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Role Description The Member Admissions and Pathways Administrative Assistant provides high-quality administrative, operational, and data support across admissions, pathways, and education-related processes. The role is critical in ensuring accurate assessment workflows, timely processing of applications, and high-quality communications with students, mentors, and internal stakeholders. This position supports complex, high-volume operational workstreams, including application triage, record management across multiple systems, and structured communications using approved templates, while contributing to data integrity and continuous improvement initiatives. Key Responsibilities - Application and Queue Management - Triage and manage the MPE queue, ensuring queries are responded to, progressed, or escalated in line with agreed service standards. - Process Recognition of Prior Experience (RPE) applications, ensuring completeness, accuracy, and correct system recording. - Support ATE application processing in accordance with approved procedures and assessment requirements. - Mentor and Supervisor Approvals - Process and record external mentor approvals, ensuring eligibility criteria and documentation requirements are met. - Review and process non-CA mentor approvals, escalating complex or non-standard cases as required. - Systems and Data Administration - Create, edit, and maintain accurate Salesforce records, including applications, contacts, activities, and outcomes. - Complete manual enrolment processing in SITS Tribal, ensuring correct course, subject, and pathway alignment, as well as pre-requisite completion. - Update student records to apply approved exemptions. - Undertake ad hoc data clean-up projects to improve data quality, consistency, and reporting accuracy. - Support large-scale assessment-related data projects, including extraction, validation, and reconciliation of data sets. - Communications and Stakeholder Support - Use approved email templates within Salesforce to send enrolment confirmations and standard communications. - Issue official correspondence using approved letter templates, including congratulatory letters to students. - Track newly admitted students and issue welcome communications using standardised templates. - Respond to routine enquiries with accurate, timely information, escalating complex matters where appropriate. - Quality, Compliance, and Continuous Improvement - Ensure all processing complies with documented policies, procedures, and service level expectations. - Maintain high standards of accuracy, confidentiality, and record integrity across all systems. - Contribute to process improvement initiatives by identifying inefficiencies, data issues, or opportunities for automation. - Support ad hoc operational or improvement projects as required by the team. Qualifications - Demonstrated experience in an administrative, operations, or student services role. - Strong attention to detail and ability to manage high-volume, process-driven work. - Confidence working across multiple systems and data sources. - Clear, professional written communication skills. - Ability to follow defined procedures while exercising sound judgement on when to escalate. - Strong organisational skills and ability to prioritise competing tasks. - High level of discretion and respect for confidentiality. Requirements - Experience using Salesforce or similar CRM systems. - Experience with student management systems such as SITS Tribal. - Exposure to admissions, pathways, professional education, or accreditation environments. - Experience supporting data quality, reporting, or large-scale data review activities. Working Style - Operates effectively in a structured, process-driven environment. - Comfortable with repetitive, detail-oriented tasks alongside ad hoc project work. - Collaborative team member who communicates clearly and reliably. - Proactive in identifying data or process issues and suggesting improvements. Disclaimer Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

Role Description Customer Service Representatives deliver exceptional support to both new and existing members and providers by assisting with: - Billing and claims inquiries - Enrollment and eligibility verification - Benefits inquiries - Provider changes and provider searches - ID card requests - Authorization status checks - CPT code lookups - Pharmacy inquiries - Transportation coordination - Dental and vision benefits - General information requests - Managing grievances and appeals Work environment: - Call Center environment - Work From Home - Handling a high volume of inbound calls for Healthcare Member and Provider inquiries - Maintain awareness of the way performance and actions affect members - Web camera visibility - Schedule Flexibility Qualifications - 1 year Customer service experience - 6 months Healthcare experience - 1 year Call Center experience - Data entry experience - Must have a private workstation to perform your work - Must have Internet to include a router with Ethernet jack for connectivity to PC (100mps download/20mps upload) Requirements - Ability to navigate multiple computer screens - Ability to answer Healthcare Member and Provider inquiries and type information into the computer system simultaneously - Must be reliable and punctual - Work effectively in a team environment - Work independently without constant supervision - Positive professional attitude - Detail-oriented - Computer literate - Strong reading comprehension and writing skills - Problem-solving skills Benefits - Pay Rate: $15 per hour - 8-hour shift assigned between the hours of 7am - 7pm PST, Monday-Friday (subject to change per the business need)

