by twochickswithasidehustle | Jun 16, 2026 | Uncategorized
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Job Summary
The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of assigned member and/or provider appeals and grievance cases. Working under general supervision, this role conducts case intake, investigation, and documentation to ensure accurate and timely resolution consistent with federal state, and accreditation standards. The Specialist serves as a key liaison between members, providers, and internal departments to resolve issues effectively, ensuring the integrity of the appeals and grievance process and compliance with CMS, NCQA, URAC, and state regulatory requirements.
Essential Functions
Case Management
- Research and analyze case documentation, including benefit coverage, prior authorizations, claims, and regulatory guidance.
- Communicate with members, providers, or representative to clarify appeal intent and gather missing documentation including incoming calls, outgoing calls, and phone queue work as assigned.
- Prepare complete and compliant case files, ensuring all required documentation is included.
- Track case progress and maintain compliance with turnaround times and documentation standards.
- Generate accurate and timely determination and acknowledgement letters.
Investigation and Resolution
- Collaborate with internal departments such as Claims, Medical Management, Legal, and Compliance to obtain necessary information for resolution.
- Identify potential compliance issues or risk factors requiring escalation.
- Participate in case discussions, internal committee reviews, or external fair hearing preparation as assigned.
- Document all activities, correspondence, and outcomes in the case management system with attention to detail and accuracy.
Compliance & Quality
- Ensure case handling meets all application federal and state regulatory requirements, including with CMS, NCQA, and URAC.
- Maintain confidentiality and protect member information in compliance with HIPPA regulations.
- Identify opportunities for process improvements to enhance quality and efficiency.
Team Collaboration
- Serve as a resource to peers and administrators for routine case-related questions.
- Maintain professional communication with members, providers, and internal stakeholders.
- Participate in team meetings and contribute to continuous improvement initiatives.
Education/Experience
- Associate’s Degree: in Health Administration, Business, or related field preferred
- High School Diploma/GES Required
Preferred Experience Level:
- Knowledge of medical terminology, benefit interpretation, and regulatory processes preferred. Prior experience working with CMS, Medicaid, or state-regulated appeals processes preferred.
- 2 to 3 years experience in healthcare operations, managed care, or grievance/appeals coordination.
Other Skills
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.).
- Strong attention to detail and organization.
- Excellent written and verbal communication.
- Ability to manage multiple priorities in a fast-paced environment.
- Strong analytical and problem-solving abilities.
- Customer service orientation with professional communication etiquette.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
by twochickswithasidehustle | Jun 16, 2026 | Uncategorized
locationsUS – Remotetime typeFull timeposted onPosted Yesterdayjob requisition idJR105326
About Us:
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:CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures.
This is a remote position
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.
Essential Duties and Responsibilities:
- Review outpatient encounters (pre visit, concurrent, and/or post visit) to assess documentation accuracy and completeness.
- Identify opportunities for improved documentation related to: Chronic conditions and disease specificity Risk adjustment (e.g., HCCs)Quality measures and medical necessity.
- Provide compliant documentation clarification via query and feedback to providers through approved communication channels Support accurate problem list management and ongoing condition validation.
- Collaborate with coding, quality, compliance, and revenue cycle teams as needed.
- Track and report CDI interventions, trends, and outcomes. Participate in provider education and training initiatives.
- Stay current on outpatient coding, risk adjustment, and regulatory guidanceCompliance & Regulatory OversightEnsure compliance with CMS, payer, and organizational documentation and billing requirements.
- Identify potential compliance risks, including but not limited to overcoding, undercoding, and missing and/or unsupported diagnoses. Apply knowledge of HCCs, risk adjustment, quality measures, and outpatient reimbursement methodologies as applicable.
Minimum Qualifications:
- An active coding credential required such as – RHIA, RHIT, CPC, COC, CCS-O, CCS, CDEO, CCDS, CDIP or CCDS-O
- 3+ years of outpatient coding, risk adjustment, outpatient CDI. Strong understanding of:ICD‑10‑CM outpatient coding Risk adjustment models (e.g., Medicare Advantage HCCs)Outpatient E/M documentation requirements.
- Experience working in an ambulatory EHR (Epic, Cerner, or similar)
Skills & Competencies:
- Strong clinical and analytical judgment.
