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Provide evidence-based medical reviews for patient care, conduct physician consultation calls, recommend alternative services or treatments, collaborate with healthcare providers for evidence-based decision making.
Perform evidence-based medical case reviews, conduct physician consultations, recommend alternative treatments, collaborate with healthcare providers, and stay current on healthcare regulations and industry developments.
Conduct evidence-based medical reviews remotely for patient care, collaborate with healthcare providers, and recommend alternative services or treatments. Strong clinical judgment and computer skills required.
Localize, translate and adapt various content categories. Write new copy for multimedia products. Perform linguistic review, copy-editing, and fact-checking. Conduct market-specific research and collaborate with global team for content review and tra..
Conduct comprehensive clinical chart reviews to identify opportunities for documentation clarification. Collaborate with various departments to ensure accurate and compliant coding. Initiate physician queries and maintain knowledge of coding guidelin..
Manage regional operations center, drive revenue growth, optimize physician cost, monitor productivity, handle client interaction and oversee overall production and quality. RN/LPN license required with utilization review experience preferred.
Review federal background investigations cases using a computer reporting system. Ensure cases are complete and meet customer requirements. Submit cases to the customer for final review and communicate with field staff regarding any issues.
Lead and manage operations, including staffing and customer service. Oversee day-to-day operations, troubleshoot equipment issues, and ensure staff training. Uphold security and confidentiality regulations.
Perform outbound surveys from home with respondents and accurately record their answers. Collect and record opinions to help clients make informed business decisions. Must have clear communication skills and be available to work within specific hours.
Assist Registrar in admission and registrar functions. Provide academic advising to students, explain evaluations, serve as a liaison between students and the university, and provide counseling on academic program changes and career plans.
Oversee operational systems and processes including grants management, CRM software, and office management. Provide strategic direction for internal operational systems and ensure grantmaking process meets needs of stakeholders. Supervise and mentor ..
Review medical records, determine correct coding, inspect and follow up with missing information, monitor multiple systems, liaise with contacts, notify management of delays. High school diploma and 1-3 years of relevant experience required.
"Contact students, resolve issues, guide to resources, varied assignments, maintain service, promote culture. English, academic process, basic computer skills required. High school diploma or equivalent needed."
Deliver a professional and high-quality patient experience by making outgoing and taking incoming phone calls, relaying information between provider and patient, and scheduling follow-up appointments and surgeries. Opportunities for advancement withi..
Provide exceptional customer support through phone, email and chat. Monitor inquiries, identify trends and opportunities for improvement. Maintain high customer satisfaction while demonstrating company values.
Handle customer service inquiries and problems via phone, email, and chat. Use computerized system for tracking, information gathering, and troubleshooting. Respond to general inquiry emails and chats. Requires working knowledge of organization and p..
Provide high-quality assistance to customers by taking inbound calls, documenting customer needs, and directing them to the correct department. Maintain professionalism and attention to detail during scheduled hours.
As a Call Center Representative, you will handle inbound calls, document customer needs, and direct them to the correct department. This fully remote position requires self-motivation, attention to detail, and strong communication skills.
Handle new cases, verify information, draft cases in system. Monitor and track cases to meet deadlines. Assign/schedule physicians based on guidelines and client requirements. Update clients on progress and communicate referral info/documentation.
Oversee regional operations center profitability, manage staffing efficiencies and performance improvements, provide regular reporting to management. Determine labor needs, hire and train employees, conduct performance evaluations.
Seeking experienced tax preparer with 5+ years of corporate tax experience. Must be tech-savvy, comfortable on Zoom, and work in a paperless environment. Responsibilities include tax preparation, planning, reviewing returns, and client communication.
Deliver exceptional customer experience by responding to calls, emails, and chats related to benefits, coverage, plan options, claims, payments, and general questions. Provide effective verbal and written communication, problem-solving, and multitask..
Assist homeowners with product inquiries and troubleshoot technical issues remotely. Utilize exceptional communication skills to provide a unique customer experience. Must have 5 years of HVAC experience and strong computer skills.
Drive organic growth among portfolio of clients, ensure client satisfaction, retention and revenue growth. Develop trusted client relationships, deliver high-value interactions, foster strong partnership with operations teams.
Design and implement innovative technological solutions using recognized patterns, lead development teams, resolve complex technical problems, collaborate with stakeholders, and document system architecture. Expertise in Node.js, Nest.js, and Postgre..
Assess client firms' security and compliance against regulatory requirements and standards. Develop reports for clients, work with project managers, and identify improvement opportunities. Travel up to 50% of the time.
