Tag Archives: telecommute

Part-time / Full-time Inbound Customer Service

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Part-time / Full-time Inbound Customer Service
Some responsibilities include:

Hiring Part-Time / Full-Time Now!

We offer work opportunities from the comfort of your home answering inbound calls from some of the Fortune 500 companies and other world-class clients. Work hours are flexible since you select your schedule weekly with the days and time preferred. Scope of work can involve providing customer service, technical support and inbound sales, via email, phone and chat, for some of the world’s leading companies with the use of your computer equipment and phone. Preferred of client you choose to work for is available to suits your interest. Best of all you can control your income potential if you work more than the minimum hours per week. No more commuting to your work.

Pay Range: $10 – $14/hr dependent on client chosen to service

Requirements
-Pass Background Check and Drug Screen
-Like to work from home and flexible hours
-Work Minimum 10-15 hrs/week depending on client servicing needs
-Answer inbound calls
-Part-time or Full-time looking to make extra income or supplement income
-Looking for someone serious to get certified training and start working

Computer Systems Requirements
CPU: minimum 1.0 GHz dual core processor or better
RAM: minimum 2GB or better
Operating System: Windows 7, Windows 8/8.1, or Windows 10
Internet: Hardwired connection

Please Note: Medical Insurance Benefits not included. Income paid to you will not be tax But you are responsible for paying taxes at the end of the year. Background check fee is $7.95 but will be refunded once client certification program is passed. Drug screen is paid by vendor.

Apply Now!

CLICK HERE to view this job opportunity (the link will be in the Google result.)

Telephonic Utilization Management Nurse – Daytona Beach, FL

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Telephonic Utilization Management Nurse – Daytona Beach, FL

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Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana’s Perfect Service® means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.

Assignment Capsule

Be a part of our Clinical Space – as a Clinical Advisor you will engage our members to develop lifelong wellbeing and health.

Humana is seeking a telephonic UR nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines review criteria.

Manage network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using your knowledge of benefit plan design
Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally
Identify potentially unnecessary services and care delivery settings, and recommend alternatives if appropriate by analyzing clinical protocols
Examine clinical programs information to identify members for specific case management and / or disease management activities or interventions by utilizing established screening criteria
Conduct admission review, post-discharge calls and discharge planning

Qualifications

Role Essentials

Active RN license in the state(s) in which the nurse is required to practice
Ability to be licensed in multiple states without restrictions
Previous experience in utilization management, discharge planning and/or home health or rehab
Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
Proficient with Microsoft Office including Word, Outlook and Excel
Ability to work independently under general instructions and with a team
Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home’s systems if 10Mx1M

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Business Project Sr Specialist – Cigna Pharmacy Management

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Business Project Sr Specialist – Cigna Pharmacy Management

Some responsibilities include:

Description

Cigna Pharmacy Management is seeking a Business Project Senior Specialist who will lead the execution of several small to medium sized projects. This includes the management of business deliverables within all phases of the project delivery life cycle.

Core Responsibilities

· Brings together all Business departments to complete a project’s overall business goals.

· Works with a cross-disciplinary Business team to determine necessary tasks associated with all phases of a project’s delivery life cycle.

· Effectively organizes and facilitates a Business team to address key aspects of project execution and success, including, but not limited to, communications; training; operational process/procedures; product and services development; legal and compliance; and technology enablement.

· Partners with Business Lead and IT Project Managers to develop and maintain project plans that consider the priorities, key milestones, time estimates, task sequencing and identification of tasks to be performed.

· Keeps projects on track and possesses the ability to foresee the entire project as a whole at all times.

· Drives identification, decision making, and escalation of risks or issues.

· Clearly understands and articulates the business value of the projects assigned to the team and works closely to ensure value is understood across the team.

· Demonstrates the ability to work effectively across multiple disciplines (business and technology) as well as the ability to deliver work across a highly matrixed organization, across and up the organization.

· Vendor management throughout the project’s life cycle, as required.

Qualifications

US Candidates Only: Qualified applicants will be considered for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. If you require a special accommodation, please visit our Careers website or contact us at SeeYourself@cigna.com.

Qualifications

· Bachelor’s degree a plus.

· 2 to 5 years of work experience, including 2 or more years driving end-to-end project execution and delivery.

