Responsibilities
- Gather and analyze clinical data while applying relevant Medicare regulations and accessing multiple digital systems in a high-volume setting.
- Operate both autonomously and cooperatively within a remote team structure.
- Perform desk-based duties involving phone communication, computer use, document templating in Word, and continuous typing in a fast-moving environment.
- Evaluate and manage clinical appeals to ensure timely and accurate resolution.
- Assess medical records and clinical documentation to interpret information and apply correct clinical standards in compliance with regulatory and accreditation rules related to provider concerns.
- Work full time from home with set hours from Monday through Friday, 8:00 AM to 5:00 PM in the employee's local time zone.
- No weekend or holiday shifts are expected.
Work Arrangement
Remote
Team
Independent and collaborative team environment
Other
- Full-time remote position with standard weekday hours from 8:00 AM to 5:00 PM, Monday through Friday, based on local time.
- No work required on weekends or public holidays.
- Employees must arrange reliable, independent care for dependents during scheduled work hours.
- Candidates with arrest or conviction histories will be considered in compliance with applicable federal, state, and local laws.
