This role requires a strong understanding of pharmacy and medical billing and coding, excellent ... Remote work eligibility is subject to all work from home criteria met and based on business need ...
This role requires a strong understanding of pharmacy and medical billing and coding, excellent ... Remote work eligibility is subject to all work from home criteria met and based on business need ...
Executive Case Manager (Remote)
Cincinnati, OH ยท On-site +1
This role requires a strong understanding of pharmacy and medical billing and coding, excellent ... Remote work eligibility is subject to all work from home criteria met and based on business need ...
Executive Case Manager (Remote)
Cincinnati, OH ยท On-site +1
This role requires a strong understanding of pharmacy and medical billing and coding, excellent ... Remote work eligibility is subject to all work from home criteria met and based on business need ...
iOS Engineer -Remote
Covington, KY ยท Remote
$166K - $191K/yr
Own the entire software development process from timeline estimation to coding, testing and release ... Quora offers a wide range of benefits including medical/dental/vision coverage, equity refreshers ...
iOS Engineer -Remote
Covington, KY ยท Remote
$166K - $191K/yr
Own the entire software development process from timeline estimation to coding, testing and release ... Quora offers a wide range of benefits including medical/dental/vision coverage, equity refreshers ...
Principal Engineer
Evendale, OH ยท Remote
$150K/yr
Hybrid - onsite and remote Responsibilities * Serve as the primary technical authority for the ... Write production code, perform deep-dive code reviews across the integration layer (core service ...
Principal Engineer
Evendale, OH ยท Remote
$150K/yr
Hybrid - onsite and remote Responsibilities * Serve as the primary technical authority for the ... Write production code, perform deep-dive code reviews across the integration layer (core service ...
Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in ... THCC is proudly recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of ...
Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in ... THCC is proudly recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of ...
Director of Revenue Cycle Management
Cincinnati, OH ยท On-site +1
Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in ... THCC is proudly recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of ...
Director of Revenue Cycle Management
Cincinnati, OH ยท On-site +1
Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in ... THCC is proudly recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of ...
Enjoy a 100% remote role where your only priority is delivering high-quality mental health care ... A current, valid, and unrestricted state medical license. * Board Eligibility or Board ...
Enjoy a 100% remote role where your only priority is delivering high-quality mental health care ... A current, valid, and unrestricted state medical license. * Board Eligibility or Board ...
Enjoy a 100% remote role where your only priority is delivering high-quality mental health care ... A current, valid, and unrestricted state medical license. * Board Eligibility or Board ...
Quick apply
Enjoy a 100% remote role where your only priority is delivering high-quality mental health care ... A current, valid, and unrestricted state medical license. * Board Eligibility or Board ...
Accounts Payable Specialist
Cincinnati, OH ยท On-site +1
$19 - $21/hr
Accounts Payable Specialist Cincinnati, Ohio (Remote - must reside in Cincinnati, OH) $19.00-$ 21 ... Review, code, and enter invoices into the accounting system * Match purchase orders, invoices, and ...
Quick apply
Accounts Payable Specialist
Cincinnati, OH ยท On-site +1
$19 - $21/hr
Accounts Payable Specialist Cincinnati, Ohio (Remote - must reside in Cincinnati, OH) $19.00-$ 21 ... Review, code, and enter invoices into the accounting system * Match purchase orders, invoices, and ...
Accounts Payable Specialist
Cincinnati, OH ยท On-site +1
$19 - $21/hr
Accounts Payable Specialist Cincinnati, Ohio (Remote - must reside in Cincinnati, OH) $19.00-$ 21 ... Review, code, and enter invoices into the accounting system * Match purchase orders, invoices, and ...
Quick apply
Accounts Payable Specialist
Cincinnati, OH ยท On-site +1
$19 - $21/hr
Accounts Payable Specialist Cincinnati, Ohio (Remote - must reside in Cincinnati, OH) $19.00-$ 21 ... Review, code, and enter invoices into the accounting system * Match purchase orders, invoices, and ...
C# Software Architect
Erlanger, KY ยท Remote
$130K - $150K/yr
... are, medical devices, rail and semiconductor industries. We are looking for humble geniuses, who ... Guide the team and even demonstrate expected coding skills if there is a need. What You Will Bring ...
C# Software Architect
Erlanger, KY ยท Remote
$130K - $150K/yr
... are, medical devices, rail and semiconductor industries. We are looking for humble geniuses, who ... Guide the team and even demonstrate expected coding skills if there is a need. What You Will Bring ...
