Remote Jobs in the UK

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πŸ“ United States of America

🧭 Regular

🏒 Company: ABCBS_External_Careers

  • High school diploma or equivalent required.
  • Licensed Practical Nurse (LPN) with current active state license in the state(s) where job duties are performed required.
  • Minimum four (4) years' clinical nursing experience, to include a broad background in various facets of nursing.
  • Knowledge of HCPCS/CPT/Revenue codes and general coding principles.
  • Knowledge of claims processing rules/logic.
  • Knowledge of Health Plan operations, regulatory agencies and State/Federal regulations related to health care.
  • Minimum two (2) years' utilization review, medical policy, and/or case management experience required.
  • Previous experience in appeals and/or grievances process preferred.
  • Excellent Oral & Written Communication
  • Detail-Oriented
  • Strong analytical, critical thinking, organizational and time management skills
  • Proficiency using basic computer skills in Microsoft Office such as Word, Excel, Outlook, and PowerPoint, including the ability to navigate multiple systems and keyboarding.
  • Ability to make sound judgments and decisions based on facts and guidelines.
  • Ability to build collaborative relationships.
  • Ability to work independently with little supervision.
  • Ability to interpret complex documentation.
  • Serves as a liaison facilitating a collaborate process between multiple internal functional areas, clinical leadership, primary physicians, patients and Medical Director to assist with escalated cases that requires input from multiple areas with the enterprise, providers, facilities and vendors.
  • Practices nursing within the scope of licensure and adheres to policies, procedures, regulations, URAC standards and individual state regulations; making decisions based on facts and evidence to ensure compliance, appropriate level of care, and patient safety.
  • Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity, and updates data as needed to develop models to be used for decision making and initiatives
  • Remain current with up-to-date medical and surgical procedures, products, healthcare services and drugs, general trends in health care delivery; and enterprise procedures, policies and contracts.
  • Other duties as assigned.
  • Serves on various committees and project teams related to policy changes, system enhancements, process improvement initiatives, etc.
  • Monitors and evaluates data and processes to ensure accuracy and identify changes to increase efficiency and effectiveness.
  • Serves as a resource to Medical Director(s) and Care Management team providing analysis, reporting and research on medical conditions, medical terminology, medications, lab work, medical records, healthcare processes, coverage policies, plan guidelines, and/or health/wellness.

Data AnalysisCommunication SkillsAnalytical SkillsMicrosoft ExcelMicrosoft OfficeAttention to detailOrganizational skillsTime ManagementWritten communicationDocumentationComplianceInterpersonal skillsCritical thinkingResearchVerbal communicationReporting

Posted about 7 hours ago
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πŸ“ United States

πŸ’Έ 70000.0 - 80000.0 USD per year

πŸ” Education Finance

🏒 Company: external-northamerica

  • 5 years of experience as a financial aid professional managing Student Financial Aid (SFA) and institutional aid programs - Required
  • Experience at multiple colleges or universities and familiarity with loan forgiveness programs and student loan repayment options - Preferred
  • Experience should include needs analysis, packaging and appeals review, and extensive contact with students and parents.
  • Intimate understanding of the FSA regulations, merit aid processes, awarding processes at private colleges, and student and parent borrowing opportunities required.
  • Comprehensive understanding of student loan repayment options and familiarity with loan forgiveness programs strongly preferred.
  • Experience with, or interest in learning, college saving strategies and financial literacy programs
  • Fluency with basic software, web-based platforms, and Microsoft Office products (specifically Excel, PowerPoint, & Word)
  • Strong research, editing and writing skills; a high degree of accuracy, organization, and attention to detail
  • Ability to maintain a professional manner under stressful situations and to appropriately manage constituent expectations
  • High-level presentation skills in group and or individual setting
  • Ability to self-motivate and work independently to meet all deadlines, administrative and client responsibilities; and be a team player
  • Build on college finance experience to work with a diverse group of College Coach and EdAssist clients at various socioeconomic levels and help them successfully navigate the higher education system and complex education finance questions
  • Counsel corporate and retail clients in individual phone and video meetings spanning a wide spectrum of complex college funding issues including: early saving strategies; financial literacy for students; applying for all forms of federal, state, private, and institutional aid; coordinating assets and resources to pay for college, including claiming education tax breaks; understanding the impact of college inter-departmental politics; student loan repayment options; and managing educational debt.
  • Present on topics as subject matter expert representing a full spectrum of college financing issues from saving strategies for newborns through graduate school funding, student loan management, and financial literacy and wellness within a variety of corporate client settings.
  • Respond to help desk inquiries from corporate clients with professional prose.
  • Contribute to internal projects as required, including development or revision of new internal and external curriculum, training materials, or products, social media initiatives, service delivery best practices or other internal areas of interest
  • Through delivery of high level services, assist in building market presence and word of mouth reputation; contribute to EdAdvisory’s growth, thought leadership, client satisfaction, and inclusive environment
  • Manage all administrative functions required for service delivery

Cross-functional Team LeadershipAdministrative ManagementFinancial ManagementCommunication SkillsCollaborationMicrosoft ExcelProblem SolvingCustomer serviceMentoringNegotiationAccountingOrganizational skillsPresentation skillsMicrosoft Office SuiteMS OfficeTeamworkResearchFluency in EnglishReportingTrainingWritingClient relationship managementBudgetingData entryFinancial analysisFinancePowerPoint

Posted about 10 hours ago
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πŸ“ Romania

🧭 Contract

πŸ’Έ 7.0 USD per hour

πŸ” AI

  • Fully Proficient in Swedish
  • Proficient in English
  • Web-savvy and able to work in a fast-paced environment
  • Attention to detail
  • Ability to conduct thorough research within specified time constraints and effectively manage short throughputs.
  • Follow project-specific guidelines to conduct research on e-commerce data.
  • Evaluate the usefulness of product filters and results based on the research.
  • Rate the e-commerce data according to the guidelines provided.

