Appeals Coordinator locations Remote, USA time type Full time job requisition id R0007005 Your Future is our Future At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. Position: Appeals Coordinator Position Summary: Responsible for reviewing, researching, and resolving appeals. Escalates complex appeals as needed. Ensures compliance with all applicable regulations, standards, timelines, policies, and guidelines. Job Description: Primary Responsibilities - Reviews, evaluates, documents, and tracks appeal documents.  Follows request through resolution by established processes and procedures, and within established time standards. - Creates, composes, and provides quality written responses (applying the appropriate composition, grammar, punctuation, and spelling) to appeals request within established time standards. - Helps identify areas of improvement for self and the department. - Prepares case files for Independent Review Entities or other levels of the Appeals process. - Communicates with members and providers on appeal resolution. - Performs peer QA of appeal notification letters. - Ensures compliance with all state and federal regulations (Center for Medicare and Medicaid Services, National Committee for Quality Assurance) and guidelines with day to day activities. Qualifications - High School or equivalent - 1 + years Appeals related experience or the knowledge, skill, abilities to succeed in the role - Strong learning agility and enthusiastic about developing new skills - Ability to interact professionally and maintain confidentiality and high ethical standards - Ability to multi-task, meet deadlines, and adapt to changing priorities - Solid oral and written communication skills - Good computer skills, specifically with Microsoft Word, Excel, PowerPoint, and Outlook - Solid attention to detail Working Conditions - While performing the duties of this job, the employee works in normal office working conditions - Work weekends and company holidays as needed based on business regulatory requirements #LI-Remote Pay Transparency: Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements. The hiring range for this position is: $39,000.00-$48,150.00 Benefits of working at Lumeris - Medical, Vision and Dental Plans - Tax-Advantage Savings Accounts (FSA & HSA) - Life Insurance and Disability Insurance - Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days) - Employee Assistance Program - 401k with company match - Employee Resource Groups - Employee Discount Program - Learning and Development Opportunities - And much more... Be part of a team that is changing healthcare! Member Facing Position: No- Not Member or Patient Facing Position Location: Remote, USA Time Type: Full time Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment. Disclaimer: - The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities. Lumeris is an EEO/AA employer M/F/V/D.

Triage Coordinator Location: North Carolina, United States Remote Job Description: Overview Expand Access. Coordinate Care. Support Patients. The Triage Coordinator plays a vital role in supporting after-hours patient care by managing calls related to durable medical equipment (DME), escalating visit needs, and scheduling field nurse visits. Reporting to the Telephonic Triage Manager, this position coordinates care activities outside regular branch business hours (nights and weekends), working closely with triage clinicians, branch staff, and leadership to ensure timely delivery of healthcare services that improve patient outcomes. Essential Functions of Position: - Handle inbound and outbound calls related to DME, visit escalations, and nurse visit scheduling during after-hours and weekends. - Facilitate timely and appropriate healthcare service delivery outside normal business hours, including care coordination and communication regarding medical needs. - Support the Centralized Triage process by collaborating with triage nurses and branch staff to address immediate patient needs and follow-up care. - Serve as a liaison between the Company, patients, and families to provide compassionate and effective communication. - Collaborate with the treatment team to ensure continuity of care and meet patient satisfaction goals. - Assist in implementing program objectives and maintaining department performance standards. - Maintain accurate, non-clinical records and data entry in compliance with regulatory requirements. - Use multiple computer systems such as CareXM, HCHB, and Microsoft Office for documentation and communication. About You Specialized Knowledge/Skills: - Experience in a healthcare call center or related healthcare environment. - Strong computer proficiency including CareXM, HCHB, Microsoft Office Suite. - Exceptional phone communication skills with empathy and professionalism. - Excellent organizational skills and attention to detail. - Ability to multitask and prioritize effectively in a fast-paced environment. - Good analytical and problem-solving abilities. - Ability to work independently and collaboratively in a team setting. - Knowledge of home health, hospice, and palliative care services preferred. Education/Experience: - Associate degree preferred. - Minimum 1 year of experience in healthcare or healthcare call center roles. - Reliable high-speed internet (minimum 50 Mbps download and 20 Mbps upload) required for remote work-satellite internet not accepted. Training/Equipment: - Proficiency with Microsoft Office Suite and the ability to learn new technology systems quickly. - Strong phone and multitasking skills required. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): - Competitive Pay - 401(k) with Company Match - Career Advancement Opportunities - National & Local Recognition Programs - Teammate Assistance Fund Additional Full-Time Benefits: - Medical, Dental, Vision Insurance - Mileage Reimbursement or Fleet Vehicle Program - Generous Paid Time Off + 7 Paid Holidays - Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) - Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) - Free Continuing Education Units (CEUs) - Company-paid Life & Long-Term Disability Insurance - Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Join our team to help coordinate after-hours care that truly makes a difference. Apply now to become a critical part of our triage team supporting patients, families, and clinicians with compassionate and efficient care delivery. Legalese - This is a safety-sensitive position - Employee must meet minimum requirements to be eligible for benefits - Where applicable, employee must meet state specific requirements - We are proud to be an EEO employer - We maintain a drug-free workplace ReqID: 2026-137779 Category: Branch Admin and Clerical Position Type: Full-Time Company: Gentiva Hospice

• Responsible for the planning, development, and oversight of scientific content for an assigned account or accounts across various therapeutic areas. • Managing most aspects of the scientific contributions across a large and/or multiple accounts. • Leading assigned accounts, leading client interactions and brand strategy, leading the scientific portion of brand planning and business development. • Managing resource allocation, partnering with client services to develop SOWs and timelines and identifying areas for new and organic growth.

• Responsible for the planning, development, and oversight of scientific content across various therapeutic areas • Work with the Group Scientific Director to provide strategic medical communication recommendations • Lead execution of content development activities • Supervise Associate Scientific Directors