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Experienced / Healthcare / Bachelors / Employer Remote Insurance Jobs
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RCM Authorization Representative
Key Responsibilities Provide comprehensive insurance authorization services Crosstrain to support various authorization areas including verification and pre-certification Use reports to resolve pending, denied, or appealed accounts with insurance...Required Qualifications High School Diploma or GED Two years of experience in a customer-facing role or an Associate's Degree with one year of experience, or a Bachelor's Degree Demonstrated PC skills Ability to handle multiple accounts in high-volume insurancePharmacy Consultant
degree in health care or related field, or equivalent experience Five or more years of relevant experience in consulting, Pharmacy Benefit Management, or related roles Experience in actuarial, underwriting, pricing, or account management within health CompanyVP of Strategic Partnerships
Key Responsibilities Build and own the strategic partnerships function from inception Evaluate and define the roadmap for new partnership verticals outside of the Company marketplace Execute impactful strategic deals and begin to build a team asMassachusetts Licensed RN Administrator
Qualifications Nursing degree: Diploma, ASN, or BSN (preferred); ability to obtain BSN within 4 years Licensed to practice as a registered nurse in Massachusetts Minimum of 5 years of related experience in healthcare case management and patient insuranceHealth Insurance Sales Agent
A company is looking for a Company Advocate to provide healthcare services and sell insurance policies to clients in a remote setting....service issues and ensure quality levels are maintained Required Qualifications Must possess a state-issued Health insurance license Associate or bachelor's degree preferred, or equivalent work experience Experience in selling supplemental insuranceClaims Intake Benefits Specialist
Key Responsibilities Manage and leverage insurance coverage information for accurate claims adjudication Ensure completion of departmental tasks to meet client turnaround times for claim payments Act as a subject matter expert for Coordination of...Benefits, resolving complex requests and supporting internal and external inquiries Required Qualifications High school diploma or equivalent 2-4 years of experience with Coordination of Benefits in insurance or insurance billing Intermediate knowledgeManaged Care Representative
Key Responsibilities Collaborate with practices, physicians, and patients to obtain and document Managed Care insurance referrals Verify and update patient registration information and resolve registration issues Communicate with patients and insurance...companies to facilitate the referral and authorization process Required Qualifications High school diploma or equivalent required; Associate or Bachelor's Degree preferred Minimum of 3 years of experience in Registration, Scheduling, and InsurancePatient Financial Advocate
Key Responsibilities Counsel patients on insurance benefits and financial assistance options Contact insurance carriers and advocate for patients Initiate and follow up on prepayment collections Required Qualifications High School Diploma/GED withAssociate Program Manager
overtime Required Qualifications Bachelor's Degree or equivalent combination of education and experience Minimum 1 year of management experience with team lead responsibilities Minimum 2 years of experience in pharmacy, healthcare, medical billing, or insurance...verification Experience verifying insurance eligibility and coverage Previous supervisory experience of remote staffAssociate Program Manager
optimize workflows Required Qualifications Bachelor's Degree or equivalent combination of education and experience Minimum 1 year of management or team lead experience At least 2 years of experience in pharmacy, healthcare, medical billing, or insurance...verification Experience verifying insurance eligibility and coverage Previous supervisory experience of remote staff
