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Support Receptionist

Handles incoming calls, messages, and administrative tasks to support company operations and greet clients professionally.

Junior Remote Posted about 7 hours ago RemoteOK Dev
What this role involves
Posted 12:00:00 AM. Job Title: Remote ReceptionistAbout The RoleInvicta Software is seeking a professional and…See this and similar jobs on LinkedIn.
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Support Member Experience Coordinator - West Coast at SUMMUS

Provides personalized support to healthcare members, manages member requests, coordinates expert consultations, and ensures seamless patient experiences.

Junior Remote Posted about 22 hours ago RemoteFirstJobs Product
What this role involves

Join Summus, where we’re not just innovating, we’re revolutionizing the health journey!

We’re on the lookout for outstanding, authentic, and accountable humans to join our dynamic team at Summus in the role of Member Experience Coordinator - West Coast within our Member Experience department.

At Summus, our teammates are part of a high-performing, mission-driven team grounded in our core values of authenticity, excellence, accountability, and of service. We power doctor-led specialty expertise and clinical navigation programs that help people make better health decisions at critical moments and deliver meaningful impact for members, employers, and health plans.

At Summus, you’ll work alongside thoughtful, driven humans who hold a high bar for themselves and each other. We care deeply about outcomes, act with integrity, and show up every day in service of those we support. If you’re excited to do meaningful work, grow with a strong team, and help transform how healthcare is experienced, you’ll feel right at home here.

Ready to revolutionize clinical navigation and drive transformative change in healthcare?

Apply today and become part of our passionate team dedicated to connecting patients, caregivers, families, and physicians with top-tier medical expertise - anytime, anywhere. Join Summus, where we’re not just innovating - we’re revolutionizing the health journey!

Job Summary

Our Member Experience team is seeking a West Coast–based Coordinator with a background in healthcare and client service who is passionate about helping families navigate complex healthcare needs.

In this role, you will provide high-touch, personalized support to members facing medical concerns for themselves or a loved one. Working closely with the Member Experience team, you will help guide members through their healthcare journey and ensure a seamless, compassionate experience at every touchpoint.

This is a fully remote position, working Pacific Time Zone business hours for candidates located on the West Coast of the United States.

Responsibilities

  • Can-do attitude! Go above and beyond to provide our members with the guidance and answers they need

  • Building strong relationships with our members and ensuring their satisfaction with our services

  • Maintain accountability and responsibility for execution of time-sensitive member requests, including virtual Expert Consultations with top medical experts, vetted physician referrals, and identifying centers of excellence

  • Identifying opportunities to improve the member experience and collaborating with our team to implement changes

  • Maintaining accurate records of member and physician interactions

  • Assisting with new member onboarding

  • Demonstrate empathy, kindness, and understanding in all interactions with members

  • Recruit new medical experts to join our physician membership through targeted and timely outreach by phone, email, and other methods

  • Respond to member requests via email, phone, and text

  • Resolving time-sensitive support issues and concerns in a timely and efficient manner

  • Collaborate with your Manager and Clinical Lead  to deliver on project needs to maximize commercial outcomes with employer and individual clients

  • 1+ years in a clinical setting or member experience role plus a BSN, PA, or advanced degree in a relevant healthcare discipline or 3 years of professional experience in patient- or client-facing roles plus a Bachelor’s degree in related field (e.g., Biology, Chemistry, Psychology, Healthcare Public Policy, English, History, or Communications).

  • Passion for creating exceptional member experiences in healthcare

  • Aptitude for learning new products

  • Ability to break down complex topics and explain them simply

  • High emotional quotient and comfort dealing with sensitive topics

  • Strong interest in the intersection of client service, service operations, healthcare, and technology

  • Ability to work independently and as part of a team

  • Strong organizational and time-management skills

  • Appreciation for the role data and metrics play in growing a business successfully

  • Impeccable attention to detail and strong problem-solving skills

  • Ability and initiative to handle increasing responsibility over time

  • Receptive to close coaching and feedback

  • Experience with CRM software

  • Must be located on the West Coast

If you don’t check every box but see yourself contributing to our team of talented individuals, we want you to apply. We seek to engage with smart, authentic individuals who want to make a meaningful difference in healthcare.

