Role Description By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. - High Call Volume Role - Full-Time: Monday-Friday 10:00AM-6:30 PM EST - Location: This role will be performed at one location (Remote) - Comfortable working in a high-volume production environment. - Processing medical record requests by taking calls from patients, insurance companies, and attorneys to provide medical status. - Documenting information in multiple platforms using two computer monitors. Responsibilities - Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. - Maintain confidentiality and security with all privileged information. - Maintain working knowledge of Company and facility software. - Adhere to the Company's and Customer facilities Code of Conduct and policies. - Inform manager of work, site difficulties, and/or fluctuating volumes. - Assist with additional work duties or responsibilities as evident or required. - Consistent application of medical privacy regulations to guard against unauthorized disclosure. - Responsible for managing patient health records. - Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. - Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. - Ensures medical records are assembled in standard order and are accurate and complete. - Creates digital images of paperwork to be stored in the electronic medical record. - Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. - Answering of inbound/outbound calls. - May assist with patient walk-ins. - May assist with administrative duties such as handling faxes, opening mail, and data entry. - May schedule pick-ups. - Assist with training associates in the HIS I position. - Generates reports for manager or facility as directed. - Must exceed level 1 productivity expectations as outlined at specific site. - Participates in project teams and committees to advance operational strategies and initiatives as needed. - Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training. - Other duties as assigned. Qualifications - High School Diploma or GED. - Must be 18 years of age or older. - Ability to commute between locations as needed. - Able to work overtime during peak seasons when required. - 1-year Health Information related experience. - Meets and/or exceeds Company's Productivity Standards. - Basic computer proficiency. - Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. - Professional verbal and written communication skills in the English language. - Detail and quality oriented as it relates to accurate and compliant information for medical records. - Strong data entry skills. - Must be able to work with minimum supervision responding to changing priorities and role needs. - Ability to organize and manage multiple tasks. - Able to respond to requests in a fast-paced environment. Bonus Points - Previous production/metric-based work experience. - In-person customer service experience. - Ability to build relationships with on-site clients and customers. - Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Compensation The estimated base pay range per hour for this role is: $16 - $20.50 USD. Additional Information To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

COMPANY OVERVIEW At our client’s organization, they help children with autism bloom and grow by providing high-quality ABA therapy in a nurturing and supportive environment. They are devoted and compassionate, multi-disciplinary group of clinicians that is creating a world where every child with autism gets the care and support they deserve. Energized by our mission to offer life-changing services to children and families affected by autism and unparalleled opportunities for our team across America, we are dedicated to advancing the state of autism care through best-in-class training, innovative treatment models and meaningful outcomes measurement. POSITION OVERVIEW - Location: Work From Home - Work Schedule: Monday to Friday | 9:00 PM - 6:00 AM Manila Time - Holidays: U.S. Holidays KEY RESPONSIBILITIES Prior Authorization - Collect and organize clinical documentation required to support prior authorization (PA) - requests, including assessment reports, treatment plans, and physician orders. - Submit PA requests to commercial insurers, Medicaid managed care organizations, and state Medicaid programs across all operating states. - Monitor authorization status and proactively follow up with payers to ensure timely approvals. - Track authorization end dates and initiate re-authorization requests well in advance of - expiration. - Maintain accurate records of authorization numbers, approved units, service codes, and effective dates in the EMR and relevant tracking systems. - Communicate PA status updates to clinical and scheduling teams to prevent service disruptions. - Appeal denied or insufficient authorizations in coordination with clinical staff and leadership. Benefits Verification & Eligibility - Conduct thorough insurance eligibility and benefits verification for all new patient inquiries, including coverage type, deductibles, copays, coinsurance, out-of-pocket maximums, and ABA-specific benefit limitations. - Verify active coverage and eligibility at intake and on an ongoing basis for existing patients. - Accurately document benefit details in the EMR and communicate findings to the care coordination and billing teams. - Identify and flag patients with coverage gaps, coverage changes, or secondary insurance considerations. Documentation & Compliance - Maintain organized, complete, and audit-ready records for all authorization and eligibility activities. - Follow payer-specific documentation requirements and stay current on policy changes across all contracted health plans. - Support internal audits and payer audits by providing requested documentation in a timely manner. - Adhere to HIPAA and all applicable state and federal regulations governing protected health information. Cross-Functional & Special Projects - Contribute to operational improvement initiatives, including workflow redesigns, system implementations, and process documentation projects. - Support onboarding of new clinic locations by helping establish payer credentialing and PA workflows in new markets. - Assist leadership with ad hoc research, reporting, and analysis related to payer policy, authorization trends, or operational performance. - Collaborate cross-functionally with clinical, scheduling, billing, and leadership teams as needed. QUALIFICATIONS - 2+ years of experience in prior authorization, benefits verification, or a closely related healthcare revenue cycle role. - Demonstrated knowledge of Commercial insurance and Medicaid payer processes, including authorization workflows and eligibility verification. - Strong organizational skills with the ability to manage a high volume of tasks with competing deadlines. - Proficiency with EMR/EHR platforms and payer portals. - Excellent written and verbal communication skills. - High attention to detail and commitment to documentation accuracy. NICE TO HAVES - Experience with ABA therapy, behavioral health, or pediatric services. - Multi-state insurance experience, particularly in Medicaid or Medicaid managed care environments. - Experience working in a high-growth or multi-site healthcare organization.

