Claims Assistant
Remote job
OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and case managers.
We are seeking a Claims Assistant to play a key role in ensuring smooth case management and operational support at Advocate. In this position, you will handle a variety of important administrative tasks, from managing incoming communication to scheduling appointments for case managers. You'll ensure that our administrative processes flow efficiently, contributing directly to the success of our mission. If you're organized, detail-oriented, and enjoy working in a fast-paced environment, this could be the perfect opportunity for you to make a meaningful impact.Job Responsibilities
Ensure the Social Security Administration (SSA) has processed representative forms and provided access to Electronic Records Express (ERE).
Manage a high volume of incoming mail as the company continues to grow.
Handle calls and texts to the client care team's dedicated 888 line.
Schedule appointments for case managers to keep operations on track.
Request medical source statements and assist with other administrative tasks to ensure smooth process flow.
Qualifications
Strong administrative and clerical skills are essential.
Prior experience with Social Security disability is preferred but not required.
Highly organized and capable of managing multiple tasks efficiently.
Strong attention to detail and task-oriented mindset.
Ability to thrive in a fast-paced and growing work environment.
This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.
Auto-Apply(Remote) Claims Assistant
Remote job
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Evaluates residential and commercial contents inventories obtained by or submitted to VeriClaim on both a Replacement Cost and Actual Cash Value (ACV) basis.
Applies limitations and/or exclusions on claims based on coverage afforded by the policy.
Tracks time and log file notes for daily field activity.
Assists with answering telephones.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONS:
Education & Licensing
High school diploma or GED required. Resident Insurance Adjuster License (Fire and Other Hazards) preferred.
Experience
One (1) year customer service experience or equivalent combination of education and experience preferred. Accounting and insurance background preferred.
Skills & Knowledge
Oral and written communication skills
PC literate, including Microsoft Office products
Good comprehensive decision making skills
Ability to read and comprehend policy language
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Claims Processing Specialist
Remote job
Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.
We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.
Pets Best, a subsidiary of IPH, is building a digital first pet e-commerce platform with the aim of connecting key market services such as adoption, lost pet and insurance to make pet care easy.
Job Summary:
Pets Best is seeking a Claims Processing Specialist who will report to the Supervisor, Claims. Claims Processing Specialists are responsible for reviewing invoices and pet medical documents and determining coverage in compliance with the current Underwriter's policy.
Job Location: Remote - USA
Main Responsibilities:
Review individual policies to make an eligibility determination with high degree of accuracy
Contact with internal departments as well as veterinarians and clinic staff
Ensure compliance guidelines are met with both internal policies and procedures and contractual commitments
Work independently and with others on a virtual team
Drive a “Great Place to Work” culture, attend and participate in team meetings as well as engagement events
Use PC based programs to enter data into claims system, communicate with leaders and teammates, and organize information
Create and issue claim decisions to pet parents using proper spelling, grammar, and punctuation in line with the policy terms
Calculate invoice totals, discounts, and tax rates
Perform other duties and/or special projects as assigned
Qualifications:
High school diploma or equivalent
3+ years recent clinical veterinary experience (dog and cat) as a veterinary assistant, veterinary technician or veterinarian
Knowledge of veterinary terms, abbreviations and conditions.
Knowledge of medical conditions and associated symptoms, procedures, treatments, secondary conditions and pharmaceuticals used in veterinary medicine
Knowledge of canine and feline breeds, anatomy and associated predispositions to illness.
Ability to read and interpret medical diagnoses via medical records review both written and digital.
Ability to work cross functionally with our internal and external resources
Ability to handle multiple projects concurrently
Ability to navigate Windows OS, Google Chrome, and corresponding applications
Demonstrable Microsoft Office proficiency: Word, PowerPoint, Excel, Outlook, Teams
Strong writing skills: organization, spelling, grammar and punctuation
Strong mathematical and problem-solving skills
#LI-Remote
#petsbest
All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:
Comprehensive full medical, dental and vision Insurance
Basic Life Insurance at no cost to the employee
Company paid short-term and long-term disability
12 weeks of 100% paid Parental Leave
Health Savings Account (HSA)
Flexible Spending Accounts (FSA)
Retirement savings plan
Personal Paid Time Off
Paid holidays and company-wide Wellness Day off
Paid time off to volunteer at nonprofit organizations
Pet friendly office environment
Commuter Benefits
Group Pet Insurance
On the job training and skills development
Employee Assistance Program (EAP)
Auto-ApplyElsevier Clinical Content Reviewer, Specialty Specific (Part-Time, Fixed Term Contract)
Remote job
Job Title: Clinical Content Reviewer - PT Fixed Term Contract About Elsevier A global leader in information and analytics, we help researchers and healthcare professionals advance science and improve health outcomes for the benefit of society. Building on our publishing heritage, we combine quality information and vast data sets with analytics to support visionary science and research, health education and interactive learning, as well as exceptional healthcare and clinical practice. At Elsevier, your work contributes to the world's grand challenges and a more sustainable future. We harness innovative technologies to support science and healthcare to partner for a better world.
About our Team
Elsevier Health is a division of Elsevier that is committed to supporting clinicians, health leaders, educators and students to overcome the challenges they face every day. We support healthcare professionals throughout their career journey from education through to clinical practice. We believe that by providing evidence-based information, we can help empower clinicians to provide the best healthcare possible.
About the Role
In this role, you will work closely with Elsevier Health data and content teams to ensure accuracy of content. You will play a critical role in reviewing content that will support clinicians at the point of care and providing as-needed feedback throughout the content and product development cycle. We are only hiring MDs/DOs from the following specialties: Family Medicine, Radiology, Pathology, Anesthesiology, OB/GYN, and General Surgery
Responsibilities
* Collaborate with our multidisciplinary team to create and curate content focused on emerging medical technologies
* Create, rate, and rank queries based on their relevance, safety, and efficacy, helping healthcare professionals make informed decisions.
* Review and assess the potential impact of various technologies on medical practice, patient care, and clinical outcomes.
* Stay abreast of the latest advancements in the field of healthcare technology to ensure the content remains current and up-to-date.
* Provide expert insights and perspectives on the integration of emerging technologies in clinical settings.
Requirements
This is a part-time, fixed term PRN role.
* Terminal medical degree (MD or DO), specializing in one of the following: Family Medicine, Radiology, Pathology, Anesthesiology, OB/GYN, and General Surgery
* At least 2 years of post-residency clinical experience
* Active and unencumbered US-based license
* Direct point of care experience within the US
* Demonstrated interest and engagement with emerging technologies
* Be comfortable working autonomously in a fully remote environment, must have proficiency in Microsoft Office (Outlook, Teams, and Excel)
Compensation and Benefits:
* Pay: This role will pay between $70-$80 USD / hour depending on the type of projects.
