for any hard revenue generation issues or system issues. Basically the subject matter expert. + Assure the completion and coordination of work in an associate's absence, or as needed to maintain departmental standards. **Use your skills to make an impact** **Required Experience/Skills:** + Experience with checking insurance eligibility for healthcare services preferred. + Knowledge of insurance eligibility process preferred. + Home Health or Medical Office experience preferred. + Microsoft Office applications experience preferred. + HomeCare HomeBase (HCHB) system experience preferred. **Additional Information:** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including: + Health benefits effective day 1 + Paid time off, holidays, and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 32 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $44,900 - $60,200 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-11-2025 **About us** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $44.9k-60.2k yearly 3d ago
  • Bilingual Intake Specialist (Global)

    Crisp Recruit

    Remote job

    Are you the orchestrator of order in a fast-paced legal setting, adept at maintaining the harmony between client communication and administrative precision? Do you thrive when handling a steady flow of intake calls, ensuring potential clients feel heard, supported, and guided with professionalism? Is your meticulous attention to detail matched by your ability to keep clients engaged and cases moving forward? Final question: When faced with a challenge, do you get excited or run away? ** IMPORTANT: TO APPLY ** If you have any questions, please email **************** only. Please do not reach out through our website's contact information (telephone, email, or web chat) or via direct messaging on any social media platform. To Apply: Submit your application by clicking the "Apply" button and applying on the Crisp Recruit page that opens. **RECRUITERS DO NOT CONTACT** The Law Offices of Jeremias E. Batista, LLC is a boutique bankruptcy and debt relief law firm headquartered in New Jersey, with expansion into Fort Lauderdale, Florida underway. Attorney Jeremias Batista has built his practice around guiding individuals and families through some of life's most stressful financial challenges. Known for hands-on client care and detail-driven advocacy, the firm also maintains a small personal injury caseload and referral network. What sets the firm apart is its balance of professional excellence with accessibility. Clients receive compassionate counsel directly from Jeremias, supported by a lean, dedicated team that values precision, respect, and responsiveness. With over 15 years of experience serving the community, the firm continues to grow by focusing on personalized representation rather than high-volume case turnover. We are hiring two Intake Specialists to be the first point of contact for potential clients. In this role, you'll answer inbound calls, walk callers through a structured intake questionnaire, complete digital intake forms, and seamlessly transfer qualified leads to the attorney. You'll also handle follow-up tasks, document collection, and appointment scheduling to support bankruptcy case progression. This position is fully remote, ideal for professionals in the Philippines or Latin America who bring strong communication skills, customer service experience, and attention to detail. What you'll do: Client Intake Calls: Answer 5-10+ daily inbound calls, follow the structured questionnaire, and complete intake forms with accuracy. Case Transfer: Submit completed forms into the system and smoothly transfer qualified calls to Attorney Batista. Clerical Support: Perform document collection, appointment scheduling, and secondary case write-ups as part of the bankruptcy filing process. Follow-Up Coordination: Check in with potential and current clients, ensuring required documents are received and appointments are confirmed. Bilingual Advantage: Communicate effectively with English and Spanish-speaking clients when applicable. Collaboration: Support the attorney and virtual paralegal by providing accurate intake data that drives case strategy. What we're looking for: Customer Service Background: Prior intake, call center, or customer service experience is strongly preferred. Detail-Oriented & Accurate: Ability to capture client information precisely-small errors can impact case outcomes. Strong Communicator: Professional, clear, and empathetic phone manner. Tech-Savvy: Comfortable using digital forms, Zoom, and basic office software. Language Skills: English fluency required; Spanish proficiency is a MUST. Adaptability: Ability to manage downtime productively with clerical tasks. Legal/Bankruptcy Knowledge: Not required, but prior legal, medical billing, or administrative support experience is beneficial. Why you should work here: Hands-On Training: Shadow Attorney Batista and receive mentorship in client interaction and bankruptcy process fundamentals. Impactful Work: Play a key role in helping people facing serious financial stress find relief and hope. Professional Development: Access to Crisp Academy training modules for six months to strengthen skills and knowledge. Growth Potential: As the firm expands, strong performers will have opportunities for increased responsibility. Additional perks: Compensation: $1,000-$1,300 USD per month, based on experience. Flexible Benefits: Discretionary bonuses and wellness perks may be offered (such as health stipends or book club participation, already extended to current staff). Work-Life Balance: Standard schedule of 9 AM-5 PM EST, Monday-Friday. At the Law Offices of Jeremias E. Batista, you're not just answering phones-you're the first voice clients hear when they reach out for help. Your role provides dignity and clarity during a difficult time in their lives. If you want to be part of a small but growing team where your work has a direct impact, we'd love to hear from you.
    $1k-1.3k monthly Auto-Apply 9d ago
  • Eligibility Specialist