· Must possess proven track record of knowledge and expertise in the use of project management methodologies (i.e. Agile, Waterfall) and tools.

· Experience working with a Pharmacy Benefit Manager (PBM) highly desirable.

· Excellent communication skills. Ability to understand and speak to project scope, impacts, and risks to management.

· Knowledge of project supportive software tools and systems required – including MS Project, PowerPoint, Excel and Word.

· Possess the ability to schedule tasks and coordinate with various team members to accomplish specific results.

· Able to influence executive level teams and peers, adjust personal communication style to match needs.

· Proven leader and project manager able to drive process and change.

· Works effectively with minimal direction.

· Excellent analytical, problem-solving, and conceptual skills.

· Detail oriented with exceptional organizational skills.

· Excels at managing multiple deliverables and tasks in order to meet committed timelines.

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Nurses (RN/LPN/LVN) Wanted in Baltimore Area

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Nurses (RN/LPN/LVN) Wanted in Baltimore Area
Some responsibilities include:

Duties Include:
– work from home as an independent contractor
– answer inbound calls from patients, make outbound callbacks to patients
– read a pre-written script and ask scripted medical qualifier questions
– complete client-required training
– accurately enter data into the computer system

Requirements Include:
– Minimum 4 year degree, Active, clear RN/LPN licensed nurse preferred, but other health sciences/healthcare also considered including biotech scientist, RPh/PharmD/pharmacist, Doctor/MD, Foreign Medical Doctor, Physician’s Assistant/PA, PhD or similar licensed medical professional
– US-based credentials required — either medical license or education
– Hours required are between 30 and 40 hours per week (in 1 hour increments or greater) during some portion of the week (Monday — Friday) between 9am and 8pm Eastern time

In addition, for this position you must:
– have above average computer skills
– have a computer with Broadband Internet Access (*HSIA is NOT provided or reimbursed by the company)
– have traditional Landline phone service (corded phone and HSIA) (*No VOIP, Satellite or Magic Jack)
– be comfortable understanding and pronouncing complex medical terms
– have excellent patient interaction skills
– have excellent customer service skills
– be exceptionally diligent and reliable
– have a quiet, professional in-home workspace
– be able to work independently
– have better than average typing skills
– have ability to work within a virtual team environment
– be available for live mock training during daytime hours
– be fluent in written and spoken English language; Spanish or French a plus but not required
– have clear and enunciated speaking voice, as well as great phone etiquette

CLICK HERE to view this job opportunity (the link will be in the Google result). Apply now. Jobs go fast!

Computer Software Specialist 3 in Memphis, TN, US

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Computer Software Specialist 3 for MLGW.org in Memphis, TN, US

Technical Support

Some responsibilities include:

Apply advanced-level business and information technology system practices and/or project management methodology in analyzing information requirements to determine hardware/ software solutions; develop project plans; and implement, develop or maintain enterprise information systems to meet project deliverables.

Specifications

Bachelor’s degree in Computer Science, Engineering, Information Systems or Business with a concentration in Information Systems or Math with a concentration in Computer Science or Bachelor’s degree with a minimum of 12 hours college accredited Information Technology or Information Systems courses. Must have at least six (6) years of experience and meet proficiency requirements. Must have at least one (1) year of demonstrated experience as the primary support person for a particular system or application and at least demonstrated knowledge and skills in one (1) or more of the fields listed below. Experience and knowledge requirements will vary according to area and departmental needs. Systems Programming: Linux, Unix, Apache Server, Windows Server, Active Directory Services, Server Virtualization, VMWARE. Networking: Security Systems, Storage Area Networks, Enterprise Backup Systems, Infrastructure Routing and Switching.

Must have a valid driver’s license from state of residence.

Working Environment

Works inside under good conditions. Subject to sitting for long periods of time at computer terminals, eye fatigue, grasping/reaching for technical manuals/printouts and distinguishing color, and occasional light lifting, bending, stooping/crouching to load computer equipment, paper and carry materials.

How To Apply

If there are no qualified bidders for Computer Software Specialist 3, bidders will be considered for Computer Software Specialist 2.

