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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

Remote Clinical Research AR Specialist

Our client is looking for a Remote AR Specialist to help with an unpaid invoicing backlog. This person can sit anywhere and work any hours as long as they are productive. This is a 40 hour a week... More project for 2-3 months. Our ideal candidate is someone who has clinical research experience or B2B collections. Other responsibilities include: ?Contact sponsors regarding aging invoices, payment remittance details and payment status.?Prepare invoices for patient visits and procedures for assigned locations. ?Reconcile all payments and maintain accurate aging of Accounts Receivable.?Recognize issues that may arise when processing or performing all tasks assigned and report such issues to the manager. ?Perform an audit to ensure that all payments, or charges, are in balance or takes the appropriate action. Appropriate action includes communication with manager or controller. ?Respond to basic Accounts Receivable process/billing questions posed by various internal/external parties in a timely and knowledgeable manner.?Other duties may be assigned at any time.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

2026 - Power BI/Data Engineer (Clinical Projects) - INTL Brazil 14efb1d4

A global biopharmaceutical company is seeking strong Power BI and Data Engineers to join their team to support a portfolio of ongoing clinical operations projects. These individuals will work on a... More team of Power BI Engineers of all levels and will partner with technical and functional partners to meet the project needs. The ideal candidates should and in-depth expertise with Power BI (including DAX and Semantic Model Development), strong PySpark & Python coding experience, and experience with Databricks. Additionally, all senior level resources should have proven working experience with and strong knowledge of Microsoft Fabric and should have experience with leading junior team members. Strong communication skills are a must along with the proven ability to work with cross functional teams and stakeholders to drive project work and all candidates should be eager to learn new skills. These are immediate, ongoing needs that will go until the end of 2026 and will be extended into 2027. These positions are based in LATAM and candidates are able to sit remotely in any country with similar timezone to US EST.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

INTL IT Copyeditor

Our digital advertising client is looking to hire a Copyeditor in LATAM to service their clients. They will be responsible for the basics of copyediting including: performing thorough grammar and... More spelling checks, review all copy for clarity and logical flow, using a multi-pass approach to catch different error types. They will also be responsible for content accuracy & style compliance including; ensuring correct spelling of all brand names, companies, products, places, and personal names. Verifying all dates are correct and match their day of the week (e.g., "Friday, September 9"). Applying correct AMA (American Medical Association) style throughout. Additionally will ensure formatting consistency across:oHeadlines, subheads, bullet points, and spacing.oSlide notes (in PowerPoint decks), ensuring relevancy and correctness.?Check employee titles where mentioned; confirm via Microsoft Teams or email if unclear.?Review and resolve formatting issues such as widows, orphans, and bullet alignment.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

AI Engineer ? Classifiers, Media Intelligence & Voice R&D

Studio produces and manages massive volumes of AI-generated media?avatars, images, audio, and video. We?re hiring an AI Engineer to build the ?intelligence layer? on top of that content: classifying... More it, tagging it, organizing it, and making it searchable and useful at scale.This role also includes meaningful R&D work in AI voice/audio and image intelligence that will directly shape next-generation product capabilities. You?ll operate at the intersection of applied ML, production infrastructure, and product impact?taking models from research and prototypes all the way into reliable production APIs.Responsibilities:- Design, train, and deploy classification models across Studio?s content pipeline (style detection, quality scoring, semantic categorization, filtering, moderation signals)- Build automated tagging and organization systems for our media library: - attribute extraction and feature detection - clustering and similarity grouping - intelligent search and discovery signals- Create and maintain training data pipelines: - dataset curation and QA - annotation workflows and tooling - active learning loops to improve labeling efficiency and model performance- Lead voice/audio R&D by evaluating frontier voice models (TTS, voice cloning, audio synthesis)and prototyping integrations and define a practical path from research ? production features- Research and prototype image intelligence capabilities relevant to avatars and media tools: face/body analysis, pose estimation, image-to-image consistency and visual similarity, and style understanding- Build evaluation frameworks to track classifier accuracy and calibration as well as model drift and performance over time- Optimize inference for cost and latency (batching, quantization, caching, serving strategy)- Integrate with GPU infrastructure and ship models behind production APIs, with monitoring and operational disciplineWe 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

