You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Delivers education and information to members and/or providers on behalf of the customer service team to help inform them of the latest updates or changes made to products, gather information, and ensure a successful experience. Facilitates the reach outs via outbound calls to provide providers with timely, accurate, and personalized support. - Reaches out to members and/or providers for educational or informational purposes to help support solutions or concerns - Escalates calls in the event providers are unable to deliver solutions - Serves as the front-line support on various member and/or provider inquiries, requests, or concerns - Assists with sharing product awareness campaigns, policy changes, directory audits, monthly provider satisfaction surveys, and basic claims related outreach with providers - Maintains performance and quality standards based on established contact center metrics - Expands knowledge on primary market and/or plan, and may expand to cover additional markets and/or plans that may require minor research (e.g., benefits eligibility) - Documents information including demographics, call summaries, and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications - Remains up-to-date and adheres to quality standards, regulation, and all other policies to ensure quality, consistency, and compliance - Performs other duties as assigned - Complies with all policies and standards Education/Experience: Requires a High School diploma or GED. Requires 1 – 2 years of related experience. May require vocational or technical education in addition to prior work experience. Vocation or technical education may include additional on-the-job training or continuous learning education. Experience in a contact center environment preferred. Pay Range: $17.84 - $28.02 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Department: 10330 Enterprise Revenue Cycle - Eligibility: Wisconsin Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: This is a full-time remote position, Monday, Tuesday, Thursday and Friday with every other weekend and Wednesdays off. Weekday 10:30 am-7:00 pm, and every other weekend 8:00 am-4:30 pm The ideal candidate for our position should possess the following skills and qualities: - Strong PSR and phone skills - Familiarity with Medicaid Programs - Excellent listening and verbal communication skills - Proficient in documentation - Knowledge of the Revenue Cycle - Outstanding patient interaction abilities It is important to note that our role does not involve handling insurance/billing questions, taking patient payments, reconciling cash, or verifying insurance coverage. We review assets and determine which program the patient qualifies for. Pay Range $22.90 - $34.35 Major Responsibilities: - Calculates and provides patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service. - Communicates patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care. Explains how non-covered and out-of-network services factor into the out-of-pocket cost. - Requests upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances. Establishes payment arrangements in advance of scheduled services when applicable, communicating due dates and the amount of each installment. - Interviews uninsured patients to assess for qualifying financial needs. Identifies available assistance programs and coordinates with patient to complete paperwork and applications for any potential coverage(s). Continues follow-up efforts to obtain a funding source for patient’s health services. - Initiates credit scoring to determine each patient’s eligibility for Medicaid, hospital-sponsored charity care, and other programs through a comprehensive patient interview. - Works in conjunction with state social worker and/or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients’ eligibility. - Demonstrates working knowledge of insurance benefits, insurance companies, and Marketplace insurance options, and stays informed of other payer sources entering the markets. - Educates physician office/patient on the organization’s applicable policies such as Financial Assistance Policy, Patient Financial Responsibility, Non-Covered Services, and Deferral of Care. Coordinates with provider office to determine scheduling options based on the need to secure funding and clarify patient’s financial responsibility. - Stays current on regulations and eligibility requirements for government funding, especially Medicare and Medicaid. Understands and complies with all internal charity care policies and processes. Understands, complies with, and can articulate federal regulations around 501R. Performs in a HIPAA-compliant manner with all pertinent patient interviews, including management of demographic data, topics discussed, and actions taken. - Collaborates with peers in the operational flow for uninsured patients or patients that are concerned about costs for upcoming services. Serves consumers in various settings, including virtual, bedside, Emergency Department room, clinic exam room, Urgent Care, consult space, or a Financial Resource Specialist office. Licensure, Registration, and/or Certification Required: - None Required. Education Required: - High School Graduate, or - Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED). Experience Required: - Typically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting. Knowledge, Skills & Abilities Required: - Ability to communicate clearly and proactively to management about issues involving customer service and process improvement opportunities. - Ability to articulate explanations of HIPAA and EMTALA regulations as they relate to all patient interactions within the operational flow involving the Financial Advocate, either virtually or in person. - Has solid knowledge of how various types of insurances operate related to denials and appeals processes. - Basic medical coding knowledge. - Understanding of insurances, billing and denials - Ability to use a combination of scripted notes and clear, written communication when documenting in patients’ accounts. Physical Requirements and Working Conditions: - This position requires travel, therefore, will be exposed to weather and road conditions. - Operates all equipment necessary to perform the job. - Exposed to a normal office environment. - Must be able to sit a majority of the workday - Occasionally lift up to 10 lbs. