Outreach Concierge Navigator Bilingual in Spanish remote type Fully Remote locations Remote North Carolina time type Full time job requisition id R2069 The Remote Regional Concierge Navigator provides outreach and support to all our members, ensuring they have access to the care they deserve. Supports our members to navigate through their health care and benefits. Connects the dots between our provider network, health plan operations, and supplemental vendors. Maintains a high knowledge of the member needs of their respective market and assist our members every step of the way to ensure they are never alone in their healthcare journey and have the highest level of coordinated care. Lays the groundwork for future and ongoing member support. Has familiarity with assigned markets and understands the meaningful contributions to members’ healthcare outcomes. GENERAL DUTIES/RESPONSIBILITIES Provides in-market, specialized member support in respective market or region. Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, High Quality PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment Quality Assurance, and Proactive Service Recovery Conducts case follow-ups and quality member issue resolution for all cases assigned. Ensures members have access to PCP and specialists to coordinate care. Educates members on gaps in care and assists with scheduling provider appointments. Serves as the patient's liaison throughout the life cycle of the program by addressing program specific quality measures and adhering to company guidelines/standard operating procedures. Makes appropriate and timely patient appointments, reminders, and confirmations and Mails letters and correspondence as needed. Places regular/consistent outreaches to the patient Communicates with PCP with any member updates and requests. Assists with obtaining medical records from any healthcare providers involved in care or hospitals. Helps members with any authorizations and referrals involved in their care plan. Resolves incoming calls concerning members’ eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member’s primary care physician and proactively engage member with their wellness plan options. Participates in on-site member engagement activities as needed, such as in-person member meetings, handling lobby calls at a retail or care center location, etc. (subject to change). Other duties as assigned. Job Requirements: Experience: • Required: Minimum 1 year of customer service experience. • Preferred: High-volume inbound customer service experience, particularly for health plan or Medicare “Member Services” roles in health plan and supplemental benefits preferred. Telemarketing and/or member outreach experience preferred. Specialized experience in escalation or resolution units preferred. Education: • Required: High School Diploma or GED. Specialized Skills: • Required: - Knowledge of ICD-10 and CPT codes. - Keyboard typing 40+ words per minute. - Ability to help members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations. - Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. - Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; - Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. - Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. - Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly - Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. • Preferred: Bilingual English/Spanish or English/Vietnamese or English/Mandarin. Fluency in written and verbal Spanish, Korean, or Vietnamese, a plus. Licensure: • Required: None Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this 100% remote job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $44,790.00 - $67,185.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Customer Service Representative Bilingual in Spanish remote type Fully Remote locations Remote Arizona time type Full time job requisition id R1906 The Remote Regional Concierge Navigator provides outreach and support to all our members, ensuring they have access to the care they deserve. Supports our members to navigate through their health care and benefits. Connects the dots between our provider network, health plan operations, and supplemental vendors. Maintains a high knowledge of the member needs of their respective market and assist our members every step of the way to ensure they are never alone in their healthcare journey and have the highest level of coordinated care. Lays the groundwork for future and ongoing member support. Has familiarity with assigned markets and understands the meaningful contributions to members’ healthcare outcomes. GENERAL DUTIES/RESPONSIBILITIES Provides in-market, specialized member support in respective market or region. Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, High Quality PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment Quality Assurance, and Proactive Service Recovery Conducts case follow-ups and quality member issue resolution for all cases assigned. Ensures members have access to PCP and specialists to coordinate care. Educates members on gaps in care and assists with scheduling provider appointments. Serves as the patient's liaison throughout the life cycle of the program by addressing program specific quality measures and adhering to company guidelines/standard operating procedures. Makes appropriate and timely patient appointments, reminders, and confirmations and Mails letters and correspondence as needed. Places regular/consistent outreaches to the patient Communicates with PCP with any member updates and requests. Assists with obtaining medical records from any healthcare providers involved in care or hospitals. Helps members with any authorizations and referrals involved in their care plan. Resolves incoming calls concerning members’ eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member’s primary care physician and proactively engage member with their wellness plan options. Participates in on-site member engagement activities as needed, such as in-person member meetings, handling lobby calls at a retail or care center location, etc. (subject to change). Other duties as assigned. Job Requirements: Experience: Required: Minimum 1 year of customer service experience. Preferred: High-volume inbound customer service experience, particularly for health plan or Medicare “Member Services” roles in health plan and supplemental benefits preferred. Telemarketing and/or member outreach experience preferred. Specialized experience in escalation or resolution units preferred. Education: Required: High School Diploma or GED. Specialized Skills: Required: - Knowledge of ICD-10 and CPT codes. - Keyboard typing 40+ words per minute. - Ability to help members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations. - Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. - Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; - Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. - Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. - Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly - Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Preferred: Bilingual English/Spanish or English/Vietnamese or English/Mandarin. Fluency in written and verbal Spanish, Korean, or Vietnamese, a plus. Licensure: Required: None Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this 100% remote job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $44,790.00 - $67,185.