6/30/25 BONUS JOB LEADS!

Eligibility Representative at Cigna

As an Eligibility Representative, you'll be on the front lines, acting as a crucial link between patients, their prescriptions, and their insurance providers. Your meticulous attention to detail and compassionate approach will make a tangible difference in patient lives, providing relief from the burden of coordinating medication needs.

Here's how you'll be making an impact:

• Benefit Verification Expert: You'll master the art of medical and pharmacy benefit verification, contacting insurance companies or utilizing provider portals to confirm drug coverage and benefits. This is key to timely patient onboarding.

• Problem Solver & Advocate: You'll proactively research and resolve drug coverage issues, ensuring services are reimbursable. This includes verifying deductible amounts, co-payments, effective dates, and authorization requirements. You'll also conduct insurance reviews on the day of shipment to reduce the risk of bad debt, a critical step in specialty pharmacy operations.

• Cross-Functional Collaboration: You'll work seamlessly with internal departments, using professional communication to resolve issues and provide essential information. Your independent judgment will be crucial in handling patient complaints, escalating when necessary, and contributing to innovative solutions.

This role offers a comprehensive training schedule (Monday-Friday, 8:00 am-5:00 pm CST for 12 weeks), followed by a work schedule of Monday-Friday, 10:00 am-7:00 pm CST. It's a fantastic opportunity for those seeking a remote work position (requiring reliable cable broadband or fiber optic internet with at least 10Mbps download/5Mbps upload).

You'll be a great fit if you bring:

• Experience: 2-3 years of relevant working experience, with a strong preference for healthcare or professional office experience that includes medical insurance knowledge and terminology. Patient access experience and pharmacy/specialty pharmacy experience are significant advantages.

• Educational Background: A high school diploma or GED is required, with a bachelor's degree preferred.

• Technical Proficiency: Proficiency in Microsoft Office Products (Word, Outlook, Excel) is essential.

• Communication Prowess: Excellent written and oral phone presentation skills are a must.

• Adaptability & Autonomy: The ability to thrive in a dynamic work environment and make decisions with minimal supervision.

• Problem-Solving Skills: A knack for problem-solving and a collaborative spirit to work effectively with other departments.

The anticipated hourly rate for this rewarding position is $17.75 - $25 USD / hourly.

Personal Vacation Planner at Carnival (FL, GA, NC & TX only)

Carnival Cruise Line is looking for enthusiastic individuals like you to join our team as a Virtual Personal Vacation Planner (PVP) Agent! If you live in Florida, Georgia, Texas, or North Carolina and are ready to embark on a rewarding sales journey from the comfort of your home, this opportunity is for you. As a Personal Vacation Planner (PVP) Agent with Carnival, you won't just be selling cruises; you'll be creating unforgettable experiences for our guests. This dynamic remote sales role involves engaging with customers through a variety of channels, including outbound calls, text messages, emails, and social media. Here's a glimpse of what you'll be doing:

• Driving Sales: Initiating conversations to drive sales, acting on leads and prospects to recommend the ideal cruise packages.

• Relationship Building: Establishing and nurturing strong customer relationships to encourage repeat business and referrals, always aiming to exceed sales goals.

• CRM Mastery: Maintaining our Customer Relationship Management (CRM) database to track interactions and facilitate follow-up.

• Product Expertise: Participating in mandatory training to stay fully updated on all Carnival products, features, benefits, and pricing.

• Customer Service Excellence: Delivering exceptional customer service with every interaction, ensuring needs are met and expectations are surpassed.

This is an incentive-driven position where your hard work directly translates into your earning potential. The average annual earnings for this role are $65,000 - $70,000, with high-performing agents earning $100,000+!

Carnival will equip you with all the knowledge you need through a comprehensive four-week virtual training class, running Monday through Friday, 9:00 AM - 6:00 PM (EST). Once you've graduated, your regular schedule will be Monday through Thursday, 10:00 AM - 7:00 PM (EST), and Fridays, 9:00 AM - 6:00 PM (EST). Occasionally, PVPs may be required to work the last Saturday of a month when business needs dictate.

The starting hourly pay rate is $15/hour for your first five pay periods. From pay periods 6 through 10, the rate will be $11/hour for GA, NC, and TX, and $13/hour for FL, plus participation in our robust sales incentive program. Starting with your 11th pay period, your annual base salary will be $16,500, with continued participation in the incentive program, which includes a 6-month guarantee.

You'll be a great fit if you bring:

• Sales Experience: At least 1 year of inside or outside field sales experience with proven sales success, including developing new business and accounts.

• Customer Service Background: A strong background in customer service with excellent interpersonal skills.

• Communication Skills: Superior verbal and written communication skills, essential for engaging with customers across various channels.

• Goal Orientation: Comfort working in an environment with monthly sales targets and goals, driven by achievement.

• Organizational Skills: Effective time management, organizational, and multi-tasking abilities.

• Tech Proficiency: Proficiency in Microsoft Office Suite and the ability to work independently with CRM systems.

• Problem-Solving: Good problem-solving skills and a strong ability to maintain a working knowledge of cruise products.