C# Software Architect
Erlanger, KY ยท On-site +1
$130K - $150K/yr
... are, medical devices, rail and semiconductor industries. We are looking for humble geniuses, who ... Guide the team and even demonstrate expected coding skills if there is a need. What You Will Bring ...
C# Software Architect
Erlanger, KY ยท On-site +1
$130K - $150K/yr
... are, medical devices, rail and semiconductor industries. We are looking for humble geniuses, who ... Guide the team and even demonstrate expected coding skills if there is a need. What You Will Bring ...
Junior Java Developer
Cincinnati, OH ยท On-site +1
Maintain and enhance the existing code base * Configure build automation, deployment automation ... Remote-first and casual work environment * 401k with 3.5% company match, vested after 2 years * 20 ...
Junior Java Developer
Cincinnati, OH ยท On-site +1
Maintain and enhance the existing code base * Configure build automation, deployment automation ... Remote-first and casual work environment * 401k with 3.5% company match, vested after 2 years * 20 ...
Lead Software Developer
Erlanger, KY ยท On-site +1
$114K - $143K/yr
Erlanger, KY, Atlanta, GA or Westfield, IN, Remote (Eastern or Central Time Zone) The Lead Software ... Lead code reviews, enforce coding standards, and guide system design decisions. * Escalate and ...
Lead Software Developer
Erlanger, KY ยท On-site +1
$114K - $143K/yr
Erlanger, KY, Atlanta, GA or Westfield, IN, Remote (Eastern or Central Time Zone) The Lead Software ... Lead code reviews, enforce coding standards, and guide system design decisions. * Escalate and ...
Lead Software Developer
Erlanger, KY ยท On-site +1
$114K - $143K/yr
Erlanger, KY, Atlanta, GA or Westfield, IN, Remote (Eastern or Central Time Zone) The Lead Software ... Lead code reviews, enforce coding standards, and guide system design decisions. * Escalate and ...
Lead Software Developer
Erlanger, KY ยท On-site +1
$114K - $143K/yr
Erlanger, KY, Atlanta, GA or Westfield, IN, Remote (Eastern or Central Time Zone) The Lead Software ... Lead code reviews, enforce coding standards, and guide system design decisions. * Escalate and ...
Nurse Practitioner (Per Diem)
Covington, KY ยท On-site +1
$2.4K - $10K/mo
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are ... Ability to practice autonomously in a remote clinical environment, including independantly ...
Nurse Practitioner (Per Diem)
Covington, KY ยท On-site +1
$2.4K - $10K/mo
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are ... Ability to practice autonomously in a remote clinical environment, including independantly ...
Nurse Practitioner (Per Diem)
Loveland, OH ยท Remote
$2.4K - $10K/mo
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are ... Ability to practice autonomously in a remote clinical environment, including independently ...
Nurse Practitioner (Per Diem)
Loveland, OH ยท Remote
$2.4K - $10K/mo
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are ... Ability to practice autonomously in a remote clinical environment, including independently ...
Nurse Practitioner (Per Diem)
Covington, KY ยท Remote
$2.4K - $10K/mo
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are ... Ability to practice autonomously in a remote clinical environment, including independantly ...
Nurse Practitioner (Per Diem)
Covington, KY ยท Remote
$2.4K - $10K/mo
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are ... Ability to practice autonomously in a remote clinical environment, including independantly ...
Junior Java Developer
Cincinnati, OH ยท On-site +1
Maintain and enhance the existing code base * Configure build automation, deployment automation ... Remote-first and casual work environment * 401k with 3.5% company match, vested after 2 years * 20 ...
Junior Java Developer
Cincinnati, OH ยท On-site +1
Maintain and enhance the existing code base * Configure build automation, deployment automation ... Remote-first and casual work environment * 401k with 3.5% company match, vested after 2 years * 20 ...
Nurse Practitioner (Per Diem)
Mason, OH ยท Remote
$2.4K - $10K/mo
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are ... Ability to practice autonomously in a remote clinical environment, including independently ...
Nurse Practitioner (Per Diem)
Mason, OH ยท Remote
$2.4K - $10K/mo
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are ... Ability to practice autonomously in a remote clinical environment, including independently ...
Remote R1 Rcm Medical Coding information
See Bridgetown, OH salary details
$14.71 - $16.27
6% of jobs
$17.38 is the 25th percentile. Wages below this are outliers.
$16.27 - $17.83
26% of jobs
The median wage is $18.72 / hr.
$17.83 - $19.39
31% of jobs
$19.39 - $20.95
7% of jobs
$21.61 is the 75th percentile. Wages above this are outliers.
