January 13, 2025January 13, 2025Work From Home Jobs – Monday January 13, 2025Some links may be affiliate links and I may make a small commission if you click on one of my affiliate links. This is at no cost to you. AuditorWelbeHealth offers a 100% remote opportunity as a Regulatory Compliance Auditor within its PACE program, which helps seniors receive care while staying in their homes. The role involves conducting internal and external audits to ensure compliance with company, state, and federal standards. Duties include reviewing policies, assessing network partners, staying updated on regulatory changes, and maintaining confidentiality. Candidates should have a nursing license or relevant degree, at least one year of compliance experience, and knowledge of PACE regulations. The position requires some travel, up to 20%. Benefits include medical coverage, a competitive salary range of $90,281 – $108,337 per year, annual bonuses, 17 days of PTO, and opportunities for advancement.Check Out Reviews On Glassdoor Here:https://www.glassdoor.com/Reviews/WelbeHealth-Reviews-E2424133.htmAPPLY NOW!Quality Auditor IThis remote position involves performing quality audits on second-level appeals of claims to ensure they meet contract standards. The role requires analyzing case files for inaccuracies and compliance issues, providing feedback and insights to staff, and identifying opportunities to improve the appeals process. Responsibilities also include data support for analysis, preparing training materials, and offering technical training to employees. Candidates need a high school diploma and three years of general office experience, with preferred experience in dispute resolution and healthcare appeals. Education can substitute for experience. Pay range not provided.Check Out Reviews On Glassdoor Here:https://www.glassdoor.com/Reviews/TMF-Health-Quality-Institute-Reviews-E463025.htmAPPLY NOW!Reconsideration Analyst IThis remote position involves routine appeals work, supporting professionals in reconsiderations and dispute resolutions. Responsibilities include coordinating re-determination files, building case files from submitted evidence, analyzing cases for compliance with CMS standards, and entering relevant data into systems. Minimum requirements are a high school diploma and at least one year of general office experience, with college education or technical training potentially substituting for experience. Medicare knowledge is preferred. No pay range is provided.Check Out Reviews On Glassdoor Here:https://www.glassdoor.com/Reviews/TMF-Health-Quality-Institute-Reviews-E463025.htmAPPLY NOW!Appeals Specialist II – Zero BalanceAspirion is looking for an Appeals Specialist II. This role involves handling complex reimbursement issues between hospitals and insurance companies. The specialist will follow up on underpaid claims, research discrepancies in hospital accounting systems like EPIC and Cerner, draft appeals for denied claims, and review claim details for errors. Applicants need strong healthcare knowledge, problem-solving skills, attention to detail, and good communication skills. A high school diploma is required, with a bachelor’s preferred. Experience in healthcare billing and working from home is a plus. The position offers a pay range starting at $17.00 per hour and includes a comprehensive benefits package such as health, dental, vision insurance, and a matching 401k.Check Out Reviews On Glassdoor Here:https://www.glassdoor.com/Reviews/Aspirion-Reviews-E1462933.htmAPPLY NOW!Patient Research – Digitech – RemoteDigitech is hiring a Patient Research Specialist for the Patient Billing Department to assist with private pay patients. This fully remote position requires billing experience and strong attention to detail. Digitech, part of the Sarnova Family of companies, provides billing and technology services to the EMS transport industry, having developed a cloud-based solution since 1984 to improve collections and compliance. The Patient Research Specialist will gather and enter patient information for EMS claims, ensuring timely payments while adhering to HIPAA regulations. Duties include collaborating with internal teams and external parties like hospitals and insurance providers, researching patient details online, and handling correspondence. The role requires multitasking, teamwork, a professional phone manner, and strong computer skills. Dependability, quick learning, and accountability are essential.Check Out Reviews On Glassdoor Here:https://www.glassdoor.com/Reviews/Sarnova-Reviews-E354424.htmAPPLY NOW!Make More Money Typing From HomeUse This Transcription Foot Pedal to type faster and make more money in less time typing from home.Get A FREE Professional ResumeYou Can Get a Free Professional Resume Here so you can start standing out and getting hired TODAY!Get Paid For Your OpinionsJoin Here Now To Make Extra Cash For Giving Your Opinion & Completing SurveysZoomBucks Make Money Watching Videos & Completing Surveys!Join this well known website to start earning today for completing simple surveys in your extra time.Check Out My Amazon Storefront & Video Reviews On My Favorite Work From Home ProductsMy Amazon Storefront is here! Daily Work From Home Job Leads
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