About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, were 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. Lets be better together.

Position Summary

Responsible for utilizing resources efficiently for the accurate and timely entry, review, and resolution of simple to moderately complex medical claims in accordance with policies, procedures, and guidelines as outlined by the company. This is a FT WFH role.

Pay Range

$17.34 – $19.41 hourly, DOE.

• 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=27778986&refresh=true

Benefits

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Required Skills, Experience & Education

• High School diploma or equivalent
• 6-12 months data entry or medical office experience preferred
• 10-key proficiency of 135 spm
• Type a minimum of 35 wpm
• Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred
• Demonstrates work habits that include punctuality, organization, and flexibility
• Ability to maintain balanced performance in areas of production and quality
• Analytical reasoning and flexibility
• Professional and effective written and verbal communication skills
• Experience with Facets platform a plus
• Identify all the duties and responsibilities

Primary Functions

• Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures.
• Review, analyze, and resolve claims through the utilization of available resources for moderately complex claims.
• Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, out of pocket, etc.
• Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system.
• Adjudication of claims to achieve quality and production standards applicable to this position.
• Release claims by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards.
• Reviews Policies and Procedures (P&PS) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements.
• Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines.
• Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Modas standard workweek is a 37.5 hour work week.

Working Conditions & Contact With Others

• Office environment with extensive close PC and keyboard work with constant sitting. Must be able to navigate multiple screens. Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Modas standard workweek is a 37.5 hour work week.
• Works internally with the customer service, membership accounting, and appeals departments. Works externally to support client needs.

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 & Danielle Baker via our humanresources@modahealth.com email.

Headquarters: BR

URL: http://acerto.com.br

To apply: https://weworkremotely.com/remote-jobs/acerto-analista-de-crm-pleno-jornada

Headquarters: Remote, United States

URL: http://smartbugmedia.com

To apply: https://weworkremotely.com/remote-jobs/smartbug-media-point-sucess-globalia-crm-strategist

Headquarters: Atlanta, Georgia, United States

URL: http://optimantra.com

The Company

Cerbo OptiMantra is a healthcare technology company built for the practices actively changing how medicine is delivered. Our platforms serve functional, integrative, direct primary care, concierge, med spa, and behavioral health practitioners who need software that keeps pace with how they work — not the other way around.

Each platform is a purpose-built EHR and practice management solution. Cerbo is architected for clinical depth: deep configuration, protocol-specific workflows, and the kind of flexibility that holistic and functional medicine practices require. OptiMantra is structured for scale: multi-modality breadth, out-of-the-box readiness, and the operational infrastructure that growing practices rely on.

Together, our two platforms form a leading presence in this rapidly expanding market. Our practitioners are redefining what a patient experience can look like. We exist to give them the technology foundation to do exactly that — at whatever size and pace they choose to grow.

What You’ll Do

As aSenior Product Manager, supportingOptiMantra,you will own a major product area end to endtalking to users every week and shipping things that change how clinicsactually run. Healthcare software is stuck in 2005: providers drown in clicks while patients wait. You will help fix that, fast, with AI at the center. Small team, big problems, real autonomy. Learn more aboutOptiMantrahere.

Primary Responsibilities

• Own a product area end to end: roadmap, discovery, delivery, and iteration. No one hands you a spec.

• ShipAI-firstfeatures. AI Scribe is live today. Clinical decision support and intelligent workflows are next.

• Own the UX vision for your area.OptiMantrawins on clarity and guided experience. Yousetthat bar.

• Talk to users constantly through discovery calls, usability sessions, and clinic visitsfirsthandsignal, not secondhand summaries.

• Prioritize strategically. More opportunities than bandwidth. You decide what to build, what to defer, and what to kill.

• Coordinate cross-platform when features spanOptiMantraand Cerbo (shared model, separate UX).

• Mentor Jr. PMs and collaborate with PMs across the organization.

Required Skills & Qualifications

• 8+ years in product management, at least 2 at the senior level

• EHR/EMR or healthcare software experience strongly encouragedyou should understand clinical workflows, not just software workflows

• Strong UX and UI sensibility: you evaluate designs critically, advocate for the end user, and know what good looks like

• Outcome-driven: you measure success by impact (retention, activation, clinical efficiency), not features shipped

• Strategic thinker who can connect product decisions to business outcomes and say no togood ideas

• Comfortable with ambiguity and speedsmall team, real autonomy, limited process

• Technically fluent: you hold your own with engineering on architecture, APIs, and tradeoffs

• Clear, sharp writer: remote team, async-firstwritingis how decisions get made here

Bonus Points

• Experience with multimodality clinical environments (integrative, IV, MedSpa, behavioral health)

• Hands-on experience building AI/ML product features

• Familiarity with practice management workflows: scheduling, billing, insurance, intake, memberships

Compensation & Benefits

• Competitive compensation based on experience

• Paid Time Off and company holidays

• Comprehensive health, dental and vision benefits

• Short-term and long-term disability Insurance

• 401k plan with matching company contribution

• Real ownership and impact in a fast-growing health tech company

Location: Atlanta, GA

We are an equal opportunity employer and value diversity at our company.We do not discriminateon the basis ofrace, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

To apply: https://weworkremotely.com/remote-jobs/optimantra-sr-product-manager

Headquarters: Cluj-Napoca, Remote, Romania

URL: http://proidealjobs.com

Dynamics 365 Developer

Calling all Dynamics 365 Developers!
This is an opportunity to work directly with the client without outsourcing.