- Professional communication style.
- Excellent written documentation skills. Comfortable working independently in a fast-paced environment.
- Proficient in Microsoft Office Applications
Desired Minimum Qualifications:
- Experience with telecommuting, working with EMRs and other electronic tools.
- Strong analytical skills.
- Strong Microsoft Office skills.
- Works well with numbers.
- Strong team player.
- Ability to work with multiple and diverse clients and projects.
- Ability to work with minimal supervision.
- Ability to maintain and access multiple files.
- Assure that work product is completed with high levels of accuracy and attention to detail.
This is a remote position
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.
by twochickswithasidehustle | Jun 16, 2026 | Uncategorized
About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.
About the role
At Reserv, we’re reimagining what modern claims handling can be — faster, smarter, and relentlessly customer‑centric. As our Claims Director, you’ll lead a team of Claims Professionals managing real property and auto damage claims, bodily injury claims, driving operational excellence through technology, analytics, and a deep commitment to customer experience.
You’ll own the full customer journey, ensuring every interaction is seamless, empathetic, and efficient. This role blends strategic leadership with hands‑on execution, requiring someone who can inspire teams, influence cross‑functional partners, and scale a claims operation built for the future.
What You’ll Do
Customer Experience & Strategy
- Develop and execute a comprehensive customer experience strategy aligned with Reserv’s mission and growth goals.
- Define KPIs and performance metrics to drive satisfaction, retention, and overall experience quality.
- Identify emerging trends and technologies to continuously evolve our claims experience.
- Act as the voice of the customer in key business decisions.
Leadership & Team Development
- Build, lead, and develop a high‑performing claims team.
- Oversee recruitment, onboarding, coaching, and ongoing professional development.
- Conduct regular performance evaluations and foster a culture of excellence, innovation, and accountability.
- Design and implement training programs to strengthen technical, insurance, and customer service skills.
Operational Excellence
- Serve as the escalation point for complex or sensitive customer issues, providing strategic guidance and resolution.
- Use data, analytics, and customer feedback to identify pain points and implement improvements.
- Partner with Product and Engineering to inform the development of tools, systems, and processes that enhance efficiency and outcomes.
- Ensure scalable, compliant, and efficient operations across all claims workflows.
Cross‑Functional Collaboration
- Work closely with leaders across Claims Operations, Product, Engineering, and Marketing to drive customer‑centric initiatives.
- Influence organizational priorities and ensure alignment with broader business objectives.
Requirements
- Bachelor’s degree in business, marketing, communications, or a related field (advanced degree preferred).
- 10+ years of experience in insurance claims across multiple lines; property and/or auto strongly preferred.
- 5+ years of management experience, ideally leading remote teams.
- Proven ability to deliver results, overcome obstacles, and drive continuous improvement.
Benefits
- Generous health-insurance package with nationwide coverage, vision, & dental
- 401(k) retirement plan with employer matching
- Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
- Generous family leave policy after 8 months of continuous work
- Work from anywhere to facilitate your work life balance
- Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
- Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
- Work toward reducing and eliminating all the administrative work from an adjuster role
- Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!
by twochickswithasidehustle | Jun 16, 2026 | Uncategorized
locationsUnited Statestime typeFull timeposted onPosted 5 Days Agojob requisition idR-0000023039
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Job Description:
The Authorization Specialist role is responsible for all administrative aspects of outpatient diagnostic testing and procedure benefit verification and authorization. This role will ensure patient’s insurance requirements for reimbursement before diagnostic testing or procedure. Obtains pre-authorizations for Physician Orders for diagnostic testing or procedure as required by the patient’s insurance carrier. Ensure the financial feasibility of treating each patient in our clinics by communicating and working closely with patients, physician, nurse and social worker. Work in specific areas of concern in the department on a project basis. Assist Patient Finance Manager in training staff, projects and implementations. Maintain in-depth knowledge of authorization process as well as reimbursement methodologies. Maintain knowledge of collection techniques and collection laws.
Responsibilities:
- Obtains pre-authorizations for Physician Orders for diagnostic testing or procedure as required by the patient’s insurance carrier.
