Job Title: Sr. Appeals Admin Job Location: Remote, NY Job Duration: 6 months (High possibility of extension and contract to hire based on performance) Shift: M-F 8:00 Am - 5:00 Pm Pay Rate: $16.20/hr on w2 Job Description: Assist with daily clerical tasks with an ability to prioritize workflow. Provide verbal decisions, appeal acceptance, request medical records from health plans and representatives through phone. Monitor and maintain high volume workflow through an email shared mailbox, fax and mail. Receiving and sending professional communications to members, representatives, health plans, clients in a timely manner. Collect, analyze and input incoming and outgoing data to ensure security of PHI/PII . Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other procedures of the position. Handle emails and phone calls efficiently, ensuring effective communication within and outside the organization. Requirements and Skills: Be proficient in using Microsoft Teams, Excel, Word and Adobe. Not required but preferred - Salesforce, SharePoint, and Genesys telephony experience. Associate degree with 2+ years of experience. Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered. Integrated Resources
...coronary arterydisease, heart failure, valvular heart disease, and electrophysiology.Physicians specializing in this area are known as cardiologists. It's important not to confuse cardiologists with cardiac surgeons,cardiothoracic, and cardiovascular surgeons, who perform...
...we remain focused on providing a world of opportunities for you to leverage your abilities and make an impact on special education. Apply today to join our family. POSITION DESCRIPTION Epic Special Education Staffing is partnering with an exceptional school district...
...Job Description Job Description LightFeather is seeking passionate and mission-driven ServiceNow Developers to join our team in Washington, DC. In this role, you will design, configure, develop, and implement both baseline and custom applications and enhancements on...
...members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Bemidji Dialysis Location: Bemidji, MN Address: 1600 Anne St NW, Bemidji, MN 56601, USA Shift: Varies Job Schedule: Flex...
Qualifications:Pega CSA and CSSA certifiedSmart Investigate Version 7 minimum -5 years with this required- need to be very strong hereExperience as a Developer, with Pega BPM version 8 requiredMinimum of 5+ years designing and implementing solutions- was a main player...