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Featured Companies are employers who have come directly to FlexJobs, been approved by our staff, and have directly posted their jobs to the FlexJobs site.
- 100% Remote Work
- Full-Time
- Employee
- Guadalajara, Mexico
Complete editing process for reviews within 16 minutes, follow instructions, conduct online research, transcribe audio, write clearly, demonstrate editorial judgment, work under deadline, operate within CMS.
- Hybrid Remote Work
- Full-Time
- Employee
- 37,600 - 56,400 USD Annually
- San Marcos, CA
Perform all areas of initial and secondary billing, follow-up on payer audits, and work with other departments to meet goals. Extensive knowledge of billing requirements and ability to find solutions to problems.
- Hybrid Remote Work
- Full-Time
- Employee
- 37,600 - 56,400 USD Annually
- San Marcos, CA
Performs daily download and reconciliation of claims from patient accounting system to electronic billing system. Transmits or releases claims at a minimum daily.
- 100% Remote Work
- Full-Time
- Employee
- US National
Performs first and second level of Medical Review in determination of claims payment review. Conducts in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS Level II coding principles. Utilize electronic health information imaging...
- 100% Remote Work
- Full-Time
- Employee
- US National
Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare B Physician Office and Professional Services, Ambulance...
- 100% Remote Work
- Full-Time
- Employee
- AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, NC, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY
Responsible for providing clinical leadership within Sentara Health Plans, aligned to one or more plans. Accountable for monitoring utilization, case management and quality outcomes.
- 100% Remote Work
- Full-Time
- Employee
- 184,112.50 - 396,600.00 USD Hourly
- CT
Lead strategic initiatives and cost reduction efforts for LTSS members in collaboration with internal stakeholders. Provide clinical expertise and guidance for quality-focused initiatives and vendor relationships. Manage LTSS RFP submissions and ensu..
- 100% Remote Work
- Freelance
- US National
The company has a contract job opportunity for work-from-home legal transcriptionists. Candidates must have English fluency and at least three years' experience in legal transcription; transcription certification a plus.
- 100% Remote Work
- Full-Time
- Employee
- AL, GA, IA, ID, IN, KY, LA, MS, NC, ND, NH, OK, SC, TN, TX, UT, WI, WY
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily with or without accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties...
- 100% Remote Work
- Full-Time
- Employee
- Córdoba, X, Argentina
Assist physicians in documenting patient medical records, transcribing patient history and examination, and documenting test results and prescriptions. Perform clerical tasks and support team and patient care. Strong communication, computer, and mult..
- 100% Remote Work
- Full-Time
- Employee
- Brazil
Assist physicians with patient medical records, transcribing history and examination, recording test results and prescriptions, perform clerical tasks, and support team and patient care. Strong communication, computer, multitasking skills, and medica..
- 100% Remote Work
- Full-Time
- Employee
- Durham, NC, New York, NY, Austin, TX, Bethesda, MD
Negotiate value-based care contracts with health plans for Medicare Advantage and Medicaid members. Develop relationships with stakeholders, act as internal expert for contract questions, and support VP's efforts for market growth.
- Hybrid Remote Work
- Full-Time
- Employee
- 90,000 - 160,000 USD Annually
- Orlando, FL
Prepare and submit Medicare and CHAMPUS cost reports, coordinate audits, and communicate with governmental auditors. Bachelor's degree in Accounting, Finance or Business Administration preferred. Experience in preparing Medicare cost reports required..
- 100% Remote Work
- Full-Time
- Temporary
- 127,500 - 172,500 USD Annually
- ME, NH, MA, RI, CT, NY, NJ, DE, MD, VA, NC, SC, GA, FL
Develop and implement communication strategies for medical affairs initiatives. Collaborate with cross-functional teams to translate complex scientific data into clear messages. Manage production of scientific materials and support planning of scient..
- 100% Remote Work
- Full-Time
- Employee
- United Kingdom
Communicate complex scientific ideas innovatively, interact with clients and experts, deliver high-quality work independently and as part of a team. Bachelor's degree in science and excellent communication and project management skills required.
- 100% Remote Work
- Full-Time
- Employee
- Barcelona, Spain
Assess medical notes for quality, manage data flow, identify quality issues, provide insights into databases, create custom reports, and communicate with stakeholders. Requires a degree in medicine, experience in life sciences, and working with large..