Role Description Responsible for maintaining accurate and up-to-date member coverage information in a health insurance setting. - Ensuring data integrity and accuracy of member records from an enrollment perspective. - Reviewing and reconciling member records: - Reviewing eligibility dates, plans, primary care provider (PCP) information, and other relevant details. - Comparing and reconciling enrollment information: - Comparing enrollment information to relevant files, such as 834 files, and making necessary adjustments to ensure correct data is present. - Enrolling new or reinstated members: - Processing requests to enroll new members or reinstate existing ones. - Reviewing and reconciling Third Party Liability (TPL) records: - Examining and reconciling records related to third-party liability. - Following procedures and standards: - Adhering to team procedures, including HIPAA policies and procedures, and meeting established performance standards for quality, turnaround time, and productivity. - Maintaining internal customer relations: - Interacting with staff to address enrollment issues, conducting research, and ensuring accurate and complete enrollment record information. - Contacting members or other involved parties: - Reaching out to insured individuals or other parties to obtain additional or missing information. - Maintaining detailed records: - Keeping accurate records of all member interactions. Qualifications - Education: High School Diploma or GED. - Experience: Prior experience in enrollment processing, particularly with Medicaid, Medicare, or Commercial enrollment. Experience with specific systems, such as Facets is preferred. - Technical Competencies: - Ability to work remotely and independently. - Strong attention to detail. - Strong interpersonal, time management, and organizational skills. - Good oral/written communication and analytical skills. - Ability to work in a fast-paced environment and navigate multiple systems, often using dual monitors. Requirements - Full Time - Schedule: Monday through Friday 8:00am-4:30pm CST - FLSA Status: Non-Exempt/Hourly - Pay Range: $14.00 an hour - Reporting to: Team Lead - Operations Company Description Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specializes in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. - Trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India, and Mexico. - Our ‘rightshore’ delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. - Our clientele includes Fortune 500 and FTSE 100 companies. - Firstsource is an Equal Employment Opportunity employer.

Role Description The Digital Mailroom Specialist plays an integral part of the team, responsible for efficiently managing high volumes of mail and documents in a fast-paced environment. This position is critical to meeting productivity metrics and ensuring the timely and accurate processing of mail. - Identify and coordinate mail according to guidelines. - Maintain high level of quality production, meeting hourly KPI’s. - Perform electronic indexing. - Scan processed documents. - Create and validate envelope tracking and barcodes. - Provide outbound customer service. - Perform other duties as assigned. Expected/Key Results: - Complete tasks in accordance with metric guidelines. Qualifications - High school diploma or equivalent required. - 1-2 years data entry and/or processing experience preferred. - Ability to type 35-40wpm, with 95% accuracy. - Basic computer literacy or ability to quickly learn. - Ability to work in a high-volume, fast-paced work environment. - Excellent verbal and written communication skills. - Excellent attention to detail. - Ability to maintain high levels of confidentiality. - Ability to work independently with limited supervision. - Ability to effectively prioritize and multi-task. Requirements - Ability to work the hours necessary to satisfy the daily volume requirement, with the possibility of overtime, evenings and weekends. - Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements. - Must be able to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test. Work Environment This position may work remotely from home or onsite, exposed to moderate noise typical of a mailroom environment. Physical Demands Must be able to regularly or frequently talk and hear, sit or stand for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally walk, climb stairs and lift up to 40 pounds.

Role Description This position is responsible for assigned clerical tasks. These will include but are not limited to data entry, filing, copying, scanning, mail, etc. Other duties will be assigned by management. - Data Entry, Scanning, Copying, and Mail etc. - Ensure that the information entered in loaded into the system with minimal errors. - Meet daily productivity goals and objectives assigned by management on a daily basis. - Assist with other projects as assigned by management. - Uphold a strong commitment to business ethics, including confidentiality and data privacy. - Maintain consistent performance to achieve predefined performance metrics. - Strictly adhere to compliance regulations and security policies. - Ensure compliance with all federal, state and local laws. Qualifications - High school diploma or equivalent required. - Ability to effectively work and communicate with coworkers. - Possess great attention to detail. - Proficiency in Microsoft Office products and working knowledge of personal computers. - Excellent organizational skills. - Ability to demonstrate a reliable and consistent work history. - Excellent verbal and written communication skills. - Positive and professional demeanor, upholding high work standards and dependability. - Self-disciplined and capable of maintaining focus with minimal or no management supervision. - Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements. - Ability to pass a pre-employment background investigation based on client requirements, including but not limited to, criminal history, motor vehicle report, work authorization verification, credit report and drug test if applicable. Requirements - This position may work remotely from home or onsite, exposed to outdoor weather conditions during travel, if applicable. - Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. - Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 50 pounds. Company Description We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

