Call Center Jobs - Remote Work From Home & Flexible
Welcome to remote, part-time, freelance, and flexible Call Center jobs! Call Center jobs are perfect for people who enjoy helping others, can use a computer and telephone well and can "think on their feet" to find solutions to meet customer needs. Some call centers handle only incoming calls, while others include... More
Welcome to remote, part-time, freelance, and flexible Call Center jobs! Call Center jobs are perfect for people who enjoy helping others, can use a computer and telephone well and can "think on their feet" to find solutions to meet customer needs. Some call centers handle only incoming calls, while others include calling people, businesses and organizations for marketing, research surveys, appointment setting, collections or business to business (B2B) communications. Call Center jobs are often referred to as Customer Service or Support Representative, Telemarketer, Appointment Setter, Survey Research Interviewer, Home Based Agent, or Remote Agent. Call Center jobs range from entry- level to experienced; some may require a home office, computer and home phone. There are many jobs available for Call Center professionals to work from home, in contract, flexible, part-time and full-time roles.
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FeaturedFocus in either Utilization Management/Care Management/Denials Management and expected to be cross trained to allow critical coverage for all areas as needed, including but not limited to: UM case review, peer-to-peer review for medical necessity...
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FeaturedMaintains a comprehensive knowledge of Department of Health and Human Services (DHS), National Committee on Quality Assurance (NCQA), Office of Minority Health (OMH) and other regulatory standards related to health equity and Cultural and...
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FeaturedThis position will require you use the skills you have built in your behavioral health sales and marketing career. You will need to analyze the market, identify opportunities to grow our brand recognition and referral base, and plan and execute...
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FeaturedThe Clinical Educator plans, develops, and conducts clinical education and training programs for provider and provider staff necessary to meet the organizations clinical integration initiatives. The trainer is responsible for maintaining a current...
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FeaturedRespond to incoming calls, e-mails or chats and make outbound calls regarding Federal Student Aid (FSA) Loan Servicing. Minimum six months customer service or administrative or call center experience required. Assist with Credit Bureau Requests...
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FeaturedBe responsible for the review of provider disputes submitted by providers, the analysis of claims and disputes to determine ownership for resolution, and the review of disputes versus member appeals for timely reassignment to appropriate stakeholders...
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1 week agoPerform all job functions in compliance with HIPAA policies.Adhere to local and externally relevant health and safety laws and policies.Gather and provide necessary information to providers; may include gathering forms, documents, and vital signs...
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1 week agoPerform all job functions in compliance with HIPAA policies.Adhere to local and externally relevant health and safety laws and policies.Gather and provide necessary information to providers; may include gathering forms, documents, and vital signs...
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8 days agoServes as a technology consultant and change agent to the department in the evaluation, design, testing, and implementation of business initiatives that require enhancement or changes to systems and technologies. Maintain a knowledge level of support...
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8 days agoThe Compliance & Integrity Auditor and Analyst is responsible for ongoing auditing and monitoring activities related to our operational processes and internal controls. The Compliance & Integrity Auditor and Analyst performs prospective and...
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8 days agoThe Business Analyst Sr. Medicare applies advanced subject matter knowledge to complex business issues, and is regarded as a subject matter expert. Frequently contributes to the development of new ideas and methods. Works on complex problems/projects...
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FeaturedUtilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score...
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New! YesterdayLead the enterprise project management team, providing guidance, mentorship, and professional development opportunities to project managers. Establish and enforce project management methodologies and best practices across the organization. Develop and...
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New! YesterdayAccounts Receivable Medical Billing Specialist needed for a remote position. Job Responsibilities Include: Full Life Cylce of claim through resolution, AR Follow Up, Denials, Appeals, Rejected Claims, Payment Posting.
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New! YesterdayGreets incoming customers in a professional manner to assess customer needs and ensures needs are met and customer service expectations exceeded. Efficiently updates and verifies patient demographics, insurance, and contact information, and assists...
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FeaturedNew! YesterdayWork directly with the study teams: in the development of clinical research documents including research protocols, informed consent documents, case report forms, study team worksheets and other documents; to guide the preparation of regulatory agency...
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New! YesterdayResponsible for the implementation of any new client\network or vendor relationship using Electronic Data Interchange. Build and maintain relationships with our adjudication system partners and other vendors; serve as liaison to bridge gaps between...
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New! YesterdayReviews and assesses the current state of the existing resources and makes recommendations to enhance those resources and/or generate new resources that will enhance the performance of the department associates. Identifies process improvements and...
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New! YesterdayMaintains ownership of and manages contract process to ensure timely delivery and execution consistent with standard cycle times, including but not limited to, the coordination and finalization of the contractual instrument and budget to align with...
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New! YesterdayWriting, editing, and proofreading content. Follow internal processes to secure needed legal and security documents in support of RFP/RFI and due diligence compliance. Ensure that the right internal intelligence is collected to help make strategic...
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New! YesterdayProvide phone support for incoming calls from external dealers/customers as well as internal customers. Review and apply new business funds to the dealers' accounts for all lines of business. Review Debit/Credit report to ensure business is processed...
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New! YesterdayAs a Virtual Therapist, your primary responsibility will be to provide world-class mental health care to children and adolescents within our partner school districts. You will interact and build relationships with school personnel, family members, and...