- Communicates with physician/clinical staff on reimbursement issues and/or pre-certification requirements by the patient’s insurance carriers.
- Ensures up-to-date documentation on patient’s accounts in Electronic Medical Record on authorization approvals and denials.
- Communicates with Insurance Authorization Coordinators the need for updated referrals.
- Communicates with front office manager and staff in the case of denials that will require rescheduling and/or peer-to-peer review by the ordering physician.
- Communicates with hospitals or other diagnostic facilities to correct any discrepancies.
- Contacts Insurance Authorization Coordinators to notify of termed insurances.
- Communicates as necessary and in a timely fashion with Front Office and imaging center staff with regards to the status of pending authorizations.
- Contacts Clinical Trial team to notify of denied scans for patients on study to verify coverage of scan by study.
- Keeps current on insurance carrier requirements for diagnostic testing and procedures.
- Follows policy and procedures outlined by management to ensure standardization of processes across the clinics.
- Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.
- Lab Information System, Pharmacy Information System, Entire Chart/Electronic Medical Record (EMR), Electronic Billing System (EBS).
- Works denial worklist completing retro authorization request and or medically necessary appeals.
- Review payer guidelines for medically necessity guidelines including frequency and prior testing requirements.
Required Qualifications:
- High School diploma or equivalent.
- One year experience in a directly related role preferred, but not required.
- High School diploma or equivalent required.
- 1+ year(s) of Prior Authorization experience.
- Medical insurance background required.
Essential Competencies:
- Attendance is an essential job function.
- Ability to work effectively with all levels of management and other colleagues
- Ability to demonstrate initiative and mature judgment.
- Ability to demonstrate high degree of professionalism and adaptability.
- Ability to demonstrate proficiency in the use of end-user computer applications (MS work, Excel, Outlook), database and patient scheduling and other medical information systems.
- Ability to demonstrate strong customer service delivery skills.
- Ability to utilize websites, portal and electronic options when available to increase efficiency
- Ability to follow oral and written instructions.
- Ability to recognize and solve problems using creative thinking skills, hands on problem solving skills and the ability to analyze and respond to data.
- Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.
- Skilled at Multi-tasking, organizational skills and superb attention to detail.
- Working knowledge of Hospice and other payer requirements.
- Knowledge of clinic office procedures, medical practice and medical terminology.
#LI-REMOTE
by twochickswithasidehustle | Jun 16, 2026 | Uncategorized
Thanks for your interest in Oklo! We are searching for a Document Control Specialist Contractor to support our EPC Project Management and central Document Control teams.
Position Description
The Document Control Specialist supports the execution of document management activities for Oklo’s internal processes and EPC construction projects under the supervision of senior document control or project management personnel. This role is responsible for following processes that ensure Oklo/project documents are accurate, traceable, and compliant; documentation may cover a range of activities, including engineering, procurement, construction, commissioning, turnover, and recordkeeping.
The Document Control Specialist ensures documents are properly received, logged, reviewed, distributed, revised, retained, and transmitted in accordance with Oklo standards, project requirements, contractual obligations, quality assurance expectations, and other applicable regulatory requirements.
Success in this role requires strong attention to detail, organizational discipline, customer-service outlook, sound judgment, the ability to follow established processes while identifying areas for improvement, and the willingness to work within a team to achieve shared objectives.
Please note this is a contract position that has the potential to covert to a permanent position after 6 months based on hiring needs and performance.
Specific responsibilities may include:
- Support the day-to-day administration of document control processes using approved document management systems such as SharePoint, InEight Document, Bluebeam Revu, Procore, M-Files, or similar platforms.
- Manage the full document lifecycle for incoming and outgoing project deliverables, including both Oklo-generated and vendor-generated documents and records, including the sending/receipt of transmittals.
- Maintain master document register metadata to ensure traceability to final records.
- Ensure current revisions are available to relevant stakeholders and that superseded/obsolete documents are properly controlled and archived.
- Support the controlled review of design deliverables and other project documents, including distribution, tracking of comments/deadlines, and supporting comment resolution activities.
- Enforce document control procedures, to include naming and numbering, metadata requirements, and review workflows; verify document submissions and coordinate with stakeholders to resolve nonconforming submissions.
