Role Description Wir suchen einen Sachbearbeiter (m/w/d) im Bereich Energieabrechnung im 100 % Homeoffice in Erfurt. Sie verfügen über Erfahrung in der Energieabrechnung und kennen sich mit netz- und vertriebsseitigen Abrechnungsprozessen aus? Dann begleiten wir Sie auf Ihrem nächsten Schritt. Vergütung ab 15,50 € pro Stunde – je nach Qualifikation und Erfahrung. - Durchführung von Energieabrechnungen im Netz- und Vertriebsumfeld - Bearbeitung von Netznutzungsabrechnungen - Erstellung und Prüfung von Abrechnungen für SLP- und RLM-Kunden - Bearbeitung von Mehr- und Mindermengenabrechnungen - Klärung von Differenzen mit Netzbetreibern und Marktpartnern - Pflege und Kontrolle von Stamm- und Bewegungsdaten - Erstellung von Auswertungen und Reports Qualifications - Mehrjährige Erfahrung in der Energieabrechnung zwingend erforderlich - Erfahrung in netz- und vertriebsseitigen Abrechnungsprozessen - Kenntnisse in Systemen wie SAP IS-U, Schleupen, Wilken oder Powercloud - Sicherer Umgang mit MS Office, insbesondere Excel - Strukturierte und eigenständige Arbeitsweise - Sehr gute Deutschkenntnisse Benefits - 100 % Homeoffice (bundesweit) - Projektbezogener Einsatz bei Kundenunternehmen aus der Energiewirtschaft - Unbefristete Festanstellung - Strukturierte Einarbeitung und klare Prozesse - Planbare Arbeitszeiten (Montag bis Freitag) - Langfristige Perspektive Contact Interessiert an der Position Sachbearbeiter (m/w/d) Energieabrechnung Homeoffice? So geht es weiter! Sie können über den untenstehenden Button Ihre Bewerbung für die Position als Sachbearbeiter (m/w/d) Energieabrechnung Homeoffice direkt an uns absenden. Alternativ senden Sie uns Ihre Bewerbungsunterlagen direkt per E-Mail oder rufen uns an: 📩 bewerbung.sangerhausen@neo-temp.de ☎️ 03464 26 09 85-0 Ihre Ansprechpartnerin: Frau Sandra Stephan Neo Temp GmbH Ulrichstraße 12 06526 Sangerhausen 03464 260 985-0 bewerbung.sangerhausen@neo-temp.de

Position Summary The Resolution Specialist is responsible for managing escalated member and client concerns, ensuring timely and effective resolution of complex issues. This role operates within a fast-paced remote environment and serves as a key escalation point for high-touch situations requiring advanced communication, critical thinking, and cross-functional coordination. The Resolution Specialist ensures a positive member and client experience by maintaining professionalism under pressure, demonstrating strong ownership of issues, and facilitating solutions across internal teams. Responsibilities - Manage and resolve escalated member and client issues with urgency and professionalism. - Assess complex situations quickly and take prompt, independent action to drive resolution. - Maintain ownership of escalated cases from intake through resolution, ensuring follow-through and closure. - Communicate clearly and effectively with members, clients, and internal stakeholders, particularly in high-touch or sensitive situations. - Maintain a composed, professional demeanor when handling difficult or escalated interactions. - Act as a liaison across departments to facilitate timely and effective solutions. - Coordinate with internal teams to resolve issues related to benefits, claims, prior authorizations, and appeals. - Support frontline team members by taking on complex cases from inbound calls, task queues, and "Contact Us" requests. - Navigate multiple systems and workflows to research, document, and resolve issues efficiently. - Ensure all interactions and resolutions are documented accurately in the system. - Ensure escalations are resolved within established service level agreements. - Educate members and clients on plan benefits, coverage, and processes including prior authorization, formulary, and appeals. - Identify trends in escalations and provide feedback to improve workflows and member experience. - Participate in team huddles, training sessions, and performance reviews. - Maintain detailed and accurate records of all interactions. - Adhere to compliance standards, privacy regulations, and internal protocols. - Performs other related duties as assigned or requested. Any one position may not include all the duties listed. The job description identifies the responsibilities and tasks typically associated with the performance of the position. Required Experience - 2+ years in member services, healthcare operations, or pharmacy benefit management, preferably in a high-touch or escalation-focused role. - Demonstrated experience handling escalated member or client concerns with professionalism and accuracy. - Advanced written and verbal communication skills, particularly in high-pressure situations. - Strong ability to assess situations quickly and resolve issues independently. - Experience using CCaaS, Microsoft Office, and CRM platforms. - Experience managing task queues and complex workflows with attention to detail and follow-through. - Ability to collaborate cross-functionally and drive solutions across multiple teams. Preferred Experience - Experience in pharmacy benefits, managed care, or healthcare navigation. - Familiarity with prior authorization, formulary management, and appeals processes. - Experience with claims processing and rejection resolution, including pharmacy systems and tools (e.g., Tritium, Five9). - Exposure to compliance and quality assurance in member-facing roles. - Strong cross-functional collaboration skills, with demonstrated ability to work effectively with multiple teams and leadership.

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. *Qualified candidates must be able to work 2:00PM-10:30PM EST.* 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: The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles more complex pharmacy issues and respond to escalated calls from members, provider/physician's offices and pharmacies. This role will make outbound calls and enters pharmacy overrides into systems based on approved guidelines and approvals provided from clinical pharmacists. - Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests - Offers options including submission of a prior authorization request - Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within turnaround time requirements and quality standards - Answers and conducts inbound and outbound calls with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication determination updates) - Thoroughly researches issues and takes appropriate action to resolve them within turnaround time requirements and quality standards - Assists team members often guiding them to the appropriate resolution of more complex and difficult inquiries - Participates in the training of less experienced staff, including opportunity for job shadowing - Acts as a liaison between internal departments on data gathering and problem solving while investigating problems of an unusual nature in the area of responsibility - Presents proposed solutions in a clear and concise manner - Assists with audit preparation as needed - Assists with miscellaneous special project work as assigned - Performs other duties as assigned - Complies with all policies and standards Education/Experience: High School Diploma / GED. 2 years of experience. Call center / customer service experience. Experience in healthcare environment (pharmacy operations, managed care, pharmacy hospitals and or pharmacy retail settings). License/Certification: Pharmacy technician certification preferred. Pay Range: $19.43 - $32.98 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

The Revenue Cycle Supervisor at ruralMED, is responsible for the daily supervision and coordination of billing specialists who perform hands-on billing functions for assigned clients. This role ensures productivity, quality, and compliance standards are consistently achieved while supporting staff development, resolving escalated issues, and maintaining adherence to payer policies and CMS regulations. The Revenue Cycle Supervisor also serves as a key point of contact for clients, responsible for monitoring performance metrics, addressing operational issues, and maintaining strong client relationships through regular communication and collaboration. The Revenue Cycle Supervisor reflects the mission, vision, and values of ruralMED, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and regulatory and accreditation standards.