  • Medical, dental, and vision insurance for you and your dependents
  • 401(k) with company match (Traditional & Roth)
  • Company-paid life, AD&D, and disability coverage
  • Optional supplemental life insurance
  • FSA and HSA options
  • Paid parental leave for all caregivers
  • Complimentary access to the Summus platform for you and your loved ones
  • Unlimited PTO + paid holidays, sick time, bereavement, and a Volunteer Day Off
  • Flexible, team-first culture with remote or hybrid work depending on role

At this time, we are unable to provide sponsorship or visa assistance for candidates. Only applicants who are authorized to work in the United States without requiring sponsorship are eligible to apply.

Salary range is $65,000 - $80,000 annually plus bonus target depending on experience.

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Support Remote Talent Cloud: Remote Customer Support - $20/hr - United States

Handles customer inquiries via phone, email, and chat, troubleshoots issues, and maintains interaction records.

Junior Remote Posted 1 day ago We Work Remotely — Programming
What this role involves

Headquarters: Cheyenne, WY
URL: https://remotetalentcloud.com/

==========

IMPORTANT! Please use this link to apply:
➡️ https://remotetalentcloud.com/apply/

==========

Description:

As a Customer Support Specialist, you’ll play a key role in ensuring our clients’ customers receive top-notch support. Your main responsibilities will include:

  • Responding to customer inquiries via phone, email, and/or chat
  • Providing fast, friendly, and professional assistance
  • Troubleshooting product and service issues to find optimal solutions
  • Maintaining detailed and accurate records of customer interactions
  • Staying up to date on client products, services, and policies to provide accurate information
  • Collaborating with teammates and sharing feedback to continuously improve the customer experience

Requirements:

We’re looking for highly motivated individuals with a customer-first attitude and the ability to work independently. The ideal candidate will have:

  • This is a fully remote position, but you must be located within the United States
  • Fluent in speaking, writing, and reading the English language
  • A reliable Internet connection and computer
  • A positive, professional attitude and a passion for helping others
  • The ability to work independently in a distraction-free home office
  • Previous customer support experience is a plus, but not required

Why Apply:

  • Fully remote: work from anywhere within the United States
  • Full-time and part-time available
  • Competitive hourly pay from $20/hr

How to Apply:

Please use this link to apply: https://remotetalentcloud.com/apply/

To apply: https://weworkremotely.com/remote-jobs/remote-talent-cloud-remote-customer-support-20-hr-united-states-5

Read the full description
Support Supplier Success Professional (B2B Customer Support) - Bilingual Polish/English at Avetta New Zealand

Provides front-line customer support to B2B suppliers via multiple channels, resolving inquiries, verifying compliance documentation, and ensuring seamless onboarding experiences.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

Please note: this role requires full working rights in England without current or future sponsorship.

SUMMARY

The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

This position requires being fluent in both Polish and English.

If within commutable distance to our office in Maidenhead, this role would require a hybrid schedule (Tues-Thur in office, Mon/Fri work from home).   Those outside of commutable distance, but still residing within England, may be considered on a remote basis.

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Training will be conducted from 4 pm-1 am GMT, Mon-Fri; after training, the hours will be 8 am-5 pm or 9 am-6 pm local time.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Fluency in Polish and English is required.
  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) at Avetta New Zealand

Provides front-line customer support to suppliers via multiple channels, resolving inquiries, verifying compliance documentation, and ensuring smooth onboarding experiences.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

SUMMARY

The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

This role would require a hybrid schedule in our Calgary office (Tues-Thur in office, Mon/Fri work from home).

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Pay rate: $20 CAD/hour

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) at Avetta New Zealand

Provide front-line customer support to suppliers via multiple channels, resolve compliance issues, verify documentation, and manage inquiries in Salesforce.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

SUMMARY

The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

If within commutable distance to one of our offices, this role would require a hybrid schedule (Tues-Thur in office, Mon/Fri work from home).   Those outside of commutable distance may be considered on a remote basis.

