As a Remote Medical Customer Service Specialist at Community Health Systems (CHS) - Shared Services Center, you’ll play a vital role in quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including: - Paid Time Off (PTO) - Comprehensive Health Benefits - Medical, Dental & Vision - 401k with company match - Tuition reimbursement The Remote Medical Customer Service Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure accuracy, compliance, and timely resolution. This role involves analyzing account balances, identifying discrepancies, and applying appropriate transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with internal teams to support workflow efficiency, revenue integrity, and compliance with payer guidelines while maintaining productivity and accuracy standards. - Processes and verifies reimbursement claims, ensuring accuracy and compliance with payer guidelines and regulatory requirements. - Reviews and resolves claim discrepancies, identifying incorrect payments, denials, or underpayments and taking appropriate action. - Applies correct transaction codes to accounts, ensuring proper claim adjudication and reimbursement flow. - Monitors and follows up on outstanding claims, ensuring timely resolution and payment collection. - Collaborates with revenue cycle teams and payers to investigate claim denials and appeal decisions when necessary. - Researches and interprets payer policies, ensuring adherence to reimbursement requirements and claim submission rules. - Documents account actions accurately and thoroughly in the appropriate systems, maintaining compliance with department protocols. - Identifies process improvement opportunities, contributing to increased efficiency and streamlined reimbursement workflows. - Maintains strict confidentiality of patient and financial information, ensuring compliance with HIPAA and corporate policies. - Performs other duties as assigned. - Complies with all policies and standards. - This is a fully remote opportunity. Qualifications - H.S. Diploma or GED required - Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or related field preferred - 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required - Experience with payer reimbursement policies, claim adjudication, and healthcare revenue cycle operations preferred Knowledge, Skills and Abilities - Strong knowledge of medical billing, reimbursement procedures, and payer guidelines. - Familiarity with claim submission, denial management, and appeals processes. - Ability to analyze account balances, identify discrepancies, and apply appropriate adjustments. - Proficiency in electronic health records (EHR), billing software, and reimbursement systems. - Strong problem-solving and critical-thinking skills, ensuring accurate claims resolution. - Effective communication and collaboration skills, working with payers, revenue cycle teams, and internal departments. - Knowledge of HIPAA, compliance regulations, and healthcare reimbursement standards. We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers. This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.

Aura is on a mission to create a safer internet. In a world where our lives are increasingly online, Aura's category-defining suite of intelligent digital safety products help millions of customers protect themselves against digital threats, and that number is growing rapidly. This is an exciting phase at Aura, and our team of over 400 people worldwide is guided by a leadership slate that's successfully grown startups into multi-billion dollar organizations. Come build with us! About the Role: The Call Center Supervisor assists senior leadership by overseeing day-to-day operations and management of Customer Care staff and Call Center functions. This role is remote, but you must be based in the greater San Antonio, TX area (within 50 miles of city center). Day to Day: - Perform billing & credit research to resolve customer inquiries - Conduct customer credit request reviews and approvals - Act as liaison between Service Center and clients and between Service Center and other departments - Analyze daily call result reports, update spreadsheets, and provide statistics to Service Center staff and management - Coach agents on work performance and other work issues - Monthly monitoring of team to ensure quality standards - Develop, coach and reinforce training - Facilitate departmental Team meetings - Handle and resolve escalated customer issues and calls when necessary - Maintain up-to-date technical proficiency in all systems essential for the assigned supervisory team - Attend Inter-Departmental Meetings and report back - Ability to set clear expectations (goals/tracking) - Facilitate career pathing discussions with team members to support professional growth - Generate innovative ideas to drive business growth and efficiency What you bring to the table: - 2-3 years prior customer service experience, preferably in a Call Center environment - Demonstrated experience driving metric results for yourself and a team - Excellent verbal & written communication skills with attention to detail and the ability to relay complex information in a digestible format to others. - Ability to comprehend complex instructions, correspondence, and regulations - Ability to interpret and leverage data to identify trends and drive strategic improvement - Proven ability to juggle multiple tasks and seamlessly adjust to changing priorities and schedules - Ability to handle emotional and high-stress calls with empathy, remaining patient and calm to understand the caller's reason for the call and respond appropriately - Working knowledge of internal CRM’s and Salesforce - Applies strong business acumen, active listening, and creative problem-solving to effectively resolve issues - Reliable home internet (minimum internet download speed of 50 mbps) and dedicated workspace to ensure confidentiality It would be great if you also had: - Bachelor's degree (preferred) - Proficiency in Microsoft and Google Suite - Commitment to excellence and consistent high performance - Likes to work hard, have fun, laugh, and be a part of a winning team Aura is committed to offering a generous package to support our employees in all aspects of their life in and out of work. Our packages offer competitive pay, generous health and wellness benefits, retirement savings plans, parental leave and much more! Pay range for this position is $55,000-60,000 but may vary depending on job-related knowledge, skills, experience and location. Aura is proud to be an equal employment workplace. All qualified applicants will be considered for employment without regard to, and will not be discriminated against based on race, color, ancestry, national origin, religion, age, sex, gender, marital status, sexual orientation, gender identity, disability status, veteran status, or any protected category. Beyond equal employment opportunity, Aura is committed to being an inclusive community where all feel welcome. Aura is dedicated to providing an accessible environment for all candidates during the application process and for employees during their employment. If you need accessibility assistance and/or a reasonable accommodation due to a disability, please let your Talent Acquisition Partner know. Important privacy information for United States based job applicants can be found here.

