Job Search Results for remote

Level 2 - REMOTE BCBS Facility Claim Follow-Up Representative

Insight Global is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. This person is responsible for managing post-billing,... More specifically for Blue Cross Blue Shield, claim activity, for three acute hospital centers in Washington, DC. This role focuses on resolving underpayments, denials, and contract interpretation issues?not clinical denials or patient balances. The representative ensures accurate reimbursement by analyzing Explanation of Benefits (EOBs), identifying discrepancies, and initiating corrective actions with payers. This team focuses on facility claims only, and this role is focused only on outpatient claims follow up, specifically to BCBS. The role focuses on resolving technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.).Primary Responsibilities:Claims Management:?Take ownership of outpatient hospital claims after billing, especially those that are denied or underpaid.?Determine what was paid, what was denied, and why.?Identify and resolve technical denials related to coding, coordination of benefits (COBs), charge discrepancies, contract interpretation, etc. Payer Interaction:?Handle all outpatient claims for Blue Cross Blue Sheild CareFirst and/or BlueCard. ?Understand and navigate multiple contracts. ?Utilize BCBS portal to follow up and resolve outstanding claim issues.Analytical Review:?Differentiate between pricing errors vs. payment errors.?Accurately price claims based on contract terms and identify variances.Scope of Work:?Outpatient facility claims ONLY ?Technical denials ONLYWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Python Cloud Developer (INTL Latam or India - REMOTE)

A large healthcare company is seeking an experienced Python Cloud Engineer to join its enterprise security team. The client is over $370Bn in revenue and operates over 9,000 locations. They are... More dedicated to putting people first from their customers to their employees, engaging with customer feedback to further innovate to provide the best care possible, simplifying processes for care, creating a trusting environment, and to creating the safest and highest quality of care to keep patients protected. The client is dedicated to giving back to those around them. They have stared a Foundation to provide financial support to the communities to help with areas such as maternal health, mental health, scholarships, free health services/screenings, etc. Seeking experienced developer, with strong cloud/systems background, to work on exciting projects implementing security-as-code in a large multi-cloud environment, leveraging & enhancing modern frameworks, DevOps tools & processes. This is a senior role requiring hands-on development across multi-cloud environment and strong AI proficiencyJob responsibilities:-Design & build automated controls to monitor and enforce security policies across all hyperscale cloud providers - GCP, Azure & AWS-Develop API/microservices to automate reusable components -Standardize and automate security operational procedures and processes-Maintain and enhance IaC (Security) scanning solution-Translate cloud security controls into OPA rules-Research cloud services, identify event pattern and build event based controls-Build IaC templates for repeatable deployments across key cloud providers-Develop policies and automate enforcement for securing AI services, models, agents, etc-Design & Develop AI agents to meet variety of needs, including productivity improvement, enhanced user experience & cloud security enforcementsCompensation:$10/hr to $13/hr in India, $15-20/hr in Latam. Exact compensation may vary based on several factors, including location, skills, experience, and education.Employees in this role will enjoy a comprehensive benefits package starting on day one of employment, including options for medical, dental, and vision insurance. Eligibility to enroll in the 401(k) retirement plan begins after 90 days of employment. Additionally, employees in this role will have access to paid sick leave and other paid time off benefits as required under the applicable law of the worksite location.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Sr. Public Sector Client Executive (NY, NJ)

A client of Insight Global is seeking a highly skilled Client Executive to join a leading Value-Added Reseller (VAR) specializing in providing cutting-edge technology solutions to SLED institutions.... More This individual will be responsible for bringing past contacts, hunting for new business within the East Coast, building their portfolio and market share within the education industry. Additionally, this resource will be set up with pre-existing territory. This role will offer a base salary of 125-150k + Commission. This role can sit remotely on a day-to-day but will require meeting clients face to face to drive and close revenue opportunities.Comp Plan:?1st year: $400k Gross Profit ? 25% ($100k)?2nd year: $600k Gross Profit ($120k)We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Sr. Software Engineer (Java, Springboot, GraphQL, REST API)

We are seeking a Senior Software Engineer to join a high-impact engineering team within the Client Domain of the Integration Center of Excellence organization. This position requires a strong... More hands-on engineer who can quickly operate at a senior level, take ownership of complex systems, and contribute meaningfully from day one.This role offers the opportunity to work with modern technologies, contribute to mission-critical services, and play an early role in emerging AI-driven initiatives across the team.Key ResponsibilitiesDesign, develop, and maintain scalable backend services using Java and Spring BootBuild and support APIs, with a strong emphasis on GraphQL, as the organization continues to wrap and modernize existing APIsDevelop and support distributed systems using Kafka / Confluent CloudEnsure services are observable and production-ready using tools such as DatadogImplement and maintain secure systems with strong understanding of authentication and authorizationContribute to API management and security using Azure API GatewayCollaborate closely with cross-functional teams to support:Digital identity and user registrationSystem synchronization and document services (insurance, brokerage, investment products, etc.)Client-related workflows and special handling use casesData hydration and integrations supporting banking and financial platformsParticipate in technical discussions, architectural decisions, and code reviewsSupport high-priority initiatives as needed and assist teammates when requiredExplore and propose innovative solutions leveraging AI and emerging technologiesTeam & Cultural FitCultural alignment is crucial for this team. The ideal candidate is:A true team player who collaborates well and builds strong relationshipsWilling to ask questions, challenge ideas respectfully, and provide support to teammatesComfortable stepping in to help during high-priority situationsNot overly selective about tasks; willing to ?pick up the pieces? when neededMotivated by ownership, accountability, and collective team successWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Sr Front End UI Developer (React/Nextjs)

