Jobs in the United States

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Added 6 mins ago
Associate Director, Clinical Outcome Assessments (COA)
Otsuka America Pharmaceutical Inc.
Cheyenne, WY
The Associate Director, COA develops and executes the COA strategy for one or more assigned clinical programs, applying qualitative and quantitative methods to support endpoint selection,…
Added 6 mins ago
Senior Project Manager
Evidence in Motion
San Antonio, TX
The Senior Project Manager serves as a key departmental leader, translating strategic priorities into actionable project management practices, overseeing standardized workflows and…
Added 6 mins ago
Senior Director, Global Clinical Development Psychiatry and Neurology
Otsuka America Pharmaceutical Inc.
Cheyenne, WY
Otsuka is seeking a Senior Director, Global Clinical Development remote based or in our Rockville, MD or Princeton, NJ offices, who will be responsible for the design and oversight of…
Added 13 mins ago
Enterprise Exhibitor Sales Executive, Destination Conferences
Gartner
Irving, TX · Stamford, CT
…exciting role involves building face-to-face relationships with senior executives within the world’s most prominent IT vendor organizations to drive conference exhibitor sales. A successful…
Added 16 mins ago
J
Claims Associate Representative - EviCore
Jobgether
Remote, United States
- $17.75 to $24 USD / hour
…applications and next steps. Our partner is looking for a Claims Associate Representative – EviCore based in the United…
Added 18 mins ago
Sr. Analyst, Marketing Management
AB3 Nationwide Life and Annuity Insurance Co
OH
Assists with implementation of digital and traditional marketing tactics and media, including creative development process, planning, and execution.
Added 25 mins ago
Assistant/Associate Director, Alumni Class & School Engagement
Boston College
Chestnut Hill, MA
The Assistant/Associate Director, Alumni Class & School Engagement reports to the Senior Associate Director, Alumni Class & School Engagement and is responsible for the planning,…
Added 25 mins ago
Senior Financial Operations Analyst, Fiscal & Regulatory Management
Dana-Farber Cancer Institute
BROOKLINE, MA
The Senior Financial Operations Analyst makes vital contributions to the Division of Philanthropy, responsible for process improvements and technology adoption to enhance operational…
Added 25 mins ago
Associate Director, Quality and Patient Safety Strategic Initiatives
Dana-Farber Cancer Institute
BROOKLINE, MA
…across the cancer-care continuum. Under the direction of the Senior Director of Business Operations, the Associate Director of QPS Strategic Initiatives oversees a portfolio of…
Added 25 mins ago
P
Senior Associate Scientist, Investigations and Compliance Specialist
Pfizer
Andover, MA
- $68,600 to $114,300 USD / year
…the forefront of this mission, working within our Research & Development division. Your role will be pivotal in translating advanced science and technologies into therapies and vaccines…
Added 25 mins ago
EY-Parthenon - Deals - Financial Diligence - Buy Side - Senior Associate
EY
Boston, MA
As a Senior Associate with EY-Parthenon’s Deals – Financial Diligence – Buy Side practice, you will be a vital member of the team executing financial diligence project work. You'll be…
Added 26 mins ago
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Associate Director - Life Science Advisory - US Market Access
Guidehouse
BOSTON, MA
- $162,000 to $270,000 USD / year
…variety of pharmaceutical assets. This will involve working with senior staff to develop project proposals, managing consulting teams in the development and communication of client…
Added 26 mins ago
Specialty/Senior Specialty Representative – Bone Health - Boston/Woburn, MA (Overlay)
Amgen
Boston, MA
SPECIALTY REPRESENTATIVE/SENIOR SPECIALTY REPRESENTATIVE
Added 27 mins ago
RP
Director, Corporate Communications
Roswell Park Cancer Institute
United States
- $133,245 USD / year
Partner with senior leaders to develop clear, effective messaging that supports business goals and strategic initiatives.
Added 31 mins ago
T
Sr Service Coordinator
TIAA
Dallas, TX · Charlotte, NC
- $23.89 to $31.88 USD / hour
…hard and work together to create lasting impact. Here, every associate can grow through meaningful learning experiences and development pathways - because when our people succeed, our…
Added 48 mins ago
Associate Director OBGYN Clinic
Banner Health
Tucson, AZ
As an Associate Director, you will be responsible for leading operations across our two OB/GYN clinic locations where you will oversee a team of approximately 50 dedicated healthcare…
Added 49 mins ago
Sr. Metrology Technician
Trinzic
Phoenix, AZ
As a Senior Dimensional Metrology Technician, you will play a key role in performing complex dimensional calibrations, supporting laboratory quality and accreditation requirements, solving…
Added 55 mins ago
CO
ITS Network Manager (Senior IT Systems Specialist)- Street Transportation Department
City of Phoenix
AZ
- $99,736 to $133,660.8 USD / year
This role requires deep technical expertise in network architecture, routing protocols, and system development methodologies, combined with strong project management and supervisory skills.…
Added 1 hour ago
T
SAT/ACT Tutor, Full Time.
TPAPT
Westport, CT
- $85,000 to $100,000 USD / year
- Full-time
…and how they can best interact with that information. This process does not involve the rote memorization of vocabulary or inundation of practice questions that many associate with “test…
Added 1 hour ago
T
SAT/ACT Tutor, Full Time.
TPAPT
New Haven, CT
- $85,000 to $100,000 USD / year
- Full-time
…and how they can best interact with that information. This process does not involve the rote memorization of vocabulary or inundation of practice questions that many associate with “test…
Added 1 hour ago
T
SAT/ACT Tutor, Full Time.
TPAPT
White Plains, NY
- $85,000 to $100,000 USD / year
- Full-time
…and how they can best interact with that information. This process does not involve the rote memorization of vocabulary or inundation of practice questions that many associate with “test…
Added 1 hour ago
T
SAT/ACT Tutor, Full Time.
TPAPT
Stamford, CT
- $85,000 to $100,000 USD / year
- Full-time
…and how they can best interact with that information. This process does not involve the rote memorization of vocabulary or inundation of practice questions that many associate with “test…
Added 1 hour ago
T
SAT/ACT Tutor, Full Time.
TPAPT
NY · New York, NY
- $85,000 to $100,000 USD / year
- Full-time
…and how they can best interact with that information. This process does not involve the rote memorization of vocabulary or inundation of practice questions that many associate with “test…
Added 1 hour ago
T
SAT/ACT Tutor, Full Time.
TPAPT
Boston, MA
- $85,000 to $100,000 USD / year
- Full-time
…and how they can best interact with that information. This process does not involve the rote memorization of vocabulary or inundation of practice questions that many associate with “test…
Added 1 hour ago
PHARMACY/LEAD CERTIFIED TECHNICIAN
The Kroger Co.
Edgewater, CO
- Oversee inventory management including, but not limited to, reconciling orders, returns process, physical inventory preparation

