Supervise day-to-day operations of clinical compliance auditors and specialists, serving as a liaison to senior management.
Coordinate orientation, training, and performance monitoring for clinical compliance auditors to promote professional growth.
Oversee development of UM and PHM agenda, audit guidelines, and ensure adherence to denial processes and compliance requirements.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, aiming to make healthcare affordable and improve patient health. It is a physician-led, remote-first organization that leverages AI and predictive analytics to empower partners in delivering high-quality, value-based care.
Follow-up with payers to ensure timely resolution of outstanding claims via phone or websites.
Maintain daily productivity/quality standards and utilize workflow systems to collect payments.
Analyze claims issues to reduce denials, initiate appeals, and handle under/over-payments while adhering to HIPAA standards.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. They are a fast-growing company with a supportive, remote-first culture.
Create and maintain client profiles by accurately inputting information into the client's system, and verify completeness and accuracy of claim documentation.
Work closely with clinical staff to retrieve necessary information for processing patient claims, ensuring compliance with established guidelines.
Maintain confidentiality, assist in process improvements, and communicate effectively with colleagues to enhance efficiency and quality.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. The company leverages its global network to connect clients with qualified professionals, offering tailored services to meet unique business needs.
Provide frontline virtual or telephonic support to clients and healthcare professionals.
Document and report Information Requests, Adverse Events, and Product Quality Complaints.
Ensure compliance with FDA regulations, HIPAA, and company policies.
Inizio is a pharmaceutical services company providing medical information and patient support. They are a large organization committed to building a diverse, inclusive workforce and fostering a culture of leadership and collaboration.
Manage patient communications, including phone calls, emails, and appointment scheduling.
Coordinate specialist referrals, insurance authorizations, and test results.
Provide administrative support such as pharmacy refills, EHR maintenance, and workflow tracking.
Assist World is a staffing agency recruiting for a busy and growing U.S. medical practice. They emphasize remote work, no tracker policies, and a supportive environment.
Represent clients through inbound and outbound communications, including pre-screening for clinical trials and triaging inquiries.
Accurately collect and document information in compliance with FDA regulations and company policies.
Communicate professionally with healthcare professionals, patients, and caregivers while explaining medical terminology.
Inizio Engage provides medical communications and patient support services for pharmaceutical and medical device clients. The company is committed to building a diverse and inclusive workplace and values authenticity.
Manages essential administrative and clinical-adjacent functions such as medication prior authorizations and scheduling.
Ensures tasks comply with organizational standards and regulatory requirements to promote a seamless care experience.
Supports clinical and operational scheduling and provides flexible administrative support to Care Teams.
This organization provides operational support for healthcare member care. They focus on ensuring accuracy and efficiency in workflows like prior authorizations and toxicology result entry.
Manage and maintain participant medical records in the EHR system, ensuring accuracy, completeness, and HIPAA compliance.
Coordinate release of information and follow up with external providers for timely record retrieval and care transitions.
Support care teams and operations by identifying opportunities to improve workflows and ensuring records are accessible across settings.
Habitat Health empowers older adults to age in place through the Program of All-Inclusive Care for the Elderly (PACE), providing coordinated medical and social care. Backed by major investors including Kaiser Permanente and Town Hall Ventures, the organization is scaling its model with a mission-driven team.
Track caregiver attendance and reliability metrics for leadership reports.
Draft and organize HR documentation and employee records.
Maintain company SOPs and internal knowledge base articles.
Tandem Care provides home care services to older adults, ensuring exceptional care through strong operational systems. They are a small team focused on continuous improvement and supporting caregivers.
Review and analyze provider applications and documentation to determine eligibility for the global provider network.
Verify credentials, licenses, and qualifications against country-specific requirements and company standards.
Maintain accurate provider records and collaborate with internal stakeholders on compliance.
