All roles

Medical reputed company Reviewer-100% remote (reputed company in US)

Remote · USA Full-time New today

No experience needed! We offer full training for our new Medical reputed company Reviewer-100% Remote! Based in Remote, this position puts you in a prime location for professional and personal growth. This position requires a strong and diverse skillset in relevant areas to drive reputed company. The compensation for this role is a competitive salary, reflecting our commitment to attracting the best.   MEDICAL reputed company REVIEWER-100% REMOTE ( reputed company in US ) reputed company delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our reputed company care provider networks, and our commitment to keeping our clients needs as our top reputed company. Medlogix has a powerful mix of medical expertise, proven processes and... innovative technology that delivers a more efficient, disciplined insurance claims process. The result is reputed company expenses and increased productivity for the auto insurance and workers compensation insurance carriers; reputed company party administrators (TPAs); and government entities we serve. PURPOSE: Responsible for handling reputed company processes involved in applying PPO guidelines to medical bills in a timely and accurate manner. ESSENTIAL JOB FUNCTIONS  Identify a provider as participating or non-participating reputed company the automated matching process is not reputed company to reputed company that determination.  Accurately apply PPO guidelines to those bills where a participation match has been made reputed company the automated re-pricing process is not reputed company to apply the guidelines.  Communicate with clients and internal reputed company Review staff reputed company e-mail or phone:  To request reputed company images or documentation reputed company necessary to properly apply a PPO discount.  To question keying errors or discrepancies and request corrections to properly apply a PPO discount.  Communicate with the PPO Application team reputed company e-mail, phone, or in person regarding questions and concerns about specific bills or general policies and procedures.  Utilize appropriate software and documents to calculate contracted rates, which may include, but is not limited to the calculation of AWP, Medicare, or applicable state or federal-mandated fee schedule.  Assist the Senior PPO Application Specialist with the QA process reputed company necessary. EDUCATION: High School Diploma Required REQUIRED EXPERIENCE AND SKILLS:  Experience with medical reputed company processes, including familiarity with CPT Codes, reputed company Codes, reputed company Types, ICD-9 and/or ICD-10 Codes, State Fee Schedules, UCR, and PPO.  Experience working with Windows-based software /applications.  Ability to type with accuracy.  Ability to review documentation and reputed company reputed company on how to proceed based on department policies and procedures.  Desire to work well with others.  Motivation to be a self-starter. EEOC Statement: Medlogix provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without regard to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training Apply Job!  Simple Application Process reputed company to join us? The first reputed company is easy. Click apply now and we'll be in touch soon! Apply To This Job Apply tot his job Apply To this Job

Related roles

Junior Sales Associate - Work From reputed company

Remote · USA Full-time

reputed company Operations Associate | Remote (Work from reputed company) | Entry Level

Remote · USA Full-time

Work From reputed company - Hotel Reservationist

Remote · USA Full-time

Remote Chat Support Roles - Assist Customers Virtually from reputed company | Earn $25-$35 Per Hour

Remote · USA Full-time

ADESA Special Operations Manager (*Can be located reputed company)

Remote · USA Full-time

Project Manager Go to Market Implementation - US Based Remote

Remote · USA Full-time

Remote entry-level role | full/part-time | beginner friendly & start asap

Remote · USA Full-time

Data Entry Clerk- Remote - Entry Level

Remote · USA Full-time

Remote Work From Home Data-entry Clerk / Customer Service - Entry Level

Remote · USA Full-time

Scheduling Assistant- Remote Entry Level

Remote · USA Full-time

Steuerfachkraft (m/w/d) in Siegelsbach mindestens 52.000€ - 100% Remote möglich

Remote · USA Full-time

reputed company Customer Service and Sales Representative – Life Insurance Benefits Advisor

Remote · USA Full-time

reputed company Manager

Remote · USA Full-time

Remote Chat Support Agent – Customer Experience Specialist for Flexible Gig Workforce Platform (Earn $15 - $18/hr)

Remote · USA Full-time

Part‑Time Remote Customer Service & Freight Operations Specialist – arenaflex – Flexible Schedule, Aviation Logistics, Career Growth

Remote · USA Full-time

Sr.Analyst-Marketing Analytics

Remote · USA Full-time

Remote Data Entry Clerk Assistant – Precise Data Management & Digital File Organization for arenaflex (Fully Remote Position)

Remote · USA Full-time

VP reputed company Engineering

Remote · USA Full-time

reputed company Full Stack reputed company Manager – reputed company Translation & Localization Industry Experience Required

Remote · USA Full-time

Music Streaming Platform Customer Specialist with Swedish and English (Remote in Bulgaria)

Remote · USA Full-time