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Pay rate: $16/hour

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) - Bilingual Spanish/English at Avetta New Zealand

Provides bilingual customer support to suppliers by resolving inquiries, verifying compliance documentation, and managing onboarding across phone, email, and chat channels.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

SUMMARY

This position requires being fully fluent in both Spanish and English. The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

If within commutable distance to one of our offices, this role would require a hybrid schedule (Tues-Thur in office, Mon/Fri work from home).   Those outside of commutable distance may be considered on a remote basis.

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Pay rate: $16.50/hour

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) - Bilingual Spanish/English at Avetta New Zealand

Provides front-line customer support to suppliers via multiple channels, resolves inquiries, verifies compliance documentation, and manages onboarding experiences.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

SUMMARY

This position requires being fully fluent in both Spanish and English. The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

This role would require a hybrid schedule in our Calgary office (Tues-Thur in office, Mon/Fri work from home).

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Pay rate: $20.50 CAD/hour

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) - Bilingual Italian/English at Avetta New Zealand

Provides multilingual front-line support to suppliers by resolving inquiries, verifying compliance documentation, and managing customer service interactions across phone, email, and chat channels.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

Please note: this role requires full working rights in England without current or future sponsorship.

SUMMARY

The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

This position requires being fluent in both Italian and English. Candidates who have additional language skills in Spanish (in addition to being fluent in Italian and English) are strongly preferred.

If within commutable distance to our office in Maidenhead, this role would require a hybrid schedule (Tues-Thur in office, Mon/Fri work from home).   Those outside of commutable distance, but still residing within England, may be considered on a remote basis.

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Training will be conducted from 4 pm-1 am GMT, Mon-Fri; after training, the hours will be 8 am-5 pm or 9 am-6 pm local time.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Fluency in Italian and English is required. Additional fluency in Spanish is strongly preferred.
  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support IT Service Desk Analyst at CarGurus

Provides Tier 1 technical support to employees, resolves IT issues, and manages employee onboarding/offboarding for internal IT operations.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Who we are

At CarGurus (NASDAQ: CARG), our mission is to give people the power to reach their destination. We started as a small team of developers determined to bring trust and transparency to car shopping. Since then, our history of innovation and go-to-market acceleration has driven industry-leading growth. In fact, we’re the largest and fastest-growing automotive marketplace, and we’ve been profitable for over 15 years.

What we do

The market is evolving, and we are too, moving the entire automotive journey online and guiding our customers through every step. That includes everything from the sale of an old car to the financing, purchase, and delivery of a new one. Today, tens of millions of consumers visit CarGurus.com each month, and ~30,000 dealerships use our products. But they’re not the only ones who love CarGurus—our employees do, too. We have a people-first culture that fosters kindness, collaboration, and innovation, and empowers our Gurus with tools to fuel their career growth. Disrupting a trillion-dollar industry requires fresh and diverse perspectives. Come join us for the ride!

Role overview

CarGurus is hiring an IT Service Desk Analyst  to join our IT Team. We are looking for a versatile, analytical, and enthusiastic Engineer who will work closely with business and IT teams in the U.S. and overseas. The ability to be creative and have the initiative to improve processes will be a major part of your success. Your audience will be wildly multifaceted from C level executives, to engineers, to our sales team. One’s ability to collaborate and work efficiently is central to the IT Team’s focus and success. You will be hybrid out of our office on 1001 Boylston Street in Boston, MA.

What you’ll do

  • Provide Tier 1 technical support to employees both in person and remotely
  • Identify, investigate, and resolve a range of technical issues affecting business systems by exceeding target SLAs (Service Level Agreements)
  • Process onboarding and off boarding of employees, including account configuration, initial laptop setups, and delivering IT Onboarding training sessions
  • Support on site meetings and events
  • Author and maintain internal documentation
  • Escalate issues where appropriate and follow up to ensure resolution
  • Maintain high Customer Satisfaction (Internal) for our colleagues
  • Drive continuous improvements by implementing perfective measures that provide business value and enhance functional performance
  • Demonstrate flexibility to cope with changing demands based on business priority
  • Supervise technology trends and makes recommendations on incorporating innovative technology into the company’s existing platforms
  • Develop strong working relationships with key business members, IT project and development teams and relevant 3rd party vendors
  • Support of system deployments from business and liaising with 3rd party vendors where relevant
  • Ensure that emerging and ongoing business requirements are accommodated by researching and reviewing new systems and applications
  • Provide feedback on existing tools and processes to help improvements
  • Collaborate with  senior team members and vendors to evaluate innovative technology

