by twochickswithasidehustle | Jul 4, 2024 | Uncategorized
Overview
ExamWorks is looking for a Remote Reports Coordinator (internally known as a Quality Assurance Coordinator) to join our team!
The Quality Assurance Coordinator is responsible to ensure medical reports are completed at the highest level of quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to handle quality assurance questions and provide overall support to the Quality Assurance Department.
The schedule is Monday to Friday 10:30am CT – 7:00pm CT.
Responsibilities
Performs quality assurance review of medical reports, correspondences, addendums or supplemental reviews.
Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
Ensures the provider credentials and signature are adhered to the final report.
Identifies any inconsistencies within the report and contacts the Provider to obtain clarification, modification or correction as needed.
Assists in resolution of customer complaints and quality assurance issues as needed.
Ensures all federal ERISA and/or state mandates are adhered to at all times.
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
Promote effective and efficient utilization of company resources.
Participate in various educational and or training activities as required.
Perform other duties as assigned.
Qualifications
EDUCATION AND EXPERIENCE
High school diploma or equivalent required.
Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers’ compensation, no-fault, liability, and/or disability preferred.
QUALIFICATIONS
Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
Qualified typist with a minimum of 40 W.P.M preferred
Must be able to operate a general computer, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must possess excellent skills in English usage, grammar, punctuation and style.
Ability to follow instructions and respond to upper managements’ directions accurately.
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
Must be able to demonstrate and promote a positive team -oriented environment.
Must be able to stay focused and concentrate under normal or heavy distractions.
Must be able to work well under pressure and or stressful conditions.
ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers’ compensation insurance coverages.
ExamWorks, LLC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.
ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.
by twochickswithasidehustle | Jul 4, 2024 | Uncategorized
Established in 2005 by court reporting professionals, eScribers has grown to become the leader in reporting and transcription services for courts and government agencies across the US and UK & Ireland.
Our company is private equity backed and growing rapidly worldwide, leading the court reporting market in technology innovations and client services. With customers across the US, UK & Ireland, we currently hold offices in Phoenix, Virginia, Maryland, London, Dublin and Israel.
At eScribers we value professionalism, innovative thinking, and collaboration and this is what guides us in all aspects of our day-to-day operations.
Come be a part of our growth by joining our outstanding team of professionals!
Legal Proofreader (Remote – Contract)
We are recruiting legal proofreaders to join our team. This position is ideal for candidates who would like to create their own schedule and work from the comfort of their home, but still want to be part of a community of encouraging, like-minded people. We suggest being able to commit to at least 20 hours per week.
General Requirements:
- Possess a high school diploma or equivalent
- Typing speed of at least 55 WPM
- Excellent grammar and punctuation skills
- Exceptional listening skills
- Attention to detail is a must
- Ability to meet deadlines
Computer Requirements:
- Windows-based PC running Windows 10 or 11
- Microsoft Word 2013 or newer or Office 365
- Consistent and reliable access to high-speed internet connection
- USB foot pedal (Infinity IN-USB 2 or IN-USB 3), which can be acquired online for $65 or less
Responsibilities:
You will be part of a team of proofreaders who ensure the integrity of hearing transcripts from courts across the U.S. This includes verifying the accuracy of the audio record as well as adhering to the strict formatting guidelines each jurisdiction requires. This is a fast-paced environment so excellent time management and prioritization skills are critical.
Compensation:
As an independent contractor you will be compensated on a per-page basis. This is comparable to other professionals in the legal proofreading field. You will submit/approve invoices for the work you complete and will be paid weekly via direct deposit.
Onboarding:
Candidates selected for this position will be required to undergo an onboarding process that involves completion of required paperwork, computer setup, and familiarizing yourself with the programs you’ll be using. Additional information about our onboarding process will be provided to candidates selected for this position.
Work is available for new candidates now and on an ongoing basis. Priority for work is given to proofreaders who maintain excellent quality standards in the submission of their assignments.
by twochickswithasidehustle | Jul 4, 2024 | Uncategorized
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representative Associates. This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities.
This position is full-time (40 hours / week), Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 AM – 4:30 PM CST. It may be necessary, given the business need, to work occasional overtime.
We offer 10 – 12 weeks of paid training. The hours during training will be 7:30 AM – 4:00 PM CST from Monday – Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims
- Analyze and identify trends and provide reports as necessary
- Consistently meet established productivity, schedule adherence and quality standards
This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member’s claim.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED OR equivalent years of work experience
- Must be 18 years of age OR older
- Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
- Ability to work any 8-hour shift between the hours of 8:00 AM – 4:30 PM CST from Monday – Friday including the flexibility to work occasional overtime based on business need
Preferred Qualifications:
- 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.), using phones and computers as the primary job tools
- 1+ years of experience with processing medical, dental, prescription, OR mental health claims
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The hourly range for this is $16.00 – $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
by twochickswithasidehustle | Jul 2, 2024 | Uncategorized
Pay Rate: $25-$50 per hour / $52,000 to $104,000 per year
Security Clearance: Public Trust
Ops Tech Alliance (OTA) is seeking a skilled and detail-oriented Document Management Specialist to join our team in support of the Department of Homeland Security (DHS), the Intelligence Community (IC), and the Department of Defense (DoD). The focus of your efforts will be cybersecurity competitions designed to identify, challenge, and reward the best cybersecurity talent in the country. The successful candidate will play a critical role in managing and organizing the extensive documentation and data related to high-profile events. This position has part-time opportunities available.
Contingent Upon Contract Award
Responsibilities
- Develop and maintain an organized document management system for all competition-related materials, including rules, guidelines, participant information, and evaluation criteria.
- Ensure the accuracy, accessibility, and security of all documents in compliance with OTA standards.
- Coordinate with various teams to collect, review, and update documentation as needed.
- Assist in the preparation and distribution of official communication, reports, and updates to stakeholders.
- Manage version control and track changes in documents to ensure all team members are working with the most current information.
- Support the creation of training materials, FAQs, and other resources for participants and organizers as directed.
- Facilitate the archiving of documents post-competition for future reference and compliance.
- Provide administrative support to the competition team as needed.
Qualifications
- Bachelor’s degree in Information Management, Library Science, Business Administration, or a related field. Relevant experience will be considered in lieu of a degree.
- Proven experience in document management, preferably within a government or cybersecurity context.
- Experience with accessibility requirements
- Strong organizational and time-management skills with exceptional attention to detail.
- Proficiency with document management systems and tools, such as SharePoint, Google Drive, or similar platforms.
- Excellent written and verbal communication skills.
- Ability to handle sensitive information with discretion and maintain confidentiality.
- Familiarity with cybersecurity terminology and practices is a plus.
- Ability to work both independently and collaboratively in a fast-paced environment.
Preferred Skills
- Experience with project management tools and methodologies.
- Knowledge of cybersecurity frameworks and standards.
- Previous experience supporting large-scale events or competitions.
- Certified Records Manager (CRM) or similar certification
OTA is an Equal Employment Opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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