    Welbehealth

    Remote job

    At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The Eligibility Specialist is accountable for proactively addressing complex eligibility challenges and ensuring seamless participant coverage. This role works directly with CMS, DHCS, and county Medicaid offices to troubleshoot eligibility issues, correct misalignments, and advocate for participants' eligibility for the PACE program. This role also plays a key part in training internal teams, including Outreach & Enrollment and Social Work teams, to enhance organizational knowledge and prevent eligibility-related disruptions. This role is different because the Eligibility Specialist at WelbeHealth: Plays a critical role in securing life-sustaining coverage for vulnerable seniors, working hand-in-hand with Medi-Cal, Medicare, and Social Security agencies to remove barriers so participants can access comprehensive PACE services without interruption Operates at the intersection of outreach, enrollment, eligibility, and revenue cycle, giving this role broader visibility and impact than traditional eligibility positions, and directly influencing program access and participant experience We care about our team members. That's why we offer: Medical insurance coverage (Medical, Dental, Vision) Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days 401K savings + match Comprehensive compensation package including base pay, bonus, and equity And additional benefits! On the day-to-day, you will: Act as an organizational expert in Medicare or Medicaid eligibility policies and keep teams informed of regulatory updates Provide guidance to leadership, internal teams, and stakeholders on eligibility cases, processes, and compliance requirements Oversee resolution of complex eligibility issues, including coverage misalignments, retroactive enrollments, reinstatements, and eligibility corrections Work directly with CMS, DHCS, and county agencies to troubleshoot eligibility discrepancies and secure accurate benefit assignments Advocate for participants in disputed eligibility cases to minimize gaps in coverage Develop and deliver training programs for internal teams to improve eligibility accuracy and efficiency, as well as maintain knowledge repositories, job aids, and process documentation to support staff in handling eligibility cases Monitor and analyze enrollment and eligibility data (e.g., DTRR, 834, 820, MMR) to identify trends, discrepancies, and risks Job requirements include: Associate's degree in relevant field; relevant experience may be substituted Minimum of three (3) years of experience in Medicaid, Medicare, or social services Minimum of one (1) year of experience working with governmental agencies Excellent leadership, organizational and communication skills in settings with seniors, their families and interdisciplinary team members Experience leading in a data-driven organization, leveraging reports and data to prioritize and manage people and projects We are seeking an Eligibility Specialist that ideally has over three (3) years of experience in Medicaid and Medicare eligibility. If you're ready to join a team that values both its participants and team members, we'd love to hear from you! Salary/Wage base range for this role is $68,640 - $77,519 / year + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications. Compensation $68,640-$77,519 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to ****************************
    $68.6k-77.5k yearly Auto-Apply 2d ago
  • Insurance Verification Specialist (Remote)

