Remote Work From Home Jobs for 11/20/2024

Hello No Phone Work From Home Family! Some of the jobs of the day include: data entry, claims jobs, and a part-time evening job.

Let’s get into the jobs of the day:

Reimbursement Specialist

Under the general supervision of the operational program leadership, the Reimbursement Specialist is responsible for various reimbursement functions, including but not limited to benefit investigations, prior authorization support, and call triage. The Reimbursement Specialist responds to all provider account inquiries, appropriately documents all provider, payer and client interactions into the CareMetx Connect system and ensures that the necessary data for prior authorization request are obtained.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
• Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
• Completes and submits all necessary insurance forms in a timely manner as required by all third party payors for prior authorizations. Tracks and follow up on prior authorization request.
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
• Maintains frequent phone contact with provider representatives, third party customer service representatives, and pharmacy staff.
• Reports any reimbursement trends/delays to supervisor.
• Processes any necessary insurance/patient correspondence.
• Provides all necessary documentation required to expedite prior authorization request. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.
• Coordinates with inter-departmental associates as necessary.
• Communicates effectively to payors to ensure accurate and timely benefit investigations.

Claims Intake

This position is responsible for reviewing and determining all claim requirements needed for initial and continuation claims. This position assists Care Managers and Care Coordinators, while also providing quality customer service to our policy holders, their representatives and providers.

RESPONSIBILITIES
1. Reviews internal databases, client guidelines, and policy contract language to determine all claim requirements needed for initial and continuation claims.
2. Reviews documented claim forms and contacts the insured, insured’s representative, or provider to request information needed to process the benefit inquiry.
3. Keeps clear and concise documentation of all claim intake activity within the required databases.
4. Meets quality and production metrics as established and communicated by the department.
5. Processes requests from the client or from other departmental areas within illumifin.
6. Other duties as assigned

Record Retrieval Support Specialist 

Duties and Responsibilities:

• Handle outgoing medical records requests through our portal.
• Contact healthcare facilities and doctor’s offices to request records and answer emails. Provide good customer service on the phone / emails.
• Follow company policies and laws to protect confidentiality. Report any issues to the Manager.
• Keep the Supervisor updated with necessary information. Report any customer service issues or potential HIPAA violations.
• Inform the Supervisor about any work difficulties or special requests. Help with extra tasks when needed.
• Stay informed about HIPAA regulations and facility policies.
• Use Microsoft Word and Excel for back-end tasks. Ensure accurate data entry.
• Be flexible and handle challenging situations professionally.

Data Entry Clerk

In this role, you will be responsible for accurately inputting and managing data within our systems while providing essential support to various departments. This position is crucial to maintaining the integrity of our data and ensuring efficient operations.

Responsibilities:

• Input data accurately into company systems and databases
• Verify and review data for discrepancies and rectify any issues found
• Maintain and update records as required
• Assist in generating reports and extracting data as needed
• Support the operations team with additional clerical duties
• Ensure that data entry tasks are completed within deadlines
• Process incoming data requests from various departments
• Maintain confidentiality of sensitive information

Answering Service Rep– Part Time Evenings

Schedule: 5:00pm-9:00pm EST rotating every other weekend

Communicate with patients, participants and staff to accurately schedule patients for prescribed procedures. Perform clerical and reception duties associated with patient registration.

• Gather necessary demographic, insurance and clinical information from patient and enters into appropriate database.
• Seek appropriate resources to resolve issues about the type, date or location of prescribed procedures.
• Schedule patient procedures in a manner that most efficiently utilizes the patient’s time and clinical resources.
• Coordinate and communicate schedules.
• Assist with coordination of activities related to insurance pre-certification/authorization.
• Provide counseling to patient, participant or their representative regarding pre-service requirements and instructions.

Claims Coordinator

Compensation: $15 per hour

As a Claims Coordinator, you will work within the Operations Department, reporting to the Manager, Claims Coordinator. You will be responsible for entering claims into our proprietary software system and submitting accepted claims to the Transcription Department. Additionally, you will perform the preliminary setup for Claims Analysts, ensuring that the claims process runs smoothly and efficiently.

Who you are:

• Diligently monitor incoming claim notifications.
• Ensure all required claim submission documents are present and legible.
• Promptly notify the Lead Claims Coordinator when documents are missing or illegible.
• Efficiently perform the initial setup of individual claims in the system.
• Accurately enter claim information for the analyst.
• Adeptly place claims in the correct status.
• Escalate problematic claims to the Lead Claims Coordinator.
• Transfer claim documents to the Transcription Department seamlessly.
• Notify management when a re-bill is received.
• Conduct initial analysis of data and documents submitted by clients, including claims, EOBs, bills, policies, and correspondence.
• Fill out request forms for additional information and submit them to the Senior Claims Analyst.

Cancer Registrar

Maintains and analyzes cancer incidence data.

Job Responsibilities and Requirements:

• Identifies and analyzes the history, diagnosis, treatment, disease status and survival data of cancer patients treated in the organization.
• Prepares and electronically submits required reporting information to the state cancer database.
• Collects data for patient care evaluations, protocol studies and conducting audits.
• Complies with all reporting requests and requirements.
• Abstracts accurately all required cancer related information into the electronic tumor registry system. Coordinates and maintains the long-term follow up process of data collection and input for all tumor registry patients.
• Performs other duties as assigned.

BILLING ASSISTANT

We are looking for a skilled Billing Assistant who is capable of managing the account and client relationship. You will be responsible for running your support seamlessly and efficiently to ensure client satisfaction. To succeed in this role, you must be self-motivated, self-disciplined, and demonstrate a level of expertise that qualifies you to be a trusted advisor to our clients.

RESPONSIBILITIES

• Tracking billable and payable hours regularly
• Collecting, organizing, and fulfilling expenses and expense reports
• Searching each financial statement for any payment inconsistencies or errors
• Collaborating with clients or customers, vendors, and other team members to resolve billing errors
• Creating invoices and billing materials to be sent directly to a customer or client
• Inputting payment history, upcoming payment information, or other financial data into accounts
• Finding financial solutions for clients or customers who may need payment assistance
• Informing clients or customers of any missed or upcoming payment deadlines
• Calculating and tracking various company financial statements
• Other Billing tasks as requested

Please know that although we exhaust all efforts to make sure all jobs posted are from reputable and validated companies, we are in no way affiliated with the companies shared above. We cannot extend any offers of employment or guarantee that you will be selected for the positions. We simply use our platform to share jobs with our followers and subscribers. As always, please do your own due diligence when applying for jobs.

I look forward to posting jobs for you all tomorrow.