Full Time Remote Health Care Sales Jobs

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  • California Operations Support Manager

    Key Responsibilities Manage operational teams for care review, case management, and health management activities Oversee team performance, provide coaching, and ensure staff training and development Facilitate interdepartmental collaboration to enhance...plan settings Managed Care operations experience is preferred

    Operations Management Utilization Management Case Management Health Management
  • Oklahoma Licensed Diabetes Health Coach

    Key Responsibilities Assist members by completing health assessments and implementing care plans for chronic conditions Provide telephonic support and coaching to improve members' health and lifestyle Monitor wellness plans and engage with healthcare

    Health Assessments Telephonic Assessments Wellness Programs Member Monitoring
  • Massachusetts Licensed RN Care Coordinator

    Key Responsibilities Coordinate patient care and manage healthcare services Conduct health assessments and develop care plans Collaborate with healthcare teams to ensure quality patient outcomes Required Qualifications Current RN license in the

    Field RN Care Coordination Patient Assessment Clinical Operations
  • California Licensed Clinical Review Nurse

    Key Responsibilities Performs concurrent reviews to assess member health and appropriateness of care Evaluates quality and continuity of care, including discharge planning and resource usage Collaborates with healthcare providers and leadership to

    RN License Concurrent Reviews Medical Necessity Discharge Planning
  • California Licensed Membership Accountant

    reconcile balances monthly to maintain financial integrity of client accounts Required Qualifications High School diploma or equivalent required; Bachelor's degree in Accounting or Finance preferred One year of accounting experience within the HMO/Health...Care industry preferred Experience in a call center environment is preferred Familiarity with accounting and billing processes Intermediate Microsoft Excel skills

    Accounting Billing Microsoft Excel Payment Processing
  • Florida Licensed Intake Representative

    with medical providers and patients Required Qualifications High School diploma or equivalent; college coursework preferred Six months of experience in a production/data entry role within a healthcare-related organization Familiarity with managed care..., claims/billing, health insurance, or customer service preferred Medically based trade school diploma/certification is desired Must reside in Florida, preferably in the Tampa Bay area

    Data Entry Medical Management Authorization System Claims Processing
  • IT Procurement Systems Analyst

    continuous process improvement Required Qualifications Bachelor's degree in Computer Science or related field or equivalent experience 4+ years of experience analyzing information systems Experience in coding and understanding technical specifications Health...Care Industry experience or knowledge preferred Proficiency with MS Office Suite and experience with flowcharting and document management software

    SAP Coupa Conga EDI
  • Temporary Patient Accounts Representative

    processing to the No Response/Billing Supervisor Required Qualifications High school diploma or equivalent required Minimum two years of medical billing experience preferred, focusing on research and claim denials Knowledge of physician billing and health...care reimbursement, including Medicare and Medicaid Familiarity with ICD-10 and CPT-4 coding Computer literacy, preferably with Microsoft Office

    ETM System Medical Billing Accounts Receivable ICD-10
  • Customer Service Representative

    Key Responsibilities Answer incoming calls and identify customer assistance needs related to health care eligibility, claims, and payments Resolve issues on the first call by navigating complex computer systems and providing accurate responses Document

    Call Center Customer Service Computer Navigation Windows PC
  • New York Licensed Behavioral Health Advocate

    Behavioral Health Care Advocate (Team Lead/HCBS Administrator) - Remote.

    Licensed Clinician Microsoft Word Microsoft Excel Microsoft Outlook

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