Jobgether

Claims Associate Representative - EviCore

Remote, United States

$17.75 to $24 USD / hour

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Job details

Pay: $17.75 to $24 USD / hour
Education: High school diploma
Experience: At least 2 years of experience in medical claims processing, claims handling, and/or accounts receivable operations.
Posting language: English

Original job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Claims Associate Representative – EviCore based in the United States.

The Claims Associate Representative will play an important role in managing accounts receivable activities and ensuring the accurate and timely resolution of outstanding medical claims. In this position, you will review and investigate unpaid, denied, delayed, or underpaid claims to identify discrepancies and determine appropriate corrective actions. You will communicate regularly with third-party payers, healthcare providers, and internal teams to resolve billing issues and facilitate timely payments. The role requires strong analytical abilities, sound judgment, and excellent attention to detail when reviewing claim balances and financial records. You will also be responsible for maintaining accurate documentation, monitoring claim progress, and escalating complex cases when necessary. This is an excellent opportunity to contribute to efficient healthcare reimbursement operations within a fast-paced, collaborative, and fully remote environment.

Accountabilities:

Review, research, and process accounts receivable claims accurately and within established deadlines.
Investigate denied, delayed, and underpaid medical claims to identify root causes, discrepancies, and opportunities for resolution.
Determine and implement appropriate corrective actions to resolve outstanding claim balances and support accurate reimbursement.
Conduct outbound calls to third-party insurance payers, healthcare providers, and internal departments to address claim-related questions and resolve outstanding issues.
Maintain detailed and accurate documentation of all claim-related activities in accordance with established organizational standards.
Monitor claim statuses and perform timely follow-ups to ensure outstanding balances are resolved and payments are received promptly.
Identify complex claims or unresolved discrepancies and escalate them to senior representatives or management when appropriate.
Maintain up-to-date knowledge of payer policies, compliance requirements, internal procedures, and accounts receivable practices.
Apply sound judgment and analytical skills when reviewing claim information and determining appropriate next steps.

Requirements:

High school diploma or GED required.
At least 2 years of experience in medical claims processing, claims handling, and/or accounts receivable operations.
At least 2 years of experience in account reconciliation and financial analysis is highly preferred.
Ability to interpret Explanation of Benefits (EOBs) and Explanation of Payment (EOPs) documents.
Proficiency in Microsoft Office applications, particularly Word, Outlook, and Excel.
Strong analytical and problem-solving skills, with the ability to investigate discrepancies and resolve complex claim-related issues.
Excellent attention to detail and a high level of accuracy when processing financial and medical claim information.
Strong planning, organizational, and time management skills, with the ability to manage multiple priorities effectively.
Excellent written and verbal communication skills, particularly when interacting with insurance payers, healthcare providers, and internal stakeholders.
Ability to work independently while collaborating effectively with colleagues and cross-functional teams.
Comfortable working in a fast-paced environment while maintaining productivity, accuracy, and quality standards.
Strong documentation skills and the ability to maintain clear, organized records.
Basic mathematical skills, including the ability to perform calculations and reconcile account balances.
For remote work, access to a cable broadband or fiber-optic internet connection with minimum speeds of 10 Mbps download and 5 Mbps upload is required.

Benefits:

Compensation: Anticipated hourly pay ranging from $17.75 to $24 USD, depending on relevant experience and geographic location.
Annual bonus: Eligibility to participate in an annual bonus plan.
Healthcare coverage: Medical, dental, and vision insurance available from the first day of employment.
Well-being support: Access to behavioral health and well-being programs.
Retirement planning: Access to a 401(k) savings plan.
Life insurance: Company-paid life insurance coverage.
Professional development: Tuition reimbursement opportunities.
Paid time off: At least 18 days of paid time off annually, in addition to paid holidays.
Additional leave: Access to various leave-of-absence programs.
Work flexibility: Fully remote working arrangement within the United States.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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