by twochickswithasidehustle | Feb 27, 2024 | Uncategorized
Overview
Calling all LPN/LVN’s from Across the U.S.
Are you looking for a position that is challenging, will keep your clinical skills sharp, but doing so from the comfort of home?
ExamWorks is seeking a self-motivated, high-performing registered nurse (RN) to join our team.
The Clinical Quality Assurance Coordinator is responsible for ensuring Peer Review case reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates.
The position is 100% remote and the schedule will be Monday-Friday. You can start your day anytime between 7:00-9:00am CT and end between 3:30pm-5:30pm. (Training will be 7:30am-4:00pm CT, Monday-Friday).
Are you motivated, energetic, and excited to become part of the ExamWorks team? If so, you might be our next new team member!
Responsibilities
Performs quality assurance review of peer review 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 Peer Reviewer 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
High school diploma or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience. 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.
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.
Must be a qualified typist with a minimum of 40 W.P.M
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.
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 offers a fast-paced team atmosphere with competitive benefits, paid time off, and 401k.
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.
Equal Opportunity Employer – Minorities/Females/Disabled/Veterans
by twochickswithasidehustle | Feb 27, 2024 | Uncategorized
Overview
ExamWorks Compliance Solutions is seeking a detail-oriented individual to join the team as a Medicare File Coordinator.
The Medicare File Coordinator is responsible to ensure information is entered correctly and to the highest quality and integrity and is in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist customer service team and provide overall support to the Customer Service Department
This is a remote full time position with a standard work schedule Monday-Friday, 8am-5pm (must be able to work Eastern time zone).
Responsibilities
Performs quality assurance reviews of information, correspondences and files
Ensures all cases contain the correct information for the examination process
Audits files to ensure that all client instructions and specifications have been followed
Completes and ensures all examination fees are quoted daily and are in accordance with company practices
Ensures that the appropriate board specialty has received the case in compliance with client specifications and/or state mandates and is documented accurately
Assists with data entry of billing information
When necessary, notifies management of any case issue or concerns requiring management’s attention
Ensures all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations
Calls for invoices from physicians
Assists with mail as needed
Assists with the scanning of documents
Qualifications
High school diploma or equivalent required
A minimum of two years clinical or related field experience; or equivalent combination of education and experience required
Medicare knowledge or experience a PLUS
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
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 maintain confidentiality
Must be able to demonstrate and promote a positive team -oriented environment
by twochickswithasidehustle | Feb 27, 2024 | Uncategorized
Overview
ExamWorks Compliance Solutions is seeking a detail-oriented individual to join the team as an Assistant File Coordinator.
The Assistant File Coordinator is responsible for processing incoming mail & distributing to the appropriate File Coordinator, retrieving Rated Ages, entering data for claim specific information, communicating with clients as needed, distributing reports to clients as needed and assisting with billing.
This is a remote full time position with a standard work schedule Monday-Friday, 8am-5pm (must be able to work Eastern time zone).
Responsibilities
Dropping rated ages in files.
Assist the File Coordinators with mailing out hard copies of the invoices and reports when needed.
Appropriately document the operating system (Galileo) with all notes and emails pertaining to the file.
Process incoming parcel mail for the File Coordination department.
Upload files into Caseworks for all MedInsights files.
Transfer files from the prior operating system (ProLaw) to the current operating system (Galileo).
Abide by all rules of the company such as safety, confidentiality and organizational directives.
Maintains confidentiality of all personal and financial information at all times and in accordance with HIPAA regulations.
Perform other duties as assigned by the Lead File Coordinator, Supervisor and/or Manager.
Qualifications
High school diploma or equivalent required
A minimum of two years clinical or related field experience; or equivalent combination of education and experience required
Medicare knowledge or experience a PLUS
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
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 maintain confidentiality
Must be able to demonstrate and promote a positive team -oriented environment
by twochickswithasidehustle | Feb 27, 2024 | Uncategorized
OVERVIEW
Welocalize is seeking Englishspeakers to help support our client’s project as an internet Search Quality Rater. In this remote position, you will answer different types of theoretical questions with true/false answers. There are also simple quality tasks that are more true/false queries, as well as needs met tasks that you rate on a sliding scale.