$20.95 - $22.51
11% of jobs
$22.51 - $24.07
6% of jobs
$24.07 - $25.63
5% of jobs
$25.63 - $27.19
3% of jobs
$27.19 - $28.75
2% of jobs
$28.75 - $30.31
1% of jobs
$30.31 - $31.87
1% of jobs
$14
$20
$31
How much do remote r1 rcm medical coding jobs pay per hour?
Is it easy to get a remote job as a medical coder?
Can I make 6 figures as a medical coder?
Is R1 Careers legit?
Does R1 RCM offer remote work options?
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 18 days ago
Job description
A typical day in this role will include ownership of your patient journey from initiation to closure by using your critical thinking skills and your knowledge of the program and industry rules and standards. This includes completing benefit investigations, tracking prior authorizations / denial appeals, and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, Lynk). This role requires a strong understanding of pharmacy and medical billing and coding, excellent communication skills, and the ability to navigate complex reimbursement processes.
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager responsibilities include education on the access and reimbursement support tools available from PharmaCord and participating program, advising HCPs and/or patients and caregivers on the benefits and program eligibility for a specific patient, and educating HCP offices on Payor processes and procedures.
- Relationship Management
- Builds trusted relationships with patients, prescribers, and appropriate client stakeholders regarding reimbursement inquiries and challenges through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients.
- Manages all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.
- Managed through call/contact center structure, this role supports inbound and outbound calls to patients, caregivers, specialty pharmacies and healthcare professionals.
- Performs post Benefits Investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey.
- Manages all client inquiries as appropriate, such as case specific statuses.
- Manages HCP inquiries, as applicable, pursuant to business rules.
- All communications with the clientโs field teams will remain compliant and adhere to ways of working protocols outlined between PharmaCord and the client teams. Inbound Call Management
- Manages inbound calls as directed by the program-approved FAQs
- Triage patients to internal or external resources as appropriate.
- Personalized Case Management
- Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine. All communications for case management will follow the guidelines set forth for the program and only provide information publicly available and/or outlined in the patient insert.
- Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed.
- Identifies and communicates patientโs plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions.
- Serves as a subject matter expert to internal team as required and appropriate.
- Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome.
- Coordinates nurse teach with nurse educators, as applicable to program.
- Supports adherence services as applicable to program.
- Identifies peer support resources for patients.
- Proactively communicates needs for reverification of prior authorization or re-enrollment.
- Identifies and reports adverse events, product complaints, special situation reports and/or medical inquiries received in accordance with program operating procedures and the Business Rules.
- Documents all activities within the PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals.
- Generate reports and analysis as needed to identify trends and opportunities for improvement.in accordance with business requirements.
- Utilize Valerisโ values as the driving force behind the teamโs success
- On time adherence to training deadlines for all corporate policies and procedures
- Ensure all SOPs are followed with consistency
- Perform additional tasks or projects as assigned
- Completion of Bachelor's degree (or higher) required
- A degree in healthcare administration, social science or similar related fields is strongly preferred.
- Minimum two years of experience in healthcare access delivery or management is strongly preferred.
- 5-10 years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education experience will be considered in lieu of degree.
- Will consider other certifications and five or more consecutive years of experience in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager).
- Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes.
- Demonstrated examples of executing within guardrails recognizing urgency and consistently delivering patient centric results.
- Excellent attention to detail and organizational skills.
- Ability to prioritize tasks and work efficiently in a fast-paced environment.
- Effective written and verbal communication and interpersonal skills, with the ability to interact professionally with diverse stakeholders.
- Demonstrates the ability to think critically and issue resolution.
- Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines.
- Bi-lingual skills are a plus.
- Remote work eligibility is subject to all work from home criteria met and based on business need
- While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
- Although very minimal, flexibility to travel as needed is preferred.
- This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
- Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
- Additional health support, including telehealth and Employee Assistance Program (EAP) services
- Company match on Health Savings Account contributions
- Free Basic Life and AD amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
- Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
- 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
- Paid Time Off (PTO) and Sick Leave to support work-life balance
- Team members receive nine paid holidays plus two floating holidays
- Opportunities for advancement in a company that supports personal and professional growth
- A challenging, stimulating work environment that encourages new ideas
- Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
- A mission-driven, inclusive culture where your work makes a meaningful impact
Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com and/or @valeris.com, @echo.newtonsoftware.com email address regarding next steps in our interview process.
Please Note:- PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com, @pharmacord.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
- We will never request your bank account information at any stage of the hiring process.
- We will never send a check (electronic or physical) to purchase home office equipment.
If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@pharmacord.com