Jobs in the United States

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Added 1 min ago
H
Occupational Therapist, Home Health
Humana
Everett, WA
- $102,500 to $141,000 USD / year
Review/expand the retraining programs in a manner consistent with the behavioral goals of each patient and within the guidelines of the rehabilitation program as a whole.
Added 1 min ago
Home Health Speech Language Pathologist
Humana
Puyallup, WA
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Added 1 min ago
Medicare Field Sales- Monroe
Humana
Stroudsburg, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Philadelphia
Humana
Philadelphia, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Montgomery
Humana
Norristown, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Northampton
Humana
Bethlehem, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Lehigh
Humana
Allentown, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Chester
Humana
Chester, PA · Phoenixville, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Virginia Beach
Humana
Virginia Beach, VA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Berks
Humana
Reading, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
LC
Counselor III/Clinician - MRT
Lake County
Waukegan, IL
- $25.34 USD / hour
…requirements, referrals and data tracking requirements to meet program, state and federal…
Added 1 min ago
Medicare Field Sales- Newport News
Humana
Newport News, VA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Schuylkill
Humana
Pottsville, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Lancaster
Humana
Lancaster, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
CC
Home Health Physical Therapist Assistant
CenterWell Certified Healthcare Corp.
Pullman, WA
- $76,800 to $105,000 USD / year
Associate degree in Physical Therapy from an American Physical Therapy Association
Added 1 min ago
Medicare Field Sales- Tidewater
Humana
Tidewater, VA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Bilingual Medical Assistant
Conviva Care Solutions, LLC
Orange City, FL
Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and approval from Provider
Added 1 min ago
Medicare Field Sales- Northern VA
Humana
Fairfax, VA · Dale City, VA · West Falls Church, VA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Richmond
Humana
Richmond, VA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medical Assistant
CDO 2, LLC
Richmond, VA
Note: This role is considered patient-facing and is part of the company's tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Added 1 min ago
Technician-Skilled Maintenance
ACCS
Atmore, AL
Associate degree in a technical field from a regionally accredited college or university OR Industry certification in the technical field of HVAC, Plumbing, Electrical, Carpentry, or…
Added 1 min ago
Medical Assistant
Conviva Care Solutions, LLC
Lutz, FL
Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and approval from Provider
Added 1 min ago
Medicare Field Sales- Myrtle Beach
Humana MarketPOINT, Inc.
Myrtle Beach, SC
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Raleigh
Humana MarketPOINT, Inc.
Raleigh, NC
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…
Added 1 min ago
Medicare Field Sales- Blair
Humana
Altoona, PA
During our licensing program, we will pay for your insurance training and the licensing fees. In addition, we will provide extensive virtual and in market training. During our training…

Paradigm Corp

2704 - Network Services Associate B

Tampa, FL, United States

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Job details

Posting language: English
Posted: Nov 4, 2026

Original job description

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized - again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to Paradigm.

The Network Services Associate will handle data entry, analyze data sets, handle incoming Provider bill status emails, and process reconsiderations, disputes, and state disputes. It is imperative that the Network Services Associate possess exemplary customer service skills, have a demonstrated ability to work independently, and function effectively as a member of the Network Services team.

DUTIES AND RESPONSIBILITIES:

Respond to email bill inquiries and disputes from providers, clients and internal customers.
Work with Finance, Provider Management, and external network partners to resolve provider disputes and questions.
Work with clients to resolve pricing issues and state disputes within regulatory timeframes.
Treat all customers, internal and external, in a courteous and cooperative manner by providing exceptional customer service to internal and external customers
Understand and comply with all HIPAA & SOC2 requirements necessary in working with designated PHI
Document and update information in cases and billing systems with high degree of accuracy.
Must utilize critical thinking skills while handling billing issues.
Assist with training with team members and new staff as needed
Process reconsiderations per client specific procedures
Perform additional duties as identified and directed by management
Maintain reliable and predictable attendance during scheduled work hours

QUALIFICATION REQUIREMENTS:

College education preferred with a minimum of two years in a clerical setting (preferably healthcare).
Prefer either workers’ compensation or call center experience.
Excellent communication skills both written and verbal,
Acute attention to detail Proficient in all Microsoft Office and computer application systems
Ability to express ideas clearly, concisely, and effectively, verbally and in writing.
Working knowledge and working experience with CPT, ICD10, MS-DRG, LTC-DRG, CMG, PDPM, HHRG bill coding systems, UB and HCFA claim forms and correct data field entries for all fields on both standard billing documents, medical terminology, and billing regulations
Ability to work independently
Medical office or insurance experience a plus.
Bilingual (English/Spanish) a plus.

Paradigm Benefits:

Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster

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