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Role Description As a Citizens Bilingual FNOL Agent, you will be part of a team supporting Citizens policyholders on a day-to-day basis. FNOL Agents are trained on Citizens’ systems, processes, and service expectations to ensure consistent, high-quality service delivery. In this role, you will handle incoming calls from Citizens policyholders in both English and Spanish. Your primary responsibilities include: - Assisting callers with questions, concerns, and claim-related inquiries. - Accurately documenting information and filing First Notice of Loss (FNOL) reports. - Navigating multiple systems to ensure each interaction is handled efficiently and thoroughly. - Taking full ownership of each call, serving as an advocate for the customer. - Ensuring concerns are addressed and resolved. Strong communication skills in both languages, attention to detail, and the ability to remain professional in a fast-paced environment are essential. Adherence to company policies, ethical standards, and information protection guidelines is critical at all times. Qualifications - Must be bilingual - Fluent in Spanish and English (must pass a fluency test). - Legally authorized to work in the United States. - High school diploma or equivalent required. - Must pass a background check. - Excellent verbal and written communication skills, including proper grammar, tone, articulation, and professionalism. - Strong listening skills with the ability to make participants feel heard, respected, and supported. - Ability to remain calm and composed under pressure while handling sensitive or challenging interactions with empathy. - Strong attention to detail with the ability to accurately document, organize, and process information efficiently. - Effective time management skills, with the ability to prioritize tasks, multitask, and navigate multiple systems simultaneously. - Demonstrated problem-solving skills and ability to think critically in a fast-paced environment. - Ability to work collaboratively in a team setting, including cooperation and shared problem-solving with colleagues. Requirements - Two or more years of customer service experience. - Call center experience. Preferred Qualifications - Knowledge of Property/Casualty Insurance operations and common policy elements. Essential Functions - Answers incoming calls from customers reporting a loss. - Guides the caller through the start of the claims process. - Collects and documents detailed information about the incident. - Inputs data into insurance systems and creates the claim file. - Provides support and reassurance during stressful situations. - Makes occasional outbound calls. Training - Orientation: Tuesday June 23, 2026 Time: 12:00 pm EST (1 hour session). - Training: Wednesday June 24, 2026 Time: 9:00 am EST to 5:00 pm EST (7 hour session). - All training is paid (orientation and training). Pay Rate - $15.50 per hour (as a bilingual agent in our bilingual queue). - This is a W2 employee position. - Biweekly pay via direct deposit. Shifts - Client hours of operation: 24 hours per day, 7 days per week, 365 days per year. - Shift Selection Concentration: Hours will be available to select from 9:00 am to 5:00 pm EST and on nights and weekends. - Agents must work a minimum of 25 hours per week and may work up to 40 hours per week. - Shift selections are in 1 hour increments. Technical Requirements - Desktop (preferred) or a true laptop; Apple/Mac, Tablets or Smart devices, Windows Mini PCs, Chromebook, Notebooks, Virtual PCs and Android systems are NOT compatible (Intel or AMD CPU). - Operating system – Windows 11; we no longer support Windows 10. - Your computer must have at minimum 8GB of RAM installed and a processor speed of 2.00GHz or higher and cannot be in S mode; anything less will not work with the client's software. - At least 25 Mbps Download Speed. - At least 3 Mbps Upload Speed. - 200ms Latency. - 50ms Jitter. - 1% Packet Loss. - 4+ CPU Cores. - US based Internet service provider (ISP); NO T-MOBILE HOME INTERNET. NO 5G INTERNET. - High-speed Internet via a hard wired ethernet connection, no Wi-Fi, satellite or cellular hotspot or cellular internet. - USB wired headset with noise-canceling microphone. - Must have an operational web cam. - Must have an operational smart phone. - A second monitor is not required, but strongly recommended.

Role Description Saint Luke’s in Kansas City is seeking a Patient Access Representative to join our team. You will conduct professional patient interviews, obtaining demographic, financial, and biographical information. This position is responsible for the delivery of quality performance and service excellence. This is a remote position. Shift Details: - Monday- Friday 8:00am-4:30pm Responsibilities: - Understands insurance terminology - Obtains information to appropriately bill payors - Verifies patient insurance eligibility - Confirms benefits eligibility - Gather statistical information in compliance with federal and state regulations - Completes payment transactions by using proper negotiating techniques to professionally collect money owed by our Patients and Guarantors - Makes referrals to appropriate financial resources, such as payment plans and lines of credit We are looking for someone that is excited about working with people and has a positive attitude. The ideal candidate has strong computer and critical thinking skills and can multitask in a fast-paced work environment. Qualifications - Less than 1 year of applicable experience Requirements - Full Time - Day (United States of America) Benefits - Medical health plans - Tuition reimbursement - Paid time off - Retirement contributions - Employee Assistance Program