Role Description The Patient Financial Recovery Specialist will provide customer service to hospital patients who have questions on their accounts and assist them in settling their patient responsibility balances. - Respond to incoming patient calls and initiate outbound calls to patients using our automated dialing system. - Aid patients in managing their accounts, which includes arranging payment options for outstanding balances. - Process credit card payments efficiently over the phone. - Identify and gather updated insurance information. - Investigate "Explanation of Benefits" from insurance providers to understand payment details and discrepancies. - Evaluate patients for charity eligibility, address general inquiries, and resolve account-related issues and concerns. - Seamlessly navigate multiple patient account systems and payment platforms. - Maintain precise and current information in account notes within the relevant systems. - Consistently achieve designated collection and productivity objectives as assigned by management. - Uphold strict confidentiality when handling account information. - Adhere to the established policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct. - Actively engage in the Corporate Compliance Program and maintain a vigilant awareness of its guidelines. - Ensure a confidential and well-organized remote work area. - Provide assistance with other projects as directed by management. Qualifications - High School Diploma or equivalent required. Requirements - Prefer previous experience with providing customer service and work within a call center environment. - Prefer previous experience with the medical billing process. - Proficiency in effective communication with patients, colleagues, and management, whether in-person or via remote virtual chat platforms. - Consistently maintain a courteous and professional demeanor. - Self-discipline to stay focused and productive with minimal supervision. - Exhibit initiative and creativity in fulfilling job responsibilities. - Skillfully prioritize multiple tasks through time management and organizational abilities. - Possess a strong command of PC operations and the capacity to type at a rate of 30-40 words per minute.

Role Description Review Mortgage loan files to ensure accuracy of information and verify the presence of all required documents. Documents may include credit, title, appraisals, credit documents, property valuation, loan-to-value ratios, and debt carried. Manual Frontline Underwriting experience is required to perform this job. Qualifications - College Degree or equivalent work-related experience, and High School Diploma or equivalency required - At least 3 years of recent experience in conventional and government underwriting and Quality Assurance/Quality Control function in the mortgage banking industry - Experience in quality assurance services in a multiple client environment a plus - A strong working knowledge of calculating and verifying income & assets, and evaluating credit reports, purchase contracts, appraisals, title commitments, and other loan pertinent documentation - In depth working knowledge of AUS systems, including Loan Prospector and Desktop Underwriter - Must have manual underwriting experience, as well as automated - Must have held previous signing authority - At least an Intermediate level user of Microsoft Office Suite, with an emphasis on Word and Excel - Strong written communication skills - Ability to handle multiple tasks and prioritize workloads - Knowledge of all conventional and government underwriting guidelines for agencies Requirements - Audit a minimum of 8 files per day relating to credit, collateral, and capacity AND maintain a 98% rate of accuracy - Analyze calculations and verifications of income & assets, and evaluations of credit reports, purchase contracts, appraisals, title commitments, and other loan pertinent documentation - Enter review results into company’s proprietary software - Stay current on all agency, state and federal guidelines, and participate in on-going training as industry evolves - Review internal audit results, and discuss feedback with team lead/manager for response - Work well with others including mentoring new hires or junior level analysts as needed - Manage time efficiently and prioritize workloads to meet strict deadlines while handling multiple tasks - Be flexible in the work environment - Conduct all activities and interactions in a professional manner - Complete company/client introductory training during orientation period - Adhere to the company’s policy and procedures. - Other duties as assigned by manager Company Description

Role Description The goal of the Clinical Denial Specialist is to successfully manage claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, and other clinically related denials, as assigned. The specialist will review claims and make recommendations for claim resubmission, retro authorization, written appeal or if no action is needed. The Clinical Denial Specialist will write / submit professionally written appeals including arguments based on the clinical documentation, payer medical policies and contract language. The appeals will be submitted timely and tracked for outcome and trends. Qualifications - Associates Degree in a business or healthcare related field. - Registered Nurse (RN) Certification with experience in care management, utilization review, prior authorization and appeals. - Electronic Health Record Experience with various platforms (Epic, Cerner, Meditech). - Knowledge of all insurance payers preferred. - Proficient PC knowledge and the ability to type 30-40 wpm. - Professional written and verbal communication skills. - Capacity to prioritize multiple tasks in a busy work environment. - Organization and time management skills. - Capability to present oneself in a courteous and professional manner at all times. - Ability to stay on task with little or no supervision. Requirements - Research assigned payer denials (referral, authorization, notification, medical necessity and non-covered services). - Independently write / submit professional appeal letters in accordance with client and payer policies. - Prepares reports for management review and identifies trends. - Reviews and understands utilization review and coverage guidelines for multiple payers. - Identify process improvement opportunities. - Monitor denial and appeal outcomes and trends, and report findings to management. - Ensure all denial management activities comply with federal, state and payer regulations, including HIPAA requirements. Benefits - Medical - Vision - Dental - 401K - Paid Time Off