    Globe Life Inc. 4.6company rating

    Remote job

    Primary Duties & Responsibilities At Globe Life we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to Make Tomorrow Better. Role Overview: Could you be our next Insurance Verification Specialist? Globe Life is looking for an Insurance Verification Specialist to join the team! In this role, you will verify life and health insurance applications directly with potential customers. This is a vital part of our Company's New Business and Underwriting process. The information you verify and gather directly affects whether the Company will decline or issue a policy. This is a remote / work-from-home position. We have full-time & part-time positions available. What You Will Do: * Make outbound calls to potential customers to verify and document required information to finalize applications for underwriting assessment. * Use the Quality Assurance database and conduct appropriate assessments on what additional customer information or verification is needed. * Clearly explain the application process to potential customers. * Accurately complete additional paperwork as needed. * Maintain appropriate levels of communication with management regarding actions taken within the Quality Assurance database. * Transfer calls to the appropriate department as needed. * Successfully meet the minimum expectation for departmental key performance indicators (K.P.I's). What You Can Bring: * Minimum typing requirement of 35 wpm. * Excellent oral and written communication. * Superior customer service skills required - friendly, efficient, good listener. * Proficient use of the computer, keyboard functions, and Microsoft Office. * Ability to multitask and work under pressure. * Knowledge of medical terminology and spelling is a plus. * Excellent organization and time management skills. * Must be detail-oriented. * Have a desire to learn and grow within the Company. Applicable To All Employees of Globe Life Family of Companies: * Reliable and predictable attendance of your assigned shift. * Ability to work full-time and/or part-time based on the position specifications. How Globe Life Will Support You: Looking to continue your career in an environment that values your contribution and invests in your growth? We've created a benefits package for full-time, eligible employees that helps to ensure that you don't just work, but thrive at Globe Life: * Competitive compensation is designed to reflect your expertise and contribution. * Comprehensive health, dental, and vision insurance plans because your well-being is fundamental to your performance. * Robust life insurance benefits and retirement plans, including a company-matched 401 (k) and pension plan. * Paid holidays and time off to support a healthy work-life balance. * Parental leave to help our employees welcome their new additions. * Subsidized all-in-one subscriptions to support your fitness, mindfulness, nutrition, and sleep goals. * Company-paid counseling for assistance with mental health, stress management, and work-life balance. * Continued education reimbursement eligibility and company-paid FLMI and ICA courses to grow your career. * Discounted Texas Rangers tickets for a proud visit to Globe Life Field. Opportunity awaits! Invest in your professional legacy, realize your path, and see the direct impact you can make in a workplace that celebrates and harnesses your unique talents and perspectives to their fullest potential. At Globe Life, your voice matters. Location: McKinney, Texas
    $28k-31k yearly est. 25d ago
  • Health Insurance Verification Specialist (Remote-Wisconsin)