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

About the Position Effortless Travel Solution is looking for a Travel Experience Specialist (Luxury & Leisure) to support clients in planning and managing exceptional travel experiences. This fully remote role focuses on delivering high-quality service, personalized support, and smooth coordination for clients before, during, and after their trips. You will work closely with clients to ensure their travel needs are handled with professionalism, attention to detail, and a commitment to excellence—while working from the comfort of your home. What You’ll Do Provide responsive and professional customer support via phone, email, and online messaging Assist clients with leisure and luxury travel reservations, itinerary updates, and special accommodations Communicate essential travel details, documentation requirements, and agency guidelines Monitor bookings to ensure accuracy and follow up to confirm client satisfaction Resolve client questions or concerns with care and a solutions-focused mindset Maintain organized records and update internal systems as needed What We’re Looking For - Strong communication and interpersonal skills - Customer service experience in travel, hospitality, or a related field preferred - Ability to work independently in a remote environment - High level of organization and attention to detail - Comfortable using digital tools, booking platforms, and communication software - Passion for travel and creating positive client experiences Why Join Us - Fully remote position (work from anywhere within approved locations) - Flexible work schedule options - Career development and advancement opportunities - Travel-related perks and industry discounts - Collaborative and supportive team culture with training provided Equal Opportunity Employer Effortless Travel Solution is proud to be an equal opportunity employer and welcomes applicants from diverse backgrounds. -

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. The Care Ambassador in Optum Frontier Therapies will be on the team of an exciting new business serving patients with rare diseases, pharma manufacturers, and providers by dispensing and servicing therapies at the frontier of healthcare. The Care Ambassador will be responsible for: - Acting as the Single Point of Contact (SPOC) for a portfolio of healthcare providers, customers, and patients. - Providing solutions regarding product and program-related issues. - Driving patient adherence to therapies and onboarding patients to Optum Frontier Therapies. - Developing and building long-term effective relationships with healthcare providers, affiliated staff, and support personnel. - Educating patients, caregivers, and all involved in a patient’s care plan on program services and solutions. - Building trust in the program and long-term relationships. As a Care Ambassador, you will: - Serve patients, providers, pharmacy manufacturers, and insurance carriers. - Work with a team of about 40 other Care Ambassadors. - Review daily plans of action for assignments. - Handle inbound calls as needed and make outbound calls to patient dispenses. - Triage calls and attend meetings as needed. - Navigate about 14 programs daily; computer proficiency is a must. - Measure success by productivity ranking, timecard accuracy, call monitoring quality scores, and meeting service level agreements. This position is full-time, Monday - Friday, with flexibility to work an 8-hour shift during normal business hours of 9:00 am - 9:00 pm EST. Occasional overtime may be necessary. We offer 8 weeks of training (6 weeks of virtual classroom training followed by 2 weeks of peer shadowing). Qualifications - High School Diploma / GED OR equivalent work experience. - Must be 18 years of age OR older. - 3+ years of case/account management, relationship management, customer support, or professional customer service experience. - Call center experience. - Experience with Computers and Windows based programs. - Ability to work full-time, Monday - Friday, with flexibility for 8-hour shifts during normal business hours. Requirements - Valid license, registration and/or certification to practice as a Pharmacy Technician as required by the Board of Pharmacy in the state employed (preferred). - Specialty Pharmacy experience (preferred). - Pharmacy Accreditation experience (preferred). - Work history in a matrixed and operations environment (preferred). - Ability to keep all company sensitive documents secure (telecommuting requirement). - Dedicated work area established for information privacy (telecommuting requirement). - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (subject to eligibility requirements). - Hourly pay range from $20.38 - $36.44 based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.