Quality Control Specialist
Full TimeRemote, US
6 days agoRequisition ID: 1651Apply
Salary Range:$15.00 To $16.00 Hourly
HealthMark Group is a leader in health information management and technology focusing on serving the health information management needs of physician practices and hospitals throughout the nation. HealthMark Group’s innovative technology and superior customer service enable clients to streamline operations by outsourcing administrative support functions such as the release of information and form completion processes. By integrating experience, technology, and service, we help hospitals, health systems and clinics concentrate on what they do best, patient care.
HealthMark Group is growing and looking for bright, energetic, and motivated candidates to join our team. This is an entry level position and an exciting opportunity for someone looking to start their career with a fast-growing company.
LOCATION:REMOTE
Position: QUALITY CONTROL
Job Description:
Entry level job duties include but not limited to:
- Entering data into database software and checking to ensure the accuracy of the data that has been inputted.
- Resolving discrepancies in information and obtaining further information for incomplete documents.
- Reports directly to Quality Control Lead/Manager
- Completes Data Entry of all requests
- Records any relevant notes on specific requests for further/proper handling throughout the request life cycle
- Identify and accurately classify each request
- Uphold HealthMark Group’s values by following our C.R.A.F.T.
- Work quickly to meet the high-volume demand
Requirements:
- 40 wpm
- High Internet speed quality
- Goal oriented, focused on ensuring accuracy and speed
- Computer literacy and familiarity with various computer programs such as
- Attention to detail
- Knowledge of grammar and punctuation
- Ability to work to time constraints
Remote Scheduling Coordinator
Location: Remote
Department: Customer Service
Employment Type: Part-Time, On-Call
About the Role
We’re seeking two reliable and organized Remote On-Call Schedulers to provide evening and overnight scheduling support Monday through Friday from 5:00 PM to 8:00 AM. This position is ideal for someone looking for flexible, part-time work that can be done entirely from home.
Each scheduler will cover 2-3 nights per week (approximately 5 hours of active work weekly), ensuring our scheduling operations run smoothly outside of regular business hours. Having two team members allows us to provide backup coverage and ensures consistent service.
Responsibilities
- Respond to scheduling requests and inquiries during on-call hours (5:00 PM – 8:00 AM, weekdays)
- Coordinate and manage appointments efficiently using our scheduling system
- Communicate with clients/patients professionally via phone, email, or text
- Handle urgent scheduling needs and changes as they arise
- Maintain accurate records and documentation
- Provide coverage for your teammate when needed
Qualifications
- Previous scheduling, administrative, or customer service experience preferred
- Strong organizational and time management skills
- Excellent written and verbal communication
- Reliable internet connection and quiet workspace
- Ability to respond promptly during assigned on-call hours
- Comfortable working independently with minimal supervision
- Proficiency with scheduling software and basic computer applications
Compensation & Benefits
- Hourly Rate: $20-25/hour for active work hours
- On-Call Stipends:
- $25 per weeknight on-call shift
- $50 per weekend/holiday on-call shift
- 401(k) Retirement Plan with company matching
- Fully remote position – work from anywhere
- Flexible schedule split between two team members
Example Weekly Earnings: For 3 on-call nights + 5 active work hours = approximately $185-200/week
Schedule
- On-call coverage: 5:00 PM – 8:00 AM, Monday-Friday
- Each employee covers 2-3 nights per week
- Specific night assignments determined collaboratively
- Average 5 hours of active work per week
Claims Keyer
Job Details
Job Location
Allied Benefit Systems – CHICAGO, ILRemote Type
Fully RemotePosition Type
Full TimeSalary Range
$20.00 – $21.00 HourlyJob Category
Claims
Description
POSITION SUMMARY
The Claims Keyer is responsible for reviewing prescription labels and non-standard forms; such as invoices, receipts, etc. Data from non-standard forms will be entered onto a standard claim form to be processed. The Claims Keyer is also responsible for maintaining several email boxes and prepping claims received internally to be scanned for processing. The Claims Keyer must be able to take information from one source and enter it into an Access database quickly and accurately.
ESSENTIAL FUNCTIONS
- Review Pre- Certification information received and submit for scanning electronically
- Review all necessary information on prescription labels received that is needed for processing such as CPT codes, amounts, dates, units, etc. and submit for scanning
- Maintain all Outlook email boxes to ensure that all requests for keying non-standard forms are completed and sent for scanning to be processed
- Other duties as assigned.