Please click here for a short demo of these types of tasks: What Does a Search Quality Rater Do? (youtube.com)
The main goal for this project is to develop and augment AI data.
In this position, you will be able to set your own schedule to accomplish the weekly goals. However, you’ll only be able to receive support from the project management team during business hours (Monday-Friday, 9:00 AM – 5:30 PM Pacific)
Project Details
Job Title: Search Quality Rater
Location: Remote, US-based
Hours: Minimum 10 hours per week, up to 29 hours per week; set your own schedule
Start date: ASAP
Employment Type: W2 Part-Time Employee, payment every 2 weeks
Longevity of project: 12 months with possibility of extension.
This work is based on project needs. Weekly hours may vary.
Benefits:
Paid Sick Time
Employee Assistance Program
Following eligibility requirements:
Medical Insurance
Dental Insurance
Vision Insurance
HSA
Voluntary Life Insurance
Accident, Critical Illness,Hospital Indemnity Insurance
401(k) Retirement Plan
PLEASE NOTE: We are currently hiring in Arizona, Connecticut, Florida, Georgia, Illinois (but NOT Chicago), Maine, Maryland, Minnesota, New Jersey, New Mexico, Ohio, Pennsylvania, Texas, Virginia, Wisconsin, California, New York, and Oregon.
Requirements
- Fluency in English
- Strong understanding of popular culture in the United States
- Must be dedicated only to “Search Quality rating program” and NOT other search or ads rating programs
- Must not have current or previous experience with “Ads quality rating”
- Web-savvy and able to work in a fast-paced environment
- Excellent online research skills
- Reliable computer system and internet connection
- Reliable anti-virus software (as you will be surfing the web as part of the work)
- Ability to follow instructions in English and comply with the project conventions and rules expected by the client
- Must sign a Non-Disclosure Agreement to protect client confidentiality
- Must pass learning modules and a required quality test designed by our client before starting work
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. In addition, we employ anti-fraud checks to ensure all candidates meet the requirements of the program.
If you are currently working or have previous experience as an “Ads Quality Rater”, unfortunately, you will not be able to work on our Search Quality Rating project.
by twochickswithasidehustle | Feb 27, 2024 | Uncategorized
About CorroHealth:
At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
Job Description & Responsibility
Transcribe information from clients’ EMRs into required electronic format; check completed work for accuracy
Monitor shared inboxes and internal request dashboards
Receive and document incoming emails, calls, tickets, or voicemails
Follow up with the client or internal staff via email or phone for additional information as requested
Export and upload documents within CorroHealth proprietary system
Cross-trained on various functions within the department to support other teams as needed
Other responsibilities as requested by management
Equipment provided to do the job from your home office with a secure internet connection
Skills Required
Detailed oriented
Proactive and self-directed
Shows initiative and responsibility in taking the necessary steps towards problem resolution
Meets or exceeds both quality expectations
Works independently but also a team player
Extremely organized and action-oriented
Excellent critical thinking skills
Demonstrates strict adherence to HIPAA/HITECH compliance
Education/Experience
High School Diploma or equivalent required
Bachelor’s degree preferred
Prior knowledge of accessing hospital EMR’s preferred
Experience working with Salesforce, a plus
Proficient in relevant computer applications such as Outlook, MS Teams, Internet Search Engines, and accurate keyboard skills
Ability to maneuver between multiple screens
Physical Requirements:
May be expected to sit at a desk for long hours. Must have a private and secure space to work, including a secure Internet connection. Repetitive movement of hands and fingers – typing and/or writing. Occasional standing, walking, stooping, kneeling, or crouching. Ability to reach with hands and arms, talk, and hear. Exert up to 20 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.
Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
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