Interviewer jobs in Bellevue, NE - 11 jobs

Essential Functions: Authorize patient stays Submit insurance PA for hospital admission insurance. Continued stay submissions Discharge submission to insurance Appeals and Peer to Peer submission InterQual submission for medical necessity. Discharge planning for BHU and Acute Care. Conduct UR Committee. CDI Management Swing Bed intake process All other duties within the scope of practice. Working Conditions: Possible exposure to inside environmental conditions. Exposure to distressed patients, families or visitors. Physical Demands: Requires standing, sitting or walking for up to 8 hours or longer per day. The ability to lift up to 50 lbs. Qualifications: Graduate of an Accredited School of Practical Nursing or Registered Nursing or Graduate of an approved program in Respiratory Care or BSW/MSW from accredited school of social work required or similar education and experience; Missouri Licensure preferred

Are you looking for an office role and flexible hours? Look no further! Our client, a leader in the education industry, is seeking Phone Interviewers to join their team. As a Phone Interviewer, you will be part of a supportive environment dedicated to conducting effective phone interviews. The ideal candidate will have strong communication skills, a friendly demeanor, and the ability to navigate conversations smoothly, which will align successfully with the organization. **Job Title:** Phone Interviewer **Location:** Columbia, MO **(NOT REMOTE)** **Pay Range:** $15 per hour **What's the Job?** + Conduct or attempt to conduct phone interviews for your entire shift. + Utilize a computer-assisted script to guide conversations lasting around 25 minutes. + Document necessary information accurately in the computer system. + Maintain a positive attitude while managing conversations with various personalities. + Work in a comfortable and casual office/call center environment. + Full - Time or Part- Time Hours + Not a remote position **What's Needed?** + Ability to read and write proficiently. + Basic computer skills and the ability to type efficiently. + Excellent verbal communication skills and a friendly disposition. + Dependability and a strong work ethic. + Previous customer service experience is preferred. **What's in it for me?** + Opportunity to work in a supportive and engaging environment. + Gain valuable experience in conducting interviews and customer interactions. + Flexible shift options to accommodate your schedule. + Work in a climate-controlled office setting. + Be part of a team that values your contributions and growth. If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you! **About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells** _ManpowerGroup (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands -_ **_Manpower, Experis, Talent Solutions, and Jefferson Wells_** _-_ creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent. ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.

The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues. Job Relationships Reports to the Insurance Review Supervisor Principal Responsibilities Handle all phone calls and messages received specific to designated insurance area. Update registration screens when requested by patients or as necessary. Review and process all designated insurance vouchers received, rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary. Process all secondary billing as requested by patients or defined by procedure. Distribute incoming insurance mail received and respond to all audits, inquiries and additional information requests. Process corrections/adjustments as necessary to correct the patient's invoice. Process designated insurance reviews when requested to obtain additional payments on claims utilizing websites or telephone as necessary. Analyze and process front-end system edits for correct physician productivity and billing of claims. Analyze and process back-end system edits for correct registration and billing of claims. Analyze and process claims denied through clearinghouse. Investigate and process claims in the insurance work files and/or on the insurance reports. Must report all incidents to immediate Supervisor or Manager. Assist with special projects and assignments as directed. Must attend in-services and training relevant to position. Perform other job duties as assigned. Confidentiality required. Comply with the Springfield Clinic incident reporting policy and procedures. Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy. Provide excellent customer service and adhere to SC Way customer service philosophy. Education/Experience High School graduate or GED required. Previous experience in a medical billing office required. Knowledge, Skills and Abilities Working knowledge of medical terminology preferred. Working knowledge of CPT and ICD-9 coding preferred. Computer, typing and calculator skills required. Must be able to work individually or on a team. Working Environment Office environment, sitting for long periods PHI/Privacy Level HIPAA1

Advance Services is seeking motivated and professional individuals to join our team as Telephone Interviewers. The primary responsibility of this position is to conduct computer-assisted telephone interviews (CATI) for public health and research projects. Secondary responsibilities may include assisting with training and supporting new interviewers. This position is on-site only; remote work is not available. This client is open six days per week. Interviewing activities occur in four-hour shifts typically scheduled as follows: Sunday: 12 p.m. - 4 p.m. and 4 p.m.- 8 p.m. Monday-Friday: 9 a.m.-1 p.m.,1 p.m.-5 p.m. and 5 p.m.-9 p.m. Saturday: 10 a.m.-2 p.m. and 2 p.m.-6 p.m. Callers must work a minimum of three (3) four-hour shifts per week, including required evening and weekend shifts. Employees in this role will routinely use computers, telephony systems, and communication skills and may be required to learn new procedures as project requirements evolve. EOE #KL1