* Perks: Gain access to Elsevier Health products, join a community of talented clinicians, and have an impact on the next generation of health solutions
Work in a way that works for you
We promote a healthy work/life balance across the organization. With an average length of service of 9 years, we are confident that we offer an appealing working prospect for our people. With numerous wellbeing initiatives, shared parental leave, study assistance and sabbaticals, we will help you meet your immediate responsibilities and your long-term goals.
Working flexible hours - flexing the times when you work in the day to help you fit everything in and work when you are the most productive
Working with us
We are an equal opportunity employer with a commitment to help you succeed. Here, you will find an inclusive, agile, collaborative, innovative and fun environment, where everyone has a part to play. Regardless of the team you join, we promote a diverse environment with co-workers who are passionate about what they do, and how they do it.
Why join us?
* Purposeful Work When you work with us, your work matters. You are part of an organization that nurtures your curiosity to stimulate innovation for the communities that we serve.
* Growing Every Day Like the communities we serve, you are on a constant path of discovery to shape your career and personal development.
* Colleagues Who Care You will be part of the Elsevier family. We will support your well-being and provide the flexibility you need to thrive at work and home.
Auto-ApplyMedical Reviewer, Surgical Dressings
Remote job
Our Mission: Hospital-Quality Care, Everywhere.
The healthcare industry still relies on faxes and phone tag to coordinate critical care for patients at home. We think patients and the clinicians who serve them deserve better than a system stuck in 1995.
Verse Medical is building the modern software infrastructure to make it happen. We're a well-funded Series C company (backed by General Catalyst, SignalFire, and Sapphire Ventures) on a mission to heal a fragmented system. Our platform connects the dots between providers, payors, and patients, ensuring people get the high-quality care they need, reliably and right where they live.
We're growing fast and looking for people who are driven by this mission to join us!
Our Values: The Principles That Guide Us
Our values are the operating system for how we work together and with our partners. They aren't just words on a wall; they are the principles we bring to every decision, every day.
We are transparent, upfront and direct. We operate with honesty and clarity. We share information openly, the good and the bad, and believe that direct, respectful feedback is the foundation of trust and progress.
We value speed of iteration. We are building something new, which means we learn by doing. We prioritize rapid iteration and getting solutions into the hands of users, believing that progress is more valuable than perfection.
We give 110% effort, 30% of the time. We are passionate about our mission, and there are moments that require us to go the extra mile. We believe in focused intensity when it counts, balanced by a sustainable pace that keeps our team energized for the long run.
We empathize with customers to a fault. When our users face a problem, we own it. Instead of asking them to change, we ask ourselves,
"How can we make this better?"
We believe true innovation comes from deep empathy and a relentless focus on solving the real-world challenges of healthcare.
Your Impact: How You'll Help Us Heal a Broken System
This isn't just a job; it's a chance to build something that matters. As DME Medical Reviewer, you'll be shaping the future of at-home care. You'll be a key part of the team, working to ensure each surgical dressing order is fully compliant with every CMS regulation, including regulation/ policies as they are applied by MACs & UPICs. You'll translate LCDs/ Articles and MAC playbooks into checklists, fix packet defects pre‑bill, and run our ADRs/appeals processes.
What You'll Achieve: A Glimpse into Your Contributions
Within your first year, you will have the opportunity to:
Policy → Practice
Interpret and operationalize LCD L33831 + Policy Article for surgical dressings; publish practical rules (when covered, limits, documentation phrases).
Stand up “go/no‑go” criteria for collagen, alginate/fiber‑gelling, foam, film, hydrocolloid; codify A‑modifier (wound count) usage, KX/GA/GZ/EY, sizing, quantity/frequency math.
Pre‑Bill Controls
Build a 2‑gate QA (1: clinical completeness; 2: billing correctness) and pilot it on all surgical‑dressing claims.
Create/upgrade templates for various outreach.
Audit & Appeals
Lead UPIC/MAC ADR responses (pre‑ and post‑pay).
Coach internal billing team; establish a reusable appeals library with policy citations and exemplars.
Enablement & Analytics
Train customer-facing team members (30‑min modules) and billers on the specific documentation that satisfies the LCD.
Define and track metrics: initial denial %, appeal win %, ADR turnaround, % packets with signed POD, top‑defect Pareto.
What You'll Bring: The Skills and Experience You'll Leverage
We believe that diverse experiences and backgrounds lead to better solutions. While we have an idea of what will help someone succeed in this role, we are open to being convinced by your unique story and skills. If you believe you can achieve the outcomes above, we encourage you to apply.
Core Skills & Experience:
3-5+ years medical‑review experience at a UPIC or MAC (e.g., Safeguard Services, Qlarant, CoventBridge; Noridian, CGS, NGS, WPS, Novitas, Palmetto).
Hands‑on adjudication of surgical dressings (A6021 collagen; A6196-A6199 alginate/fiber‑gelling; A6209-A6215 foam; A6212-A6214 bordered foam; A6216-A6221 gauze; A6257-A6259 film).
Expert with proof‑of‑delivery standards, SWO requirements, frequency/sizing rules, and common denial rationales (e.g., two‑cover stacking, over‑frequency without rationale, DOS/POD mismatch). Most of our interview process is focused on your practical experience with the coverage guidelines.
Crisp, policy‑anchored writing; calm under deadline; disciplined with PHI.
The Rewards & Reality: Compensation, Benefits & Logistics
We believe in taking care of our team, both professionally and personally. Here's what we offer:
Meaningful Compensation: up to $110,000 base salary (depending on experience and expertise)
Comprehensive Health & Wellness: We cover 100% of your health insurance premium and provide access to high-quality dental and vision insurance plans for you and your dependents.
Plan for the Future: We offer a 401(k) plan to help you save for your future. At this time, the company does not offer a 401(k) match.
Career Growth: You'll have opportunities for rapid career advancement in a company that's at a major inflection point. We want you to grow with us.
Work Environment & Location:
This is a remote position.
Please note that at this time, we are not able to provide visa sponsorship for this position. All candidates must be authorized to work in the United States.
Our Pledge for an Equitable Future
At Verse Medical, our mission is to deliver equitable, hospital-quality care to everyone, regardless of their background or where they live. We can only achieve this if our own team reflects the diversity of the patients we serve. We are committed to building a workplace where everyone feels a sense of belonging, where their contributions are valued, and where they can do their best work. We embrace diversity of all kinds: race, gender, age, religion, identity, experience. We are actively working to build a more inclusive and equitable world, starting from within our own walls. We are an equal opportunity employer.
