American Specialty Health Incorporated (ASH) is seeking a Concierge to join our ASHCare Managed Services department. The Concierge is an essential role dedicated to enhancing the experience and coordination of clinical, virtual, and fitness-related services and programs, such as virtual physical and occupational therapy, site of care administrative support, and wellness programs. Concierge team members use critical thinking to support a diverse range of activities, including verifying program eligibility, enrolling members, obtaining payments, scheduling appointments, assisting with navigation and technical support, and providing program information. Remote Worker Guidelines - Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet connection must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings. Responsibilities - Provides administrative support for members, patients, and consumers participating in clinical, virtual, wellness, and other American Specialty Health managed programs: - Receives and responds to inquiries via telephone, email, chat, and other digital platforms, greeting each individual with courtesy and professionalism. - Utilizes defined criteria and approved resources to determine eligibility and relay accurate program information. - Collects and enters detailed information into company systems, maintaining thorough and confidential records. - Coordinates and facilitates new and recurring appointments, navigating licensure requirements, time zones, and program-specific prerequisites. - Guides participants through pre-visit/session requirements, including equipment, online access, and provides technical support as needed. - Reviews internal and external systems to accurately determine any member cost share or payment required, and facilitates the collection of payment as needed. - Meets department scorecard expectations by consistently achieving established performance metrics and quality standards. - Maintains up-to-date knowledge of program policies, procedures, and system changes; adapting quickly to frequent updates that may occur with little notice or formal training. - Manages time effectively to ensure prompt responses and timely follow-up. - Exercises and maintains strict confidentiality and compliance with all legal, privacy, and organizational standards. - Participates in team meetings and collaborative initiatives to foster continuous improvement and teamwork. - Assists with administrative duties related to the Virtual Physical & Occupational Therapists: - Receives and responds to telephone calls, emails, and chats from participating providers/practitioners. - Assists with troubleshooting member/patient issues as it relates to access to care, scheduling, and claims. - Review systems to ensure proper license and certification documentations from newly onboarded Virtual Therapists. - Performs other duties as assigned. - Complies with all policies and standards. Qualifications - High School Diploma or GED certificate required. - 1 year Experience with Call Center or Customer Service operations, preferably in a Managed Care or Health Care environment required. - 3 years General office experience including administrative support and project management preferred. - Computer proficiency in MS Office; Outlook, Word, Excel, SharePoint experience required. - Demonstrated technical proficiency and ability to learn and use multiple internal and external systems, platforms, and tools to support program operation and caller needs. Core Competencies - Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships. - Ability to display excellent customer service to meet the needs and expectations of both internal and external customers. - Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment. - Ability to effectively organize, prioritize, multi-task and manage time. - Demonstrated accuracy and productivity in a changing environment with constant interruptions. - Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions. - Ability to exercise strict confidentiality in all matters. Mobility - Primarily sedentary, able to sit for long periods of time. Physical Requirements - Ability to see, speak, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to lift up to 10 lbs. Environmental Conditions - Work-from-home (WFH) environment. American Specialty Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. Please view Equal Employment Opportunity Posters provided by OFCCP here. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702. ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

Join Heartstrings Pet Hospice as a Remote Call Center Representative (Veterinary Care Specialist) Make a meaningful difference - one compassionate conversation at a time. Heartstrings Pet Hospice is seeking an experienced Call Center Representative, internally known as a Veterinary Care Specialist (VCS), to join our growing, mission-driven team. This role is 100% remote and plays a critical part in supporting families during some of the most emotional moments of their lives. As a nationally recognized provider of in-home end-of-life care, hospice, and aftercare services, Heartstrings Pet Hospice is dedicated to ensuring every pet’s final journey is guided by Compassion, Dignity, Respect, and Empathy. Our Call Center team is often the first point of contact for families, and their calm, caring presence sets the tone for everything that follows. If you have a heart for helping people, thrive in fast-paced call environments, and want your work to truly matter - this role may be for you.

Job DetailsJob Location: Remote NV: Las Vegas1 - Las Vegas, NV 89144Position Type: Full TimeSalary Range: $15.00 - $16.00 HourlyCall Center Specialist – Remote Nevada www.niftyafterfifty.com Encore Wellness is seeking a passionate Wellness Call Center Specialist driven by the aspiration to improve the lives of the senior adult population through fun and wellness. With your lively and positive personality, you will educate potential members on all of the benefits they have available at zero out of pocket cost. Additionally, you will schedule them for a free one on one evaluation with a Wellness Coach. You will have direct positive impact on the lives of our members as you help them take the first step on their journey towards a better and healthy lifestyle. *To be considered, you must reside in Nevada and bi-lingual in Spanish & English. Essential Duties and Responsibilities: Perform high call volume to offer company services and schedule appointments. Able to handle customer inquiries and clearly explain services being offered. Enter new and update existing member information into system. Follow up member calls when necessary. Research required information using available resources. Complete call logs and produce call reports. Manage and resolve customer complaints. Knowledge of administrative and clerical procedures and systems. Demonstrate excellent customer service skills. Courteous, helpful, skillful care is to be demonstrated to all members and coworkers at all times. Adhere to all position applicable Encore Wellness policies. Ensure that all company policies are understood. It is the employee’s responsibility to act on all policy changes. Perform other duties upon request. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Education: High school diploma or GED Remote Work Experience preferred Experience: 1-2 years customer service/service center support preferred Bilingual (English/Spanish) Required While working from home, the Call Center Specialist must have a clean, organized and dedicated space for working. The Call Center Specialist must be able to dedicate their full time and attention to their work, during their scheduled working hours; the environment must be distraction free. Technical Requirements: Company will provide a computer Employee must provide their own noise cancelling headset Internet Reimbursement of $10/month will be provided Skills, Abilities, and Requirements: Excellent written and verbal communications skills Friendly voice Phone and active listening skills Customer service skills Ability to reason and carry out instructions Physical Demands: Must be able to stand and/or sit for extended periods of time, as well as bend, stretch, reach, kneel, crouch, and stoop. Manual dexterity. Hearing and vision capabilities required. Ability to follow instructions verbally and in writing. Working Environment: This is a remote position and performed in the employee’s home. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Benefits: Three weeks paid time off the first two years; four weeks beginning third year Heath benefits offered the 1st of the month, following 60 days Company paid Basic Life and AD&D Insurance 401k (Traditional & Roth Options), following 90 Days Paid Holidays, including one for your Birthday! Competitive pay, depending on experience Monday - Friday workweek Qualifications

We are seeking an experienced Registered Nurse (RN) with multi-state experience to perform utilization reviews, medical necessity evaluations, demand package reviews, and provide litigation support including deposition and testimony services when needed. This position is RN only. Coding credentials are not required. The ideal candidate must have experience reviewing medical records across multiple states and payer environments and be comfortable applying varying state Medicaid policies and commercial insurance guidelines. Responsibilities: • Conduct comprehensive utilization reviews to determine medical necessity and level of care • Review medical records for documentation completeness and clinical appropriateness • Evaluate inpatient, outpatient, and procedural services for compliance with payer guidelines • Assist with preparation and review of demand packages for legal and insurance cases • Analyze cases involving payer disputes, denials, and recoupments • Prepare detailed, defensible written clinical review reports • Provide affidavit support, deposition preparation, and testimony when required • Interpret CMS guidelines, Medicare policies, and state-specific Medicaid requirements • Identify clinical risk, quality-of-care concerns, and documentation deficiencies