Manage forensic review, investigative, and provider audit activities related to Medicaid medical, dental, behavioral health, pharmacy claims, as well as provider, member, financial, audit, TPL, and operational data.
Lead identification, documentation, and escalation of potential fraud, waste, abuse, or non-compliance risks, and review Medicaid claims for accuracy and compliance with policies.
Develop corrective action recommendations and follow-up plans to address identified fraud, waste, abuse, improper payment, compliance, claims, or operational issues.
BerryDunn is a client-centered, professional services firm that helps businesses, nonprofits, and government agencies solve challenges. The firm is led by CEO Sarah Belliveau, known for its inclusive workplace culture and focus on learning and well-being.
Conduct 40–60 outbound calls daily to U.S. healthcare facilities to identify decision-makers and introduce care services.
Pre-qualify potential referrals regarding discharge timing, care needs, and insurance status, then schedule appointments for the field-based liaison team.
Maintain accurate CRM records of all outreach interactions, referrals, and appointments while working toward daily and weekly performance targets.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through objective, skills-based evaluation. The company focuses on ensuring fair and efficient recruitment processes for remote and flexible roles.
Serve as a trusted technical resource for customers and sales teams, assisting with parts selection and troubleshooting.
Diagnose and resolve installation and service challenges using strong vehicle maintenance knowledge.
Work with Sales and Engineering to communicate feedback and advocate for customers through the RMA process.
This role is with a partner company that provides automotive parts and technical support services. The company fosters a collaborative culture focused on continuous improvement and customer success.
Handle inbound calls from prospective clients and screen lead quality.
Schedule consultations and process payments accurately.
Follow established procedures to ensure a smooth and professional intake experience.
The company provides professional services and manages client intake processes. It maintains a structured, client-focused culture with remote work options.
Manage order release, billing setup, and documentation follow-up to support accurate and timely revenue realization.
Review pending orders, resolve issues with cross-functional teams, and prioritize worklists to minimize billing delays.
Provide responsive customer service and identify process improvements to enhance operational quality and efficiency.
The company provides healthcare operational support, focusing on order management and billing to ensure timely revenue realization. It fosters a remote-first culture with an emphasis on collaboration, diversity, and employee wellbeing.
Own end-to-end onboarding for new dental practices from scanner delivery through first successful cases and handoff to steady-state usage.
Deliver engaging virtual training sessions on intraoral scanning workflows, case submission, and scanner care for clinical teams.
Monitor early practice performance against activation milestones, identify adoption gaps, and escalate risks proactively to Customer Success.
Incisive is building a better model for restorative dentistry by curating lab partnerships, providing no-cost digital equipment, and tracking cases and invoices in one place. More than 650 doctors nationwide trust them, they retain over 95% year over year, and they are growing fast with a small, high-standards team.
Serve as a bilingual client services representative from a remote location.
Utilize excellent communication skills to assist clients and identify opportunities.
Pursue fast-track leadership opportunities with uncapped earning potential.
Global Elite Empire Consultants is a third-party recruiter that helps clients find talent, not an insurance agency. The company rapidly grows and seeks goal-oriented individuals with leadership potential.
Verify and collect patient demographic and insurance information through direct data entry into the electronic medical record.
Conduct face-to-face or telephonic interviews with patients to secure information for requested services.
Demonstrate customer-centric focus and achieve performance standards defined by Integrated Patient Scheduling Management.
NAH is a healthcare network serving Northern Arizona, providing a range of medical services. It is a large organization with thousands of employees, focused on patient-centered care and innovation.
Drive deep adoption and business value for contact center customers by translating complex workflows into practical solutions.
Serve as a subject matter expert on CCaaS platforms, advising on routing, omnichannel, and AI-assisted capabilities.
Develop scalable enablement resources and one-to-many programs to accelerate product adoption and customer success.
The company provides a leading cloud-based contact center platform with AI-assisted capabilities and omnichannel solutions. It fosters a collaborative, growth-focused environment where employees are empowered to deliver meaningful customer impact.
Provide real-time support to retail field teams and resolve customer escalations across email, text, and social channels.
Act as liaison between Studio teams and customers for day-to-day operations including appointment scheduling and service recovery.
Assist with customer experience reporting, identify trends, and surface actionable insights to improve the customer journey.
Studs is a category-defining ear piercing and earring brand that offers an end-to-end Earscaping® experience with a focus on safety and expertise. We are a New York City-based company with a cool, fun, and welcoming culture.