Upon successful completion of training, the role will transition to a remote work environment ... We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are ...
Upon successful completion of training, the role will transition to a remote work environment ... We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are ...
Upon successful completion of training, the role will transition to a remote work environment ... We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are ...
Upon successful completion of training, the role will transition to a remote work environment ... We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are ...
Adult Nutrition Outpatient Sales Representative-Philadelphia, PA
Philadelphia, PA · On-site +1
$61.30K - $122.70K/yr
... next calendar year. * An excellent retirement savings plan with high employer contribution ... Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL ...
Adult Nutrition Outpatient Sales Representative-Philadelphia, PA
Philadelphia, PA · On-site +1
$61.30K - $122.70K/yr
... next calendar year. * An excellent retirement savings plan with high employer contribution ... Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL ...
Must be able to travel based on client and business needs #LI-CF2 #LI-Remote ABOUT US CBIZ, Inc ... next and discover new ways to accelerate growth. CBIZ has more than 9,500 team members across 23 ...
Quick apply
Must be able to travel based on client and business needs #LI-CF2 #LI-Remote ABOUT US CBIZ, Inc ... next and discover new ways to accelerate growth. CBIZ has more than 9,500 team members across 23 ...
Account Manager - State Farm Agent Team Member
Philadelphia, PA · Remote
$40K - $75K/yr
Fully Remote!!!!! Responsibilities * Provide prompt, accurate, and friendly customer service ... Sales experience (outside sales or inside sales representative, retail sales associate, or ...
Quick apply
Account Manager - State Farm Agent Team Member
Philadelphia, PA · Remote
$40K - $75K/yr
Fully Remote!!!!! Responsibilities * Provide prompt, accurate, and friendly customer service ... Sales experience (outside sales or inside sales representative, retail sales associate, or ...
Northeast Regional Sales Manager Municipal/Industrial
Philadelphia, PA · Remote
$115K - $135K/yr
This is a remote and in-territory position with occasional visits to corporate headquarters in ... Managing and expanding an outside representative network, growing to 100% domestic CN coverage.
Quick apply
Northeast Regional Sales Manager Municipal/Industrial
Philadelphia, PA · Remote
$115K - $135K/yr
This is a remote and in-territory position with occasional visits to corporate headquarters in ... Managing and expanding an outside representative network, growing to 100% domestic CN coverage.
#LI-MV1 #LI-Remote CBIZ, Inc. (NYSE: CBZ) is a leading professional services advisor to middle ... next and discover new ways to accelerate growth. CBIZ has more than 9,500 team members across 23 ...
#LI-MV1 #LI-Remote CBIZ, Inc. (NYSE: CBZ) is a leading professional services advisor to middle ... next and discover new ways to accelerate growth. CBIZ has more than 9,500 team members across 23 ...
#LI-MV1 #LI-Remote CBIZ, Inc. (NYSE: CBZ) is a leading professional services advisor to middle ... next and discover new ways to accelerate growth. CBIZ has more than 9,500 team members across 23 ...
#LI-MV1 #LI-Remote CBIZ, Inc. (NYSE: CBZ) is a leading professional services advisor to middle ... next and discover new ways to accelerate growth. CBIZ has more than 9,500 team members across 23 ...
Customer Service Manager - State Farm Agent Team Member
Wilmington, DE · Remote
$40K - $75K/yr
Fully Remote !!!!! * Paid time off (vacation and personal/sick days) * Growth potential/Opportunity ... We will follow up with you on the next steps in the interview process. This position is with a ...
Quick apply
Customer Service Manager - State Farm Agent Team Member
Wilmington, DE · Remote
$40K - $75K/yr
Fully Remote !!!!! * Paid time off (vacation and personal/sick days) * Growth potential/Opportunity ... We will follow up with you on the next steps in the interview process. This position is with a ...
... next-generation autonomous data security platform. Our solution automates data loss prevention (DLP ... Represent the company at industry events, partner conferences, and cybersecurity ecosystems. * Stay ...
... next-generation autonomous data security platform. Our solution automates data loss prevention (DLP ... Represent the company at industry events, partner conferences, and cybersecurity ecosystems. * Stay ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Cherry Hill, NJ · Remote
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Cherry Hill, NJ · Remote
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Cherry Hill, NJ · Remote
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Cherry Hill, NJ · Remote
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Philadelphia, PA · Remote
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Philadelphia, PA · Remote
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Philadelphia, PA · Remote
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Philadelphia, PA · Remote
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
... represent an elevated, trusted, and legal cannabis brand that's leading the next era of hemp ... Remote role based in your territory with flexible scheduling * Generous employee product discounts
... represent an elevated, trusted, and legal cannabis brand that's leading the next era of hemp ... Remote role based in your territory with flexible scheduling * Generous employee product discounts
Head of Customer Success and Operations (Remote)
Philadelphia, PA · Remote
$120K - $150K/yr
... the next level. You will design the systems, create the playbooks, develop your people, own the ... Frontline CSR performance visibility and accountability through the Support Lead Operations ...
Quick apply
Head of Customer Success and Operations (Remote)
Philadelphia, PA · Remote
$120K - $150K/yr
... the next level. You will design the systems, create the playbooks, develop your people, own the ... Frontline CSR performance visibility and accountability through the Support Lead Operations ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Philadelphia, PA · On-site +1
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Principal Digital Health Zone Sales Manager - Acute Care and Monitoring (Northeast/Mid Atlantic)
Philadelphia, PA · On-site +1
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... You'll partner closely with monitoring sales reps to expand our footprint in existing and ...
Pall Medical - Commercial Specialist
Philadelphia, PA · On-site +1
$110K - $120K/yr
Take your next step to an altogether life-changing career. Learn about the Danaher Business System ... Cultivate relationships with Key Opinion Leaders and partners, represent the company at industry ...
Pall Medical - Commercial Specialist
Philadelphia, PA · On-site +1
$110K - $120K/yr
Take your next step to an altogether life-changing career. Learn about the Danaher Business System ... Cultivate relationships with Key Opinion Leaders and partners, represent the company at industry ...
Fully Remote; must be able to accommodate Eastern Time Zone hours. Essential Functions: * Define ... Oversee the development of ACA-compliant plan designs, including EHBs, cost-sharing structures, CSR ...
Fully Remote; must be able to accommodate Eastern Time Zone hours. Essential Functions: * Define ... Oversee the development of ACA-compliant plan designs, including EHBs, cost-sharing structures, CSR ...
Fully Remote; must be able to accommodate Eastern Time Zone hours. Essential Functions: * Define ... Oversee the development of ACA-compliant plan designs, including EHBs, cost-sharing structures, CSR ...
Fully Remote; must be able to accommodate Eastern Time Zone hours. Essential Functions: * Define ... Oversee the development of ACA-compliant plan designs, including EHBs, cost-sharing structures, CSR ...
Remote Next Rep information
What is the difference between Remote Next Rep vs Remote Customer Service Representative?
| Aspect | Remote Next Rep | Remote Customer Service Representative |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may prefer experience in sales or customer support | High school diploma or equivalent; customer service experience often preferred |
| Work Environment | Remote, often in sales or lead generation settings | Remote, in customer support or service centers |
| Employer & Industry Usage | Used mainly in sales-driven industries like telecom, tech, and retail | Common across various industries including retail, healthcare, and tech |
| Common Search & Comparison Intent | Looking for sales-focused remote roles | Seeking 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.

Full-time
Medical, Retirement, PTO
Posted 14 days ago
AmeriHealth Caritas rating
8.5
Based on 69 frontline employees who took The Breakroom Quiz
88th of 258 rated insurance
Job description
- 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
What AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983