We are also committed to providing a positive and accessible interview experience. If you require any accommodations to participate in our process, please contact us at ***************************.
Auto-ApplyNew York Real Estate Curriculum Reviewer (Contract)
Remote job
New York Real Estate Curriculum Reviewer (Contract) Study.com is looking for Real Estate experts to evaluate and update Study.com's Real Estate content to ensure it meets current academic standards and industry requirements. Our ideal expert is knowledgeable in their field, detail-oriented, and capable of analyzing content organization. This is an online, remote contract role. Work will be paid hourly. Project Description Your role would include the following responsibilities: Research and Analysis: • Conduct comprehensive research on state-specific real estate licensing requirements • Stay updated on changes in real estate laws, regulations, and exam content outlines in the target states Course Auditing: • Review and audit existing courses for brokers and salespersons to ensure content accuracy and compliance with state requirements • Identify gaps or outdated information in course materials and recommend updates Question Bank Management: • Audit the existing practice question bank to ensure alignment with current state exam questions and formats • Review and evaluate new practice questions for relevance, accuracy, and compliance with state-specific regulations • Revise and update practice questions as needed to maintain the highest quality standards
Required Skills:
Active real estate license in good standing
Minimum of five years of experience in the real estate industry
Demonstrated expertise in state-specific real estate licensing requirements, particularly in NY
Proficiency in using educational technology tools and platforms
Additional Preferred Skills:
Familiarity with online training courses for licensing and continuing education
What We Offer:
Reliable Payments: You'll receive payments twice a month and automated invoicing for your work.
Remote Work: This is a fully online contracted work-from-home opportunity.
Flexibility: Basically, there are no requirements! Work when you want, where you want, as often as you want, with no minimums/maximums.
Support: Our supportive staff is available answer your questions and help you get up and running.
About Study.com
The mission of Study.com is to make education accessible, and over the last two decades we've become the leading online education platform, delivering a personalized learning experience across a broad continuum of education for over 30 million students, instructors, and professionals every month.
We help empower millions of learners to achieve their education and career goals. We focus on increasing access to education because we know information is the ultimate equalizer and that education is key to upward mobility.
Feel free to share this opportunity with any friends you think would be interested, too.
Auto-ApplySpecial Investigations Unit Medical Reviewer (Hybrid Work Schedule)
Remote job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP's Compliance Special Investigations Unit (SIU).
Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
Competitive salary
Hybrid schedule
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Life, short-term, and long-term disability options
Career advancement opportunities and professional development
Wellness programs that promote a healthy work-life balance
Flexible Spending Account - Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance
Key Responsibilities
Perform reviews of medical records and healthcare claims, determining the accuracy of codes billed and compliance with appropriate policies, procedures, and regulations.
Understand, interpret, analyze, and make determinations concerning use of CDT, CPT, ICD, DRG, REV and HCPCS coding as it relates to potential healthcare FWA schemes.
Conduct research relevant to issues under review.
Prepare and submit detailed reports with the results of medical reviews, including corrective action recommendations to investigators. Recommendations may include determinations to deny, recover on overpaid claims, risk mitigation strategies, create internal process improvements or provide education to subjects under review.
Apply knowledge of healthcare coding conventions, policies, and other areas of vulnerability.
Support/participate in provider calls and reinforce medical review findings and provider education.
Presents findings to leadership, regulators and law enforcement and assist in legal proceedings, as appropriate.
Maintain knowledge of new and relevant regulations, standards, and coding guidelines.
Identify inefficiencies in policies or processes and recommend improvements.
Maintain confidentiality and discretion in all investigative activities.
Support special projects and other duties as assigned.
Qualifications
Education & Requirements
A minimum of two (2) years of experience performing medical reviews of medical records and claims in a healthcare setting
Bachelor's degree in Medical Billing/Medical Coding, Nursing, Healthcare Administration, or related field from an accredited institution required
In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position
This experience is in addition to the minimum years listed in the Experience Requirements above
Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) required
One of the following licenses preferred:
Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians
Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN
Key Qualifications
Must have a valid California Driver's license
Strong understanding of medical coding, billing practices, and healthcare regulations
Thorough understanding of ICD, CPT, HCPCS, DRG, revenue codes, NDC's and other guidelines and general understanding of investigative processes within a healthcare environment are required
Knowledge of Medi-Cal and Medicare rules and regulations, and managed care in California is preferred
Strong verbal and written communication, interpersonal skills, critical problem-solving skills, and attention to detail
Above average proficiency in the use of technology applications, particularly Excel, Word, and others as necessary
Detail-oriented with strong organizational and time management abilities. Ability to articulate medical review findings clearly and thoroughly
Conduct research in support of medical reviews and make determinations on claims with a high level of accuracy
Demonstrated ability to interpret and analyze healthcare data and records
Adapt to different technology software and platforms, including anti-fraud solutions
Ability to work independently and collaboratively with a team
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)
Pay Range USD $71,572.80 - USD $93,038.40 /Yr.
Auto-ApplyTechnical / Grammatical Reviewer - REMOTE
Remote job
Job Description
TECHNICAL / GRAMMATICAL DOCUMENT REVIEWER- REMOTE
Vicksburg, MS
SOL Engineering Services, LLC is an engineering and technical services provider, with over 20 years of engineering and consulting experience. Our viability comes, in part, from utilizing the diverse backgrounds of the firm's owners and the experiences of its team of approximately one hundred engineers, scientists, technical subject matter experts, and program and project managers. Our hands-on project implementation approach encompasses management, quality, and engineering principles to ensure effective management and delivery of all projects. SOL's reputation and keys to success are built on providing high quality, responsive engineering and related technical services while maintaining professional commitments and ensuring that full satisfaction is given to our clients throughout the United States.
SOL Engineering Services, LLC is searching for a Technical / Grammatical Document Reviewer to review draft documents and analyze graphic and technical information, to provide specific feedback to the authors for their consideration with respect to technical or grammatical points.
Requirements
Requires at least a BS/BA in English or similar, related field where the individual has demonstrated skills in reviewing written material and assuring sound grammatical structure, formatting, organization, technical content, punctuation, and structure.
Requires strong technical acumen related to engineering and/or scientific research.
Technical documents may include but technical reports, papers, journal articles, military field manuals, abstracts, technical letters, special reports, and presentation briefings.
Must be able to format, edit and proof written work products, and ensure all materials meet established standards of appearance, consistency, and content under tight schedules and strict deadlines.
