Let’s do great things, together!About ModaFounded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.Position SummaryResponsible for timely and accurate payment of Commercial and Medicaid inpatient hospital claims. Answer internal questions from various departments and respond to correspondence from providers when necessary. This is a FT WFH role. Pay Range$21.30 - $23.96 hourly (depending on experience) *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.Please fill out an application on our company page, linked below, to be considered for this position.https://j.brt.mv/jb.do?reqGK=27778909&refresh=trueBenefitsMedical, Dental, Vision, Pharmacy, Life, & Disability401K- MatchingFSAEmployee Assistance ProgramPTO and Company Paid HolidaysRequired Skills, Experience & EducationHigh School diploma or equivalent.1-2 years medical claims processing experience.10-key proficiency of 135 wpm.Type a minimum of 35 wpm.Knowledge of medical terminology, CPT codes and ICD-10 codes.Strong verbal, written, and interpersonal communication skills.Analytical, problem solving and organizational skills.Ability to work well under pressure.Maintain confidentiality and project a professional business imageAbility to maintain balanced performance in areas of production and quality.Primary FunctionsReview, process and adjust Commercial and Medicaid inpatient claims. Review claims data, interpreting coding and understanding medical terminology in relation to diagnosis and procedures.Review, analyze, price, and resolve inpatient claims through the utilization of available resources for moderate to complex inpatient claims, adjustments, and file reviews. Process Commercial and Medicaid inpatient claims for all types of contracts (e.g., DRG, per diem, case rate, % of CMS). Analyze and apply plan concepts to claims that include deductible, coinsurance, copay out of pocket, etc. Examine claims to determine if further investigation is needed from other departments and routes claims appropriately through the system. Contact providers and other outside sources for additional information.Adjudicate claims to achieve quality and production standards applicable to the position.Release claims by deadlines to meet company, state regulations, contractual agreements, and group performance guarantee standards.Review Policy and Procedures (P&P) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements.Perform all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines.Perform other duties as assigned.Working Conditions & Contact With OthersOffice environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need.Works internally with Healthcare Services, Membership Accounting, Customer Service, Hospital Auditors, Provider Correspondence, and Professional Relations. Works externally with providers and vendors. Together, we can be more. We can be better.Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.

Posted 2:58:32 PM. Join Amgen’s Mission of Serving PatientsAt Amgen, if you feel like you’re part of something bigger,…See this and similar jobs on LinkedIn.

Ciao, siamo Serenis 👋Siamo una startup, una tech company e un gruppo di persone determinato ad…Vedi questa e altre offerte di lavoro simili su LinkedIn.

Headquarters: Remote In this role, you will:Support our users across all online channels (email, Discord, website chat, forums, social medias, etc) for non-technical issues (such as Umbrel Home order related queries)Work with our logistics and fulfillment team to resolve order/shipping issuesHelp users with various non-technical tasks, such as order modifications, returns, replacements, and repairsCreate how-tos, guides, wikis, knowledge base, etc for recurring questionsWe hope you:Have great written communication skillsLike talking to users and are willing to constantly do so without external encouragementAre able to empathize with users, and genuinely care about their problems — we can’t exist without them To apply: https://weworkremotely.com/remote-jobs/umbrel-customer-support-non-technical