• Reliability: Consistent and reliable attendance and punctuality.

• Language: Fluency in English (reading, writing, and articulation).

Quality Control

Maximus is seeking a Quality Control / Quality Assurance Admin III to join our dedicated team supporting the Department of Education's Debt Management Collection Services (DMCS) program. Maximus plays a vital role in supporting critical government programs, and our DMCS program is no exception. As a Quality Control / Quality Assurance Admin III, you'll be at the forefront of ensuring service excellence. Your work will involve providing essential quality control reviews for functions supporting the DMCS program. This role requires sound judgment and a proactive approach to identifying areas for improvement.

Here's how you'll make a difference:

• Service Quality Assessment: You'll monitor incoming calls and other work types, meticulously assessing the quality of customer service, the accuracy of information provided, and adherence to established policies and procedures.

• Call Monitoring & Feedback: Conduct comprehensive call monitoring sessions, evaluating recorded and/or transcribed interactions, and providing constructive feedback to workers.

• Data Management & Reporting: Maintain and update databases, scorecards, reports, and documents with a high degree of accuracy.

• Issue Escalation: Identify accounts requiring escalation and act immediately when warranted, ensuring timely resolution of critical issues.

• Process Improvement: Contribute to the development and refinement of support processes and materials, using feedback to identify trends and areas for additional training. You'll also assist with new hire presentations and certifications.

• Regulatory Compliance: Maintain up-to-date knowledge of federal regulations, policies, and procedures pertaining to student financial aid, ensuring continuous compliance.

This role requires the ability to work on moderately difficult assignments, exercising independent judgment to resolve issues. You'll work both as a team member and independently, thriving in a fast-paced, deadline-oriented environment.

The hourly wage for this position is determined by the Department of Labor's prevailing wage rate for your location, with an anticipated range of $23.33 to $29.85 USD per hour.

You'll be a great fit if you have:

• Experience: A minimum of 2-4 years of experience in a relevant field. Quality Assurance experience is required, and Department of Education and student loan experience is highly preferred.

• Education: A High School Diploma or GED is required, with an Associate degree preferred.

• Residency & Citizenship: Must reside in the U.S. and be a U.S. citizen.

• Background & Clearance: Ability to pass a criminal background check and obtain/maintain a favorable clearance from the Department of Education. You must also not be delinquent or in default on any federal student loans. Obtaining and maintaining a PIV-I card is a requirement, which may involve travel for in-person pickup (expenses covered by Maximus).

• Skills:

  • Accurate data entry skills.

  • Proficiency in Microsoft Office products.

  • Excellent organizational, written, and verbal communication skills, including the ability to write using proper grammar, punctuation, and sentence structure (a written test may be required).

  • Ability to work comfortably in a fast-paced environment and adapt to program updates.

  • Strong ability to work collaboratively and independently.

Customer Support Specialist at Abridge

Abridge, a pioneer in generative AI for healthcare, is rapidly expanding their team, and they're looking for highly motivated Customer Support Specialists to help scale their customer experience efforts. Founded in 2018, Abridge is on a mission to bring deeper understanding to healthcare.) At Abridge, trust is our currency, and our Support Team is absolutely essential to our success. As a Customer Support Specialist, you'll be at the forefront of this mission, setting the benchmark for incredible customer experience for both our enterprise and individual customers. You'll be responsible for providing accurate and caring responses to users while helping us build out our support department to meet the demands of our rapidly growing business.

Here’s what you'll be doing to make a difference:

• Delighting Users: Providing timely support in troubleshooting problems and answering questions, ensuring our Abridge users (and co-workers!) are consistently delighted.

• Advocating for Users: Acting as a crucial link by providing user feedback to our product and operational teams, identifying pain points, and advocating for an optimal user experience.

• CRM Navigation: Skillfully navigating our CRM tool to communicate with users, track contacts, and log resolutions for robust data analysis.

• Complex Problem Solving: Digging deep with curiosity to solve intricate technical issues for our users.

You'll be a great fit if you have:

• Experience: A 2+ year track record as a Tier 1 or Lead in a Customer Service Support role, ideally within a technology support-focused team.

• Customer-Centricity: A genuine love for interacting with customers and a willingness to work hard to ensure their satisfaction.

• Communication Skills: Great spoken and written communication skills, with the ability to explain technical troubleshooting in an easy-to-understand manner.

• Organizational Prowess: The ability to manage multiple priorities simultaneously while maintaining meticulous attention to detail and quality.

• Speed & Drive: The capability to work with speed and a strong results-driven mindset.

• Adaptability: The ability to thrive in a fast-paced environment and "roll with the punches."

• Tech Comfort: Excellent computer skills and a strong comfort level with technology.

Ideally, you also have:

• Familiarity with systems requiring strict adherence to privacy and security protocols (healthcare experience is a plus!).

• Experience working in CRM/Ticketing systems with rigorous tracking.

This is a remote, full-time, hourly role with a set schedule of Monday through Friday, 9:30 AM – 6:30 PM EST. The hourly rate for this position is competitive and varies by geographic location: $48/hour (Geo 1), $43/hour (Geo 2), and $41/hour (Geo 3).