Hello No Phone WFH Family! I have a few jobs for you today! Let’s get into the jobs of the day!

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Operation Clerical Specialist

Compensation: $17.00 to $22.00 

In this operations support specialist role, you will be responsible for clerical tasks including but not limited to logging appeals, calling for overpayments, back up other locations.

In this role you will wear many hats, but your knowledge will be essential in the following:  

  • Clerical tasks.
  • Make calls for overpayment requests.
  • Monitor email boxes & boxes in claims system to log appeals as they come in.
  • Complete any other tasks assigned by the manager or supervisor.

Concierge Partner:

With a passion for helping others and solving problems, you’ll be helping clients over the phone and by email with their questions on how to login to the system, navigate the interface and perform specific tasks.

You’ll be training clients on how to login to the system, run searches and exports, as well as use advanced features. When not actively supporting clients, you’ll be fulfilling their requests such as account creations and project access requests.

Repo Admin Specialist

We are looking for an outstanding team member to join in managing and coordinating the repossession of auto loan accounts. 

Key Responsibilities:

  • Service inbound and outbound customer calls pertaining to voluntary surrender
  • Maintain clear and descriptive notes
  • Prepare delinquent accounts for repossession status
  • Communicate with vendors in a timely and orderly fashion by sending out notices
  • Review accounts that have been referred for repossession and legal actions against debtors
  • Issue written and oral instructions
  • Enforce compliance with Collection Standard of Conduct policies
  • Perform various administrative functions

Funding Operations Specialist

Remote, to be considered for this role, you must reside in one of the following states —AZ, CT, FL, GA, IL, KS, MA, ME, MI, MO, NC, NV, OH, PA, RI, SC, TN, TX, UT, VA, WI, WV. 

The Funding Operations Specialist ensures appropriate and accurate establishment, accounting, and reconciliation of client accounts for specific company products. The Funding Operations Specialist reports to the Finance Operations Team Leader.

What You’ll Do

  • Provide exceptional client-centered customer service.
  • Review the daily ACH report to determine what funding needs to be posted.
  • Work with team members to determine appropriate set up, funding, structuring, and reporting of client accounts.
  • Maintain client accounts to ensure that all information is current and accurate.
  • Process and post payroll deductions and client deposits.
  • Actively work with the client to confirm where funds received should be allocated if necessary.
  • Have a basic understanding of the plans we administer to help fast track posting of funds.
  • Have an understanding of the reasons why we would receive funding (FSA funds, invoices, negative balances).
  • Perform client account reconciliations. 
  • Perform data entry within multiple applications.
  • Actively participate and contribute to Flores’ company Initiatives.
  • Perform other duties as assigned.
  • Maintain quality work that exemplifies and promotes Flores’ core values.

Pricing Admin II

Compensation: $17.00 to $26.00 plus benefits

The Pricing Administrator II will support management, sales, marketing, contracts, and finance by managing/administering timely and accurate pricing, contracts, related sales histories, and profit analyses. This is a remote position Monday – Friday from 9:00 am – 6:00 pm ET.

Key Duties and Responsibilities:

  • Compiles, administers, and communicates customer pricing agreements and price lists, including the update of pricing and contract terms.
  • Facilitates periodic reviews of pricing by performing historical assessments, financial and margin analysis.
  • Facilitates and documents the management approvals required for price levels and contract terms.
  • Investigates and resolves pricing disparities with customer.
  • Supports and maintains Pricing & Quoting system for capital and/or disposable products.
  • Provides internal recommendations based on analyses.
  • Performs other related duties and participates in special projects as assigned.

Examiner I

Compensation: $15 per hour

American Specialty Health Incorporated is seeking a Data Entry Examiner to support our Medical Necessity/Benefit Administration Department. This position is responsible for entering data from Medical Necessity Review Form (MNR Form) and Clinical Quality Evaluator (CQE) worksheets.

Responsibilities

· Enters data from MNR Form and/or CQE worksheets. Employee must maintain a minimum level of production of 20 MNR Forms per hour and maintain quality at or above 98.0% Employee must process a minimum level of back end treatment forms as required. · Reviews MNR forms to be sure all information is complete. Verifies member eligibility and creates patient records. · Checks patient and provider information on MNR Forms against information on the eligibility tape in the Integrated Health Care System (IHIS).

· Inputs all required data from MNR forms into Integrated Health Care System (IHIS) in accordance with MNA guidelines; including but not limited to Out of Network: Administrative Partial and Complete Denials; submission Timeframe Denials and Network Access Denials. · Forwards MNRs to the Clinical Quality Evaluators’ designated bins for clinical review.

· Retrieves patient files or history for the CQEs as necessary. · Reviews CQE’s worksheets to make sure they are complete. · Inputs all required data from worksheets into Integrated Health Care System (IHIS). · Processes CQE worksheets in accordance to the MNA guidelines. · Forwards worksheets to the Administrative Support staff for final processing. · Demonstrates proficiency in eligibility verification, provider verification, identifying and pre-screening different form types. · Add new members and sequence numbers in Member Maintenance.

· Researches via CHIP logs. · Performs production query via Access. · Forwards eligibility research to Membership. · Process Duplicate request. · Contact provider’s office to clarify missing or illegible information on the MNR forms. · Completes daily tally sheets and production reports for Supervisor.

Customer Success Representative

Compensation: $40,000 – $50,000 a year

The Customer Success representative is responsible for supporting customers with ordering Artera’s commercial product(s). They will share relevant information to address questions and resolve any issues.

Essential Responsibilities:

  • Interacts with customers (clinicians, clinical staff, administrators) with a focus on providing the best service and ordering experience 
  • Guides customers through the onboarding, training, and ordering process and addresses any obstacles along the way with a helpful and courteous demeanor 
  • Handles each ticketed inquiry with curiosity and a problem-solving approach 
  • Has experience with ticketing platforms such as Zendesk
  • Is a team player that works well cross-functionally 
  • Collaborates with internal and external partners effectively

Part-time Data Contractor

Compensation: $250 – $250 a week. Role will be $25 / hour for 2 hours per day, 5 days per week. Alloy commits to a minimum of 10 weeks for the role resulting in a minimum of $2,500.

This part-time contracting role is a crucial part of our Client Solutions team while we scale. This role will be online from 7 – 9am PT supporting getting data into our platform by 9am PT in order to ensure our customers have their latest data from key retailers.

It will involve executing an outlined process and QAing data as it flows into our system. This role may also engage in Tier 1 and Tier 2 support to our growing customer base. No special skills are needed for this role as it involves simply downloading and uploading files.

What You Will Do

  • Be online and available 5 days a week with Saturday & Sunday a must every week until January 31, 2025 from 7 – 9am PT. 
  • Leverage an outlined process for ingesting data into the Alloy Platform by 9am PT which involves logging into a retailer portal, downloading data, and uploading it into Alloy’s system. 
  • Proactively update Alloy internal team on any issues or delays that arrive via Slack.  
  • Facilitate quality checks to ensure data accuracy.  
  • If time allows, ??triage inbound tickets and assign them to appropriate groups to resolve.
  • If time allows, respond to customer queries in a timely and accurate way via Alloy’s Zendesk ticketing system.

I look forward to posting jobs for you tomorrow.


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