Must be a U.S. citizen, able to pass a background investigation (financial and criminal) and apply for and maintain up to a Secret clearance, as well as having a valid driver's license.
Solid Mathematics and basic computer skills are desirable.
Work will be conducted in an office setting, and teleworking may be an option.
No travel will be required.
We offer a competitive salary, health benefits and paid vacation. Veterans and HUBZone residents are encouraged to apply.
Equal Opportunity Employer
Infinity International Processing Services, Inc. is a leading provider of Broker Price Opinion (BPO) Quality Assurance ( Clerical Review) services to BPO/Appraisal Management Companies and Mortgage Lenders. We also provide Knowledge Process Outsourcing (KPO) and Business Process Outsourcing (BPO) services to 120+ global clients in Mortgage, Logistics, Finance & Accounting and Insurance industry. We are a global outfit having offices in Rockville, MD and India employing 1000+ employees.
Towards our rapid expansion plan, we are recruiting clerical/administrative Broker Price Opinion (BPO) Reviewer cum Trainer.
Job Description
Responsibilities will involve reviewing of externally prepared broker price opinion reports for Clerical/Administrative errors and assuring compliance.
Qualifications
• Minimum of 10+ years of BPO review experience
• Must be able to employ proper application of valuation techniques and methodologies
• Travelling 30% ( Domestic/ International)
• May have to travel to client's place for process training/transition
• Handle client relation during test and ramp-up phase of new projects
• Travel to offshore delivery centers in India and assist in training, project transition & ramp-up
• Once offshore resources are ramped up, perform quality control
• Must be able to work in a high volume production environment and meet deadlines
• Good telephonic etiquette
• Self prioritize tasks & work towards the same
• Perform other related duties as assigned or directed by the management
Additional Information
Key Responsibilities:
Reviews BPOs for compliance with applicable USPAP, Fannie Mae, FHA, and client reporting guidelines, as well as completeness, consistency, logic, and appropriate valuation methodology
Approve or reject reports, requesting additional information as needed, and re-reviewing revised reports as they are received back from outside appraisers
Job Type: Permanent / Work from home
Content Reviewer (Spanish)
Remote job
The Content Reviewer is responsible for supporting content management, data integrity, and quality assurance processes across various projects. This role involves organizing and classifying digital assets, reviewing data for accuracy, evaluating content quality for applications, and performing quality assurance checks to ensure high operational standards.
MUST BE FLUENT IN SPANISH
Pay: $60,000-$80,000 salary depending on location
100% Remote in the United States
Long Term Contract Opportunity
Key Responsibilities
Review and discover new content as assigned by the Project Manager.
Utilize internal management tools to classify and assign content into a product-specific content repository and database.
Record and maintain all relevant information in structured spreadsheets.
Review and analyze lists of data provided by the Project Manager for a variety of project purposes.
Identify inconsistencies or anomalies in data and flag or resolve them as appropriate.
Review videos or other data related to the application to assess content quality and identify data issues.
Apply fixes within internal tools or spreadsheets, or report unresolved issues for escalation.
Ensure alignment with internal content standards and data accuracy expectations.
Conduct quality checks on each type of completed work across all team members to ensure compliance and consistency.
Use agreed-upon quality forms and scoring methodologies to evaluate accuracy and completeness.
Maintain records of QA results and communicate findings to relevant stakeholders.
Requirements
Bachelor's degree or equivalent experience in Content Management, Data Operations, Media Studies, or a related field.
Fluent in Spanish
Strong attention to detail and data accuracy.
Experience working with content management systems, databases, or spreadsheets.
Familiarity with video platforms preferred.
Excellent organizational and analytical skills.
Ability to work independently and collaboratively with cross-functional teams.
Benefits
Paid Time Off
Paid Holidays
Subsidized Medical, Dental and Vision Insurance
401k
Employee Assistance Programs
Auto-ApplyPer Diem Coding & OASIS Reviewer
Remote job
BerryDunn is seeking a Per Diem Coding & OASIS Reviewer to join our Healthcare group. This position is responsible for accurate review of clinical documentation, assigning of ICD-10 codes based on coding guidelines, and review of OASIS assessment items for correct responses. Ongoing education and consulting with the client are essential to the success of this review process. This is a remote position requiring the Reviewer to work independently.
Our Healthcare/Not-for-Profit Practice Group is our largest industry sector. Our Home Health and Hospice Practice Area consists of over fifty professionals providing services to Home Health and Hospice providers throughout the country. In addition to coding and OASIS consulting services, our Home Health and Hospice team services include compliance services, interim management, and operational and revenue cycle consulting services.
Travel Expectations: There is no travel expecation for this position.
You Will
Timely and accurate review of patient records at OASIS timepoints: SOC, ROC, Recert, Transfer & Discharge. Hospice coding & HOPE assessments experience is a plus.
Communicate directly with internal & agency clinical staff as needed via EMR notes, MS Teams or email.
Participation in BerryDunn monthly internal or external agency meetings as needed.
Maintain professional and technical knowledge, including required coding and OASIS certifications and continuing education credits by attending educational workshops and reviewing professional publications.
Dedicate a minimum average of 20 hours per week or 80 hours per month work availability.
Other duties as assigned.
You Have
Excellent communication and time management skills, including the ability to prioritize tasks and manage self remotely.
Minimum of 5 years recent coding, OASIS and plan of care review experience.
Knowledge of clinical coding, documentation review, medical terminology, anatomy and physiology, compliance & regulatory guidelines are required
Licensure & Certification:
Certification in Home Health Coding required
Certification in Oasis required
Clinical licensure is a plus
Compensation Details
The hourly rate for this role is $32.00-$37.00 per hour. This rate range represents BerryDunn's good faith and reasonable estimate of the possible compensation at the time of posting. If an applicant possesses experience, education, or other qualifications more than the minimum requirements for this posting, that applicant is encouraged to apply, and a final rate may then be based on those additional qualifications; compensation decisions are dependent on the facts and circumstances of each case. The hourly rate for the finalist selected for this role will be based on a variety of factors, including but not limited to, years of experience, depth of experience, seniority, merit, education, training, amount of travel, and other relevant business considerations.
BerryDunn Benefits & Culture
Our people are what make BerryDunn special, and in return we strive to support our employees and help them thrive. Eligible employees have access to benefits that go beyond what's expected to support their physical, mental, career, social, and financial well-being. Visit our website for a complete list of benefits and a look into our culture: Experience BerryDunn.
We will ensure that individuals are provided reasonable accommodation to participate in the job application or interview process or perform essential job functions. Please contact ********************* to request an accommodation.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.