Secret ISSO

Conduct reviews, audits, and technical inspections to identify and mitigate potential security weaknesses and ensure that all security features applied to a system are implemented and... More functional.Conduct security reviews in accordance with NIST guidelines, conduct security assessments, and conduct control testing to ensure that all relevant controls are thoroughly assessed.Ensure security policies, procedures, and recommendations comply with FISMA, NIST, and Organizational guidelines as well as technical best practices.Maintain security Assessment and Authorization (A&A) documentation of assigned systems in accordance with the RMF.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

Data Engineer - INTL Mexico

Compensation:40-70K pesos monthly as an EOR direct employee of Insight Global. Exact compensation may vary based on several factors, including skills, experience, and education. A Fortune 100 retail... More client of Insight Global is looking to hire elite Data Engineers to join their Enterprise Data Warehouse Team. This team is responsible for supporting and providing all 12 company business units with the data they need to optimize their BUs and increase efficiency/profitability. This company has a centralized data organization and is Google's largest customer. There are over 200 people that report to this director, and his teams are responsible for working with over 170 petabytes of data within BigQuery. This Data Engineer will be responsible for legacy redesigns, net new projects within all 12 business units, and will be using cutting-edge technology for all of it. The ideal candidate for this role can vary in years of experience but must be able to think systemically about computer science instead of just being able to code. For example, there are a hundred ways to cut code, but these candidates must understand what the trade-offs are of doing it each way and be able to explain why they would decide which way they chose to cut it. We are looking for someone with a growth mindset who is able to reflect on their prior work and think of what they would do differently next time to improve it. The overarching goal of this team is not just build a data set, but to build one that is robust using processes and techniques that will allow to work just as well on day 100 as it would on day 1.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

COPY - 2026 - Power BI/Data Engineer (Clinical Projects) - INTL Brazil 14efb1d4

A global biopharmaceutical company is seeking strong Power BI and Data Engineers to join their team to support a portfolio of ongoing clinical operations projects. These individuals will work on a... More team of Power BI Engineers of all levels and will partner with technical and functional partners to meet the project needs. The ideal candidates should and in-depth expertise with Power BI (including DAX and Semantic Model Development), strong PySpark & Python coding experience, and experience with Databricks. Additionally, all senior level resources should have proven working experience with and strong knowledge of Microsoft Fabric and should have experience with leading junior team members. Strong communication skills are a must along with the proven ability to work with cross functional teams and stakeholders to drive project work and all candidates should be eager to learn new skills. These are immediate, ongoing needs that will go until the end of 2026 and will be extended into 2027. These positions are based in LATAM and candidates are able to sit remotely in any country with similar timezone to US EST.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 Clinical Research AR Specialist

Our client is looking for a Remote AR Specialist to help with an unpaid invoicing backlog. This person can sit anywhere and work any hours as long as they are productive. This is a 40 hour a week... More project for 2-3 months. Our ideal candidate is someone who has clinical research experience or B2B collections. Other responsibilities include: ?Contact sponsors regarding aging invoices, payment remittance details and payment status.?Prepare invoices for patient visits and procedures for assigned locations. ?Reconcile all payments and maintain accurate aging of Accounts Receivable.?Recognize issues that may arise when processing or performing all tasks assigned and report such issues to the manager. ?Perform an audit to ensure that all payments, or charges, are in balance or takes the appropriate action. Appropriate action includes communication with manager or controller. ?Respond to basic Accounts Receivable process/billing questions posed by various internal/external parties in a timely and knowledgeable manner.?Other duties may be assigned at any time.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

Full Stack Developer

Prudential's Developer Experience team is working to enhance their internal developer portal to make all of Prudential's development work more streamlined and thus more productive. The portal is... More built within Backstage.io and acts as a centralized hub for all things development. The full stack developer will work cross functionally within this platform to develop and improve Prudential's developer experience. They will implement and stitch together backend processes to provide more wholistic experience for the developers.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