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Full Time / Permanent Remote Health Care Salesforce Jobs
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Texas Licensed Health Care CSR
A company is looking for a Health Care Customer Company Representative to handle inbound and outbound calls related to insurance and payment processing.Georgia Licensed Health Care CSR
A company is looking for a Health Care Customer Company Representative to join their remote team.Utilization Management Coordinator
perform complex administrative tasks Provide non-clinical support for treatment and care policies and procedures Interpret departmental policies and manage work expectations with minimal direction Required Qualifications Minimum 1-year experience in health...care or health administration Proficiency in Microsoft Office applications and ability to troubleshoot technical issues Experience with electronic medical records and documentation programs is preferred Familiarity with medical terminology and ICDNetwork Performance Advisor
quality metrics to drive provider performance improvements Serve as a liaison for providers on claim-related issues and collaborate with internal departments to resolve challenges Required Qualifications, Training, and Education Bachelor's Degree in Health...Care, Business, Finance, or related field 5+ years of experience in Network Management, Provider Relations, or Value-Based Contracting 2+ years of experience in Account Management or management roles Experience with Medicaid and Medicare contractTemporary Patient Accounts Representative
with supervisors regarding unusual circumstances 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, health...care reimbursement, and coding (ICD-10 and CPT-4) Must be computer literate, with Microsoft Office knowledge preferred Excellent organizational skillsSouth Carolina Licensed Clinical Informatics Analyst
moderately complex technical and analytical work to support clinical information systems Mentor junior staff members and assist in project management Company Information Systems Required Qualifications Bachelor's or Master's degree in a professional health...care discipline Three years Company clinical experience and two years Company clinical informatics experience Epic Certification required within 6 months Company hire/transfer Active licensure in discipline by the Company Board Company Nursing or a compact stateRegulatory Operations Analyst
Juris Doctorate preferred 4+ years of experience in health insurance, legal, compliance, or related field required Experience in reviewing regulations and providing interpretations preferred Experience in commercial health insurance and/or behavioral health...managed care preferredSalesforce Developer
Visualforce, and Salesforce APIs Knowledge of the Salesforce lightning design system and experience with lightning web components Experience implementing Salesforce with other applications using SOAP, REST, and BULK APIs Hands-on experience with Health...Cloud or Salesforce Public Sector Foundations, including OmniStudio BS degree in Information Technology or a related technical discipline; Salesforce Developer certification is desiredTexas Licensed Appeals Analyst
Manage assigned member appeals and grievances, ensuring compliance with regulatory requirements Consult with subject matter experts to gather information for appropriate resolution of cases Qualifications Associates Degree or equivalent experience in Company...care or related field 3-5 years of Company care or insurance experience Company care benefit and regulatory knowledge preferred Knowledge of insurance products, policies, and procedures preferred Ability to work independently and collaboratively asClaims Management Analyst III
degree or equivalent relevant work experience Minimum of five (5) years of healthcare operations experience in insurance or managed care Advanced knowledge of healthcare EDI files Strong data analysis and trending skills Working knowledge of managed care...and health claims processing