About BerryDunn
BerryDunn is the brand name under which Berry, Dunn, McNeil & Parker, LLC and BDMP Assurance, LLP, independently owned entities, provide services. Since 1974, BerryDunn has helped businesses, nonprofits, and government agencies throughout the US and its territories solve their greatest challenges. The firm's tax, advisory, and consulting services are provided by Berry, Dunn, McNeil & Parker, LLC, and its attest services are provided by BDMP Assurance, LLP, a licensed CPA firm.
BerryDunn is a client-centered, people-first professional services firm with a mission to empower the meaningful growth of our people, clients, and communities. Led by CEO Sarah Belliveau, the firm has been recognized for its efforts in creating a diverse and inclusive workplace culture, and for its focus on learning, development, and well-being. Learn more at berrydunn.com.
#BD_ATA
Don't See A Match For You At This Time? We invite you to join our Talent Connection and let's stay in touch
Auto-ApplySenior Tax Reviewer
Remote job
About the Company
Tax Goddess (***********************
Our firm is recognized as the top 1% of Tax Strategists in the USA.
With 19+ years of experience, We're not your average number crunchers we're a progressive, 100% digital CPA firm. So, if you can handle cloud computing and rock basic tech skills, you're in for a wild ride!
Job Summary:
As a Senior Tax Reviewer at TaxGoddess.com, you will play a critical role in ensuring the accuracy and compliance of tax returns prepared by our team. You will be responsible for reviewing complex tax filings, providing strategic tax planning advice, and mentoring junior staff. This remote position offers the flexibility to work from anywhere in the world while making a significant impact on the success of US-based businesses.
Key Responsibilities:
Tax Return Review:
Review complex federal and state tax returns for businesses, including S-corporations, C-corporations, partnerships, and sole proprietorships, ensuring accuracy, compliance, and adherence to current tax laws.
Identify and address potential tax issues, providing clear and actionable feedback to preparers.
Ensure all tax filings are completed accurately and submitted on time.
Strategic Tax Planning:
Provide high-level tax planning and advisory services to clients, helping them minimize tax liabilities and optimize their financial strategies.
Stay up-to-date with the latest tax laws and regulations to ensure clients are informed and compliant with any changes that may impact their business.
Mentorship and Leadership:
Mentor and support junior tax preparers, providing guidance on complex tax issues and reviewing their work to ensure quality and accuracy.
Lead by example, fostering a collaborative and positive team environment in a fully remote setting.
Client Communication:
Communicate directly with clients to discuss their tax situations, provide recommendations, and answer any questions they may have.
Maintain strong client relationships through regular communication and by delivering high-quality service.
Continuous Improvement:
Identify opportunities for process improvements within the tax review function to enhance efficiency and accuracy.
Participate in training sessions and professional development to stay ahead of industry trends and advancements.
Required Skills and Qualifications:
Experience: A minimum of 10 years of experience in tax preparation with a strong focus on the US market.
Certifications: CPA certification (or equivalent) is highly preferred.
Extensive knowledge of US federal and state tax laws, regulations, and filing requirements.
Strong analytical skills and attention to detail.
Excellent communication skills, both written and verbal, with the ability to explain complex tax concepts to clients and team members.
Proven ability to manage multiple projects and deadlines in a remote work environment.
Proficiency in tax software and technology (e.g., QuickBooks, ProSeries, Lacerte, UltraTax, etc.).
Experience with tax planning and providing strategic tax advice to businesses.
Strong leadership skills and the ability to mentor and develop junior team members.
Preferred Skills:
Experience with international tax issues, especially in relation to US expatriates or businesses with global operations.
Advanced knowledge of tax software, including automation and integration with other financial systems.
Familiarity with cloud-based accounting and tax platforms.
Mandatory System Requirements:
Internet Speed: At least 10mbps
CPU: Core i5 (8th generation minimum) or i7 (8th generation minimum)
RAM: Minimum of 16GB
Storage: Minimum 256GB SSD or 500GB HDD
Operating System: Genuine Windows (Preferably Pro).
Audio: A good quality headset preferably equipped with noise cancellation
Video: A laptop/PC with webcam or a good-quality webcam
Headset with noise cancellation
Private Home-office Location
To ensure the security of our firm, we can only consider candidates who have a Windows operating machine. Having Windows Pro would be a significant advantage. If you are a Mac user and wish to apply, please note that you will need to acquire a Windows operating machine once you are accepted to perform the job with us.
Noteworthy Perks Awaiting You:
Permanent Work from home.
Paid training and a collaborative environment.
Work-life balance with fun activities & events.
Performance-based incentives and Staff Referral Bonus Program.
Access to Taxation Expertise.
Working Hours:
Mandatory overlap (8:00 am to 12:00 noon Arizona time), with flexible remaining hours.
At least 40 hours per week of guaranteed work.
How to Apply:
Must be willing to follow our hiring process:
Fill up the jot form, Send your proposal along with your updated resume.
Answer the Critical thinking through videoask along with a technical assessment
Technical Interview with the Head of Department and the hiring team
Behavioral interview with HR
Hiring decision and job offer with HR department head
Satisfactory Background and credit check
No CHATGPT Responses to all assessments.
Make your mark. Apply today!
Tax Goddess provides equal contractor opportunities to applicants and staff without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
Working Place: Scottsdale, Arizona, United States
Distribution Reviewer
Remote job
Are you looking for a position where you can utilize your experience processing retirement plan distributions and loans? Do you excel at attention to detail and catching oversights? Do you want the flexibility and convenience of working from home?
Nova 401(k) Associates is looking to fill a fully remote Distribution Reviewer position. The ideal candidate for this position has at least five years of experience processing distributions and loans for qualified retirement plans, with at least two years working in a remote working environment. In this position, you will provide work quality review for retirement plan loan and distribution requests.
Nova 401(k) Associates is a vibrant and growing national third party, non-producing administration firm. We have a nationally recognized sales team allowing us to grow continuously and provide advancement opportunities for our professionals.
