Remote Customer Care Representative
Virtual Vocations · Tulsa, OK
Job description
Providing exceptional service to Dental and Vision inbound callers, the full-time Remote Customer Care Representative will assist with eligibility, benefit coverage, claims, and provider location inquiries while working a flexible schedule that includes occasional evenings and weekends.Key responsibilitiesAssist callers with inquiries regarding eligibility, benefit coverage, authorizations, and claimsUtilize knowledge of claim adjustments to resolve provider requests and provide feedback on high-level claim issuesSupport enrollment activities and act as a liaison between the organization and client Member Services staffRequired qualificationsHigh school diploma or equivalent1+ years of customer service experience in healthcare, call center, banking, or retailBasic knowledge of Microsoft Office productsAbility to work occasional overtime as neededUnderstanding of dental, vision, and/or medical insurance terminology is preferred
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" Licensed Psychiatric Nurse Practitioner Wage: Up to $199/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden. It's all on one free-to-use platform, no commitment required. About the role This position is for licensed psychiatric nurse practitioners looking to start or grow their private practice. Headway provides the tools, resources, and support to help you navigate insurance, streamline operations, and let you focus on what matters most - your patients. About you • You're a fully licensed psychiatric nurse practitioner with your DEA or CDS number, ANCC or AANP board certification, a valid NPI number and malpractice insurance. • You're looking to start or expand your private practice while maintaining control over your schedule, client load, and work environment. Why partner with Headway? As an independent provider with Headway, you'll gain access to: • Hassle-free insurance credentialing: Get credentialed for free in multiple states within as little as 30 days. • Increased earnings: Secure competitive rates with top insurance plans through our nationwide network. • Predictable bi-weekly payments: Receive reliable payouts directly from Headway. • Built-in EHR tools: Access real-time scheduling, secure client messaging, documentation templates, assessments, and more. • Compliance & audit support: Stay up-to-date with insurance requirements and industry regulations. • Free continuing education: Earn CEUs and expand your expertise through Headway Academy. How Headway supports your patients • Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. • Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Important Notes • This is a 1099 independent contractor role. You'll have full autonomy over your practice, including setting your hours and managing your caseload. • At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation's largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We'll take care of the rest.
Security Systems Install & Startup Specialist
Convergint-4 · Tulsa, OK
Convergint is seeking a full-time Security Technician in Tulsa, OK to install, program, start-up, certify, and train customers on security and life-safety systems.As part of a dynamic team, you will grow with Convergint while delivering world-class service. Strong customer focus, integrity, and a drive to learn and contribute are essential as you support diverse projects and protects lives and assets.#J-18808-Ljbffr
Sr Utilization Management Nurse RN - | , Massachusetts
UnitedHealth Group · Tulsa, OK
Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We serve the Commonwealth of Massachusetts in partnering with onsite audits and projects. We have collaborative team scheduling and there is an occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting quality patient care. Responsibilities include collaborating with peers and providers to discuss care details, reviewing clinical information for appropriateness, and communicating findings and rationale to medical professionals and the broader community. Additionally, the nurse educates stakeholders about audit results and corrective plans, ensures compliance with HIPAA guidelines, and leverages clinical expertise to guide decisions and optimize patient outcomes. Qualified candidates must live in the Boston MA Regional Area to perform the daily travel responsibilities. For this role, there will be no weekends, no holidays, and no on-call work. If you live in Boston MA, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing facility • Auditing anti-psychotic therapy for quality review • Discuss Patient Care specifics with peers or providers in overall patient care and benefits • Communicate clinical findings and present rationale for decisions to medical professionals and members at the appropriate level for understanding • Review the entire medical record for accuracy, and appropriate clinical treatment • Communicate findings of audits to client, and community as needed • Education of findings with community, identifying plans for correction • Comply with HIPAA guidelines related to Personal Health Information (PHI) when communicating with others • Leverage experience and understanding