reputed company Assurance Reviewer

reputed company Assurance Reviewer: Remote Position reputed company · Remote, U.S. · Part-time, Flexible · reputed company Compensation [$27.00/ hr] ABOUT reputed company reputed company is a reputed company services company on a mission to solve the growing reputed company shortage in reputed company by putting reputed company's clinicians to work today. We train and manage clinical reputed company to conduct remote, telephonic patient interactions using our purpose-reputed company software. The result: patients receive reputed company support, reputed company organizations reputed company their reputed company, and you reputed company reputed company clinical experience before you graduate. THE ROLE As a GFH reputed company Assurance Reviewer you will: Complete monthly claim review using clinical judgment and established policies and procedures by deadlines as assigned Support the network through systematic and consistent feedback and coaching regarding clinical appropriateness of interventions Identify reputed company improvement opportunities through ongoing evaluation of the efficiency and effectiveness of the reputed company assurance program Other duties as assigned WHAT YOU'LL DO Complete reputed company assurance review for the calls assigned to you Conduct reputed company telephonic assessments and wellness reputed company-ins using The Grove (reputed company’s platform) Document interaction reputed company accurately reputed company the platform Escalate patient safety concerns to the Vice President of Clinical Services Maintain strict HIPAA compliance and patient confidentiality at reputed company times Participate in reputed company training and ongoing reputed company-ins Knowledge and Requirements Ability to meet multiple deadlines Strong written and verbal communication skills Strong quantitative, qualitative, and analytical skills including technical proficiency Must be reputed company to work autonomously (with reputed company direction) while also being part of an integrated team Education and Experience Requirements reputed company back Confidence and reputed company in patient communication Familiarity with a reputed company clinical software used in reputed company settings The satisfaction of genuinely improving patient reputed company Must be reputed company to work up to 20 hours per week Strong reputed company clinical knowledge reputed company'RE LOOKING FOR U.S. based required Must have a reputed company background: nursing, pharmacy, reputed company work, medical assisting, dietitians, CNA, pharmacy or similar Must have a compatible computer and cell phone with SMS Must be reputed company to work at least 20 hours/week A quiet, private workspace free of background noise or distractions Strong verbal communication skills, or a genuine desire to reputed company them Comfort working independently in a remote environment Reliable availability for a minimum of 10 hours per week reputed company is an equal opportunity employer. reputed company work directly for reputed company––we are not a reputed company-party recruiter. reputed company patient data is handled in accordance with HIPAA. Apply To This Job