Profile summaryWhat this candidate is looking for
Healthcare Operations, Member Advocacy & Care Management Professional
Target rolesCare ManagerCare CoordinatorCare NavigatorPatient Support SpecialistMember Support SpecialistClaims SpecialistMedical Billing SpecialistOperational Policy ConsultantHuman ServicesAppeals SpecialistHealthcare Program Analyst.Operations SpecialistHealthcare Policy AssociateHealthcare OperationsCommunity Resource SpecialistQuality Assurance
SkillsHealthcare operationsCase managementMember and patient advocacyCare navigationSocial determinants of health (SDoH) supportClaims and appealsPrior authorizationBenefits and insurance navigationMedicare Advantage appeal reviewPayer and provider coordinationPatient schedulingInsurance verificationMedical billing and codingICD and CPTEOB and ERA reviewQuality assuranceSLA managementEscalation handlingTraining and onboardingSOP developmentProcess improvementMedical terminologyEMR systemsZendeskJiraConfluenceSharePointMicrosoft ExcelMicrosoft TeamsRemote team operations
Remote preferencesLocationEagle Mountain, UT, United States
SeniorityOpen seniority
Salary target$70k+
Employment typeRemote, full_time