Attention to detailResearch

Posted about 10 hours ago
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πŸ“ Poland

🧭 Contract

πŸ’Έ 7.0 USD per hour

πŸ” AI

  • Fully Proficient in Swedish
  • Proficient in English
  • Web-savvy and able to work in a fast-paced environment
  • Attention to detail
  • Ability to conduct thorough research within specified time constraints and effectively manage short throughputs.
  • Follow project-specific guidelines to conduct research on e-commerce data.
  • Evaluate the usefulness of product filters and results based on the research.
  • Rate the e-commerce data according to the guidelines provided.

Attention to detailResearchEnglish communication

Posted about 10 hours ago
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πŸ“ Latvia

🧭 Contract

πŸ’Έ 7.0 USD per hour

πŸ” AI

  • Fully Proficient in Swedish
  • Proficient in English
  • Web-savvy and able to work in a fast-paced environment
  • Attention to detail
  • Ability to conduct thorough research within specified time constraints and effectively manage short throughputs.
  • Follow project-specific guidelines to conduct research on e-commerce data.
  • Evaluate the usefulness of product filters and results based on the research.
  • Rate the e-commerce data according to the guidelines provided.

Attention to detailResearchFluency in EnglishData entry

Posted about 10 hours ago
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πŸ“ Hungary

🧭 Contract

πŸ’Έ 7.0 USD per hour

πŸ” AI

  • Fully Proficient in Swedish
  • Proficient in English
  • Web-savvy and able to work in a fast-paced environment
  • Attention to detail
  • Ability to conduct thorough research within specified time constraints and effectively manage short throughputs.
  • Follow project-specific guidelines to conduct research on e-commerce data.
  • Evaluate the usefulness of product filters and results based on the research.
  • Rate the e-commerce data according to the guidelines provided.

Attention to detailResearch

Posted about 10 hours ago
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πŸ“ Estonia

🧭 Contract

πŸ’Έ 7.0 USD per hour

πŸ” AI

  • Fully Proficient in Swedish
  • Proficient in English
  • Web-savvy and able to work in a fast-paced environment
  • Attention to detail
  • Ability to conduct thorough research within specified time constraints and effectively manage short throughputs.
  • Follow project-specific guidelines to conduct research on e-commerce data.
  • Evaluate the usefulness of product filters and results based on the research.
  • Rate the e-commerce data according to the guidelines provided.

Attention to detailResearchData entry

Posted about 10 hours ago
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πŸ“ Bulgaria

🧭 Contract

πŸ’Έ 7.0 USD per hour

πŸ” AI

  • Fully Proficient in Swedish
  • Proficient in English
  • Web-savvy and able to work in a fast-paced environment
  • Attention to detail
  • Ability to conduct thorough research within specified time constraints and effectively manage short throughputs.
  • Follow project-specific guidelines to conduct research on e-commerce data.
  • Evaluate the usefulness of product filters and results based on the research.
  • Rate the e-commerce data according to the guidelines provided.

Data AnalysisResearch

Posted about 10 hours ago
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πŸ“ Suriname

🧭 Contract

πŸ’Έ 2.25 USD per hour

πŸ” AI

  • Fully Proficient in Dutch
  • Proficient in English
  • Web-savvy and able to work in a fast-paced environment
  • Attention to detail
  • Ability to conduct thorough research within specified time constraints and effectively manage short throughputs.
  • Follow project-specific guidelines to conduct research on e-commerce data.
  • Evaluate the usefulness of product filters and results based on the research.
  • Rate the e-commerce data according to the guidelines provided.

Data AnalysisAttention to detailResearchData entry

Posted about 10 hours ago
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πŸ“ LATAM

🧭 Contract

πŸ’Έ 600.0 - 700.0 USD per month

πŸ” Anti Piracy

🏒 Company: RuvixxπŸ‘₯ 11-50Business IntelligenceBig DataEnterprise SoftwareIntellectual Property

  • Have +1 of experience in research, admin, customer support, or a similar role
  • Fluent English, able to read, write, and communicate professionally
  • Are comfortable using Google Sheets, Excel, or online research tools
  • Are detail-oriented, organized, and eager to learn!
  • Analyze data like IP addresses and usage patterns to help flag possible software misuse
  • Research companies online to confirm legitimacy and find key contacts
  • Keep investigation records up to date in our CRM system
  • Assist in creating simple case reports
  • Collaborate with our experienced team to help move cases from start to finish

SQLResearchCRMEnglish communication

Posted about 12 hours ago
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