Pro iDeal Jobs is looking for a Dynamics 365 Developer, on behalf of or client, a technology company focused on healthcare, infrastructure, industry, and mobility, with business operations across EMEA.
They are currently conducting all interviews online and is onboarding all new employees remotely

Project description
The product is planned to be a mobile application based on Dynamics 365 system for helping the
technical team in solving different customer requests and changes in the Digital Industry field.
This is going to be a brand-new application, meant to replace an existing tool.

Your profile and background:

• You have an education in Computer Science, Software Engineering, or related fields
• Microsoft Dynamics 365 expertise (customer service and field service – most relevant
• modules)
• Experience in the creation of custom plugins and custom workflows for CRM
• Power Apps platform and Dynamics 365 Mobile know-how experience is a plus
• Strong willingness to understand business processes
• Good problem-solving and analytical thinking skills
• Strong interpersonal skills and the ability to communicate with multiple stakeholders
• Advanced English skills/ both verbal and written

What if we said:

• Challenging projects from which you can develop your professional skills.
• An attractive compensation package that can reflect your involvement, desire to improve, and willingness to contribute to the business.
• Private healthcare Insurance.
• 7 Card subscription.
• Performance rewards and annual bonuses.
• Career plan and coaching sessions.

If you want to become a member of the team, please apply for the job above and if you meet the requirements, you will be contacted by the recruiters at Pro iDeal Jobs.

To apply: https://weworkremotely.com/remote-jobs/pro-ideal-jobs-dynamics-365-crm-developer

Headquarters: Casper, WY

URL: https://selectsaunas.com

Fully Remote Customer Support, Order Management, and Social Media Manager for E-Commerce Brand

Company: Select Saunas (selectsaunas.com)
Location: Fully remote (must be based in the United States or Canada, )
Type: Full-time
Compensation: $40,000 + performance bonuses

About the role

Do you wantto help people become the healthiest version of themselves?

Select Saunas is a high-ticket online-only retailer of premium saunas. Our customers make considered, high-value purchases, and the experience we give them before, during, and after the sale is what sets us apart.

We’re looking for a Customer Support and Order Management Specialistto own the order journey end to end: placing orders with our suppliers, keeping customers informed proactively, and resolving issues with the kind of white-glove care a high-ticket purchase deserves. You’ll be the voice of the brand on email and phone, and the person who makes sure every order is accurate, on track, and delivered without surprises.

This is an ideal role for someone who is organized, calm under pressure, and genuinely enjoys helping people, not just clearing a queue. A welcome bonus is a genuine interest in saunas and health and wellness!

• Join the early stages of a fast-growing company
• Be part of a small, fun, driven team
• This is a long-term position with the opportunity to move into a customer support team manager
• No limits on your advancement
• Act without being micromanaged
• Responsible Unlimited PTO (of course, and we won’t disturb you)
• Work from home and be an entrepreneur inside the company (without the risk of going alone)

What you’ll do

• Handle inbound contact. Respond to customer emails and phone calls promptly and professionally.
• Place and manage supplier orders. Submit orders accurately to our suppliers, confirm details, and follow them through to fulfillment.
• Assign and communicate tracking. Add tracking numbers to orders and keep customers updated on shipment status.
• Reach out proactively. Contact customers about their orders before they have to ask confirmations, delays, delivery scheduling, and follow-ups.
• Resolve complaints and issues. Coordinate with customers, couriers, and suppliers to manage freight damage, delays, returns, and any problems with empathy and a focus on a fair, fast resolution.
• Keep records clean. Maintain accurate order, customer, and communication records.
• Manage social media accounts. Light social media work – create posts showcasing customer saunas, manage the odd comment and DM…

What we’re looking for

• 1 to 3+ years in ecommerce customer support, order management, or a similar operations role
• Excellent written and verbal English communication
• Comfortable on the phone with customers, including pre-sale conversations
• Strong attention to detail (accuracy on high-value orders is critical)
• Self-directed and reliable in a fully remote environment
• Comfortable learning and working in our order/helpdesk tools including Shopify and Gorgias

Nice to have

• Experience with eCommerce
• Familiarity with Shopify and common helpdesk/order tools (e.g. Gorgias, Zendesk, Shopify)
• Experience coordinating with suppliers or freight/LTL carriers
• A genuine interest in saunas!

Compensation & structure

Base salary: $40,000/year.

Performance bonuses:

• Quality and accuracy bonus tied to customer satisfaction and response-time targets, and maintaining a low order-error rate. Compensation will naturally grow with increased experience and time.

Requirements

How to apply

Send an email with the subject “Your Name – CSR Application” to christoffer@selectsaunas.com. The email should include your resume, a Vocaroo voice note under two minutes introducing yourself, letting us know why you’re a great fit for this role, and mentioning your previous relevant experience.

To apply: https://weworkremotely.com/remote-jobs/select-saunas-customer-support-specialist