The Scheduling Coordinator is responsible for participating in the daily operations and maintenance of the Medical Scheduling Departments, primarily by facilitating and scheduling medical services for claimants. Essential functions include proactively monitoring and managing files, identifying potential problems, proposing solutions to ensure no delay in care, and providing telephonic and written customer support.
Remote Jobs & Work From Home Positions in United States (123,841)
Remote in = United States
The Scheduling Coordinator is responsible for participating in the daily operations and maintenance of the Medical Scheduling Departments, primarily by facilitating and scheduling medical services for claimants. Essential functions include proactively monitoring and managing files using proprietary web-based applications and providing telephonic and written customer support services.
The Product Support Specialist II will troubleshoot and resolve complex application issues submitted via ServiceNow, acting as a subject-matter expert for proprietary applications and ITSM processes. This involves analyzing issues for root causes, participating in post-release testing, and maintaining technical documentation.
The Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority, confirming coverage, determining validity, establishing reserves, and authorizing payments. They communicate claim status to customers, claimants, and clients while adhering to guidelines and assisting with more complex claims as needed.
Senior WC Claims Specialist FLOAT (Part-time)
CorVel Corporation
·
Full Time
·
12 Weeks Ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, and establishing reserves and authorizing payments. This role involves developing action plans with case managers to reduce claim costs, coordinating return-to-work efforts, and managing subrogation and potential recoveries.
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The Medical Case Manager will provide in-person and telephonic case management, working closely with injured workers, physicians, and providers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress, ensuring treatment plans are appropriate, medically necessary, and cost-effective.
Administrative Assistant / Data Entry Clerk (Remote Work From Home Online Telecommute) 20 APPLICANTS
Jobconversion, LLC
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Full Time
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12 Weeks Ago
Jobconversion, LLC
The primary responsibility involves performing data entry tasks accurately and efficiently from a remote location. Candidates must also be prepared to handle emailing clients as needed.
Centralized Leasing and Admin Specialist
Continental Properties
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Full Time
·
12 Weeks Ago
Continental Properties
This role involves proactively managing communication with applicants to gather required documentation, thoroughly reviewing and verifying credit reports, income documents, and identification materials for accuracy and compliance. The specialist will also monitor documentation trends and partner with Community Managers to ensure 100% document completion prior to application approval.
The Clinical Adherence Nurse will conduct patient outreach and engagement primarily through video messaging and consultations to enroll patients in a medication adherence program. Key duties involve providing personalized clinical support, motivational coaching, medication reconciliation, and monitoring adherence through video-based interactions.
The Medical Case Manager will provide in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and coordinating necessary care like durable medical equipment.
The Sales Representative is responsible for positioning Sika Sarnafil as a quality provider, achieving sales objectives for Roofing and Waterproofing systems, and coordinating with local manufacturer’s representatives. Key duties include overseeing specification activity through consultants, managing roofing contractor accounts, establishing owner relationships, and providing sales activity reports.
The IT Compliance Analyst is primarily responsible for collaborating with external and internal auditors to finalize all IT department audits, which includes maintaining and providing necessary compliance evidence. Essential functions also involve conducting regular audits on IT systems, procedures, and user accounts to ensure adherence to regulatory compliance.
Team members will assist healthcare providers and patients by phone, addressing questions and requests, and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding claim rejections and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
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Full Time
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12 Weeks Ago
Onco360
The Patient Advocacy Coordinator assists patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through Not for Profit Organizations and Manufacturer Programs. This involves explaining processes, aiding in application completion, and reviewing required documentation.
The specialist will manage prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. This involves receiving prescriptions, rectifying rejected claims, and conducting third-party authorization requests.
The specialist manages customer care escalations via email, works with the manager to address sales team escalations daily, and handles address exception reports from operations leadership. They must escalate issues to the proper director or team and collaborate with other functional areas to resolve customer problems.
The role involves assisting healthcare providers and patients via phone by answering questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
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Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
12 Weeks Ago
Onco360
The Patient Advocacy Coordinator is responsible for assisting patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through non-profit organizations and manufacturer programs. This involves explaining processes, assisting with applications, and reviewing required documentation to secure financial aid.
The Customer Care Specialist manages the customer care escalations email workflow and works with the customer service manager to ensure all sales team escalations are addressed daily. They must also resolve customer problems by working with other functional areas and notifying appropriate parties of the resolution actions taken.
Team members will assist healthcare providers and patients by phone, addressing questions and requests, and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding rejected claims and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
12 Weeks Ago
Onco360
The Patient Advocacy Coordinator is responsible for assisting patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through non-profit organizations and manufacturer programs. This involves explaining processes, aiding in application completion, and ensuring required documents are submitted.
The Customer Care Specialist manages the customer care escalations email workflow and works with the manager to ensure all sales team escalations are addressed daily. They must also work exception reports, escalate issues to the proper personnel, and collaborate with other functional areas to resolve customer problems.
Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
The Quality Nurse ensures the organization provides quality patient care by leveraging relationships across teams, patients, and providers, participating in clinical and quality management activities like audits and medical record reviews. Major duties include performing chart audits, interacting with patients for counseling, tracking quality results for continuous improvement, and collaborating with the Director on auditing processes and training.
Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations.
The specialist manages the customer care escalations email workflow and works with the customer service manager to ensure all sales team escalations are addressed daily. They must also work exception reports, report potential issues, and escalate problems to the proper pharmacy director, sales team representative, or analytics team.
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Team members will assist healthcare providers and patients by phone, addressing questions and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding claim rejections and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
·
Full Time
·
12 Weeks Ago
Onco360
The Patient Advocacy Coordinator assists patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through Not for Profit Organizations and Manufacturer Programs. This involves aiding patients with application processes, explaining requirements, and striving for first call resolution.
The Customer Care Specialist manages the customer care escalations email workflow and works with the manager to ensure all sales team escalations are addressed daily. They will also work on address exception reports and escalate issues to the proper pharmacy director, sales team representative, or analytics team.
The role involves assisting healthcare providers and patients via phone by answering questions and coordinating medication refill deliveries. Responsibilities also include communicating with insurance companies regarding claim rejections and prior authorizations, serving as a primary contact for calls.
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