ComPsych is the world's largest provider of mental health services and GuidanceResources® for life, serving over 163 million individuals across 200 countries. Over 40% of the Fortune 500 choose ComPsych for their mental health needs.
Supervise daily operations of clinical compliance auditors and specialists.
Assist in developing coordinated team processes and managing UM and PHM plan adherence.
Serve as clinical services liaison to senior management and ensure timely documentation.
Guidehealth is a data-powered healthcare company focused on operational excellence and value-based care. They emphasize empathy, AI, and collaboration, with a remote-first culture.
Provide virtual or telephonic medical information support to customers, patients, and healthcare professionals.
Ensure compliance with FDA regulations, pharmacovigilance requirements, and company procedures.
Document and escalate information requests, adverse events, and product quality complaints accurately.
Inizio Engage is a pharmaceutical services provider that delivers medical information, patient support, and pharmacovigilance solutions. The company fosters a diverse, inclusive culture with a focus on compliance and quality.
Handle inbound and outbound calls, emails, and chats for healthcare-related inquiries.
Gather accurate patient information and verify insurance coverage and eligibility.
Guide patients through the intake process with clarity, empathy, and professionalism.
We are a healthcare organization dedicated to providing patient intake services. We offer a supportive remote work culture with team engagement events and leadership development programs.
Support quality, safety, and compliance by identifying documentation and workflow improvements.
Process physician orders within the EMR and ensure verbal orders meet documentation requirements.
Manage end-of-episode documentation, including discharge reports and OASIS visits.
Adaptive Home Health is an AI-native physical care platform transforming US healthcare, starting with home health. The company combines a world-class AI team with healthcare veterans to build a new type of healthcare company that delivers care at the speed of an AI company.
Receive and respond to prescription refill requests through various communication channels, verifying validity and accuracy while ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately, adhering to established protocols and providing exceptional customer service to stakeholders.
Collaborate with interdisciplinary teams and provide administrative support to clinical staff and managers for medication refill programs and special projects.
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. The company interacts with 1 in 3 Americans every day and integrates the power of human touch with data-driven technology in its mission to make healthcare better for all.
Review and complete disability and leave documentation for patients.
Communicate with healthcare providers to gather required medical information.
Ensure compliance with HIPAA and manage multiple cases independently.
The company provides innovative healthcare technology solutions that streamline patient documentation. It operates remotely with a focus on accuracy, service, and operational excellence, though team size is not specified.
Employee Navigator Administration including setup, configuration, and maintenance of client groups, plans, and EDI feeds.
Client Servicing for new hires, terminations, QLEs, and coverage questions.
Data Collection and Submissions for carrier and PEO submissions with follow-up.
Wing is a company redefining the future of work by providing one-stop shop services for companies to build world-class teams and automate operations. They are currently hiring for a part-time remote Healthcare Virtual Assistant for a health insurance benefits agency client.
Schedule, reschedule, and cancel patient appointments, coordinating with healthcare professionals to optimize resource allocation.
Communicate effectively with patients via phone, email, or in person to confirm appointments and provide necessary information.
Maintain accurate documentation in EMR system and resolve scheduling conflicts efficiently.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities. They leverage a global network to connect clients with qualified professionals, though company size is not mentioned.
Manage end-to-end company licensing and regulatory support activities for healthcare facilities and laboratories.
Prepare, submit, and track license applications, renewals, and maintain compliance with federal and state requirements.
Collaborate with internal teams and external agencies to ensure accurate documentation and regulatory adherence.
Groups is a healthcare company that provides substance use disorder treatment and related services. The company operates remotely with a focus on compliance and regulatory support, maintaining a collaborative culture.
Review treatment plans and progress notes for accuracy and compliance.
Conduct regular audits and provide feedback to associate therapists.
Collaborate with leadership to address documentation quality issues.
Brave Health is a telehealth mental health care company that expands access to compassionate, high-quality care for Medicaid patients. They are a community health-centered organization with a diverse team working 100% remotely.