Claims Processing Representative I:
Pay range: 17.00- 27.90
CVS Health is looking for experienced Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic image in a production environment. Commercial Paper Claims processes an average of 74,000 claims monthly, and provides service to multiple employer and health plans.
Primary Responsibilities of the Claims Processor include:
– Processing and adjudicating commercial paper claims.
– Maintaining integrity of claims receipts in accordance with
standard claims operating and adjudication procedures.
– Accurately resolving pending claims using state and
federal regulations and specific health plan criteria.
As a Safe Ride Sr. Support Specialist, you will need to exude calm under pressure and quick thinking to prioritize the safety of the HopSkipDrive community.
You humbly offer support, training and direction to teammates. Others are inspired and encouraged by you. Accountability for yourself is a priority. Maintaining confidentiality is something you value.
Your Primary Responsibilities & Qualifications:
-Request, review and verify submitted compliance documents
-Pause, reactivate and offboard CareDrivers
-Process CareDriver profile changes
-Ensure local business licenses are maintained
-Utilize continuous monitoring systems to enroll & un-enroll CareDrivers
-Process CareDriver advanced qualification documentation
-Partner with Operations Associates to prioritize efforts where drivers are needed most.
As a Customer Support Analyst, you will be a key part of making sure that we can keep delivering high-quality support to our customers. You will be able to explore new technology and develop processes to help other team members, grow within our company and make a huge impact from day one.
What you’ll do as a Customer Support Analyst:
-Help customers solve problems in the CrunchTime platform.
-Use internal tools to troubleshoot trouble tickets
-Collaborate with a global team to deliver the ultimate customer experience
-Support Sales/Success teams with account management and technical support
-Be a voice of the customer, helping our product and engineering teams better understand our customers’ needs
What does a day in the life as a Content Moderator I look like?
-Reviews and moderates user-generated content, including text, images, and videos, according to the organization’s policies and guidelines
-Uses content moderation tools and processes to identify and remove inappropriate, harmful, or violating content
-Monitors and reports trends or patterns in content moderation issues
-Provides support and assistance to other Content Moderators as needed
-Escalates complex or sensitive issues to Senior Content Moderators or management
Compensation Range: $48 – 50 per hour
In this role, you will be responsible for overseeing and managing their online community, ensuring a positive and engaging user experience.
The ideal candidate has excellent written and verbal communication skills with the ability to engage and connect with diverse audiences.
Responsibilities:
-Engage with our client’s community, their online community platform, and Slack.
-Create internal content incorporating data-driven analysis and recommendations.
-Develop and enforce community guidelines.
-Help manage gamification programs, from troubleshooting issues to developing new engagement initiatives.
Customer Escalations Specialist:
Compensation: $50,000 – $59,000 a year
Responsibilities:
-Be the voice of Oxygen by representing our values and mission
-Act as the central point of escalation for consumers, researching, resolving and following up with the resolution, maintaining compliance with the company and other applicable escalation policies
-Identify, analyze, and initiate the escalation process based on the escalation criteria specified by the organization
-Communicate with customers through phone, email and chat regarding various financial services questions and concerns by managing various escalation queues in a timely and effective manner
-Be the subject matter expert for Customer support agents and Identify customer needs and take proactive steps to maintain positive experiences
-Be a customer advocate while capturing feedback and reporting it to the internal teams for future improvements of the app flow and overall experience
TEXAS RESIDENTS ONLY:
PBS Associate- Payment Posting:
Compensation: $41,500-62,500
The purpose of the PBS Associate position is to work patient accounts in a high volume production environment in the capacity of billing, collections, appeals, cash posting, credit resolution, bad debt and customer service for both hospital and practice plan services.
KEY FUNCTIONS:
- Perform account analysis, maintenance and follow-up activity on insurance, self-pay, bad debt and charity care accounts. Work performed in various patient accounting and other ancillary systems to facilitate billing, collections and account resolution.
- Utilize system reports to prioritize account workload to maximize collection opportunities and enhance accuracy of transactions.
- Analyze governmental, managed care and commercial payments to validate accuracy of payment for services billed. Identify and resolve payor underpayments.
- Contact payers as required to obtain additional information for account resolution, billing, payment, appeals, accurate posting or managed care affiliation.
- Create weekly and monthly departmental AR and specialty reports (i.e. slow pay, spot reports, self-pay, etc.) as they relate to work in progress, penalty requests, backlogs and payor trends.
- Provide assessments and insight with trending reports.
- Identify and work accounts in which underpayments are noted from the payors.
- Process appeals or perform account maintenance as appropriate for payor denials and rejections.
Elite Entrepreneurship: Sell-by-Chat Closer:
Compensation: Commission based
We are seeking an experienced and dedicated Sell-by-Chat Closer to join our sales team. This role involves hunting for new sales opportunities and closing deals via social media platforms including Instagram, LinkedIn, and Twitter.
The ideal candidate has a proven sales track record, exceptional written communication skills, and a knack for identifying and converting potential leads.
Key Responsibilities:
-Identify and pursue sales opportunities through social media platforms and chat interfaces.
-Maintain a robust sales pipeline, identifying prospects, and tracking them through the sales process.
-Engage with potential clients, using exceptional written English skills to communicate effectively, professionally, and persuasively.
-Close deals consistently, meeting or exceeding set sales targets.
-Use concise and direct language to clearly articulate product benefits and deal terms.
-Collaborate with team members to refine sales strategies and improve overall performance.
-Continuously improve through feedback
CALIFORNIA RESIDENTS ONLY:
Guest Experience Representative (Remote):
OUR RESPONSIBILITIES AT OKAY HUMANS:
-Respond to guest inquiries via email, phone, and SMS
-Expert at all things app-related! Okay Humans’s experience is digital end-to-end so you’ll assist guests with downloading our app, setting up their account, booking sessions, becoming a member, completing their measurement surveys, and so much more
-Serve as the liaison that connects guest feedback with internal teams such as Marketing, Product, Shop Management, and Front of House Operations
-Employ a mastery of internal tools from payment portals to session scheduling
-Identify opportunities to improve the guest experience, internal processes, and tools
Please note, this is a remote / work-from-home opportunity
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Please remember that we are not affiliated with these companies. Always do your due diligence before entering into a contract or agreement with said companies.
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