Claims Reviewer:

We offer remote work opportunities (AK, AR, AZ, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE,NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only)

Conducts retrospective review of medical/surgical claims and behavioral health claims for inpatient and outpatient services. Applies clinical, coding and processing knowledge to conduct review and process claims. Compiles information necessary to prepare cases program payment. Ensures adherence to program benefits as authorized. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor as needed. Advises clinical and non-clinical staff on claims and coding questions.

Claims Reviewer:

We offer remote work opportunities (AK, AR, AZ, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE,NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only)

Conducts retrospective review of medical/surgical claims and behavioral health claims for inpatient and outpatient services. Applies clinical, coding and processing knowledge to conduct review and process claims. Compiles information necessary to prepare cases program payment. Ensures adherence to program benefits as authorized. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor as needed. Advises clinical and non-clinical staff on claims and coding questions.

We are officially on ROKU! Search “ThenonphoneWFHnetwork” and find us! If you know someone who would like to put their brand on TV, send them our website and let them know we are accepting submissions on our home page for 14 different categories!

Data Center Associate:

Compensation: $15.74 Hourly

• Monitor theatres normal reporting time and evaluate the need to contact or communicate with the day shift on issues that can be handled during the day.
• Keep track of received data and source documents.
• Prepares and sorts source documents, and identifies and interprets data to be entered.
• Researches and locates theaters to be entered.
• Enters alphabetic, numeric, or symbolic data from source documents into computer following format displayed on screen, and enters necessary codes.
• Researches pre-release data and contacts originator to confirm.
• Contacts originators of source documents to resolve questions, inconsistencies, or missing data.
• Makes necessary corrections to information entered.
• Successfully performs on job function in the Data Center with minimal mistakes.

Online Chat Advisor:

Compensation:  $14.17 and $23.29 & 15 Days of Paid Vacation Days each Calendar Year

Adtalem Global Education is a national leader in post-secondary education and leading provider of professional talent to the healthcare industry. The primary purpose of this position is to service online chat generated requests from prospective students, current students, and handle any general chat questions regarding admissions, student services, student finance, academics, or registrar services, based on the information available in the institution’s catalog.  Route chats that require additional expertise to the appropriate resource in a prompt and efficient manner.

Responsibilities:

• Online chat advisor handles chat conversations with prospective students, answering front line admissions questions, providing pertinent and responsive feedback while representing all client partners’ unique brands and business needs.
• Handles any general chat inquiries regardless of modality online or onsite to provide specific answers or provide appropriate routing to correct department personnel throughout the university (including but not limited to My Compass chats, service, academic advising, technical support, etc.).
• Routes detailed chat inquiries to appropriate department personnel with special consideration for student finance questions to ensure best in class student service.
• Handles chat conversations with continuing students, answering specific student questions regarding registration, academics, classes, university catalog material, and providing pertinent and responsive feedback.

Data Entry Specialist – 76313:

This role will be responsible for identifying and resolving operational issues within merchant onboarding, including store activations, menu updates, and marketing promotions

• Use Data Loader to bulk upload new records in Salesforce and bulk update existing records in Salesforce to ensure our merchant data is up to date and our internal operations are running smoothly
• Use Salesforce to build reports and dashboards to monitor store activations and take action when needed to resolve issues identified in reports

Data Entry Specialist:

Compensation: $21 per hour

firstPRO is now accepting resumes for a Data Entry Specialist position. This role is based out of Waltham, MA but will be performed 100% remotely. Ideal candidates have strong Microsoft Office and data entry skills. The position will operate as a 6-month+ contract with extensions or possibility of conversion to perm hire. Interviewing and hiring ASAP!

Qualifications:

• Associates or approved Technical Degree in Engineering, Business Administration, or equivalent 1-3 years qualifying experience. A Bachelor’s or other advanced degree or diverse utility management experience is preferred.

• Understanding and experience with Customer information systems, specifically STORMS, GIS, PowerPlan, SAP, Business Objects

• Strong overall PC skills with proficiency in MS Office Suite, specifically MS Excel, Outlook, Teams, PowerPoint, and Word.

• Knowledge of the budget process, financial accounting, customer relations and account management, engineering and design process, Operations, and associated procurement and regulatory processes.

• Understanding of process improvement and problem-solving techniques

• Strong communication (verbal and written), contract negotiations, and administration skills.

• Creative contributor in a team environment while also self-motivated to promote continuous positive business change.

Executive Assistant (Part-time):

Compensation: $24-$38/hr

As a Double, you will be a fully remote Executive Assistant for several clients, ideally based in your time zone. Our clients consist of mainly C-level executives, entrepreneurs, or investors looking for real business partners to help them achieve their best work and win back time in their day.

Medical Records Technician:

Compensation: $18.00 – $20.00 Hourly

Performance Responsibilities:

• Review and verify releases of information in the EMR(s) prior to responding to medical record requests.
• Respond to medical record requests (Emails, faxes)
• Respond to outstanding medical record requests in billing queue
• Resolve claim related medical record rejections and errors
• Organize the medical record request queue.
• Follow processes for medical record requests on Share Point.
• All other duties as assigned.

Medical Records Technician:

Compensation: $18.00 – $20.00 Hourly

Performance Responsibilities:

• Review and verify releases of information in the EMR(s) prior to responding to medical record requests.
• Respond to medical record requests (Emails, faxes)
• Respond to outstanding medical record requests in billing queue
• Resolve claim related medical record rejections and errors
• Organize the medical record request queue.
• Follow processes for medical record requests on Share Point.
• All other duties as assigned.

Records Associate (Clinical Operations):

To be eligible for consideration, candidates should be located in Pennsylvania, North Carolina, Kansas, Missouri, Florida, Indiana, Virginia, South Carolina, Texas, or New Jersey.

RECORDS ASSOCIATE’S RESPONSIBILITIES

• Participates in TMF Record Processing
• Uploads and classifies documents to the eTMF – Performs record quality checks prior to document upload based on client business documents and records standards and assigns metadata based on client business standards
• Communicates trends and issues
• Participates in reconciliation and/or remediation work
• Ensures all work activities are performed in compliance with requirements of Good Clinical Practice