EDUCATION
- High school education or GED required
EXPERIENCE AND SKILLS:
- 1 year of data-entry experience required.
- Basic Microsoft Word, Excel, Outlook required.
- Must be able to key at a minimum 10,000 keystrokes per hour with 99% accuracy required.
- MS Access and Adobe Pro is preferred.
COMPETENCIES
- Communication
- Customer Focus
- Accountability
- Functional/Technical Job Skills
PHYSICAL DEMANDS
- This is an office environment requiring extended sitting and computer work.
WORK ENVIRONMENT
- Remote
Advisory Manager, Care Management – Provider – Remote
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Advisory Manager, Care Management (Provider) – Remote opportunity for a self-driven, collaborative case manager to partner with Optum leadership, remote and onsite teams to lead, assess, develop and implement an integrated, cohesive solution across Optum business units and key client services. This role is critical to ensuring Optum meets and exceeds our client expectations to Care Management and Clinical Variation services. The Manager will have a client- and patient-centric approach to program management, balanced with meeting Optum financial and non-financial business goals. We are looking for a proactive professional who is client savvy and can effectively execute against business objectives. This individual will work with leadership to structure to ensure seamless, consistent delivery of services and solutions.
The successful candidate must be passionate about driving improvements in performance, effective at working in a fast-paced, high-energy environment and confident in their interactions with senior executives, providers, and business partners.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Supports the project team by participating in assessment, solution design, implementation, execution through coordination, documentation, and tracking metrics and outcome activities
- Supports the combined client and Optum Clinical Practice team by identifying opportunities and risks, facilitating solutions, and maintaining alignment with cross-functional priorities
- Works directly with the frontline leadership and client on daily operational development
- Drives clear, concise lines of communication with key stakeholders across Optum and client teams in coordination with the Optum leader to ensure effective implementation of service commitments and capturing needs for project success
- Ensures cross-project cohesion by identifying areas of dependency and collaboration, scheduling and facilitating team meetings to ensure cross-business organization and harmonization
- Supports client relationship and program management activities, including but not limited to:
- manages historical, current, and future state Care Management and Clinical services content, ensuring accessibility to team members
- manages and tracks the Care Management project plans and scoping documents, including tasks, activities and milestones in partnership with the assigned consultants
- organizes status reports, identifying and escalating risks and issues when appropriate
- manages and tracks Care Management data and information requests and documentation
- coordinates across business units to create cohesive, client-ready business deliverables; and
- tracks performance against contractual obligations
- Provides thoughtful input to optimize overall Care Management and Clinical Variation performance, advising leaders on performance management and improvement activities
- Works with Care Management and Clinical Variation leadership to establish and track measured outcomes, criteria, standards and levels using appropriate methods
- Supports service deployment and closely monitors performance, working with finance and operations to ensure financial viability and operational excellence
- Identifies business unit gaps and helps to develop action plans to mitigate risks and issues
- Helps to onboard new team members
- Builds trusting relationships with senior leaders, clinicians, and business partners
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:
- Licensed Registered Nurse
- 5+ years of hospital care management including both discharge planning and utilization management experience
- 3+ years of experience in customer relationship management
- 3+ years of Acute Care experience
- Proficient with MS Excel and PowerPoint for creating presentations
- Demonstrated planning, organization, analytical and problem-solving skills
- Proven self-guided, motivated, and able to simultaneously manage multiple activities with little direction
- Proven solid strategic thinking and business acumen with the ability to align clinical strategies and recommendations with business objectives
- Proven solid presentation, written and verbal communication skills, including communicating with senior leadership
- Proven track record of working collaboratively with internal business partners and stakeholders across a large matrixed organization
- Proven ability to develop relationships with clinicians and business leadership
- Proven adaptable and flexible style; able to thrive in fast-paced, ambiguous situations
- Ability to travel up to 80% to client sites
Preferred Qualifications:
- Healthcare consulting experience with a reputable consulting firm in a client facing capacity
- Experience in hospital care management and/or leading complex clinical transformation consulting engagements resulting in significant recurring financial benefit
- Experience developing clinical transformation methodologies and designing innovative solutions in a complex and rapidly changing environment
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Recent Comments