-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Springfield, US-IL
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:36
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Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:36
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Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Boise, US-ID
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:35
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Columbus, US-GA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:34
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Idaho Falls, US-ID
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:34
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Savannah, US-GA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:33
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:32
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:32
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Pharmacy Technician\Technician in Training
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Pharmacy Technician today!
As a Pharmacy Technician in Training, you receive free training with our exclusive Rite Aid Pharmacy Technician Training & Certification Program.
Your purpose is to successfully complete the program and continue working as a Rite Aid Pharmacy Technician.
Click here to check out our Pharmacy Technician Video!
Why you will THRIVE here:
You love to help people.
You care about the Health and Wellness of your community.
You have an innate need to find answers where they aren't obvious.
You have a way of making people feel comfortable.
You enjoy an organized environment.
You always remember details.
Your email and phone etiquette are top-notch.
Day-in-the-Life of a Pharmacy Technician in-Training:
* Enter prescription information including but not limited to: patient searches, prescriber searches, drug selection, prescription interpretation, insurance billing, and basic documentation.
* Accept customer and prescription information required to process new and refill prescriptions, including refill authorization from doctor offices.
* Retrieve medication from inventory.
* Create prescription labels and put them on prescription containers.
* Place medication into prescription containers.
* Complete paperwork related to filling prescriptions and input customer and prescription data into the computer.
* Assist with maintaining the Pharmacy department by keeping it clean and in order.
* Assist in inventory management processes including order review, inventory returns, restocking shelves, and physical inventory preparation.
* Administer Rite Aid programs including FlavoRx, Living More, etc.
Taking care of patients is not a 9-5 job.
Our Pharmacy Technicians come into this role knowing that they will be working weekdays, weekends, evening shifts, and some holidays.
Because we work as a team, we all work together to be reasonably flexible to make all of our schedules work.
It is because of the friendly, team-oriented, and welcoming attitude of our Pharmacy Technicians that make Rite Aid the pharmacy of choice for our customers and patients and for our employees.
Qualifications:
H.S.
Diploma or General Education Degree (GED) required.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we provide an environment that inspires and motivates you to work here and reach your full potential.
We support personal growth and celebrate achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Pharmacy Technician/Technician Trainee and thrive with us today!
JR044453
....Read more...
Type: Permanent Location: Randallstown, US-MD
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:31
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:30
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:30
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:29
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:29
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:28
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:27
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:27
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:26
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:25
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:25
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:24
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:24
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:23
-
Position: Volunteer Coordinator
Pay: $17.50 / hr.
- $21.15 / hr.
Depending on Experience
A Caris Healthcare Volunteer Coordinator provides support the hospice interdisciplinary team through office functions.
The hallmarks of this position include recruiting, retaining, and managing Caris Healthcare Volunteers to enhance the quality of life for patients and their families.
At Caris, you will have a career, not just a job.
Our mission driven culture is evident by our current employees and the impact made on patients and families.
All Caris team members commit to The Better Way, a list of promises we make to each other and our customers.
The Better Way commitment is reflected in the benefits we provide.
Benefits include:
* Competitive Salary
* Bonus Eligibility
* Eligible for benefits within 60 days
* Health Benefits (Medical, Dental, Vision); health savings account
* Paid Time Off/Holidays
* 401 (K) plan with company match
* Paid Training
* Mileage Reimbursement
* Tuition Reimbursement
* Flexible Scheduling
* Career Advancement Opportunities
Responsibilities:
* Develops effective recruitment strategies and increases visibility of the Caris Healthcare Volunteer Program within the community
* Provides training, orientation, and oversite to Caris Healthcare Volunteers
* Assigns volunteers to meet program needs and volunteer interests and skills
* Arranges volunteer meetings for support, on-going training, problem solving, and community engagement
* Completes social assessments with patients and caregivers to enhance quality of life
* Participates in interdisciplinary team meetings and development of the patient plan of care
* Coordinates bereavement interventions and community outreach
Qualifications:
* Bachelor's Degree in a Behavioral or Social science area concentration preferred
* One (1) year experience in a related field and volunteer activity preferred
* Excellent communication and interpersonal skills
* Strong organizational and problem-solving skills
* Proficient computer and technology skills
If you see yourself a good fit and want to join our team apply today! Caris HealthCare is an affiliate of NHC.
EOE
....Read more...
Type: Permanent Location: Charleston, US-SC
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:22
-
Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:22
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Description & Requirements
Maximus is currently hiring for a Sr.
Admin - Arbitration to join our Georgia State Arbitration team.
This is a remote opportunity.
The Sr.
Admin - Arbitration will provide comprehensive administrative support to the New York IDR team.
This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.
This is a fast-paced, deadline-driven position.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.
- Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
- Ability to successfully work in a fast-paced, deadline-driven environment
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
- Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via eithe...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2024-11-13 07:36:21