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New! YesterdayProvide virtual high-quality, evidence based, and culturally relevant short-term solution focused therapeutic interventions, treatment and consultation for children in grades K-12. Collaborate with care management team to identify and support...
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New! YesterdayProvide virtual high-quality, evidence based, and culturally relevant short-term solution focused therapeutic interventions, treatment and consultation for children in grades K-12. Ensure that all documentation is completed accurately and in a timely...
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New! YesterdayThe role is responsible for collecting payments from various insurance companies. Collections activities include denial research, submission of appeals, and follow up on no-response and partial paid claims. This includes identifying consistent payer...
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New! YesterdayDevelop financial pricing strategies through complex technical analysis. Prepare reports using benchmark data to analyze and forecast pricing simulation impacts. Perform post-implementation revenue and budget variance analyses to monitor strategy...
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New! YesterdayHe or she conducts research to respond to more difficult customer inquiries and answers, documents and monitors call center interactions. We are providing contact center support for a client as they go through a 401K choice option for their employees.
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New! YesterdayFollowing a training period Customer Service Representatives communicate with customers by telephone, email and other omni channels, offering friendly, helpful, effective solutions that ensure they are left feeling completely satisfied with the outcome...
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New! YesterdayHe or she provides basic support to clients by responding to customer inquiries and answering, documenting, and monitoring call center interactions. Handles inbound calls and makes follow-up outbound calls regarding benefit, pension, and 401K plans to...
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New! YesterdayAnswers inbound calls to meet customer needs by efficiently capturing first notice of loss information, responding to questions, redirecting customers to appropriate department/claim professional or promptly escalating urgent claims according to...
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New! YesterdaySupport the Quality Management System including SOPs, training and CAPA. Process and maintain documentation for controlled documents, as required. Develop and administer training for employees and/or consultants. Host client/sponsor audits and support...
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New! YesterdaySupports the market and strategic analysis activities as they relate to near and long-term strategic planning and the analysis of business opportunities within the corporation. Facilitates multi-disciplinary teams that may consist of executives...
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New! YesterdayInvestigate attendance and quality incidents for the thousands of workers across our marketplace; uses exceptional judgment and noticing to make decisions on difficult cases and ability to articulate reasoning in a clear and concise manner. Communicate...
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New! YesterdayThe position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Ensure notes, codes and appropriate closure processes for...
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New! YesterdayThis role will support our Medicare Secondary Payer (MSP) clients. This is aproduction based position where the employee is responsible to make a large number of outbound calls to insurance carriers, employers & members. The individual must be able to...
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New! YesterdayAs a Claims Phone Support Representative at TII, you provide exceptional customer service to ensure our travelers receive the timely, professional attention they deserve. Using your expert phone skills, you confidently provide our insureds with...
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New! YesterdayDiscuss prospective students' background, goals, and objectives to determine fit with academic programs. Forward qualified student inquiries to enrollment counselor depending on the area of interest. Respond to prospective new student inquiries via...
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New! YesterdayProvide virtual high-quality, evidence based, and culturally relevant short-term solution focused therapeutic interventions, treatment and consultation for children in grades K-12. Ensure that all documentation is completed accurately and in a timely...
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New! YesterdayIdentifies product enhancements based on client interactions and works with the Product Management and Software Engineering groups to design solutions for client requirements. Develops and maintains relationships with clients, partners and internal...
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New! YesterdayWorking from the appropriate documentation in the medical record, assigns codes and modifiers with ICD-10-CM, CPT and HCPCS Level II codes when appropriate. All work is performed in accordance with the rules, regulations and coding conventions of ICD...
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New! YesterdayThe Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...
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New! YesterdayAttend cases face to face/remotely with our customer and advise physicians on clinical attributes/techniques associated with our products. Records customer information and activities in company's Customer Relations Management System: use the system as...
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FeaturedNew! YesterdayPerform and coordinate all aspects of the clinical monitoring process. You shall also be qualified to conduct monitoring activities independently. Bachelor's degree in a life sciences related field or a Registered Nursing certification or equivalent...
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New! YesterdayThe Operations Business Analyst II is responsible for reviewing and analyzing the effectiveness and efficiency of existing managed care claims processes and systems (Facets) and participates in the development of solutions to improve or further...
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New! YesterdayThis role will be responsible for 1) coordinating work efforts related to the Corporate Compliance Program across business units and departments, and 2) standardizing and aligning organizational guidance around applicable compliance standards and...
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New! YesterdayUnderstand the Claims Encounter Data requirements in detail to enable one to support efforts to ensure claims data submissions achieve the required SLAs through requested changes internally and externally.
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New! YesterdayResponsible for evaluating operations and identifying process improvement needs. Identify irregular trends with grievances and appeals; work with other areas as appropriate to identify root causes and appropriate steps for resolution.
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New! YesterdayReview, analyze, evaluate and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding denials that are received from the insurer/auditor. Successful appeals result in our upholding the...
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New! YesterdayExamines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.
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New! YesterdayPositions patient and performs imaging procedure(s). Analyzes results and identifies issues with the quality of imaging results. Takes appropriate action to resolve image quality issues, including re-positioning patient and repeating procedure.