Remote No Phone Work Opportunities for 07/04/2023

Trauma Abstractor I WFH:

Our Trauma Abstractor will work under the supervision of the department director/leadership team and will be responsible for abstraction of data for core measure, trauma, and/or various cardiovascular services.

• You will complete abstraction process for LGMC, including abstraction of cases into the required system (i.e. COMET, TheraDoc, Digital Innovations, NHSN, et.)
• You will be responsible for reviewing medical records to abstract information according to the standards of various regulatory and accreditation agenda (i.e. CMS, TJC, NHSHN, etc.)
• You will perform timely abstraction to ensure compliance with standards.
• You will complete edit checks and make appropriate changes in a timely manner.
• You will follow standards and CSG/Parallon instructions to abstract all reportable cases.
• You will assist with case follow-up as needed/requested.
• You will be required to attend educational activities as approved by leadership, participate in continuing education programs and annual refresher trainings.
• You will maintain clinical knowledge of various abstracted measures.
• You will communicate in a timely manner with manager to achieve measure compliance
• You will be required to submit data timely through the appropriate reporting system.
• You will resolve errors resulting in the rejection of records from the data entry system.

Graphic Designer:

Benefits:

• $1,000 to set up your home office 
• $20 phone/internet monthly reimbursements 

Duties:

• Work closely with the Creative Director and Content Manager, plus other members of the marketing team to translate creative direction into fresh, innovative visual solutions.
• Work within established design systems, templates, and processes to support brand strategy and direction. 
• Create concept-inspired designs that stretch across multiple project types and channels.
• Deliver passionate presentations explaining your process, how your work fulfills creative briefs and accomplishes strategic goals. 
• Grow in your craft and gain valuable design experience while working under an experienced designer.
• Gain experience contributing to the development and growth of a world-class brand with a strong vision and market strategy.

Data Operations Specialist:

This role is open to candidates and the expected compensation range for this role is $25.35- $27.86/hour (hourly + bonus). 

When our customers choose Housecall Pro to run their business, a critical piece of their transition is tied to moving over historical customer data. This includes data stored in Quickbooks, other software and spreadsheets. The Data Specialists role is to understand the current state of their data, identify potential issues and assist in formatting and preparing data to be transferred into Housecall Pro. This process allows us to work alongside the pro to develop a plan of action, set proper expectations and eliminate long term data issues.

What you’ll be doing:

• Analyze  source and quality of data, identify potential issues and develop custom action plan  
• Ability to coach best practices with HCP’s Quickbooks Desktop and Quickbooks Online integration
•  Communicate consistent trends and opportunities to our product/engineering team for future improvements
• Create and maintain Quickbooks help content
• Ability to effectively communicate client information, trends and feedback cross-functionally
• Innovate on current processes and proactively seek ways to improve the Pro experience

Associate Content Specialist, Educator:

The hourly rate for this role if filled in any of these states is $50 per hour. 

This part-time contract position requires a commitment of 30 hours a week with availability online between 10 am to 4 pm PT Monday–Friday. This position is an excellent opportunity to gain hands-on experience in content marketing and support our educator community team. As a specialist, you will report directly to the Lead Content Strategist and play a crucial role in supporting various content marketing initiatives for our educator audience. The assignment will begin as soon as possible and end in December 2023. 

Appeals Associate – Remote:

Salary Range: $30,000 – $50,000 based on professional experience

Piper Companies is currently looking for an Appeals Associate to sit remotely. The Appeals Associate will join a well-known healthcare insurance carrier focused on bettering patients’ experiences within the healthcare system. The Appeals Associate will sit remotely and will be working with a North Carolina based team.

Responsibilities for the Appeals Associate include:

·      Investigate and research appeals and grievances presented by members and/or providers

·      Review, evaluate, and resolve provider requests related to coding

·      Mitigate potential risk by proactively identifying trends and high-risk issues

·      Communicate cross-functionally, and report accordingly to manager/team lead

Customer Experience Specialist: (some phone duties)

Compensation: $20 per hour.

The Customer Experience Specialist will work directly with pet parents to provide solutions to their pet insurance needs and act as a liaison for internal departments such as claims, billing and sales. He or she will work to improve customer retention by problem solving, educating, and providing a WOW! experience for their customer.

Key Responsibilities:

• Manage inbound email, chat and phone inquiries from our customers, for the purpose of providing quality customer service.
• Handle all interactions promptly and effectively, focusing on one-call resolution and engagement.
• Build strong knowledge of services offered by continuously learning in order to assist in policy and claims details.
• Act as a liaison for internal departments such as claims, billing and sales by answering questions and escalating any possible issues up to be resolved.
• Focus on customer retention by overcoming objections to cancel policies, sharing the why behind resolution and providing the customer with a WOW! experience.
• Complete various projects per management request.
• Will perform all other duties as assigned.