What you’ll bring

  • 1-2 years of support experience
  • Associates’ Degree in MIS or equivalent experience
  • Industry certifications (CompTIA) or similar  certificate programs focusing on desktop support a plus
  • Experience supporting Macs (OSX) and PCs (Windows and/or Linux) within an enterprise environment
  • Demonstrated experience with leading technologies such as Google Workspace, Slack, and Okta
  • Experienced working in a team-orientated and collaborative environment
  • Applied best practice IT Service Management processes in the delivery and support of IT services e.g., the ITIL (Information Technology Instrument Library) best practice framework.
  • A curious mind, with a desire to help users across all aspects of the business and various skill levels.

In addition to the responsibilities above, this role also requires regular physical activity, including moving around the office to assist with IT or AV event related tasks, lifting and carrying equipment (upwards of 50lbs), moving tables and chairs, and plugging in devices under desks and other confined spaces. The IT Service Desk Analyst must be able to perform these duties safely and efficiently as part of their responsibilities.

The displayed range represents the expected annual base salary / On-Target Earnings (OTE) for this position. On-Target Earnings (OTE) is inclusive of base salary and on-target commission earnings, which applies exclusively to sales roles.

Individual pay within this range is determined by work location and other factors such as job-related skills, experience, and relevant education or training.

This annual base salary forms part of a comprehensive Total Rewards Package. In addition to benefits, this role may qualify for discretionary bonuses/incentives and Restricted Stock Units (RSUs).

Position Pay Range

$52,000—$66,000 USD

Working at CarGurus

We reward our Gurus’ curiosity and passion with best-in-class benefits and compensation, including equity for all employees, both when they start and as they continue to grow with us. Our career development and corporate giving programs, as well as our employee resource groups (ERGs) and communities, help people build connections while making an impact in personally meaningful ways. A flexible hybrid model and robust time off policies encourage work-life balance and individual well-being. Thoughtful perks like daily free lunch, a new car discount, meditation and fitness apps, commuting cost coverage, and more help our people create space for what matters most in their personal and professional lives.

CarGurus may require in-person interviews as part of our hiring process, particularly for positions based in our Boston and Dublin offices. Candidates selected for an in-person interview will be notified in advance. Please be aware that travel expenses are the responsibility of the candidate.

We welcome all

CarGurus strives to be a place to which people can bring the ultimate expression of themselves and their potential—starting with our hiring process. We do not discriminate based on race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. We foster an inclusive environment that values people for their skills, experiences, and unique perspectives. That’s why we hope you’ll apply even if you don’t check every box listed in the job description. We also encourage you to tell your recruiter if you require accommodations to participate in our hiring process due to a disability so we can provide the appropriate support. We want to know what only you can bring to CarGurus. #LI-Hybrid

Read the full description
Support Supplier Success Professional (B2B Customer Support) - Bilingual Polish/English at Avetta New Zealand

Provides front-line customer support to suppliers via multiple channels, resolving inquiries, verifying compliance documentation, and managing onboarding experiences.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

Please note: this role requires full working rights in England without current or future sponsorship.

SUMMARY

The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

This position requires being fluent in both Polish and English.

If within commutable distance to our office in Maidenhead, this role would require a hybrid schedule (Tues-Thur in office, Mon/Fri work from home).   Those outside of commutable distance, but still residing within England, may be considered on a remote basis.

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Training will be conducted from 4 pm-1 am GMT, Mon-Fri; after training, the hours will be 8 am-5 pm or 9 am-6 pm local time.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Fluency in Polish and English is required.
  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) at Avetta New Zealand

Provides front-line customer support to suppliers via multiple channels, resolves compliance inquiries, verifies documentation, and manages onboarding experiences in Salesforce.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

SUMMARY

The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

This role would require a hybrid schedule in our Calgary office (Tues-Thur in office, Mon/Fri work from home).