About Us: At Apex Structural Engineering, we pride ourselves on fostering a collaborative and innovative work environment. We are committed to advancing the field of structural engineering while ensuring our team has access to top-notch amenities and a supportive, family-friendly culture. Our office is equipped with state-of-the-art facilities, including a gym, a golf simulator, and a cozy coffee house/café just steps away. Position Overview: We are seeking a talented and motivated Steel Shop Drawing Reviewer to join our dynamic team. The ideal candidate will be passionate about reviewing steel shop drawings, committed to continuous learning, and eager to contribute to exciting projects that make a real impact. As a Construction Administrator, candidates will have the opportunity to work on a variety of projects under the guidance of experienced engineers on structural steel connection projects. They will assist in the review of structural steel shop drawings and the organization and development of RFIs in conjunction with the Apex connection designer. Key Responsibilities: Primary responsibilities will include reviewing structural steel shop drawings with delegated steel connection design drawings. Organizing and creating RFIs in conjunction with the Apex connection designer. Typical projects would consist of steel connection design, miscellaneous steel design, and erection engineering. Utilize software programs such as BlueBeam and Trimble Connect. Review 3-D BIM models to aid in building design, connection design and shop drawing reviews. Qualifications: 10+ years of structural steel detailing experience. An advanced understanding of structural steel and the AISC Design Manual. Enthusiasm and desire to succeed and develop technical skills. Excellent communication skills are required, both verbal and written. Software skills with any of the following are a plus: BlueBeam and Trimble Connect. Attention to detail, logical problem-solving skills, and strong organizational skills. Ability to thrive under pressure and meet deadlines. Passion for steel design and growing professional knowledge and skills in steel and concrete construction. Why Join Us? Collaborative Environment: Work alongside a diverse and talented team of professionals who are passionate about what they do. Cutting-Edge Projects: Be part of groundbreaking projects that challenge conventional engineering practices by utilizing Accelerated Project Deliver™. Top-Notch Amenities: Enjoy access to a fully equipped gym, a golf simulator, and a charming coffee house/café. Flexible Work Schedule: Benefit from a family-friendly, hybrid work schedule that supports work-life balance. Paid Parental Leave: Receive paid maternity and paternity leave to support your growing family. Tuition Assistance: $5,000 in tuition assistance annually to payoff student loans. Health and Wellness: Enjoy a membership to Orange Theory or access to in-house gym, and three dedicated hours each week for mental and physical health. Generous Time Off: Benefit from generous vacation, sick, and personal time. Company Retreats: Participate in our yearly company retreats to recharge and bond with your colleagues. Relocation Assistance: Receive support for relocation expenses if moving to the Nashville or St. Louis area. Professional Growth: Take advantage of continuous learning opportunities and career development programs. Requirements: Diploma/Certificate. American Citizenship/Legally able to work in the United States of America. How to Apply: If you're ready to take your career to the next level and be part of a forward-thinking team, we'd love to hear from you! Please apply by sending an email to *********************** with your resume detailing your experience and skills as a Steel Shop Drawing Reviewer. Equal Opportunity Employer: Apex Structural Engineering, Inc. is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Join us at Apex Structural Engineering, Inc. and help us build a future where innovation and collaboration are at the forefront of structural engineering.

Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions reviewing student activity for potentially concerning activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The Gaggle Safety Management department offers a 24x7 service that is used to identify and uncover drug use, bullying, threats of school violence, teen depression, suicidal intentions, and abusive domestic situations of students in grades K-12. As an Independent Contractor, you would be supporting Gaggle's work in making a positive impact to the lives of K-12 students. Responsibilities: Review and analyze student activity to identify potentially inappropriate usage including words, phrases, statements, and images within email, Google Drive, Microsoft OneDrive, and more Process content correctly and efficiently as defined by metrics provided by Gaggle and regularly visible to Independent Contractors Escalate questionable findings to Gaggle Safety Representatives Communicate and collaborate via chat with a nationwide team Additional tasks as assigned Requirements: Experience in education, crisis management, safety content review, child advocacy, or a related field Interest and enthusiasm for reading, as the position requires focused attention to reading content of varying lengths Ability to delineate between potentially harmful student matters and harmless situations Ability to exhibit tolerance of and respect for others opinions Ability to work independently; experience working as an Independent Contractor preferred Access to high-speed internet (satellite is not acceptable) Access to a computer, chromebook, or laptop (tablets/phones are not acceptable) Additional Considerations: This is a 24/7/365 team. The majority of work available will be between 7am and 4pm central Monday through Friday with a lesser, but consistent, need for work outside of those hours. The non-renewing, Independent Contractor assignment is not guaranteed for any length of time, workloads and hours will vary This Independent Contractor role is not an employee role, and is not eligible for benefits or overtime pay Contracts can be terminated at any time There is potential for contract renewal depending on workflow and personal ability to fulfill responsibilities outlined above May be eligible for additional contract opportunities after reaching 30 hours This contract requires you be able to view content of a sensitive nature, including exposure to graphic content that may contain nudity Because Gaggle strives to enter into contract agreements with Independent Contractors who contribute to Gaggle's mission of student safety, annual criminal background checks are required for all prospective Independent Contractors - this screening includes, but is not limited to, both a National Criminal and National Sex Offender Registry check

Greetings from Fabergent, Kindly let me know if you are currently available in the job market Feel free to browse across through an opening below which matches your profile Please respond with your updated profile if interested Clinical Care Reviewer Interview type: Phone +face 2 face Location: Des Moines, IA Duration: 3 months Required Skills: • 3 to 5 years or more experience in a related clinical setting • Active Iowa RN license or LPN • UM Experience / Waiver Knowledge (Home and community based) Position Qualifications/Requirements: Education and Training: Associates RN degree required, Bachelor's degree preferred. Experience: • Two years of experience in managed care quality assurance or utilization review. • RN must have two years of experience in an acute care hospital. Position Summary: Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services. Applying criteria to inpatient admissions and performing concurrent review functions, identifying discharge planning needs and referral of members to case management. Principal Accountabilities: • Evaluates clinical information submitted by providers against plan review criteria and benefit guidelines. • Utilizes clinical information to determine if criteria for medical necessity and benefit guidelines are met. • Utilizes professional judgment to determine if additional information is required, then follows through to obtain additional information prior to making a decision. • Documents all pertinent case information and dispositions for approvals and denials. Refers all cases failing to meet interqual medical necessity criteria to Medical Director for review and final determination. • Communicates with providers to initiate/coordinate outpatient services/discharge planning needs for members. • Acts as a liaison to assure services are provided in the least restrictive, most cost effective and clinically appropriate setting. • Works with the Utilization Management Manager, the Medical Director and providers to ensure that complete medical information is available to allow utilization management decisions to be made within The Plan's standards for decision making. • Identifies potential members who may benefit from case management services and facilitates referral to the program. • Identifies and resolves any problems that could interfere with provider's continuity and coordination of care of members and refers unresolved problems to Manager. • Creates and maintains monthly reports on inpatient activities. • Performs other related duties and projects as assigned. • Adheres to ACFC policies and procedures. • Supports and carries out our Mission & Values. *********************************************************************************************************************** Best Regards, Tissa George Mobile: ************ FABERGENT INC Qualifications MUST have Bachelors or Assosciates degree in Nursing or any other related filed. Also must have Active Iowa RN license or LPN Additional Information All your information will be kept confidential according to EEO guidelines.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies. What you'll do: Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. Implement and conduct quality assurance program to ensure accurate results to our clients Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures Serve as the Subject Matter Expert on DRG validation to team members and other departments within the organization Prepare and conduct training for new team members Identify new DRG coding concepts to expand the DRG product Meet and/or exceed all internal and department productivity and quality standards Must remain current in all national coding guidelines including Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant Recommend efficiencies and process improvements to improve departmental procedures Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: Registered Nurse licensure preferred Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Strong understanding of hospital coding and billing rules Clinical and critical thinking skills to evaluate appropriate coding Strong organization skills with attention to detail Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships. Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions reviewing student activity for potentially concerning activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The Gaggle Safety Management department offers a 24x7 service that is used to identify and uncover drug use, bullying, threats of school violence, teen depression, suicidal intentions, and abusive domestic situations of students in grades K-12. As an Independent Contractor, you would be supporting Gaggle's work in making a positive impact to the lives of K-12 students. Responsibilities: Review and analyze student activity to identify potentially inappropriate usage including words, phrases, statements, and images within email, Google Drive, Microsoft OneDrive, and more Process content correctly and efficiently as defined by metrics provided by Gaggle and regularly visible to Independent Contractors Escalate questionable findings to Gaggle Safety Representatives Communicate and collaborate via chat with a nationwide team Additional tasks as assigned Requirements: Experience in education, crisis management, safety content review, child advocacy, or a related field Interest and enthusiasm for reading, as the position requires focused attention to reading content of varying lengths Ability to delineate between potentially harmful student matters and harmless situations Ability to exhibit tolerance of and respect for others opinions Ability to work independently; experience working as an Independent Contractor preferred Access to high-speed internet (satellite is not acceptable) Access to a computer, chromebook, or laptop (tablets/phones are not acceptable) Additional Considerations: This is a 24/7/365 team. The majority of work available will be between 7am and 4pm central Monday through Friday with a lesser, but consistent, need for work outside of those hours. The non-renewing, Independent Contractor assignment is not guaranteed for any length of time, workloads and hours will vary This Independent Contractor role is not an employee role, and is not eligible for benefits or overtime pay Contracts can be terminated at any time There is potential for contract renewal depending on workflow and personal ability to fulfill responsibilities outlined above May be eligible for additional contract opportunities after reaching 30 hours This contract requires you be able to view content of a sensitive nature, including exposure to graphic content that may contain nudity Because Gaggle strives to enter into contract agreements with Independent Contractors who contribute to Gaggle's mission of student safety, annual criminal background checks are required for all prospective Independent Contractors - this screening includes, but is not limited to, both a National Criminal and National Sex Offender Registry check