    Atos Medical, Inc. 3.5company rating

    Remote job

    Health Insurance Verification Specialist | Atos Medical-US | New Berlin, WI This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed. Join a growing company with a strong purpose! Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide. About Atos Medical Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. Atos Medical has an immediate opening for a Health Insurance Verification Specialist in the Insurance Department. Summary The Health Insurance Verification Specialist will support Atos Medical's mission to provide a better quality of life for laryngectomy customers by assisting with the attainment of our products through the insurance verification process and reimbursement cycle. A successful Health Insurance Verification Specialist in our company uses client information and insurance management knowledge to perform insurance verifications, authorizations, pre-certifications, and negotiations. The Health Insurance Verification Specialist will analyze and offer advice to our customers regarding insurance matters to ensure a smooth order process workflow. They will also interact and advise our internal team members on schedules, decisions, and potential issues from the Insurance payers. Essential Functions Act as an advocate for our customers in relation to insurance benefit verification. Obtain and secure authorization, or pre-certifications required for patients to acquire Atos Medical products. Verifies the accuracy and completeness of patient account information. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers. Follows up with physician offices, customers and third-party payers to complete the pre-certification process. Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity. Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. Answer incoming calls from insurance companies and customers and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner. Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends. Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating peer to peer if required by insurance payer. Notifies patient accounts staff/patients of insurance coverage lapses, and self-pay patient status. May notify customer support team if authorization/certification is denied. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Inquire about gap exception waiver from out of network insurance payers. Educate medical case reviewers at Insurance Companies about diagnosis and medical necessity of Atos Medical products. Obtaining single case agreements when requesting an initial authorization with out of network providers. This process may entail the negotiation of pricing and fees and will require knowledge of internal fee schedules, out of network benefits, and claims information. Complete all Insurance Escalation requests as assigned and within department guidelines for turn around time. Maintains reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Other duties as assigned by the management team. Basic Qualifications High School Diploma or G.E.D Experience in customer service in a health care related industry. Preferred Qualifications 2+ years of experience with medical insurance verification background Licenses/Certifications: Medical coding and billing certifications preferred Experience with following software preferred: Salesforce, SAP, Brightree, Adobe Acrobat Knowledge Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Additional Benefits Flexible work schedules with summer hours Market-aligned pay 401k dollar-for-dollar matching up to 6% with immediate vesting Comprehensive benefit plan offers Flexible Spending Account (FSA) Health Savings Account (HSA) with employer contributions Life Insurance, Short-term and Long-term Disability Paid Paternity Leave Volunteer time off Employee Assistance Program Wellness Resources Training and Development Tuition Reimbursement Atos Medical, Inc. is an Equal Opportunity/Affirmative Action Employer. Our Affirmative Action Plan is available upon request at ************. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Equal Opportunity Employer Veterans/Disabled. To request reasonable accommodation to participate in the job application, please contact ************. Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox , Provox Lifeā„¢ and Tracoe. We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business. Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma. Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S 56326 #LI-AT
    $30k-35k yearly est. 60d+ ago
  • Insurance Verification and Billing Follow Up Specialist - DAL

    Credit Solutions 3.7company rating

    Remote job

    Credit Solutions of Lexington, KY is seeking to hire a full-time Insurance Verification and Billing Follow Up Specialist. If you have experience in healthcare billing and finance and want a career where you can actually make a difference, apply today! Our employees enjoy a competitive wage plus benefits! Our benefits include paid time off, holiday pay, company-paid life insurance, a 401k plan, health benefits, vision, and dental benefits. Additionally, we offer flexible schedules and work from home opportunities. ABOUT CREDIT SOLUTIONS Founded in 2003, Credit Solutions provides tailored Extended Business Office (EBO) Solutions as well as a full range of Bad Debt Recovery and Account Resolution service throughout the United States. With a pledge of excellence, we strive to allocate the best resources, giving our talented staff of professionals the tools needed to achieve results for our clientele. At Credit Solutions, we believe our employees are our most valuable asset. In fact, we attribute our success as a company on our ability to recruit, hire, and maintain a positive and productive workforce. A happy employee is a productive employee and our benefits reflect how much we care. Additionally, we provide numerous employee appreciation activities and a referral bonus program. Join our dynamic team and find out why our employees voted us the "Best Call Centers to Work For" from 2018-2024! JOB SUMMARY The Insurance Verification Specialist is responsible for verifying patient insurance coverage and ensuring the accuracy of insurance information. This role requires attention to detail, strong communication skills, and the ability to interact effectively with insurance companies, patients, and healthcare providers. QUALIFICATIONS High school diploma or equivalent; associate's degree or relevant certification preferred. Minimum of 2 years of experience in medical insurance verification or a related field. Knowledge of insurance plans, policies, and procedures. Proficiency in using EHR systems and insurance verification software. Proficiency in Epic hospital and physician Billing system Proficiency in Zoom and other virtual meeting platforms Strong organizational and multitasking skills. Excellent verbal and written communication skills. Ability to work independently and as part of a team. Detail-oriented with a high level of accuracy. Do you have a desire to help others and make a difference in the community? Are you a team player? Do you have professional communication skills? Can you provide great customer service over the phone? Are you an empathetic active listener? Do you have a positive can-do attitude? If so, you may be perfect for this position! ARE YOU READY TO JOIN OUR TEAM? If you feel you would be right for this position, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!
    $26k-30k yearly est. 60d+ ago

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