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Pay rate: $20 CAD/hour

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

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Support Supplier Success Professional (B2B Customer Support) at Avetta New Zealand

Provides front-line customer support to suppliers via multiple channels, resolving inquiries, verifying compliance documentation, and ensuring smooth onboarding experiences.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

SUMMARY

The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

If within commutable distance to one of our offices, this role would require a hybrid schedule (Tues-Thur in office, Mon/Fri work from home).   Those outside of commutable distance may be considered on a remote basis.

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Pay rate: $16/hour

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) - Bilingual Spanish/English at Avetta New Zealand

Provides bilingual customer support to suppliers via multiple channels, resolving inquiries, verifying compliance documentation, and ensuring smooth onboarding experiences.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

SUMMARY

This position requires being fully fluent in both Spanish and English. The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

If within commutable distance to one of our offices, this role would require a hybrid schedule (Tues-Thur in office, Mon/Fri work from home).   Those outside of commutable distance may be considered on a remote basis.

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Pay rate: $16.50/hour

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) - Bilingual Spanish/English at Avetta New Zealand

Provides bilingual customer support to suppliers via multiple channels, resolving inquiries, verifying compliance documentation, and ensuring smooth onboarding experiences.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

SUMMARY

This position requires being fully fluent in both Spanish and English. The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

This role would require a hybrid schedule in our Calgary office (Tues-Thur in office, Mon/Fri work from home).

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Pay rate: $20.50 CAD/hour

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Supplier Success Professional (B2B Customer Support) - Bilingual Italian/English at Avetta New Zealand

Provides front-line support to suppliers via multiple channels, resolving inquiries, verifying compliance documentation, and ensuring seamless onboarding experiences.

Junior Hybrid Posted 3 days ago RemoteFirstJobs Product
What this role involves

Avetta is building the largest global community of hiring clients and suppliers that are Ready to Work. Its unified platform streamlines compliance, prequalification, safety and performance benchmarking in a single, integrated experience. Trusted by 360,000 businesses across more than 120 countries, Avetta blends AI-driven insights and human expertise to close risk gaps and strengthen supplier reliability so projects start on time, risks are managed proactively and operations scale with certainty.

Please note: this role requires full working rights in England without current or future sponsorship.

SUMMARY

The Supplier Success Professional will provide front-line support to suppliers by resolving inquiries, verifying compliance documentation, and ensuring a seamless onboarding and service experience across multiple communication channels.

This position requires being fluent in both Italian and English. Candidates who have additional language skills in Spanish (in addition to being fluent in Italian and English) are strongly preferred.

If within commutable distance to our office in Maidenhead, this role would require a hybrid schedule (Tues-Thur in office, Mon/Fri work from home).   Those outside of commutable distance, but still residing within England, may be considered on a remote basis.

This position will start on August 10, 2026, and requires 100% attendance for 8 weeks of training.

Training will be conducted from 4 pm-1 am GMT, Mon-Fri; after training, the hours will be 8 am-5 pm or 9 am-6 pm local time.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide professional support to Avetta customers via phone, email, chat, and other service channels
  • Resolve complex supplier issues with a focus on customer experience and compliance accuracy
  • Verify and process regulatory documents including insurance, safety manuals, and OSHA/MSHA records
  • Accurately log all interactions in Salesforce (Service Cloud) and follow up as needed
  • Support customer billing and subscription inquiries
  • Collaborate with internal departments to resolve supplier needs and improve service delivery
  • Participate in outbound campaigns and annual update verifications
  • Maintain high standards in interaction quality, verification accuracy, and productivity metrics
  • Regular and predictive attendance

IDEAL QUALIFICATIONS:

  • Fluency in Italian and English is required. Additional fluency in Spanish is strongly preferred.
  • Prior experience in customer service or call center environments preferred
  • Strong written and verbal communication skills
  • Proficiency with PC applications and CRM systems (Salesforce preferred)
  • High attention to detail, adaptability, and self-motivation
  • Demonstrated ability to learn and apply new systems and processes
  • Familiarity with compliance documentation and supplier onboarding is a plus
  • High tolerance for stress and ability to manage multiple priorities
  • Fluency in verbal & written communication for additional language as required by posting and business need

#LI-HYBRID

Read the full description
Support Customer Experience Customer Success Specialist - Splunk

Manages customer relationships and ensures successful product adoption and satisfaction for Splunk clients.