Claims Specialist:

Claims Specialist will manage a caseload of pending insurance claims with minimal supervision. Job functions include the following: Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of the insured’s or insurer’s liability; Reviewing and evaluating damages and determining strategies for resolution; settling claims in accordance with policy provisions and within authority level.

Duties and Responsibilities:

-Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service
-Perform coverage, liability, and damage analysis on all claims assignments
-Investigate allegations, determine facts based on evidence and interviews
-Draft disclaimers and reservation of rights letters when coverage issues arise
-Assign limited investigations and appraisals to independent licensed professionals
-Negotiate settlements, mitigate losses, and control expenses
-Manage litigated files in accordance with Litigation Management Guidelines
-Provide technical guidance, assistance and training as needed for claims staff and other departments
-Maintain a high level of communication with leadership
-Work within authority limits on assignments that reflect a high degree of technical complexity and coordination
-Will be recognized as the company consultant within specialty area
-Handle special projects related to specialty area as needed

Accounts Payable Processor:

This position is eligible to earn an hourly rate of $20.00 to $23.00 per hour.

ESSENTIAL JOB FUNCTIONS:

• Perform daily accounting functions required for payment processing of invoices
• Research daily invoice Exceptions, returned payments, and supplier refunds
• Utilize functional and technical expertise to coordinate, communicate, and resolve complex problems.
• Ability to process, review, and make recommendations to management as needed to enhance processes, tasks, and/or service levels.
• Create, modify, and maintain updated procedures.
• Perform testing as required for system patches, upgrades, conversions, and/or enhancements.
• Work effectively with Production Support to resolve system outages, malfunctions, and posting errors as needed.
• Prepare and post monthly Journal entries as needed
• Prepare monthly Accounts Payable reconcilements used for month-end certification.
• Assist with 1099 Balancing during year-end testing; Coordinate with Supplier Set Up team to ensure all TIN & address-related errors are corrected before final year-end file is prepared.
• Assist with internal and external audits to ensure auditors receive requested information in a timely manner.
• Assist with the daily Accounts Payable Accounting operations to ensure verifications, reviews, and reconcilements are completed on time and with a high degree of accuracy. Research and resolve exceptions

Property Claims Experience Advocate, Liability:

We’re looking for a highly motivated Claims Experience Advocate with tons of positive energy and a genuine passion for helping others.

Specializing in liability claims, you’ll use your investigative skills to help us settle losses quickly and efficiently, surpassing customer expectations along the way. You’ll leverage your deep policy knowledge and sharp interpersonal skills to explain coverage decisions in plain English, without relying on insurance jargon.

What You’ll Do:
-Investigate and handle liability claims from start to finish
-Pay claims efficiently and fairly while maintaining a high level of customer service
-Identify subrogation opportunities within the claims-handling process
-Communicate with customers via phone and email to settle claims
-Organize and prioritize daily tasks in order to resolve claim-based questions

Customer Billing and Renewals Specialist:

The salary range for this position is $40,400 – $75,000.

Duties & Responsibilities:

• Preparation and delivery of daily customer invoicing, including software and subscription orders which include the following components: software, maintenance, services, 3rd party hardware, and SaaS subscriptions. 
• Responsible for timely and accurate delivery of customer annual renewal quotes and invoices. 
• Engage, problem solve, and drive resolution with internal and external inquiries in a timely and professional manner. 
• Assist with identifying and implementing process improvements and automation enhancements in invoicing function 
• Review of customer contractual terms and conditions for accurate processing. 
• Process returns and credit memos as needed. 

Supervisor-Data Entry Days (Remote):

Compensation: $48,000.00  to $55,000.00

Responsibilities:

• Supervises and is responsible for all Examiners, Senior Examiners and Administrative Support Reps.
• Monitors data entry staff production ensuring all Medical Necessity Review (MNR) Forms and ReOpen/Modification forms are processed within 48 hours.
• Assists staff in resolving problematic MNR Forms and ReOpen/Modifications within 24 hours of receipt.
• Trains new Examiners.
• Interacts with other Managers and Supervisors to ensure proper MNR Form processing.
• Researches MNR Forms that do not meet performance standards and identifies ways to improve the approval process.
• Monitors Administrative Support staff to ensure all queries are run on an hourly basis and files are delivered in a timely manner.
• Ensures Senior Examiners process ReOpen/Modification Forms, Referrals, Pink Sheets and complex MNR Forms within standards.
• Monitors performance of subordinates.
  • Prepares a variety of employee production reports for Manager and Human Resources.
  • Participates in the hiring and termination processes.
  • Documents subordinates’ performance and provides feedback
  • Coaches, counsels, and disciplines as necessary.

—

Please remember that we are not affiliated with these companies. Always do your due diligence before entering into a contract or agreement with said companies.