Job Responsibilities:
Review distribution and loan packages, including vesting verifications
Work on more complicated distributions such as QDROs, death benefits, disability benefits, and Roth conversions as needed
Assist with reviewing minimum required distributions and/or ADP/ACP refunds as needed
Consider cyber security issues throughout review process
Exemplify thorough understanding and interpretation of plan documents regarding distributions and loans
Update account managers, management, and plan sponsors as necessary on requests and progress
Pursue and attain NIPA's Distribution Administrator and Loan Administrator Certificates within one month of hire
Perform other related duties as required
Qualifications:
Five or more years of experience processing retirement plan loans and distributions
Strong knowledge of ERISA and Internal Revenue Code and Regulations specific to distributions
Ability to establish priorities, work independently, and proceed with objectives without supervision
Superior organizational and coordination skills
Flexibility, adaptability, and ability to multi-task
Coachable and committed to professional development
Knowledge of Corbel Documents & Pension Pro is a plus
Bachelor's degree preferred
Compensation and Benefits:
Base Pay: $55,000 - $65,000
Salaried, non-exempt
Medical, dental, disability, and life insurance
401(k) plan with Employer Match
Work Location/Hours:
Work from Home
Must work from USA and be authorized to work for any US employer
We will supply all necessary computer equipment
40 hour work week
Must work each day, Monday through Friday
Must work a regular schedule during normal business hours
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Auto-ApplyReviewer III, Medical
Remote job
Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.
Description
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Position Purpose:
Create and analyze reports to support operations. Ensure the correctness of analysis and report findings concisely to senior management. Directly responsible for data accuracy as financial and operational decisions are made based on the data provided.
Logistics: CGS (cgsadmin.com)
Location: This position is full-time (40-hours/week) Monday-Friday and can be worked remotely. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM.
What You'll Do:
Performs medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthorization/predetermination, requests for appeal or reconsideration, referrals for potential fraud and/or abuse, and correct coding for claims/operations.
Makes reasonable charge payment determinations based on clinical/medical information and established criteria/protocol sets or clinical guidelines. Determines medical necessity and appropriateness and/or reasonableness and necessity for coverage and reimbursement. Documents medical rationale to justify payment or denial of services and/or supplies.
Educates internal/external staff regarding medical reviews, medical terminology, coverage determinations, coding procedures, etc. in accordance with contractor guidelines.
Participates in quality control activities in support of the corporate and team-based objectives. Provides guidance, direction, and input as needed to LPN team members.
Provides education to non-medical staff through discussions, team meetings, classroom participation and feedback. Assists with special projects and specialty duties/responsibilities as assigned by Management.
To Qualify For This Position, You'll Need The Following:
Required Education: Associate's in a job related field
Degree Equivalency: Graduate of Accredited School of Nursing
Required Experience: 2 years clinical plus 1 year utilization/medical review, quality assurance, or home health, OR 3 years clinical. FOR PALMETTO GBA (CO. 033) ONLY: 2 years clinical experience plus 2 years utilization/medical review, quality assurance, or home health experience.
Required Skills and Abilities: Working knowledge of managed care and various forms of health care delivery systems; strong clinical experience to include home health, rehabilitation, and/or broad medical surgical experience. Knowledge of specific criteria/protocol sets and the use of the same. Working knowledge of word processing software. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service and organizational skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills . Ability to handle confidential or sensitive information with discretion.
Required Software and Tools: Microsoft Office.
Required Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, current active, unrestricted licensure/certification from the United States and in the state of hire in specialty area as required by hiring division/area.
We Prefer That You Have The Following:
Preferred Education: Bachelor's degree-Nursing or Graduate of accredited School of Nursing.
Preferred Work Experience: 3 years-utilization/medical review, quality assurance, or home health, plus 5 years clinical experience.
Preferred Skills and Abilities: Knowledge of spreadsheet and database software. Knowledge of Medicare and/or regulations/policies/instructions/provisions, home health, and/or system/processing procedures for medical review.
Preferred Software and Other Tools: Working knowledge of Microsoft Excel, Access, or other spreadsheet database software.
Work Environment: Typical office environment. May work from home. May involve travel from home to office. Work may involve remaining in a stationary position and operating a computer.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
Auto-ApplyCDI/Risk Adjustment Chart Reviewer
Remote job
CDI/ Risk Adjustment Chart Reviewer DURATION:6 Month+ with strong potential to convert to hire US citizens and Green Card Holders and those authorized to work in the US are encouraged to apply. We are unable to sponsor (or transfer) H1B candidates at this time. If you need sponsorship now or in the future (OPT, STEM,) our client is not able to provide sponsorship.
SUMMARY
A growing risk adjustment company looking for motivated candidates with a clinical and coding background to join our team of senior coders/nurses. As a Retrospective Risk Adjustment Reviewer, you would be responsible for reviewing medical records, evaluating and assessing provider documentation, and submitting supported ICD-10 diagnosis codes according to specified guidelines. Chart review performed remotely via Electronic Health Record (EHR).
RESPONSIBILITIES:
Outpatient CDI -Clinical Documentation Integrity-chart reviewer
•ICD-10 Coding of Outpatient and Inpatient diagnoses.
• Evaluating and assessing provider documentation.
• Applying client-specific guidelines in the coding of diagnoses.
REQUIRED KNOWLEDGE AND SKILLS:
• In-depth knowledge of medical terminology, ICD-10 coding, and Risk adjustment.
• Medical chart review experience. Preferably Epic or Athena
• Basic concepts of human anatomy, physiology, and pathology.
• Ability to work with accuracy and attention to detail.
• Excellent understanding of clinical documentation requirements and coding guidelines.
PREFERRED QUALIFICATIONS: At least three of the following criteria:
• Minimum 6-7 years of experience in risk adjustment or medical chart review
Clinical Documentation Integrity Practitioner (CDIP)
• Clinical Background, i.e.. RN, NP, PA, MD.
•Certified Professional Coder (CPC).
• Certified Risk Coder (CRC).
• ICD-10 coding background.
EDUCATION: Associate degree (or equivalent combination of formal education and experience) required. Bachelor's Degree preferred.
Scientific Project Reviewers
Remote job
Join us on the journey to get to net zero At Carbon Direct, we dedicate our scientific, software, and business expertise to empower organizations around the world to take climate action. Our Mission Enable organizations to reduce, remove, and utilize their emissions with carbon science We are a purpose-driven carbon management firm dedicated to helping organizations around the world reach their climate goals. We make carbon science accessible and actionable with our end-to-end platform. Global citizens with global impact Whether a scientist, developer, or carbon markets expert, we are united by our mission to take climate action now. We are experts in our fields and we act with confidence. Located across 4 countries and in states all across the U.S., we offer both remote-friendly work options and dynamic, in-person experiences with offices located in Seattle, WA, Oakland, CA, and NYC. Diverse backgrounds bring diverse perspectives We recognize that teams with diverse backgrounds and different experiences are powerful. Bringing together a variety of perspectives only enhances how we can effectively address the climate crisis. Together, we are creating an environment where everyone is celebrated and anyone can succeed.