Headquarters: UK (Remote) If you’re an exceptional coder, love shaping product, and are excited by the chance to work with bleeding-edge AI - this is your role.Dentology is one of the UK’s fastest-growing performance marketing agencies, partnering exclusively with high-end cosmetic dental practices. We’re a 30+ person team spanning across content, ads, sales, and engineering - and one of the only agencies building an end-to-end patient acquisition system that blends agency services with proprietary software.Our platform combines real-time lead tracking, performance analytics, and AI-driven insights to give practices unprecedented visibility into what’s driving results. From high-production content shoots and paid campaigns to in-house sales teams who close the leads, we deliver predictable, profitable growth for some of the biggest names in UK dentistry.Role OverviewWe’re looking for a Full Stack Product Engineer to join us and help build a product that will transform how dental practices attract and convert patients. You’ll work across the stack, from database to frontend, and take ownership of key features, integrations, and user experiences. You’ll collaborate closely with the founders (marketing + tech backgrounds), bringing your own ideas to the table, influencing product direction, and helping us move fast with high-quality, clean, and scalable code.What you'll be doingTake ownership of engineering projects, delivering features end-to-end - from database design to polished frontend.Build and scale resilient backend services and high-usage API integrations.Collaborate with the team to align technical execution with real-world clinic needs and marketing performance goals.Help shape the engineering culture, setting best practices, tooling standards, and mentoring future hires.Drive continuous improvements to our UX/UI, working closely with non-technical team members to deliver seamless user experiences.Tackle challenges like real-time data syncing, performance optimisation, lead-tracking infrastructure, and AI-enhanced tools.Contribute ideas around product strategy - we want you thinking beyond code.What we're looking for2+ years of full stack experience with React.js, Next.js, TypeScript, or similar web frameworksSolid understanding of data flows and state management in web applicationsExperience working with Prisma, PostgreSQL, and building robust API integrationsA passion for clean, scalable code and practical solutionsEmpathy for the user - understanding how they interact with the product and shaping the experience to meet their needsCuriosity - a willingness to learn quickly, adapt, and grow with new technologiesSuccess in the Role6 Months:Gain deep expertise in our entire tech stack, including deployments and infrastructureTake ownership of smaller features, ensuring high-quality delivery and end-to-end responsibilityBecome the go-to person for understanding how all systems work together and contribute to ongoing projectsWork autonomously on both frontend and backend development, applying best practices across the full stack12 Months:Play a key role in hiring, working closely with the engineering team to evaluate potential candidatesTake on mentorship responsibilities, helping junior developers grow their skillsContribute to engineering decisions around architecture, tech stack improvements, and development practicesLead efforts in scaling systems, optimising performance, and ensuring robustness of integrations18 Months +:Lead a team of developers, managing projects and ensuring delivery aligns with product goalsTake ownership of more strategic decisions, including setting long-term engineering directionMentor and guide other engineers on complex problems, promoting a culture of technical excellence and collaborationInfluence the company’s growth trajectory by playing a major role in key product and engineering initiativesWhy Join UsIncredible category – We’re blending agency speed with SaaS scalability in a niche ripe for disruption.Cutting-edge tech – Work with the latest AI and workflows.Real ownership – You’ll build the product, not just ship tickets.Clear progression – We’re scaling quickly; there are huge opportunities to grow into leadership.Startup energy, proven team – Fast-moving, ambitious culture - but with a 30+ person company behind you.Remote-first – Work from anywhere, tightly connected to a high-performance, collaborative team. To apply: https://weworkremotely.com/remote-jobs/dentology-full-stack-product-engineer

Headquarters: Ukraine About PatriannaPatrianna is a fast-scaling product development company headquartered in Gibraltar, with a dynamic, global team powering our growth. We operate at the intersection of technology and entertainment, building innovative solutions that shape the future of social gaming and deliver outstanding experiences to millions of players worldwide.We're driven by speed, ambition, and bold ideas. At our core, we're product creators and problem-solvers who thrive in a high-performance environment. We're looking for exceptional talent—smart, adaptable, and motivated individuals eager to make an impact, scale business functions at pace, and continuously improve.Whether you're a domain expert or an agile thinker who thrives in change, at Patrianna you'll have the freedom to innovate, take ownership, and help us lead the next wave of gaming innovation.Join us—and be part of something extraordinary.The RoleYou'll architect and operate the infrastructure backbone that powers millions of gaming experiences, driving platform reliability and scalability at pace.What you will be doing• Design, operate, and evolve production-grade Kubernetes clusters with focus on high availability, scaling, networking, and security• Lead incident response and troubleshooting across distributed systems, conducting thorough postmortems to drive continuous improvement• Build and maintain robust CI/CD and release pipelines using GitHub Actions, Jenkins, and Azure DevOps• Manage Infrastructure as Code and environments using Terraform, Terragrunt, and Helm• Implement GitOps-based deployments with Argo CD for seamless, automated releases• Drive observability and alerting strategies using Prometheus, Grafana, and Loki/ELK to ensure system healthWhat we are looking for• Strong production experience with Google Cloud Platform including Compute Engine, GKE, networking, IAM, DNS, and cost optimization• Deep hands-on expertise with Kubernetes architecture, networking, ingress, storage, autoscaling, and upgrades• Proven experience with Terraform, Terragrunt, and Helm in production environments• Solid CI/CD and GitOps expertise, particularly with Argo CD• Strong Linux, networking, and troubleshooting skills including TCP/IP, DNS, and TLS• Experience with on-call rotations and incident management using tools like PagerDutyWhy you will love itYou'll work at the cutting edge of gaming infrastructure, solving complex technical challenges that directly impact millions of players worldwide. With our high-growth environment, you'll have continuous opportunities to learn new technologies, drive meaningful improvements, and shape the platform that powers our next wave of innovation. Plus, you'll be part of an ego-free, collaborative team where your expertise is valued and your impact is immediately visible.Other BenefitsFull Remote Work: Enjoy the flexibility of working remotely from wherever you feel most productive.Generous Leave Policy: Take advantage of 30 days of paid time off, encompassing both vacation and sick leave, to ensure you can recharge and recover when needed. Take your time on bank holidays as well.Company Events: Engage in our vibrant company culture through a variety of informal events designed to foster camaraderie and teamwork.Continuously Development: Get an opportunity to join a fast-growing business where the sky’s the limit. To apply: https://weworkremotely.com/remote-jobs/patrianna-devops-engineer

