High school diploma or GED. Live within 1. 5 hours of the Care Center. Desktop computer or laptop with high speed internet along with web camera for live virtual discussion. A compatible headset that works with your computer.
A healthcare company is in need of a Telecommute Customer Service Representative. Individual must be able to fulfill the following responsibilities: Support our benefit members as they make important health decisions.
A healthcare organization has a current position open for a Telecommute Clinical Appeals Nurse in Orange Park. Candidates will be responsible for the following: Composing clinical appeal letters to send to payers. interpreting medical payer policy requirements.
Must be able to: Coordinate legal analysis for denied, underpaid and unpaid managed care accounts. Work with Legal Department to file bankruptcy notifications on payers. Work required reports (daily, weekly, monthly) to ensure legal payer issues are referred. Qualifications Include:
knowledgeable of the APC payment methodology. Certified Coding Specialist. Registered Health Information Technologist. Must have experience with encoder tools. Must possess excellent verbal/written communication skill. Must possess experience with Excel, PowerPoint, Outlook, and Word.
A health insurance company is in need of a Remote Health Insurance Renewal Account Executive. Core Responsibilities of this position include: Leading the consultants/agents through the BCBSF sales process to achieve renewal goals, collateral material.
Coordinating services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff. Providing patient and provider education. Must meet the following requirements for consideration: Graduate from an Accredited School of Nursing. Current state’s RN license.
Analyzing and providing recommendations (if necessary) on client email list health. Providing key analysis and recommendations for new and existing client email series. Leading clients and supporting specialists on email marketing strategy. Qualifications Include:
A health and dental insurance provider has a current position open for a Telecommute Nursing Case Manager. Individual must be able to fulfill the following responsibilities: Review prior claims to address potential impact on current case management and eligibility.
Understanding of key managed care concepts and terms (e. g. pmpm, CPT, ICD coding, HCPCS, DRG, etc) Experience with data analysis and reporting, and knowledge of data visualization software packages. Must meet technical experience requirements listed by company.