About Carbon Direct
Carbon Direct is a science-first organization that combines technology with deep expertise in climate science, data, and policy to deliver actionable climate strategies, and high-quality carbon dioxide removal to decarbonize the global economy. We have built a reputation as a trusted arbiter of high-quality strategy for carbon reduction, removal, and utilization throughout value chains, working with leading organizations. Our team of over 40 scientists includes thought leaders who actively contribute to the science of climate mitigation with novel assessment methodologies and public resources to facilitate action.
With Carbon Direct, clients can set and equitably deliver on their climate commitments, streamline compliance, and manage risk through transparency and scientific credibility. Carbon Direct has applied its expertise to the completion of:
Over 600 engineered, hybrid, and nature-based carbon credit project assessments, deep diligences for multi-year off-take agreements, and project co-design engagements.
Over 150 unique emerging technology diligence reviews.
Deep technical diligence de-risking engagements in improved forest management, reforestation, BECCS, and DAC, with commercial strategy support in collaboration with carbon credit developers to ensure that their products are best-in-class.
Overview of the Opportunity
Carbon Direct receives many client requests to diligence carbon projects. We are looking to bring on additional contractors to assist with project reviews. These cover a wide range of carbon dioxide removal and reduction technologies and would be appropriate for advanced graduate students (Masters or PhD level) in climate science fields (e.g., forestry, engineering, chemistry, environmental science, ecology) who are interested in gaining work experience.
A review is generally a short report that follows a set template and examines the project proposal in the context of six quality criteria. Work is conducted with the oversight of a Carbon Direct senior scientist and subject to rigorous QA/QC. We operate a deliverable-based payment schedule based on the anticipated length and complexity of each assigned review.
Equal Opportunity Employer Carbon Direct is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. We adhere rigorously to our equal employment opportunity policies in connection with all employment decisions, including hiring, compensation and promotion.
Auto-ApplyLoss Control Reviewer
Remote job
The Business
EXL's Castle High Value and Risk Control divisions are the nation's leading residential and commercial insurance survey providers. EXL Risk Control evaluates commercial businesses and their operations, documenting underwriting concerns and making recommendations for risk improvement.
EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. **************************************************
Why Apply?
15 days paid vacation, plus 10 paid holidays per year
Competitive pay and benefits, including paid sick leave
Work from home
Career advancement opportunities
Tuition Reimbursement Program
Excellent culture and team
Company provided laptop and monitors
Pay Details:
Pay: Competitive Hourly Pay Based on Experience
EXL is looking for motivated and self-directed individuals to conduct quality reviews, provide coaching and guidance to survey field staff, and provide feedback/findings to the Quality Director to improve the total quality for customers in a manner that is consistent with company policies, procedures, and standards. All interested candidates are encouraged to submit their qualifications.
Come join the EXL Survey and Risk Control team!
The Location
This is a remote position based out of your home office, requiring no travel.
Strong analytical skills and an attention to detail.
Working knowledge of NFPA 13 to determine automatic sprinkler system requirements.
Ability to manage time and perform responsibilities with little/no supervision.
Good interpersonal skills, ability to communicate effectively with co-workers and clients.
Ability to utilize resources available to complete assigned projects successfully.
Knowledge in use of computers.
Familiarity with overall organization.
Must exhibit initiative and be willing and able to pick up new tasks quickly.
Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs etc.) in its simple phases.
Ability to deal with a variety of abstract and concrete variables.
Must have extensive knowledge and skills using personal computers and MS-based office software packages including Word, Excel, PowerPoint, Outlook and Access.
Excellent written and oral communication skills. Ability to work/communicate with all levels of internal and external contacts.
Excellent organizational and problem-solving skills
The Loss Control Quality Reviewer (Multi Line Coverage Specialist) is a critical position responsible for delivering quality technical reports to our insurance carrier client base. In addition to quality review, you will oversee the completion of Loss Analysis, Opinion of Risk Evaluations, Recommendations for Improvement, Loss Estimates (PML/NLE) and technical accuracy determination.
The Multi-Line Coverage reports can be any combination of Property, General Liability, Auto, Workers Compensation and Products Liability. You will work from home with computer and home office equipment provided.
·Conduct quality reviews of field survey reports to assure technical and professional company quality standards are met prior to the work being released for transmittal to the customer.
Ability to conduct quality reviews on all lines of business, with a strength in Property and the ability to evaluate automatic sprinkler protection adequacy.
Provide detailed reviews of Farm Loss Control Reports, including building valuations.
Provide prompt, clear, succinct guidance to field staff for correction of any work not attaining acceptance of company quality standards.
Provide technical coaching and assistance to survey field staff.
Accountable for the quality of all survey work released by the branch to its customers.
Advise the Quality Director of findings, training needs, product improvements or other actions that will improve the product of the surveys completed for our customers.
Prepare accurate professional documentation of survey review, and communicate clearly and professionally with field staff, team members and clients.
When requested, actively and professionally participate in providing technical and other guidance to field staff, assist with preparation and delivery of various training, and effectively coach staff.
May be requested to assist with the more complicated and challenging field surveys should additional time be available after completion of the primary task of survey review and feedback.
Auto-ApplyCoding & OASIS Reviewer- 1099 Contract Role/Remote Position
Remote job
Our Company is seeking a RN or licensed therapist coder/OASIS reviewer to join our team for home health, or home health and hospice coding, needed for immediate work in remote/work from home setting.
Requirements:
Must have home health or home health and hospice coding experience (cannot only be hospice experienced)
Must be coding certified (BCHH-C or HCS-D), and OASIS certified (COS-C, COQS or HCS-O)
Must have minimum of 3 year of routine coding and OASIS review experience
Must be a career Coder focuses on coding /OASIS at present and for at least the past year.
Knowledge of more than 1 EMR system and must have the ability to learn others quickly and work in them efficiently and productively
Must have reliable high-speed internet and computer less than 3 years old
Must have basic computer skills
Must have experience with the following EMR's: WellSky, My Unity, Axxess, Kantime, MatrixCare, HHMD, HCHB, Synergy, and DSL
Must be able to use Microsoft Teams, Microsoft Outlook and know how to screen share
Organization and Time Management Skills:
Excellent verbal & written communication skills (must be able to read, write, and follow directions in English)
Work and make decisions independently
Ability to work well with others
Works well under pressure
Adaptable and flexible
Detail oriented
Job Type: 1099 Contract Role
Medical Specialty: Home Health
Education: Bachelor's (Preferred)
Experience: Coding/OASIS: 3 years (Preferred)
License/Certification:
One of the following: RN/PT/OT/ST
Medical Coding Certification (Preferred)
OASIS certification (Preferred)
Coding Certified (BCHH-C or HCS-D)
OASIS Certified (COS-C, COQS or HCS-O)
Application Question(s):
Have you used Microsoft Office and/or Microsoft Teams?