- 100% Remote Work
- Full-Time
- Employee
- North Macedonia
As a Medical Specialist, you will apply rule-based curation on medical notes. As an integral part of our data operations team, you will collaborate regularly with data analysts and quality control team members. With your expertise, we will ensure that...
- 100% Remote Work
- Full-Time
- Employee
- Portugal
Collaborate regularly with data analysts and quality control team members. With your expertise, we will ensure that our curated medical notes provide value and the highest quality standards to our clients, the biggest pharma and life sciences companies.
- 100% Remote Work
- Full-Time
- Employee
- US National
Provides medical oversight of clinical trials, attends investigator and sponsor meetings, provides medical consultation to clients and project team members, and supports business development activities.
- 100% Remote Work
- Full-Time
- Employee
- US National
Provide medical oversight of clinical trials, attend and present at meetings, provide medical consultation, review and analyze clinical trial serious adverse events and support business development activities.
- 100% Remote Work
- Full-Time
- Employee
- US, or US National
Provide medical oversight of clinical trials, attend and present at meetings, support business development, review and analyze clinical trial serious adverse events, and provide medical consultation to clients and project team members.
- 100% Remote Work
- Full-Time
- Freelance
- US National
Utilize clinical expertise to review medical records and provide independent opinions on disability status. Follow client-specific criteria and guidelines, complete peer-to-peer calls, and address any necessary clarifications. Identify and respond to..
- 100% Remote Work
- Full-Time
- Employee
- 21.00 - 28.00 USD Hourly
- US National
Review operative reports to abstract information and apply CPT, HCPCS, and ICD-10-CM codes. Provide coding for all Level 2 and some Level 3 procedures (ASC) as well as Level 1 as needed. Perform coding for pro fee encounters.
- 100% Remote Work
- Full-Time
- Employee
- 20.00 - 23.00 USD Hourly
- US National
Develop and implement strategies for timely follow-up and collection on clients' accounts receivable. Review and appeal unpaid or denied accounts. Work independently and as part of a team to ensure overall health of client accounts receivable.
- 100% Remote Work
- Full-Time
- Employee
- US National (Not hiring in AZ, GA, MS, NC, ND, OK, OR, TX)
Provide timely medical reviews based on evidence-based criteria. Document all communication and decision-making accurately. Conduct peer-to-peer discussions with treating providers. Support team projects and operational improvements.
- 100% Remote Work
- Full-Time
- Employee
- 174,070 - 374,900 USD Annually
- NJ
Provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
- 100% Remote Work
- Full-Time
- Employee
- 174,070.00 - 374,900.00 USD Hourly
- IL, WI, OH, MN, IN, MI
Provide oversight for medical policy implementation, develop and evaluate clinical/medical programs, support medical management staff, offer clinical expertise and business direction for medical management programs, and act as a liaison to network pr..
- 100% Remote Work
- Full-Time
- Employee
- 174,070.00 - 374,900.00 USD Hourly
- PA, DE, WV
Provide oversight for medical policy implementation, develop and evaluate clinical programs, and support medical management staff. Focus on utilization review/quality assurance and provide clinical expertise and business direction to support medical ..
- 100% Remote Work
- Full-Time
- Employee
- 174,070 - 374,900 USD Annually
- US National
Bring your heart to . Every one of us at shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
- 100% Remote Work
- Full-Time
- Employee
- 150,600 - 256,300 USD Annually
- PA
Lead medical writer for clinical regulatory documents. Coordinate with Product Registration, medical/clinical/safety organizations, vendor oversight, and IT. Develop and implement content authoring and formatting processes.
- 100% Remote Work
- Full-Time
- Employee
- 174,070 - 374,900 USD Annually
- Sacramento, CA, or US National
Lead medical management programs, provide clinical expertise, and act as liaison to network providers. Ensure timely and consistent responses to members and providers. Requires active medical license and board certification in Cardiology.
- 100% Remote Work
- Full-Time
- Employee
- 174,070.00 - 374,900.00 USD Hourly
- US National
Lead and support medical management staff in utilization review and quality assurance, clinical team activities, and liaison with network providers. Provide clinical expertise and business direction in support of medical management programs.