Junior Posted 3 days ago Himalayas
What this role involves
The application window is expected to close on: 06/30/2026Job posting may be removed earlier if the position is filled or if a sufficient number of applications are received.
Read the full description
Support Représentant bilingue au service à la clientèle / Bilingual Customer Service Rep

Provides bilingual customer service support to clients in French and English, handling inquiries and ensuring positive customer experiences.

Junior Posted 3 days ago Himalayas
What this role involves
English description follows Notre mission est d'offrir une expérience de financement immobilier positive, responsabilisante et transparente, simple du début à la fin.
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Support Medical Claims Support I

Processes medical insurance claim adjustments, handles COB updates, manages overpayment recovery, and provides customer service support to members and providers.

Junior Remote Posted 3 days ago RemoteOK Dev
What this role involves
Let’s do great things, together!

About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary

Investigates and processes claim adjustments for all medical lines of business and COB claim adjustments for Medicare/Medicaid plans. Also processes adjustments related to overpayment recovery, underpayment adjustments and other corrections. Performs COB updates (excluding Commercial), file reviews, issues adjustment related letters to members and providers, performs payment offsets and also validates and completes stop payment requests. Assists in customer service inquiries regarding contractual and administrative policies and applies excellent customer service when a phone call is needed to complete an adjustment or other support work. This is a FT WFH role.

Pay Range

$21.30 - $23.96 hourly, DOE.

  • Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27778915&refresh=true

Benefits

  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • FSA
  • Employee Assistance Program
  • PTO and Company Paid Holidays

Required Skills, Experience & Education

  • High School diploma or equivalent.
  • Minimum of 6 months medical claim processing or customer service dealing with all types of plans/claims and consistently exceeding performance levels
  • At least 12 months experience as a Processor I and consistently performing at an exceeding level of performance. Support Processor I designation may also be obtained through equivalent work experience and knowledge level at Moda Health or when recruiting externally.
  • Professional and effective written and verbal communication skills
  • 10-key proficiency of 135 wpm net on a computer numeric keypad.
  • Type a minimum of 35 wpm net on a computer keyboard.
  • Ability to show a pattern of maintaining balanced performance, which consistently exceeds expectations in areas of production and quality.
  • Strong and proficient organizational abilities and the ability to handle a variety of functions
  • Ability to efficiently multitask and work well under pressure and meet timelines.
  • Ability to maintain confidentiality internally and externally and project a professional business image always.
  • Strong analytical, problem solving, decision making and detail-oriented skills with ability to shift priorities as needed.
  • Strong proficiency in claims processing systems; Facets, Word, and Excel.
  • Excellent knowledge and understanding of Moda Health administrative policies affecting claims and customer service.
  • Demonstrates work habits that consistently exceeds Moda Health standards of attendance and punctuality as well as high flexibility.
  • Consistently communicates in a positive and effective manner, both written and verbal, to co-workers and management.
  • Receives and carries out tasks in a cooperative manner and demonstrates a spirit of teamwork.

Primary Functions

  • Performs basic and moderately complex claim adjustments within the system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures as well as member plan benefits.
  • Review, analyze, and resolve claims issues through the utilization of available resources for moderately complex claims.
  • Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, COB, and out of pocket, etc.
  • Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system.
  • Adjudication and adjustment of claims to achieve quality and production standards applicable to this position.
  • Release claims and adjustments by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards.
  • Reviews Policies and Procedures (P&Ps) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements.
  • Monitors and maintains unit inventory through adjustments, refunds, telephone calls and reports.
  • Prepares and sends refund requests and other form letters.
  • Reviews files, analyzes results, and organizes multiple adjustments and/or accumulator updates as needed.
  • Processes voided checks, reissues payment or manual checks, and works stop payments of checks. Issues follow up correspondence letters as needed.
  • Communicates via telephone with claimants, policyholders, providers, and other insurance carriers.
  • Thoroughly documents actions as required by internal procedure and market conduct guidelines.
  • Assists internal departments with programming issues as needed.
  • Responds and follows up using Facets, Content Manager and E-mail.
  • Provides back up to Medical Customer Service, COB and Medical Claims when requested.
  • Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines.
  • Perform other duties as assigned.