Assess client firms' security and compliance against regulatory and industry requirements. Develop reports, work with project managers, and identify improvement opportunities. Test controls and evaluate technical and non-technical security measures.
Lead a team of data analysts and engineers, apply advanced analytical techniques to address business challenges, collaborate with cross-functional teams, implement data governance and security best practices.
Perform outreaches to doctors, update parties, process No-Show letters. Ensure timely delivery reports, update clients. Send electronic reports & invoices to clients and WCB for NY WC IMEs. Assist with "Intake" for QA documentation upload.
Managing medical file review process, addressing client questions, reviewing reports for accuracy, adhering to quality standards. Communicating with clients, physicians, and operations team. Requires healthcare/insurance experience and strong communi..
Responsibilities include: - Pulling daily schedules and confirming contents within unbilled report match - Updating the unbilled report and pain block trackers - Practicing good communication and teamwork with the coding and billing teams and keeping..
Work Medicare claims that are pending, denied, or incorrectly paid by Medicare. Review and address claims on hold. Provide additional information to process claims correctly. Handle correspondence and refunds.
Handle rejected claims, review held claims, collect explanation of benefits, complete credentialing with insurance companies, and review patient accounts. Must have strong computer skills, attention to detail, and ability to meet deadlines.
Conduct daily coding, auditing, and DRG validation of assigned encounters. Review and research new coding guidelines and codes. Maintain expertise in ICD-10 and CPT coding. Meet daily accuracy and production standards.
Manage, track, and advance the work and activities of the Design Team, Executive Team, and Facilitation Team. Create and implement project management systems, coordinate meetings and events, and support fundraising and budget management activities.
Manage, track, and advance work and activities of Design Team, Executive Team, and Facilitation Team. Act as main liaison, manage data and file management systems, coordinate meetings and events, and support fundraising and budget management.
Provide advanced administrative support to management level employees, including managing office administration, handling incoming and outgoing communications, maintaining appointment calendar, organizing business travel, and coordinating reports and..
Provides instructional design and technology support to Faculty for course design and development. Collaborates with Academics to integrate technology and plan curriculum implementation. Analyzes student feedback and collaborates with course developm..
Provide training and audits for improving employee performance and business quality. Create and maintain training materials, conduct routine check-ins with new hires, and work with leadership to ensure appropriate training. Bachelor's degree preferred.
Conduct audits, provide training to employees, collaborate with leadership to ensure appropriate training, create and maintain training materials, monitor progress of new hires, work with Director of Ops to meet client requests and business needs.
Create and edit transcripts to produce finished versions. Ensure adherence to deadlines, style guidelines, and legal terminology. Collaborate remotely and demonstrate excellent listening and literacy skills.
Transcribe legal documents with attention to detail and exceptional listening skills. Work remotely, create own schedule, and collaborate with like-minded professionals. Compensation based on per-word or per-page basis.
Proofread hearing transcripts for courts across the US, ensuring accuracy and adherence to formatting guidelines. Manage time effectively in a fast-paced environment. Compensation based on per-page basis, paid weekly.
Help customers resolve technical issues through phone, email, and messenger. Provide world-class support by embodying a helpful and empathetic attitude. Develop expertise in the platform and troubleshoot product issues.
Provides comprehensive support to behavioral health clinical teams, educates members about available specialty programs, assists in locating services, collects patient progress information, and works closely with clinicians to ensure healthy outcomes.
Analyze information provided by parties to disputes using knowledge of healthcare payment determinations. Provide written decisions based on baseball arbitration processes and apply laws, procedures, and industry knowledge to settle disputes.
Review complex medical cases, communicate with client Medical Directors, and ensure compliance with Workers' Compensation laws. Requires a Medical Degree, board certification, and exceptional communication skills. Part-time, remote position.
Review operative reports to abstract information and apply CPT, HCPCS, and ICD-10-CM codes. Provide coding for surgical procedures and perform coding for pro fee surgical encounters. Utilize coding resources and initiate physician queries as needed.
Review operative reports and apply coding for surgical procedures. Provide coding for various levels of procedures and perform coding for pro fee surgical encounters. Utilize coding resources and initiate physician queries as needed.
Work claims that are pending, denied, or incorrectly paid by insurance carriers. Review and address issues causing claims to remain on hold. Handle denials and provide additional information to insurance companies.
Job Summary
- Salary:
$196,800 - $328,000 USD Annually
- Benefits:
Health Insurance, Dental Insurance, Vision Insurance, Life Insurance, Retirement Savings, Education Assistance, Paid Holidays, Paid Illness Leave, Paid Time Off, Career Development
- Location:
Work from Anywhere in US
- Type:
Full-time
- Categories:
- Company:
- Job Details:
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