- 100% Remote Work
- Full-Time
- Employee
- Columbia, MD
Codes and abstracts primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM, and other applicable patient classification schemes. May also perform beginning level of Ambulatory Surgery...
- 100% Remote Work
- Full-Time
- Employee
- Baltimore, MD
Abstract and ensure accuracy of diagnoses, procedure, patient demographics, and other required data elements. Resolve quality reviews timely. Assign correct diagnostic and procedural codes using standard guidelines and automated encoding software.
- 100% Remote Work
- Full-Time
- Employee
- Baltimore, MD
Abstract and ensure accuracy of diagnoses and patient data, resolve quality reviews, assign correct diagnostic codes, and exhibit knowledge of relevant systems. Requires CCS certification and 3-4 years of inpatient coding experience.
- 100% Remote Work
- Full-Time
- Employee
- US National
Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if not, obtains them. Read & apply policy guidelines and healthcare...
- 100% Remote Work
- Full-Time
- Freelance
- Canada
Translate and edit medical content from English into Japanese for an ongoing project. Expected weekly volume of 5k words. Minimum 2 years' experience required. Proficient in Investigator-facing, patient-facing and pharmacy content. Able to both trans..
- 100% Remote Work
- Freelance
- Slovenia
Translate and proofread medical articles, journals, and research papers from English to Slovenian. Use CAT tools for translation. Handle steady volume of projects and build professional relationships with global production teams.
- 100% Remote Work
- Full-Time
- Employee
- 174,070.00 - 374,900.00 USD Hourly
- Austin, TX
Provide oversight for medical policy implementation, develop and evaluate clinical/medical programs, support medical management staff, oversee utilization review/quality assurance, and provide clinical expertise and business direction to network...
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- US National
Provide evidence-based medical reviews for patient care, conduct physician consultations, recommend alternative treatments, collaborate with healthcare providers, and stay current on healthcare regulations.
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- US National
Provide evidence-based medical reviews for patient care, conduct physician consultation calls, recommend alternative services or treatments, collaborate with healthcare providers for evidence-based decision making.
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- Bloomfield, CT
Provide evidence-based medical reviews, conduct physician consultation calls, recommend alternative services, and collaborate with colleagues. MD or DO with current, active, US state medical license required. Benefits include 401(k), paid time off, a..
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- Bloomfield, CT
Provide evidence-based medical reviews for patient care, conduct physician consultation calls, and recommend alternative services or treatments. Collaborate with healthcare providers and stay current on healthcare regulations and industry developments.
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- Bloomfield, CT
Complete time-sensitive, evidence-based medical case reviews for patient care. Conduct peer-to-peer calls with healthcare providers to discuss medical necessity and appropriateness of services. Collaborate with colleagues to ensure evidence-based dec..
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- Bloomfield, CT
Complete time-sensitive, evidence-based medical case reviews using clinical expertise. Conduct physician consultations and recommend alternative services. Collaborate with healthcare providers and stay current on industry developments.
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- Bloomfield, CT
Complete time-sensitive, evidence-based medical case reviews using clinical expertise. Conduct peer-to-peer calls with providers to discuss medical necessity. Collaborate with physicians for evidence-based decision making.
- 100% Remote Work
- Full-Time/Part-Time
- Employee
- 196,800 - 328,000 USD Annually
- Bloomfield, CT
Provide evidence-based medical reviews for patient care as a Pediatric Cardiologist Medical Director. Collaborate with healthcare providers, conduct peer-to-peer consultations, and recommend alternative services.
- 100% Remote Work
- Alternative Schedule
- Employee
- 60,000 - 65,000 USD Annually
- US National
Coordinate with sales reps, healthcare providers, and personnel to get pre-authorization and benefits for new patient referrals. Verify insurance eligibility and benefits for Durable Medical Equipment. Initiate pre-authorization requests and place...
- 100% Remote Work
- Part-Time
- Employee
- US National
Serve as Associate Medical Director for a large client, communicating with Medical Directors, auditing cases, and reviewing complex cases. Must have multiple state licenses, past Medical Director experience, and knowledge of Workers' Compensation law..
- 100% Remote Work
- Full-Time
- Employee
- US National
Work claims that are pending, denied, or incorrectly paid by insurance carriers. Review and address claims put on hold. Handle denials and provide necessary information to insurance companies. Correspond with mail, email, and refunds.
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