Customer Success Manager
In this role, a competitive salary ranging from $65,000 to $72,000 with bonus potential is offered, coupled with a comprehensive benefits package. This includes health, dental, and vision insurance, health savings and flexible spending accounts, as well as contributions to a 401k. The company emphasizes work/life balance and supports this with remote work options, parental leave, and other benefits like company-paid disability and life insurance.
The company is seeking a proactive Customer Success Manager with a strong background in the hospitality SaaS industry. The successful candidate will play a pivotal role in the development and execution of the Customer Success function, reporting directly to the Global Account Manager. Responsibilities include managing and growing a customer portfolio, overseeing the onboarding process, and ensuring strong product adoption and customer satisfaction.
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**Must have legal authorization to work in the USA. This company is an EEO employer and evaluates all applicants based on their qualifications without considering race, religion, color, gender, nationality, age, sexual preference, gender identity, disability, or veteran status.
Medicaid Specialist
This position offers a competitive hourly wage ranging from $16.60 to $20.75, alongside a full suite of benefits that vary by employment status. Benefits include health, life, and retirement plans, as well as unique perks such as tuition reimbursement, pet insurance, adoption reimbursement, and a variety of associate discounts. Veterans, transitioning military personnel, and military spouses are encouraged to apply. The role also supports associates aspiring to U.S. citizenship by covering costs up to $725 for naturalization application fees, subject to certain conditions.
Responsibilities of the role include managing resident data, processing charges, reconciling accounts, and handling billing for Medicaid State payers and Managed Care Organizations (MCO’s) across multiple states. The job involves submitting monthly billing, reviewing payments for accuracy, maintaining service authorizations, and ensuring charges are accurately reflected. Additionally, the role requires correspondence with payers and communities to adjust or modify payments and to manage potential issues identified through regular report reviews.
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**Must have legal authorization to work in the USA. This company is an EEO employer and evaluates all applicants based on their qualifications without considering race, religion, color, gender, nationality, age, sexual preference, gender identity, disability, or veteran status.
STD Claims Analyst
This 100% remote position offers a role focused on examining and processing short-term disability claims, providing crucial support to claimants, policyholders, and the claims department. The job involves managing the appropriate adjudication of claims in line with policy provisions and initiating case management services to ensure optimal outcomes. The role demands a minimum of one year of experience in managing disability claims, strong customer service skills, and proficiency in Microsoft Excel, Outlook, and Word. Detail-oriented candidates who can maintain quality and accuracy in a fast-paced environment are ideal. Knowledge of medical terminology is required.
Preferred qualifications include a BA/BS degree and two years of experience managing disability claims. Additionally, the ability to fluently speak and write Spanish is considered a plus. The position requires excellent mathematical and decision-making skills to analyze complex claim information effectively. Strong verbal and written communication skills are also essential for success in this role. This opportunity is perfect for individuals looking for a dynamic work environment from the comfort of their home, ensuring a balance between professional growth and personal life.
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**Must have legal authorization to work in the USA. This company is an EEO employer and evaluates all applicants based on their qualifications without considering race, religion, color, gender, nationality, age, sexual preference, gender identity, disability, or veteran status.
Insurance Specialist
This role pays an hourly rate of approximately $24.47 to $30.96. In this role, the primary responsibilities include managing a team of authorization specialists, overseeing the insurance verification, and prior authorization processes for healthcare services. The manager ensures the development and implementation of effective workflows to minimize payment denials and enhance system reimbursement. Key duties involve auditing team work for quality and productivity, maintaining compliance with regulatory billing updates, and communicating with hospital departments to manage revenue risks and implement process improvements.
The ideal candidate will have a high school diploma or equivalent, complemented by five years of experience in healthcare accounts receivables, billing, and collections, and at least two years in a supervisory role. A Bachelor’s degree in Finance, Business Administration, or a related field is preferred, as is certification as a Healthcare Financial Professional (CHFP).
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**Must have legal authorization to work in the USA. This company is an EEO employer and evaluates all applicants based on their qualifications without considering race, religion, color, gender, nationality, age, sexual preference, gender identity, disability, or veteran status.
Billing Specialist
In this remote position based in New Mexico, a Medical Billing Specialist is needed to handle the precise and efficient billing of insurance claims for Holy Cross Hospital’s Patient Accounting Office. The role demands robust interaction with management and the Revenue Cycle team to ensure the timely and accurate submission of insurance claims, coupled with effective follow-up and appeal processes to maximize reimbursement. The ideal candidate must possess at least five years of prior medical (hospital) billing experience and be proficient in MS Word and Excel, as well as familiar with CPT and ICD-10 coding and medical terminology.
Key responsibilities include daily billing of insurance claims, rigorous follow-up on unpaid claims, denial management, and filing appeals where necessary. The position requires excellent verbal and written communication skills, strong organizational and time management skills, and the ability to multitask effectively in a high-demand environment. Technical specifications for the role include a base internet speed of at least 5 Mbps, with satellite or hot spot connections not acceptable.
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**Must have legal authorization to work in the USA. This company is an EEO employer and evaluates all applicants based on their qualifications without considering race, religion, color, gender, nationality, age, sexual preference, gender identity, disability, or veteran status.
Call Center Representative Clinical Administrative Coordinator Senior
This full-time position offers a competitive salary ranging from $18.80 to $36.78 per hour, depending on location and experience, along with a comprehensive benefits package. These benefits include health insurance, incentive programs, equity stock purchase options, and 401k contributions, all designed to support the overall health and wellness of employees. Additionally, this role allows for telecommuting, requiring a dedicated work area that ensures privacy and security of sensitive information.
The role involves managing a variety of functions within health services, such as initial triage of members, administrative intake, and managing admission/discharge information. Responsibilities also include handling incoming calls, managing service requests from providers or members, providing information on available network services, and managing referrals, prior authorizations, and census roles. Key duties entail extensive work within the function, applying knowledge to a range of moderately complex activities, coordinating work of team members, and solving problems independently.
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**Must have legal authorization to work in the USA. This company is an EEO employer and evaluates all applicants based on their qualifications without considering race, religion, color, gender, nationality, age, sexual preference, gender identity, disability, or veteran status.