Are you able to navigate multiple tabs at once?
Do you have basic computer skills?
Work Location: Remote
Healthcare Provider Solutions is an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic, information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
Disease Specific -Stroke Reviewer - Intermittent
Remote job
Nationwide Search-Incumbent can reside anywhere in the United States
- Disease Specific Care Stroke Field representative.
The Disease Specific Care Field Representative applies sophisticated analysis skills and inductive reasoning skills to determine a health care organization's degree of compliance with applicable program standards. They must be able to employ advanced and sometimes nuanced communication skills to engage health care organization staff in interactive dialogues on a broad array of health care issues to assess compliance and to identify opportunities for improving compliance.
Responsibilities
Conducts a thorough evaluation of assigned services and programs that meet DSC certification eligibility criteria. Plans, reviews and apportions review time so that all review requirements are addressed thoroughly per program. Reviews and evaluates pre-review information; researches, collects, organizes, and interprets a large volume of information from multiple sources. Interviews staff and patients to determine level of compliance with standards. Analyzes documents, such as performance data and clinical practice guidelines, to assess the level of compliance with The Joint Commission standards, evidence of performance improvement, and quality of care.
Using established review protocols:
Analyzes written self-descriptive program information.
Participates in and/or conducts all required conferences and interviews; analyzes all data submitted by the organization.
Documents all recommendations, providing adequate indication on non-compliance. Submits review findings in a complete, accurate, and timely manner to the Central Office.
Interprets and explains the intent of the standards to the organization's personnel. Consults with staff during review re: non-compliance, opportunities for improvement, and remedial action required. Recommends publications and other resources that clarify standards and/or demonstrates compliance with standards.
Qualifications
Advanced Degree in Nursing or Licensure as a Physician required. Board Certification in Neurology required.
You must hold a CPHQ certification (Certified Professional in Healthcare Quality) through National Association for Healthcare Quality (NAHQ) at time of hire or attain by December 31, 2028.
Five years clinical experience with the care of Stroke patients required. Experience with a Joint Commission Comprehensive Stroke Center strongly preferred, however will consider those with Joint Commission Primary Stroke Center experience.
All positions require 100% nationwide travel.
We are currently looking for candidates who are available to work .14 FTE (3 consecutive days per month) and .48 FTE (2 weeks per month). Extensive nationwide travel required.
We are currently hiring for our next orientation class to take place on February 2, 2026.
Joint Commission offers a comprehensive benefits package. For an overview of our benefits package, please visit our Joint Commission Career Page
This job description is intended to describe the general nature and level of work performed by an employee assigned to this position. The description is not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities, and working conditions associated with this position. All requirements are subject to possible modification due to business needs and/or reasonable accommodations for individuals with disabilities.
Min USD $112,000.00/year Max USD $112,000.00/year
Auto-ApplyTitle Reviewer - Remote Work from Home!
Remote job
Aldridge Pite, LLP is a multi-state law firm that focuses heavily on the utilization of technology to create work flow synergies with its clients and business partners. Aldridge Pite is a full-service provider of legal services to depository and non-depository financial institutions including banks, credit unions, mortgage servicing concerns, institutional investors, private firms, and other commercial clients. Aldridge Pite is dedicated to providing best-in-class representation across all of its Practice Areas through its unwavering subscription to three fundamental tenets: Partnership, Integrity, and Innovation.
Purpose
Review title reports on properties referred for foreclosure and identify any defects that may exist in the chain of title to determine whether title is clear to proceed with foreclosure or if title curative work may be needed. In addition to reviewing Georgia titles, this position will also have exposure to titles from Alabama and Tennessee properties.
Specific Duties, Activities and Responsibilities
Analyze and summarize title abstracts and recorded documents which affect condition of title to property (e.g., security deeds, conveyancing deeds, liens, UCCs etc.)
Examine any probate documents in the chain of title
Review to confirm that the legal description is valid. Experience with reading long legal descriptions and familiarity with survey terms required. May need to use Deed Plotter to check descriptions for closure
Be familiar with Georgia Title Standards and identify title issues/defects (Alabama and Tennessee a plus)
Compare descriptions in the chain of title to determine if vesting deed is correct and if the security deed encumbers the correct property
Determine conditions required to obtain clear title through a foreclosure
Examine security deeds, liens, orders, easements, plats, tax maps and surveys to verify legal description, ownership, restrictions, or conformity to requirements
Review and confirm assignment chain is complete
Review tax searches
Verify that the information in the title search and accompanying documentation is accurate and complete
Analyze encumbrances to title, familiarity with title statutes and standards, and prepare report outlining exceptions and actions required to clear title
Prepare documentation of review and correspondence to transmit same with requirements to clear title to Vendor and Clients
Initiate and follow-up on title issue resolution with Vendors, Attorneys and Clients to resolve title issues. Work closely with the Title Curative department
Completes title related steps assigned to the firm within the client systems
Assist with other duties and special projects as needed
Job Requirements
Bachelor's Degree
Four to Six years of experience with residential real estate title and title insurance. Commercial experience a plus.
Background with information technology a plus
Ability to manage and prioritize large caseload
Knowledge of Georgia title law and procedures
Knowledge of Alabama and Tennessee title law and procedures a plus
Knowledge of typical electronic default services platforms preferred (e.g. LPS, Tempo, Vendorscape)
Working knowledge of general title policy underwriting standards
In addition to remote work for most positions, we offer a comprehensive benefit program including:
Company Paid Life and Disability Insurance plans
Medical, Dental and Vision Plans with Prescription coverage
401K Retirement Savings Plan
Flexible scheduling (within reason, depending on position)
Generous PTO plan for all full-time employees
Full equipment station at no cost for remote employees, including dual monitors
Employee Assistance Plan, offering free 24/7 counseling and consulting services to support emotional health and wellbeing
Wellness programs and employee discounts
Learning and development training opportunities for both personal and professional growth
And so much more!
Aldridge Pite, LLP is fully committed to Equal Employment Opportunity and to attracting, retaining, developing and promoting the most qualified employees without regard to race, gender, color, religion, sexual orientation, national origin, age, physical or mental disability, citizenship status, veteran status, or any other characteristic prohibited by federal, state or local law. We are dedicated to providing a work environment free from discrimination and harassment, and where employees are treated with respect and dignity.
Auto-Apply