7-Eleven is an iconic family of brands with over 86,000 locations, surpassing every retailer in the world. We revolutionize convenience, restaurants and fuel through cutting edge innovation — working hard to be the customer's first choice. 7-Eleven empowers our employees to "activate awesome" and make a meaningful impact in their stores and communities every day. If you're ready to grow, lead and make a difference, come join our team and help shape the future of convenience. Job Description Responsibilities - Conduct investigations and research, utilizing corporate reports and exception Based Reporting. - Then develop professional, comprehensive cases and research packages that reveal the fraud or misreporting. - Take the cases through their completion assuring that the appropriate recoveries, documentation and follow-up are completed. - Perform the various tasks and assignments required to carry out the Asset. - Protection Department's Four Pillar Strategy for Revenue and Profit Assurance, Shortage Control, Incident-Investigation Management and the Safety Program. - Advise, train and counsel the field operators in shortage control, theft and other asset protection related areas. - Establish and maintain relationships with local law enforcement, serving as 7-Eleven's representative to the local municipalities - Assist law enforcement and 7-Eleven's third-party insurance administrator securing evidence and statements. - Provide immediate response, support and professional consultation to field operations following critical incidents of crime or disaster that impact store associates, franchisees, guests, licensees and 7-Eleven assets . Qualifications - Associates Degree or equivalent experience - 5 years retail operations-related experience, multi-unit preferred Thorough understanding of retail Accounting and Financial Management - Analytics, reporting management experience is required - Excellent verbal and written communication skills - The ability to successfully train and communicate one-on-one or to a large audience - The ability to successfully learn and excel using an exception Based Reporting Tool - Ability to conduct professional investigative interviews - 60–70% travel within the assigned coverage area - No assigned office If an hourly or salary range is included in this ad it represents the range 7-Eleven in good faith believes is the range of compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in this state. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, long-term incentive compensation, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. For a general description of all benefits 7-Eleven is offering in the US for the position, please visit this link. For a general description of all benefits 7-Eleven is offering in Canada for the position, please visit this link.

Role: Amazon Reimbursement Specialist Hours: 9am - 5pm Pacific Standard Time USD Salary: Negotiable based on experience Summary:  Amazon Reimbursement Specialist provides expert-level knowledge in identifying, validating, and filing reimbursement cases for all FBA-related issues, including inbound lost, lost and damaged inventory, misclassified fees, incorrect charges, and other related discrepancies. They ensure accurate tracking, timely resolution, and optimization of reimbursement processes. Advanced candidates bring experience building or maintaining automated reimbursement software, enabling scalable and efficient claim management. Prior experience reconciling inbound discrepancies is highly desirable. Primary Responsibilities:  - Identify, validate, and submit reimbursement claims for FBA-related issues, including lost, damaged, or misclassified inventory and incorrect fees - Monitor and track reimbursement cases to ensure timely and accurate resolution - Analyze reimbursement trends to identify recurring issues and implement preventative measures - Collaborate with internal teams to reconcile inventory discrepancies and billing errors - Build, maintain, or improve automated reimbursement tools and workflows (for advanced-level candidates) - Generate reports and provide insights to optimize reimbursement processes - Maintain compliance with Amazon policies and procedures - Reconcile inbound FBA shipments and identify inbound lost discrepancies that qualify for reimbursement