Working Conditions & Contact With Others

  • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need.
  • Internally with Claims, Customer Service, Healthcare Services, Membership Accounting, Information Technology, and Professional Relations. Externally with Providers, Members, Vendors, and Insurance companies. May serve on committees and appeals.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.
Read the full description
Support Medical Claims Support I

Investigates and processes medical claim adjustments, handles COB updates, and provides customer service support for claim-related inquiries and administrative policies.

Junior Remote Posted 3 days ago RemoteOK Dev
What this role involves
Let’s do great things, together!

About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary

Investigates and processes claim adjustments for all medical lines of business and COB claim adjustments for Medicare/Medicaid plans. Also processes adjustments related to overpayment recovery, underpayment adjustments and other corrections. Performs COB updates (excluding Commercial), file reviews, issues adjustment related letters to members and providers, performs payment offsets and also validates and completes stop payment requests. Assists in customer service inquiries regarding contractual and administrative policies and applies excellent customer service when a phone call is needed to complete an adjustment or other support work. This is a FT WFH role.

Pay Range

$21.30 - $23.96 hourly, DOE.

  • Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27778915&refresh=true

Benefits

  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • FSA
  • Employee Assistance Program
  • PTO and Company Paid Holidays

Required Skills, Experience & Education

  • High School diploma or equivalent.
  • Minimum of 6 months medical claim processing or customer service dealing with all types of plans/claims and consistently exceeding performance levels
  • At least 12 months experience as a Processor I and consistently performing at an exceeding level of performance. Support Processor I designation may also be obtained through equivalent work experience and knowledge level at Moda Health or when recruiting externally.
  • Professional and effective written and verbal communication skills
  • 10-key proficiency of 135 wpm net on a computer numeric keypad.
  • Type a minimum of 35 wpm net on a computer keyboard.
  • Ability to show a pattern of maintaining balanced performance, which consistently exceeds expectations in areas of production and quality.
  • Strong and proficient organizational abilities and the ability to handle a variety of functions
  • Ability to efficiently multitask and work well under pressure and meet timelines.
  • Ability to maintain confidentiality internally and externally and project a professional business image always.
  • Strong analytical, problem solving, decision making and detail-oriented skills with ability to shift priorities as needed.
  • Strong proficiency in claims processing systems; Facets, Word, and Excel.
  • Excellent knowledge and understanding of Moda Health administrative policies affecting claims and customer service.
  • Demonstrates work habits that consistently exceeds Moda Health standards of attendance and punctuality as well as high flexibility.
  • Consistently communicates in a positive and effective manner, both written and verbal, to co-workers and management.
  • Receives and carries out tasks in a cooperative manner and demonstrates a spirit of teamwork.

Primary Functions

  • Performs basic and moderately complex claim adjustments within the system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures as well as member plan benefits.
  • Review, analyze, and resolve claims issues through the utilization of available resources for moderately complex claims.
  • Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, COB, and out of pocket, etc.
  • Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system.
  • Adjudication and adjustment of claims to achieve quality and production standards applicable to this position.
  • Release claims and adjustments by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards.
  • Reviews Policies and Procedures (P&Ps) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements.
  • Monitors and maintains unit inventory through adjustments, refunds, telephone calls and reports.
  • Prepares and sends refund requests and other form letters.
  • Reviews files, analyzes results, and organizes multiple adjustments and/or accumulator updates as needed.
  • Processes voided checks, reissues payment or manual checks, and works stop payments of checks. Issues follow up correspondence letters as needed.
  • Communicates via telephone with claimants, policyholders, providers, and other insurance carriers.
  • Thoroughly documents actions as required by internal procedure and market conduct guidelines.
  • Assists internal departments with programming issues as needed.
  • Responds and follows up using Facets, Content Manager and E-mail.
  • Provides back up to Medical Customer Service, COB and Medical Claims when requested.
  • Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines.
  • Perform other duties as assigned.

Working Conditions & Contact With Others

  • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need.
  • Internally with Claims, Customer Service, Healthcare Services, Membership Accounting, Information Technology, and Professional Relations. Externally with Providers, Members, Vendors, and Insurance companies. May serve on committees and appeals.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.
Read the full description