Join our Growing Team making a difference in our Patient Lives! Onco360 is looking for a Customer Care Specialist based out of our Louisville, KY pharmacy. This is a full-time position working hours between 8am-8pm EST Monday through Friday and availability on Saturday and Sundays for hours between 9am-5:30pm EST. This is a remote work from home position. Customer Care Specialists at Onco360 will work with the sales team and providers in monitoring all customer care issues. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. Starting salary from $22.00 an hour and up We offer great benefits including: - Medical; Dental; Vision - 401k with a match - Paid Time Off and Paid Holidays - Tuition Reimbursement - Company paid benefits – life, and short and long-term disability Customer Care Specialist Responsibilities: - Manages the customer care escalations email workflow. - Works with the customer service manager to ensure all sales team escalations are addressed daily. - Work all address exception reports given by the VP of pharmacy operations. - Report to the customer care manager any items that may cause escalations not to be completed. - Have knowledge of CPR+ and billing claim responses. - Escalate all issues to the proper pharmacy director, sales team rep or analytics team. - Work with other functional areas to resolve customer problems, and in system databases, and notifying appropriate parties as to what action will be taken to resolve the problem. - Work all projects that are assigned by the customer service manager Position Qualifications for Customer Care Specialist: - Education/Learning Experience - High School Diploma required; Bachelor's degree preferred - Work Experience - 1 to 2 years of pharmacy billing or certified pharmacy technician required - Skills/Knowledge - Customer service, problem solving, and excellent communication skills verbal and writing required. - Work independently with little to no guidance - Licenses/Certifications - Required: State Pharmacy Technician (as required) and national Pharmacy Technician certification (PTCB or equivalent #Company Values: Teamwork, Respect, Integrity, Passion

Join our Growing Team making a difference in our Patient Lives! Onco360 is looking for a Customer Care Specialist based out of our Scottsdale, AZ pharmacy. This is a full-time position working hours between 8am-8pm MST Monday through Friday and availability on Saturday and Sundays for hours between 8am-4:30pm MST. This is a remote work from home position. Customer Care Specialists at Onco360 will work with the sales team and providers in monitoring all customer care issues. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. Starting salary from $22.00 an hour and up We offer great benefits including: - Medical; Dental; Vision - 401k with a match - Paid Time Off and Paid Holidays - Tuition Reimbursement - Company paid benefits – life, and short and long-term disability Customer Care Specialist Responsibilities: - Manages the customer care escalations email workflow. - Works with the customer service manager to ensure all sales team escalations are addressed daily. - Work all address exception reports given by the VP of pharmacy operations. - Report to the customer care manager any items that may cause escalations not to be completed. - Have knowledge of CPR+ and billing claim responses. - Escalate all issues to the proper pharmacy director, sales team rep or analytics team. - Work with other functional areas to resolve customer problems, and in system databases, and notifying appropriate parties as to what action will be taken to resolve the problem. - Work all projects that are assigned by the customer service manager Position Qualifications for Customer Care Specialist: - Education/Learning Experience - High School Diploma required; Bachelor's degree preferred - Work Experience - 1 to 2 years of pharmacy billing or certified pharmacy technician required - Skills/Knowledge - Customer service, problem solving, and excellent communication skills verbal and writing required. - Work independently with little to no guidance - Licenses/Certifications - Required: State Pharmacy Technician (as required) and national Pharmacy Technician certification (PTCB or equivalent #Company Values: Teamwork, Respect, Integrity, Passion