A healthcare insurance provider is looking for a Senior Front End UI Developer to join their team remotely aligned to EST. This Senior Front End UI Developer is being brought in to support a major... More strategic platform overhaul and consolidation initiative focused on grievances and appeals for a healthcare insurance organization. This role's primary tech stack will be Nextjs and React, and they will be responsible for designing and building modern, scalable user interfaces that translate complex business and regulatory requirements into intuitive, high-performing digital experiences. The ideal candidate will work closely with backend engineering teams to ensure seamless data integration, transform wireframes into fully operable UI components, and contribute to a microfrontend-based architecture deployed in a public cloud environment. Experience working within regulated healthcare environments and handling sensitive data is highly valued.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

REMOTE Data Engineer (R&D)? INTL India (a5a02785)

A global manufacturing company is seeking a strong Data Engineer to join their Innovation Excellence organization! This individual will work within a global team responsible for driving ongoing... More digital transformation initiatives focused around Machine Learning & AI that impact R&D across global sites. This position sits remotely in India, is a year-long contract role with the possibility of extension and is an immediate need. Key Responsibilities: ? Lead the transformation of unstructured data sources into standard approved structured backends ? Design and maintain data pipelines (ETL/ELT) for batch and real-time processing. Implement data quality, validation, and monitoring systems. ? Optimize infrastructure for performance and cost-efficiency. Build and optimize data warehouses/lakes. ? Collaborate with Data Scientists and Data Analysts. ? Serve as a liaison with vendors, project managers, and R&D scientists to develop and execute rollout strategies for smart laboratory operations, resolving data limitations as they arise. ? Identify siloed data sources and propose strategies to extract value through connectivity ? Develop and curate technical content for the Innovation Excellence digital network, facilitating knowledge sharing, training, and best practice dissemination across all DuPont locations. ? Support and develop data governance best practices for the multiple R&D labs across the DuPont enterprise. . Ensure data security, and compliance. ? Guide the adoption of modern data platforms. Collaborate with cross-functional teams to design, implement, and maintain web applications using the newly structured dataWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

INTL Remote Sr Front End UI Developer (React/Nextjs)

A healthcare insurance provider is looking for a Senior Front End UI Developer to join their team remotely. This Senior Front End UI Developer is being brought in to support a major strategic... More platform overhaul and consolidation initiative focused on grievances and appeals for a healthcare insurance organization. This role's primary tech stack will be Nextjs and React, and they will be responsible for designing and building modern, scalable user interfaces that translate complex business and regulatory requirements into intuitive, high-performing digital experiences. The ideal candidate will work closely with backend engineering teams to ensure seamless data integration, transform wireframes into fully operable UI components, and contribute to a microfrontend-based architecture deployed in a public cloud environment. Experience working within regulated healthcare environments and handling sensitive data is highly valued.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Tier 1 CSR (M-W 2-11p, Th-F 3-12a CT)

We are seeking an IT Support Specialist for our client in the education space. This individual will be trained on their proprietary systems, but must possess some technical knowledge, experience... More working with a ticketing system, and excellent customer service skillsTwo Openings: Central Time 7AM-4PM Friday - Tuesday 11AM - 8PM Wed - SundayWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Appeals & Grievances Coordinator

An employer is looking for a remote Appeals & Grievances Coordinator who will be responsible for managing and resolving appeals and grievances related to dental insurance claims. This role requires... More strong analytical and communication skills, attention to detail, and the ability to work independently in a remote environment while collaborating with internal teams and external stakeholders.Key Responsibilities- Review, research, and process appeals and grievances in compliance with company policies and regulatory requirements.- Draft clear, professional written responses and documentation for appeals and grievances.- Utilize Microsoft Word, Excel, Adobe, and Outlook for reporting, documentation, and communication.Apply critical thinking to analyze complex cases and identify appropriate resolutions.- Communicate effectively with members, providers, and internal departments to gather necessary information.- Maintain accurate records and ensure timely follow-up on all cases.- Set up and manage remote workstation; troubleshoot and engage with IT support as needed.- Perform outbound calls to providers and members regarding claims.- Leverage patient/member services experience to ensure empathetic and effective communication.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

User Research Helpline Specialist

Insight Global is seeking Remote Helpline Specialists to assist participants in user research studies with hardware troubleshooting. This team addressing research participant inquiries via email or... More phone, troubleshooting issues, and ensuring compliance with research protocols for consumer electronic devices.Logistics: Schedule: Mon ? Friday Shifts: 8 hour shifts between 7:30am ? 11pm EST *options to work weekends tooProject duration: March ? Sept *with possible extensions Key Responsibilities: ? Respond to participant questions and concerns promptly via email and phone, providing clear and accurate guidance. ? Troubleshoot technical issues participants may encounter with research tools or platforms. ? Follow up with participants to ensure adherence to study protocols and timelines. ? Document interactions with participants and escalate complex issues to the research team as needed. ? Maintain a professional and supportive tone, fostering a positive experience for all participants. ? Collaborate with User Researchers to refine communication strategies and troubleshoot recurring issues.?Work within Zendesk to close out tickets in a timely manner to not delay the research studyWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less