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Remote Next Rep Jobs in Lindenwold, NJ (NOW HIRING)

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Remote Next Rep information

What is the difference between Remote Next Rep vs Remote Customer Service Representative?

AspectRemote Next RepRemote Customer Service Representative
Required CredentialsHigh school diploma or equivalent; some roles may prefer experience in sales or customer supportHigh school diploma or equivalent; customer service experience often preferred
Work EnvironmentRemote, often in sales or lead generation settingsRemote, in customer support or service centers
Employer & Industry UsageUsed mainly in sales-driven industries like telecom, tech, and retailCommon across various industries including retail, healthcare, and tech
Common Search & Comparison IntentLooking for sales-focused remote rolesSeeking customer support roles with remote options

The Remote Next Rep typically focuses on sales, lead generation, and client outreach, requiring some sales experience. In contrast, a Remote Customer Service Representative primarily handles customer inquiries and support, emphasizing communication skills. Both roles are remote and often share similar credentials, but they serve different functions within organizations.

What are popular job titles related to Remote Next Rep jobs in Lindenwold, NJ? For Remote Next Rep jobs in Lindenwold, NJ, the most frequently searched job titles are:
What cities near Lindenwold, NJ are hiring for Remote Next Rep jobs? Cities near Lindenwold, NJ with the most Remote Next Rep job openings:
Infographic showing various Remote Next Rep job openings in Lindenwold, NJ as of May 2026, with employment types broken down into 47% Full Time, 51% Part Time, and 2% Contract. Highlights an 95% Physical, and 5% Remote job distribution.
Provider Claims Service Representative

Provider Claims Service Representative

Amerihealth Caritas

Philadelphia, PA • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 14 days ago


AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

88th of 258 rated insurance


Job description

Responsibilities: 
 
Under the general direction of the Operations Call Center Supervisor, responsible for responding in a timely, professional and courteous manner to all customer needs. This includes provider phone calls or correspondence regarding benefit, eligibility, and other provider issues.  Reviews and adjudicates claims based on provider and health plan contractual agreements and claims processing guidelines.  Serves as a Subject Matter Expert.  Conducts cross training to staff as required.  Demonstrates solid knowledge of Provider Service/Claim systems, functions and team process.  Demonstrates superior skill in dealing with provider issues/inquiries, team members, and co-workers.
 
  • Suspends claims requiring additional information and/or special handling; initiates action to obtain required information.
  • Forwards claims requiring external department intervention to the appropriate department or person.
  • Monitors outstanding inquiries and works with management staff to identify and resolve areas of non-compliance.
  • Reviews and verifies quality audit reports.
  • Reconciles audit discrepancies, corrects in system and make appropriate changes to avoid recurrence.
  • Maintains thorough knowledge of claims process systems, its databases and subsystems.
  • Responds to and resolves provider and health plan claim inquiries. Monitors and tracks aged, pended, and open reports to maintain timeliness in claims processing. Inputs claims into the system for appropriate tracking and processing.
  • Documents file, as appropriate, to support payment decision.
  • Serves as a Subject Matter Expert and conducts training as required.
  • Conducts cross training to staff as required.
  • Actively participates in user acceptance testing functions, such as test script development, testing and documentation of test results.

Education/Experience:​
  • Minimum 4 years’ experience in claims and/or call center required.
  • High School/GED required.
  • Associate  degree preferred; minimum 45 wpm typing preferred.
  • Healthcare or Managed Care experience preferred.
  • Working knowledge of PC apps in a windows based environment.

Training Information: 

  • Training is conducted onsite Monday through Friday from 8:30 AM – 5:00 PM and lasts approximately 6–7 weeks (maximum). During this period, you are required to be fully available and onsite for the entire duration of training.

  • Upon successful completion of training, the role will transition to a remote work environment. However, you may be required to report to a business office for mandatory meetings and/or technical support related to remote work.

Work Schedule: 

  • Our Contact Center operates 24 hours a day, and this position requires flexibility to work shifts between 7:00 AM – 7:00 PM. Start times will vary on a weekly basis, typically ranging from 7:00 AM to 10:30 AM, and are assigned based on business needs (example shift: 10:30 AM – 7:00 PM).

  • Your permanent schedule will be assigned toward the end of training and will remain consistent based on operational needs.

Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more.

Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you are driven to make a difference, we want to hear from you.

About AmeriHealth Caritas
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at http://www.amerihealthcaritas.com


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