Role Description - Job Title: Data Entry - Job Type: Full Time - Training: 2 weeks - Training schedule: Mon-Fri 9.00am-5.30pm EST - After Training: Monday-Friday 9:00 to clean desk - FLSA Status: Non-Exempt/Hourly - Grade: H2 - Function/Department: Health Plan and Healthcare Services - Reporting to: Team Lead/Supervisor - Operations - Pay Range: $14-16/hr based on experience Qualifications - Facets experience is given preference in hiring Requirements - Review incoming Grievance and Appeals documents for completeness, legibility, and relevance - Accurately identify and assign the correct Line of Business (LOB) based on client and regulatory definitions - Determine and classify the dispute type (e.g., grievance, appeal, expedited appeal, standard appeal) in accordance with client-specific guidelines - Access multiple client systems and portals to retrieve, verify, and validate member information, including but not limited to: - Member demographics - Member ID numbers - Plan and eligibility details - Index documents by entering required data fields accurately into internal systems or client platforms - Normalize and prepare documents when required to ensure all necessary information is available for downstream processing - Adhere to all HIPAA, data privacy, and security requirements when handling protected health information (PHI) - Meet established productivity, accuracy, and quality standards - Follow client-specific workflows, job aids, and standard operating procedures - Identify discrepancies, missing information, or indexing issues and escalate according to established procedures - Participate in quality audits, training updates, and process improvement initiatives as required Company Description

Role Description Auditor – Hospital Billing (HB) & Professional Billing (PB) Responsible for auditing Hospital Billing (HB) and Professional Billing (PB) accounts with focus on technical and clinical denials, insurance follow-up workflows, Workers’ Compensation (WC), and Third-Party Liability (TPL) processes to ensure accuracy, compliance, and optimal reimbursement. Key Responsibilities - Perform end-to-end audits of HB and PB accounts including billing, denials, and AR follow-up activities - Review and validate technical denials such as: - Eligibility issues - Demographic errors - Duplicate claims - Timely filing denials - Authorization issues - Provider/NPI-related denials - Review and validate clinical denials such as: - Medical necessity - Diagnosis-procedure linkage - Level of care - Non-covered services - Documentation-related denials - Audit insurance follow-up activities including: - Claim status review - Denial handling - Appeals - Underpayment follow-up - Review and evaluate WC and TPL claims including: - Liability handling - Coordination of benefits - Documentation validation - Validate coding-related denial scenarios involving CPT, ICD-10, modifiers, and payer edits - Conduct root cause analysis (RCA) and identify denial/error trends - Provide actionable feedback and coaching inputs to operations teams - Ensure compliance with payer guidelines, CMS regulations, and client SOPs - Participate in internal/client calibration sessions - Maintain audit accuracy and productivity SLAs - Execute random and targeted audits - Ensure audit consistency and inter-rater reliability (IRR) - Track defect trends, denial patterns, and recovery opportunities - Support denial prevention and process improvement initiatives Qualifications - Bachelor’s degree preferred (Healthcare/RCM preferred) - Certifications preferred: AAPC (CPC/COC) / AHIMA Requirements - 5+ years of experience in Revenue Cycle Management (RCM) - Strong exposure to both: - Hospital Billing (HB) - Professional Billing (PB) - Experience in: - Denials management (technical & clinical) - Insurance follow-up - Appeals handling - WC and TPL workflows - Audit / QA activities preferred Skills - Strong understanding of payer guidelines and billing workflows - Knowledge of CPT, ICD-10, modifiers, and denial workflows - Analytical thinking and RCA capability - Strong communication and stakeholder management skills - Ability to identify process gaps and drive quality improvements Company Description We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law. Not Accepting Referrals