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Project Specialist - Healthcare (remote)
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Job Description
- Req#: 371
Employer Industry: Healthcare Consulting
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely anywhere within the United States
- Competitive benefits package including medical, dental, vision, life insurance, and a generous 401k match
- Supportive work/life balance with a focus on employee development and education opportunities
- Recognition as a top workplace in healthcare by Crain's Detroit Business and Modern Healthcare
What to Expect (Job Responsibilities):
- Assist with the timely facilitation of review requests and monitor individual case progress
- Collaborate with IDRE team members to prescreen Independent Dispute Resolution cases for eligibility
- Utilize knowledge in claims, appeals, and denials to support review and resolution processes
- Coordinate and document data to meet team informational and reporting needs
- Develop various materials including forms, correspondence, and reports to support team functions
What is Required (Qualifications):
- Associate's degree or five (5) years of related experience; Bachelor's degree preferred in a healthcare specialty
- Minimum of two (2) years of project support experience in a corporate or professional environment
- Experience in Independent Dispute Resolution or claims, appeal, and denial processes preferred
- Strong communication skills, both verbal and written
- Strong multi-tasking skills with attention to detail and deadlines
How to Stand Out (Preferred Qualifications):
- Experience in project management
- Familiarity with compliance regulations such as HIPAA and CMS guidelines
- Proficiency in Microsoft Office and web-based portals
#HealthcareConsulting #RemoteWork #CareerDevelopment #HealthcareQualityImprovement #ProjectManagement
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