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  • Work From Home -Remote AI Content Reviewer

    Outlier 4.2company rating

    Remote job

    Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You'll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We're Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and articulate why one response is stronger than another. Care and Precision in Execution: A consistent ability to follow guidelines, notice subtle differences, and ensure outputs meet defined quality standards. Nice to Have Background in fields such as literature, creative writing, history, philosophy, theology, or similar disciplines. Prior experience in writing or editorial roles, such as content strategy, technical writing, or editing. Curiosity about AI systems, machine learning, or creative technology tools. Pay & Logistics Base Rate: depending on location: US $16.07, GB £ 13.30 GBP, CA $20.50 CAD, AU $26.25 AUD, IE €14.60 EUR, NZ $26.00 NZD Bonuses: Additional pay available based on project performance. Type: Freelance/1099 contract - not an internship. Location: 100% remote Schedule: Flexible hours - you choose when and how much to work. Payouts: Weekly via our secure platform. This is a freelance position that is paid on a per-hour basis. We don't offer internships as this is a freelance role. You also must be authorized to work in your country of residence, and we will not be providing sponsorship since this is a 1099 contract opportunity. However, if you are an international student, you may be able to sign up if you are on a visa. You should contact your tax/immigration advisor with specific questions regarding your circumstances. We are unable to provide any documentation supporting employment at this time. Please be advised that compensation rates may differ for non-US locations.
    $16-16.1 hourly 7d ago
  • Medical Content Reviewer - Remote - Nationwide

    Vituity

    Remote job

    Remote, Nationwide - Seeking Medical Content Reviewer Everybody Has A Role To Play In Accelerating Healthcare Innovation If you want to be part of changing healthcare to better serve patients, you are in the right place. With Inflect Health you will join a team of individuals dedicated to optimizing healthcare for all. Join the Inflect Health Team. At Inflect Health, Vituity's Innovation Hub, we identify, develop, and invest in leading-edge technologies and solutions that strengthen Vituity's history of healthcare transformation. When you join our team, you are part of a community that is committed to sharing the future of healthcare by prioritizing the human element in innovation - focusing on the provider and patient outcomes, not just the technology. The Opportunity * Craft expert responses, showcasing your deep knowledge of medical principles to enhance machine learning of healthcare data. * Analyze samples based on provided information, demonstrating your ability to apply your expertise effectively. * Evaluate samples in sequential descending priority in a multi-step project, which will be used as inputs for a model. Required Experience and Competencies * Resume and cover letter required upon applying. * Eligibility to work in the U.S. * Expertise and experience in healthcare. * Experience using G-Suite (e.g. Google Sheets, etc.). * English language proficiency. We are excited to share the base salary range for this position is $60.00, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details. Innovation and transformation are required to navigate and improve the evolving landscape of healthcare, and we believe everyone can play a role in that. We strive to be a catalyst for that transformation through improvement in healthcare delivery and the development of health technologies. If you want to make a difference, Inflect Health is the place to do it. Inflect Health does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Inflect Health is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. Applicants only. No agencies please.
    $60 hourly 60d+ ago
  • Medical Reviewer, Surgical Dressings

    Verse Medical

    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 ***************************.
    $110k yearly Auto-Apply 22d ago
  • Disease Specific -Stroke Reviewer - Intermittent

    The Joint Commission 4.6company rating

    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
    $112k yearly Auto-Apply 2d ago
  • CDI/Risk Adjustment Chart Reviewer

    New Age Software Services Corporation 4.4company rating

    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.
    $53k-72k yearly est. 60d+ ago
  • Content Reviewer (Spanish)

    Tech Firefly 4.0company rating

    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
    $60k-80k yearly Auto-Apply 50d ago
  • Per Diem Coding & OASIS Reviewer

    Healthcare Senior Data Management Analyst/Programmer In Phoenix, Arizona

    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
    $32-37 hourly Auto-Apply 6d ago
  • Distribution Reviewer

    Nova 401 4.1company rating

    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 We get it. We listen. We communicate. Click Here to review our Privacy Policy
    $55k-65k yearly Auto-Apply 35d ago
  • Title Reviewer - Remote Work from Home!