Amount of Travel Minimum Travel

Work At Home Possible

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Manufacturing Recruiter for Systematic Business Consulting – Raleigh-Durham, NC

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Manufacturing Recruiter for Systematic Business Consulting – Raleigh-Durham, NC

Some responsibilities include:

Full-time, Commission

Seeking top-notch recruiters with a minimum of three years recruiting experience to join our small manufacturing placement firm. Draw plus commission with the potential to earn high income. Full-time W-2 employee with a work-at-home role.

Job Type: Full-time

Job Location:

Raleigh-Durham, NC

Required education:

Bachelor’s

Required experience:

Recruiting: 3 years

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Medical Insurance Customer Service Agent for Sykes

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Medical Insurance Customer Service Agent for Sykes

Some responsibilities include:

We have a strict no-miss attendance policy for the 4 week classroom training period with an additional 1 week job shadow training (full-time, paid training). Below is the training shift available for upcoming classes:

Monday-Friday 9am-5pm In classroom training.

*Hours NOTE: Training will be Monday through Friday, however your final production shifts we are hiring for is an AVAILABILITY of: M-F 11am-11pm Mid March thru Oct.1. Open enrollment dates of Oct. 2 thru Mid March the availability hours are: 11am-11pm 7days per week. Your final schedule will be 5 days per week 8 hours per day.

Customer Service Representative

SYKES is looking for full-time Customer Services Representatives in Amherst, NY You might have driven past our building near Forest Rd and John James Audubon Parkway and wondered what we do.

When customers call their banks, healthcare provider, or cable company, they are actually calling SYKES. We help people by answering questions, processing transactions, and resolving their issues! We provide awesome customer service on behalf of the big companies you deal with every day.

Our team comes from an array of backgrounds and experiences; what unites us is our passion for People Serving People. We go beyond answering questions and solving problems to provide a memorable experience and change the call center industry one customer at a time. We are a dynamic team looking for innovators and trailblazers who will inspire us.

This is the right job for you if you’re able to:

Speak on the phone and use a computer
Empathize and be friendly with people you’ve never met
Use logic and solve problems
Be part of a team

Nice to have (but not required):

Customer service background
Understanding of a call center environment
Experience with financial services, healthcare, technology companies, or something similar

SYKES offers you:

Health benefits
Career advancement opportunities / Promotion from within
401K
Fun team environment
And more!

Apply now or contact LeAnn See at leann.see@sykes.com

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Field Based Case Manager Essex and Hudson County, NJ

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Field Based Case Manager Essex and Hudson County, NJ

Some responsibilities include:

As a Field Based Case Manager, you’ll wear many hats, and work in a variety of environments. Sometimes, you’ll interact with members leaving the hospital – possibly with new medications or diagnoses. Or perhaps you’ll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members – serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve.

What makes your clinical career greater with UnitedHealth Group? You’ll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you’ll open doors for yourself that simply do not exist in any other organization, anywhere.

Apply for this position with your eyes wide open.

Primary Responsibilities:

Visit Medicaid members in their homes and / or other settings, including community centers, hospitals or providers’ offices
Provide a complete continuum of quality care through close communication with members via in – person or on – phone interaction
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
Assist members with the transition from a care facility back to their home

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Certified Medical Coder for Humana

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Certified Medical Coder for Humana

Some responsibilities include:

Review medical record information to identify all appropriate coding based on CMS HCC categories.
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
Provide support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards.
Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS.
Coordinate with clinical leadership in the development of provider training plans and for active support in the training process.
Organize and schedule periodic training as indicated from chart review results, and/or as requested by medical leadership or CBO management.
Monitor Coding changes to ensure that most current information is available.
Provides coding support to CBO as requested.
Other duties as may be assigned.

Key Competencies:

Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one’s actions.
Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to Humana.
Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.
Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana’s overall success first

Qualifications

Role Essentials

CPC, CRC.CCS-P Coding Certification
CPC-A with coding experience
18+ months of prior medical coding experience
Strong organization and process management skills
Strong collaboration and relationship building skills
Training and presentation experience
Excellent written verbal and written communication skills
Proficient with Microsoft Word, PowerPoint and Excel
Ability to drive to provider offices and be in the field approximately 75%

Role Desirables

HCC coding experience
Meidcare knowledge
Prior experience in a fast paced insurance or health care setting
Associate or Bachelor’s degree

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!