- Support management-of-change activities by ensuring associated document revisions are properly tracked, distributed, archived, and retained.
- Support the incorporation and tracking of field markups, redlines, as-builts, and final record documentation.
- Assist with the verification and organization of project turnover packages and final project records for commissioning, operations, and long-term records retention.
- Support quality assurance audits, surveillances, and assessments by locating and providing requested documentation.
- Provide first-line support to personnel regarding document control workflows, systems, and requirements.
- Maintain confidentiality and security of sensitive/proprietary and export-controlled information (ECI) in accordance with company and regulatory requirements.
- Identify and escalate document-control risks, workflow bottlenecks, or compliance concerns that may impact project execution milestones or introduce latent errors.
Minimum Qualifications:
- Associate’s degree or equivalent education
- 3 years of relevant document control experience
- Proficiency with common business/collaboration software tools, including Microsoft Office/Teams, Google Workspace, Adobe Acrobat Pro, Zoom, Slack, Confluence, Jira, or similar platforms
- Ability to work effectively in a remote and cloud-based work environment
- Willingness and ability to travel up to approximately 15% as required
Bonus Qualifications:
- Supporting document control activities on EPC, capital construction, industrial, energy, or other complex infrastructure projects
- Managing document lifecycles, including transmittals, revision control, metadata management, and turnover documentation
- Processing engineering, procurement, construction, quality, vendor, and commissioning documentation (experience with owner-side document control is a plus)
- Maintaining document registers, transmittal logs, distribution matrices, and document status reports
- Coordinating with EPC contractors, vendors, subcontractors, engineering teams, project controls, construction teams, and quality personnel
- Using document management systems such as SharePoint, InEight Document, Procore, M-Files, Devonway, or similar platforms
- Familiarity with management-of-change workflows and project documentation processes such as RFIs, NCRs, DCNs, TQs, redlines, and as-builts
- Exposure to commissioning, turnover, operational readiness, or asset handover documentation processes
- Familiarity with QA requirements for controlled documents and records in a highly regulated industry, nuclear strongly preferred
Competencies
We are looking for a Document Control Specialist that has:
- Strong attention to detail with a high standard for accuracy, consistency, and completeness
- Excellent organizational, time-management, and prioritization skills
- Strong written and verbal communication skills with the ability to coordinate effectively across multiple teams and stakeholders
- Analytical and logical problem-solving abilities with sound judgment and critical-thinking skills
- Ability to work independently while following established procedures and escalating issues appropriately
- Professionalism and discretion in handling sensitive or confidential information
- A customer-service mindset with a collaborative and solution-oriented approach
- Comfortability enforcing standards, maintaining compliance, and following structured workflows
- A proactive attitude toward identifying risks, gaps, and process improvements
- Strong data-entry and computer proficiency skills
- An ability to learn quickly and adapt in a fast-paced, highly iterative project environment
- A positive, team-oriented mindset with accountability for assigned responsibilities
- A passion for clean energy and advanced nuclear technology
Who you are:
A startup person: You aren’t driven by titles or hierarchy, and prefer efficiency to excess process. You don’t need or expect to have a lot of guidance but you enjoy working in a fast-paced team. If you prefer the culture and feel of a large organization, that is great, but you likely won’t enjoy working with us! There is plenty of important work and plenty of good opportunities with organizations like that.
Motivated: You are self-motivated. You bring an enthusiasm to the team, and imbue a sense of passion that goes beyond clocking in and clocking out. This isn’t about a fake or arbitrary “pieces of flair” mentality or lack of work-life balance! It is about being a part of the vision and feeling a part of reaching team goals.
A team-player: Oklo genuinely is a team. We aren’t about taking credit for ourselves, and we aren’t about pushing blame to others. We do incredible things because we work as a team.
An excellent communicator: We need a person who is not only technically competent but also a clear and upbeat communicator.
Creative: Being creative means that when things fall outside clear scopes or processes or problems arise without clear solutions, you are able to identify it as well as invent ways to solve a problem or fill a need without micromanagement. The successful person in this job will not only be creative, but also enjoy being creative and solving open-ended problems which may change day-by-day.
Detail-oriented: This focus is a big part of excellence, consistency, and quality. Excellent grammar and spelling matter for both good communication as well as the image of the company that we put forward.
