8/18 Job Leads: 4 Nonclinical WFH Healthcare Jobs Hiring Now!
Remote jobs in healthcare currently hiring up to $31/hr!
DAILY LEADS
8/18/20255 min read
Customer Service Rep at United Health Group
Optum, a global healthcare organization and part of UnitedHealth Group, is seeking a motivated Customer Service Representative to join its fully remote, national team. If you thrive in a structured environment and are skilled at navigating complex computer systems, this could be the perfect opportunity to grow your career. As a Customer Service Representative, you are on the front lines, helping members navigate their health plans and care options. Your primary goal is to resolve issues on the first call whenever possible, using a blend of active listening, root cause analysis, and expert problem-solving. Your day-to-day will involve:
Expert Member Support: You will handle a variety of inbound calls, asking appropriate questions and actively listening to identify the underlying issues behind member inquiries.
Comprehensive Problem-Solving: A key part of your role will be gathering information and coordinating with internal resources across multiple departments to resolve complex client situations.
Proactive Outreach: You will proactively contact external resources like providers, labs, and pharmacies to address and resolve caller questions efficiently.
System Navigation and Documentation: You will become proficient in utilizing a wide range of knowledge resources and CRM tools, ensuring every interaction and its resolution is properly documented.
Optum is looking for a candidate with a strong foundation in customer service who is comfortable using phones and computers as their primary job tools.
Key Qualifications:
Experience: You must have 1+ years of experience in a related office, administrative, or customer service environment.
Healthcare Knowledge: Previous healthcare experience related to health plans or medical appointments is required.
Schedule: This full-time position requires flexibility to work an 8-hour shift during normal business hours of 8:00 am – 5:00 pm Pacific Time (PST).
Preferred Skills: While not required, being bilingual in Spanish or having experience with the EPIC system are strong pluses.
The listed pay for this role is $16.00-$27.69 per hour.
Customer Service Chat Rep at United Health Group
UnitedHealthcare, a leader in simplifying the health care experience, is seeking a dedicated Provider Advocate to join its fully remote team. This is your chance to join a mission-driven company where the work you do positively impacts the lives of millions. As a Provider Advocate, you are the primary point of contact for healthcare professionals, including physician offices, clinics, and billing departments. Your mission is to demonstrate ownership and accountability to resolve their issues efficiently, often on the first call. This role requires excellent multitasking and a deep understanding of healthcare processes. Your day-to-day will involve:
Expert Provider Support: You will service healthcare providers through a multi-channel environment, including managing a high volume of calls and dual chats (50-70 interactions daily).
Complex Issue Resolution: You will be responsible for researching and dissecting complex issues related to benefits, eligibility, billing, payments, and clinical authorizations, taking the appropriate steps to avoid repeat calls and escalations.
System Navigation Mastery: A key part of your role will be effectively and efficiently navigating more than 30 different systems to extract the necessary information to resolve provider inquiries.
Promoting Digital Tools: You will influence and encourage providers to utilize self-service digital tools, assisting with navigation and explaining the benefits to drive faster resolutions.
UnitedHealthcare is looking for a candidate with high emotional intelligence, strong time management skills, and the ability to manage multiple conversations and tasks simultaneously.
Key Qualifications:
Experience: You must have 1+ years of customer service experience that includes analyzing and solving customer concerns.
Schedule: This full-time position requires flexibility to work an 8-hour shift during normal business hours of 10:35 am – 7:05 pm Central Time (CT).
Location: You must reside within the Eastern, Central, or Mountain Time Zone.
Training: This role includes 11 weeks of paid, virtual training with a mandatory 100% attendance requirement.
The listed pay for this job is $17.74-$31.63 per hour.
Medical Claims Billing Specialist at Privia Health
Privia Health, a national, technology-driven physician enablement company, is seeking a skilled Medical Claims Billing Specialist.This is a fantastic remote opportunity to be part of a mission-driven organization that is transforming healthcare by helping physicians thrive. If you are an analytical problem-solver with deep knowledge of the medical claims process and advanced Excel skills, this could be the perfect next step in your career. As a billing specialist, you are responsible for ensuring the accurate and timely processing of all assigned claims. Your day-to-day will involve:
Comprehensive AR Management: You will be responsible for the full lifecycle of accounts receivable, including analyzing aged AR to identify root cause issues and suggesting billing rule edits to prevent future errors.
Expert Denial and Appeals Management: A core function of your role will be to investigate the source of insurance claim denials, making independent decisions to resolve, adjust, and appeal them, which may include contacting payer representatives directly.
Cross-Functional Collaboration: You will work closely with internal teams (Performance, Operations, Sales) and our Revenue Optimization team to ensure reimbursement aligns with payer contracts, utilizing platforms like Trizetto.
Practice and Physician Support: You will work directly with practice consultants and physicians to ensure optimal revenue cycle functionality and may even support large care center go-lives, which could include occasional travel.
Privia Health is looking for a candidate who can not only manage daily claims but also understand the key drivers of revenue cycle performance and resolve complex issues.
Key Qualifications:
Experience: You must have 3+ years of experience in a medical billing office or an equivalent claims processing environment. Prior experience working with Arizona-based payers is highly desirable.
Technical Skills: Advanced Microsoft Excel skills (including pivot tables, VLOOKUPs, and formulas) are preferred. Experience with athenaHealth and/or athenaOne is also a significant plus.
Compliance Knowledge: You must be able to comply with all HIPAA rules and regulations.
Mindset: The ideal candidate can make independent decisions regarding claim resolution and thrives on investigating and solving complex problems.
The listed pay for this role is $24.50-$26.45 per hour.
Insurance Resolution Specialist at Privia Health
Privia Health, a national, technology-driven physician enablement company, is seeking a skilled Insurance Credit Resolution Specialist to join its expert Revenue Cycle Management (RCM) team. As an Insurance Credit Resolution Specialist, you will be responsible for the complete, accurate, and timely processing of all assigned insurance-related credits. This role requires a meticulous approach to analyzing patient accounts and ensuring all transactions are handled in accordance with regulatory and organizational policies. Your day-to-day will involve:
Credit and Overpayment Analysis: You will be responsible for identifying and reviewing patient accounts with insurance overpayments, analyzing Explanation of Benefits (EOBs) to verify credits and resolve any discrepancies.
Refund Processing: A core function of your role will be to process and prepare insurance refund checks, submitting requests according to established policies and ensuring all transactions are accurately documented.
Account Reconciliation: You will reconcile patient account balances by applying, transferring, or refunding credits where necessary to maintain accurate financial records.
Stakeholder Communication: You will respond to daily correspondence from physician practices and inquiries from insurance companies and patients regarding refunds, using platforms like Salesforce to manage your work.
Compliance and Reporting: You will ensure all refund and credit transactions are conducted in full compliance with HIPAA and payer-specific guidelines, maintaining detailed records for auditing and reporting purposes.
Privia Health is looking for a candidate with extensive experience in the physician revenue cycle and a strong understanding of how to manage all aspects of claims, payments, and collections.
Key Qualifications:
Experience: You must have 5+ years of experience in physician revenue cycle or claims management. Prior experience working with Arizona-based payers is highly desirable.
Skills: A strong background in posting charges, claim follow-up, collections, payment posting, and benefits eligibility is required.
Technical Acumen: Experience with athenaHealth and/or athenaOne is a significant plus.
The listed pay range for this role is $24.50-$26.45 per hour.
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