of disease pathology to review chart/clinical information, ask appropriate questions, and identify appropriate course of care in a given situation • Perform medical chart review that includes a review of current and prior patient conditions, documents, and evaluations, and relevant social and economic situations to identify patients' needs • Research and identify information needed to review assessment for accuracy, respond to questions, or make recommendations • Apply knowledge of pharmacology and clinical treatment protocol to determine appropriateness of care • Work collaboratively with peers/team members and other levels or segments within Optum, UHC, or UBH (e.g. Case Managers, Field Care Advocates) to identify appropriate course of action (e.g. Appropriate care, follow up course of action, make referral) • Required to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits. (Audits will be conducted onsite) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Registered Nurse (RN) with a current, active, unrestricted RN License in Massachusetts • Currently have OR be able to obtain an RAC/CT MDS certification (must have completed certification prior to start date) • 4+ years of nursing experience, specifically in long-term care and/or medical record review with knowledge of Medicare and Medicaid • Recent long-term care MMQ, MDS, staff development or management experience (in long-term care) • Experience working within medical insurance and/or healthcare industries • Experience analyzing inventory, researching, identifying, and resolving issues • Experience with defining and managing processes within a team • Experience trouble shooting issues for users within teams, IT, and/or business partners • Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) • Demonstrated knowledge of process flow of UM, including prior authorization, concurrent authorization, and/or clinical appeal and guidance reviews • Must live in the Boston MA Regional Area to conduct daily travel requirements • Ability to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits. (Audits will be conducted onsite) • Must have reliable transportation and be able to provide proof of a valid, unrestricted Driver's License and current Auto Insurance Preferred Qualifications: • Proven knowledge of Medicaid and Medicare benefit products including applicable state regulations • Demonstrated knowledge of applicable area of specialization • Demonstrated knowledge of Massachusetts DPH guidelines • Demonstrated knowledge of computer functionality, navigation, and software applications • Proficiency with Microsoft Office Suite • Proficient written and verbal skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Customer Service Rep - Remote Data Entry Clerk
alljobs · Tulsa, OK
About the job Customer Service Rep - Remote Data Entry Clerk Customer Service Rep - Remote Data Entry Clerk Thanks for checking us out! Work From Home Data Entry Jobs - Part-time, Full-time We are actively searching for people that have a desire to work from home doing data entry like tasks as an online work from home mostly focus group participant as well as survey researcher. This job requires no formal experience. You will certainly need to provide a computer, mobile phone or laptop and also have access to a secure internet connection. Please apply online via our web site. This is a work from home gig that you would be doing on the side, make your very own hours. If you're already on-line playing games and surfing the web then simply add a couple of tasks to your day as well as earn extra income. No experience needed, no degree or formal education required-- so get started today! Job Requirements: • Perform data entry in EMR • Prepare info for data entry • Perform entry-level support for the data entry function • Perform data entry on computers • Perform data entry of credits • Provide entry-level administrative support to the data entry function • Perform high volume data entry work • Perform data entry of new applications • Complete clerical functions or data entry jobs • Perform data entry duties typing, faxing • Delete data entry mistakes and get in corrections • Maintain data entry requirements by following data program strategies • Do entry into application and deal with dealers to ensure data entry is • Train new data entry employees on computer system • Perform regular clerical and data entry functions • Ensure timely data entry as well as file management • Operate data entry devices to perform a range of keypunching data entry and verification tasks • Established for every client for data entry • Review and also confirm data before entry • Perform daily audits and also data entry adjustments JOB ADVANTAGES: • Flexibility to participate in discussions on the internet or in-person. • No commute needed if you select to work from home. • No minimum hrs. You can do this part-time or full-time • Gain Part-time income from the comfort of your home. This work allows you to: • Work on your time - you work when you desire. • Learn brand-new skills, get access to in-demand work from home tasks • No dress code, work in your pj's or work in a suit - you choose Get started today by visiting our site - and once there follow directions as listed