    Aldridge Pite LLP 3.8company rating

    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.
    $65k-82k yearly est. Auto-Apply 60d+ ago
  • Reviewer III, Medical

    Palmetto GBA 4.5company rating

    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.
    $44k-59k yearly est. Auto-Apply 10d ago
  • Residential Reviewer

    Mountainseed Appraisal Management LLC 4.3company rating

    Remote job

    HOW YOU'LL MAKE A DIFFERENCE: This Residential Reviewer fills a remote role (work from home) in MountainSeed's Appraisal Review Department. The Residential Reviewer will be performing Standard 3 and 4 appraisal reviews for residential properties. The appraisal reviews are conducted on MountainSeed's review form. The scope of work consists of a desk review and does not include an opinion of value and there is no confirmation of data. All communications, including uploading and downloading of reports, occurs via email or our web portal. There is no printing, mailing, hard copies, etc. IN THIS ROLE, YOU'LL GET TO: Perform detailed technical and compliance reviews on residential real estate appraisals, USPAP Standard 3 & 4 Ensure that valuations are reasonably supported, credible and compliant with federal and state regulations, USPAP, FIRREA, bank policies and guidelines, and industry standards Ensuring all communication is conducted by ValuTrac system Communicate with appraisers for any report corrections and/or revisions Evaluate appraiser quality of work and provide feedback for maintenance of the Bank's appraisal panel Respond to inquiries from production staff, underwriters, and members of management regarding review decisions to resolve issues Apply for and maintain multiple state licenses to serve our clients Be able to commute for MountainSeed special projects Provide support to all areas of real estate lending as needed; demonstrate superior customer service to appraisers and employees Attend ongoing training for Commercial Real Estate Appraisal and Appraisal Reviews Attend Weekly team meetings THIS OPPORTUNITY IS FOR YOU IF YOU HAVE/ARE: Minimum - Certified residential appraiser credential in at least one state Additional state licenses a plus At least five (5) years of real-estate appraisal review experience working with or for regulated financial institutions Bachelor's degree in accounting, finance, economics or related field Familiarity with Residential Real Estate Appraisal terminology and the appropriate application of appraisal valuation techniques, appraisal methodology and understanding of appraisal theory. Knowledge of residential mortgage operations. Attention to detail for the identification of Errors and Omissions. Manage difficult problems involving multiple facets and variables in non-standardized situations. Successfully prioritize work assignments of varying complexities, track progress of said assignments, demonstrate strong organizational skills and complete work within established deadlines. Software proficiency in Microsoft Office Suite and Outlook. Establish and maintain effective and professional working relationships. Effective written and verbal communication skills. Maintain confidentiality. WHAT WE OFFER: 3 weeks of PTO, 13 company paid holidays, paid parental leave, and a flexible work environment. Medical, Dental, Vision, Life, Disability, and 401K plans begin the first of the month after 30 days of employment. OUR PURPOSE is to provide opportunities that help people thrive using their God-given abilities. OUR CORE VALUES: Be a Self-Starter. Continuously seek ways to improve yourself and the business, take responsibility, and act with urgency to solve problems. Be a Team Player. Prioritize team success over individual achievements, support your colleagues, and contribute to creating high-performing teams. Be a Patriot. Focus on the greater good of the organization, be honest about what's working, and passionately work towards making the company better. Do it Right. Uphold high standards and integrity, even when no one is watching, and always aim to do the right thing. Be Humble. Lead by serving others, value diverse perspectives, and remain open to new ideas and feedback. WHAT WE DO: As the largest commercial real estate services marketplace in the nation, MountainSeed MarketPlace offers a comprehensive range of appraisal management, review services, and more. MountainSeed Analytics platform provides real-time, accurate real estate data insights, helping clients make informed decisions in markets across the U.S. MountainSeed's Capital Markets Solutions including Loan Sale Advisory and Sale Leaseback Programs assist in enhancing an institution's financial health. MountainSeed is proud to be an Equal Opportunity Employer and provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, pregnancy, sexual orientation, or any other characteristic protected by law.
    $38k-51k yearly est. Auto-Apply 60d+ ago
  • Elsevier Clinical Content Reviewer, Specialty Specific (Part-Time, Fixed Term Contract)

    Osmosis 3.8company rating

    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.
    $49k-68k yearly est. Auto-Apply 60d+ ago
  • Coding & OASIS Reviewer- 1099 Contract Role/Remote Position

    Healthcare Provider Solutions

    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.
    $41k-59k yearly est. 60d+ ago
  • Scientific Project Reviewers

    Carbon Direct

    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.
    $39k-59k yearly est. Auto-Apply 60d+ ago
  • (Remote) Claims Assistant

    Military, Veterans and Diverse Job Seekers

    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
    $35k-43k yearly est. 60d+ ago
  • Claims Assistant

    Advocates 4.4company rating

    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.
    $35k-39k yearly est. Auto-Apply 60d+ ago
  • New York Real Estate Curriculum Reviewer (Contract)

    Study.com 3.9company rating

    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.
    $40k-60k yearly est. Auto-Apply 60d+ ago
  • BPO reviewer

    Infinity International Processing Services 3.9company rating

    Remote job

    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
    $44k-61k yearly est. 60d+ ago
  • Technical / Grammatical Reviewer - REMOTE

    Sol Engineering Services LLC

    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
    $44k-64k yearly est. 1d ago
  • Claims Processing Specialist

    Independence Pet Group

    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)
    $30k-38k yearly est. Auto-Apply 16d ago

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