Greetings from Fabergent, Kindly let me know if you are currently available in the job market Feel free to browse across through an opening below which matches your profile Please respond with your updated profile if interested Clinical Care Reviewer Interview type: Phone +face 2 face Location: Des Moines, IA Duration: 3 months Required Skills: • 3 to 5 years or more experience in a related clinical setting • Active Iowa RN license or LPN • UM Experience / Waiver Knowledge (Home and community based) Position Qualifications/Requirements: Education and Training: Associates RN degree required, Bachelor's degree preferred. Experience: • Two years of experience in managed care quality assurance or utilization review. • RN must have two years of experience in an acute care hospital. Position Summary: Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services. Applying criteria to inpatient admissions and performing concurrent review functions, identifying discharge planning needs and referral of members to case management. Principal Accountabilities: • Evaluates clinical information submitted by providers against plan review criteria and benefit guidelines. • Utilizes clinical information to determine if criteria for medical necessity and benefit guidelines are met. • Utilizes professional judgment to determine if additional information is required, then follows through to obtain additional information prior to making a decision. • Documents all pertinent case information and dispositions for approvals and denials. Refers all cases failing to meet interqual medical necessity criteria to Medical Director for review and final determination. • Communicates with providers to initiate/coordinate outpatient services/discharge planning needs for members. • Acts as a liaison to assure services are provided in the least restrictive, most cost effective and clinically appropriate setting. • Works with the Utilization Management Manager, the Medical Director and providers to ensure that complete medical information is available to allow utilization management decisions to be made within The Plan's standards for decision making. • Identifies potential members who may benefit from case management services and facilitates referral to the program. • Identifies and resolves any problems that could interfere with provider's continuity and coordination of care of members and refers unresolved problems to Manager. • Creates and maintains monthly reports on inpatient activities. • Performs other related duties and projects as assigned. • Adheres to ACFC policies and procedures. • Supports and carries out our Mission & Values. *********************************************************************************************************************** Best Regards, Tissa George Mobile: ************ FABERGENT INC Qualifications MUST have Bachelors or Assosciates degree in Nursing or any other related filed. Also must have Active Iowa RN license or LPN Additional Information All your information will be kept confidential according to EEO guidelines.