Acerca del rol 🔎En Singularu buscamos a una persona que se una a nuestro equipo de Customer Service en modelo de trabajo en remoto. Serás una pieza fundamental para nuestras clientas: la persona que les acompaña, les resuelve y les hace sentir especiales en cada interacción. Buscamos a alguien organizado/a, resolutivo/a y con una vocación real por las personas, que sea capaz de convertir cualquier incidencia en una experiencia positiva para quienes confían en nosotras.Responsabilidades 🚀Gestionar las consultas, reclamaciones e incidencias de nuestras clientas a través de los distintos canales (email, teléfono y chat), asegurando siempre una respuesta ágil y empática.Tramitar cambios, devoluciones y seguimiento de pedidos, garantizando que cada clienta quede satisfecha con el proceso.Resolver dudas sobre productos, disponibilidad y estado de pedidos, aportando información clara y precisa.Gestionar y responder reseñas de producto, contribuyendo a mejorar la experiencia de marca.Colaborar activamente con el resto del equipo para detectar patrones de incidencias y proponer mejoras en los procesos.Utilizar las herramientas CRM para registrar y hacer seguimiento de todas las interacciones con clientas.¿Qué estamos buscando? 🎯Mínimo 2-3 años de experiencia en atención al cliente, customer service o puestos similares.Excelentes habilidades de comunicación verbal y escrita en español e inglés.Manejo de herramientas y plataformas CRM.Persona muy organizada, orientada al cliente y con actitud proactiva.Conocimientos básicos de informática y comodidad trabajando en entornos digitales.También valoraremos:Experiencia en e-commerce o retail.Conocimiento de herramientas como Zendesk, Gorgias, Salesforce o HubSpot.Experiencia gestionando incidencias por email, teléfono y chat de forma simultánea.Conocimientos de alemán u otros idiomas.¿Qué ofrecemos? 🌱Modelo de trabajo en remoto y material necesario.Descuento exclusivo en nuestras joyas 💍✨Plan de retribución flexibleUn entorno joven, dinámico y en constante aprendizaje.Nuestros valores como equipo 🚀💍 OUR GIRLS ALWAYS COME FIRST💕 TEAM WORK, DREAM WORK⚙ TRUST THE PROCESS✨ ALWAYS PROACTIVE & POSITIVE🙌 ENJOY ALL OF IT

Posted 9:55:03 PM. Title: Social Media Content Creator (Pizza industry)Location: Remote (candidates must be located in…See this and similar jobs on LinkedIn.

Posted 3:15:40 AM. About UsEnnoble Care is a mobile primary care, palliative care, and hospice service provider with…See this and similar jobs on LinkedIn.

Posted 2:10:41 PM. Location: Remote - United StatesDepartment: Executive LeadershipClassification: Exempt…See this and similar jobs on LinkedIn.