About Oklo travel requirements:
Oklo requires remote employees to travel to headquarters (Santa Clara, CA) twice a quarter annually, based on business or team needs, including attendance at team meetings, off-sites, and other company events or gatherings. For the first two weeks of onboarding, employees are required to be in person at headquarters in Santa Clara, CA.
About Oklo compensation:
Hourly: $38-$50/hour
For permanent employees only: Oklo offers flexible time off, equity, bonuses, competitive pay, 401(k), health insurance (with employer contribution), HSA, FSA, flexible work hours, wellness credits, and other benefits.
This position may involve access to information subject to U.S. export control laws. Only applicants who meet the definition of a U.S. person under applicable laws may be eligible.
About Oklo Inc.: Oklo Inc. is developing fast fission power plants to deliver clean, reliable, and affordable energy at scale; establishing a domestic supply chain for critical radioisotopes; and advancing nuclear fuel recycling to convert nuclear waste into clean energy. Oklo was the first to receive a site use permit from the U.S. Department of Energy for a commercial advanced fission plant, was awarded fuel material from Idaho National Laboratory, and submitted the first custom combined license application for an advanced reactor to the U.S. Nuclear Regulatory Commission. Oklo is also developing advanced fuel recycling technologies in collaboration with the U.S. Department of Energy and U.S. National Laboratories.
#CHOP: Oklo’s Values
Collaboration: We go further, together. We bring diverse perspectives, listen actively, and build trust through transparency and respect. We work across disciplines, sharing ownership to turn complex challenges into shared successes.
Humility: We are team players who act for the good of the company and for the world. We are focused on our mission, not personal recognition.
Ownership: We take pride in what we do and how we do it. We are proactive in finding solutions and see tasks through to completion. We are committed to delivering on our promises to provide clean, reliable, and affordable energy.
Pathfinding: We chart new ground where no path exists by approaching challenges with curiosity, courage, and creativity while navigating ambiguity.
by twochickswithasidehustle | Jun 16, 2026 | Uncategorized
Salary Range:$15.00 To $17.00 Hourly
Who We Are: With a diverse team of more than 800 people, HealthMark is set apart by our culture, commitment to excellence, and dynamic contributors. We believe in fostering growth, celebrating success, and providing opportunities for every team member to thrive. Joining HealthMark means being part of a thriving organization recognized as a Top Workplace by USA Today. Not only that, but we’ve made it on the Inc. 5000 list of fastest-growing companies for ten years.
Not only will you get to contribute to the healthcare ecosystem by making health information more accessible to patients, but you will also join a forward-thinking team of innovators who are passionate about the work we do and the people we serve.
What We Do: HealthMark is a mission to revolutionize how medical records are released to patients, providers, and other stakeholders. We provide tech-enabled solutions that help health systems, hospitals, FQHCs, provider-led networks, and other care providers deliver the right medical records to the right patient.
What We Offer:
- A collaborative and supportive work environment that values your ideas
- Opportunities for professional development and career advancement
- Competitive benefits, including medical, dental, and vision insurance, 401k matching, remote opportunities, paid time off, and a paid volunteer day of your choice
- The chance to make an impact in the health information field every day
Join us in shaping the future of the release of information!
LOCATION: Remote
We are expanding rapidly and have created unique roles that need qualified candidates.
Entry-level job duties include, but are not limited to:
- Processing medical record requests
- Effectively answering 30-40 calls per day on average for customer requests
- High volume and fast-paced environment
- Reports directly to the Processing Manager
- Assist as needed in overflow processing due to high volume issues and/or coverage issues
- Abide by HIPAA guidelines while ensuring the confidentiality of PHI
- Maintain a consistent schedule by processing all requests within 24-48 hours of receipt for assigned accounts
- Provide feedback regarding request volume and perceived issues
- Monitors incoming requests received through various means
- General office duties
Qualities that the candidate for this position should include:
- Fast learner
- Dependable
- Quick worker
- Team player
- Positive attitude
- Someone who strives to do more
Note: This job description is intended to provide a general overview of the position and does not encompass all job-related responsibilities and requirements. The responsibilities and qualifications may be subject to change as the needs of the organization evolve.
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