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Work From Home Rn Insurance Assessment Jobs in Akron, OH

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ... Quickly assess the user's issue and provides first level support for problem resolution * Document ...

This role is designed for individuals looking to learn a new skill and work from home with support ... Insurance needs of the customers in the geographic areas in which you choose to work.

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

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Work From Home Rn Insurance Assessment information

What is a work from home RN insurance assessment?

Work From Home RN Insurance Assessment jobs are positions for registered nurses who conduct health assessments, reviews, or interviews for insurance companies remotely. These nurses evaluate clients’ medical histories, current health status, and sometimes perform virtual assessments to help insurance companies determine coverage eligibility or the need for additional information. The role typically involves reviewing medical records, completing assessment forms, and communicating findings to underwriters or case managers. It allows nurses to utilize their clinical knowledge without direct patient care, offering flexibility and the convenience of working from home.

What are the key skills and qualifications needed to thrive as a work from home RN insurance assessment?

To thrive as a Work From Home RN Insurance Assessment, you need a valid RN license, strong clinical assessment abilities, and experience in case management or utilization review. Familiarity with electronic medical records (EMRs), telehealth platforms, and insurance documentation systems is typically required, along with possible certifications like CCM (Certified Case Manager). Excellent communication, critical thinking, and self-motivation are essential soft skills for effective remote collaboration and independent decision-making. These competencies ensure accurate assessments, compliance with insurance protocols, and efficient workflow in a remote healthcare environment.

What are some common challenges faced by work from home RN insurance assessment nurses, and how can they be managed?

Work From Home RN Insurance Assessment nurses often face challenges such as maintaining clear communication with both clients and internal teams remotely, managing a high volume of assessments, and adhering to strict documentation standards. Time management and self-motivation are crucial, as the remote setting can blur work-life boundaries. To overcome these challenges, nurses should establish a dedicated workspace, utilize organizational tools, and maintain regular check-ins with their supervisors and team members to stay aligned with expectations.

What is the difference between Work From Home Rn Insurance Assessment vs Work From Home Rn Medical Review?

AspectWork From Home Rn Insurance AssessmentWork From Home Rn Medical Review
CredentialsRegistered Nurse (RN) license, insurance assessment certificationsRegistered Nurse (RN) license, medical review certifications
Work EnvironmentHome-based, insurance company officesHome-based, insurance or healthcare organizations
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, healthcare review firms
Job FocusAssessing insurance claims, determining coverage eligibilityReviewing medical records, verifying treatment necessity

Both roles involve remote work for insurance-related tasks requiring RN credentials. The main difference lies in their focus: insurance assessment involves evaluating claims for coverage, while medical review centers on verifying medical necessity through record review. Understanding these distinctions helps job seekers identify the right remote RN position in the insurance industry.

What are popular job titles related to Work From Home Rn Insurance Assessment jobs in Akron, OH?

For Work From Home Rn Insurance Assessment jobs in Akron, OH, the most frequently searched job titles are:

What job categories do people searching Work From Home Rn Insurance Assessment jobs in Akron, OH look for?

The top searched job categories for Work From Home Rn Insurance Assessment jobs in Akron, OH are:

What cities near Akron, OH are hiring for Work From Home Rn Insurance Assessment jobs?

Cities near Akron, OH with the most Work From Home Rn Insurance Assessment job openings:

Work from Home

IQVIA

Cleveland, OH • Remote

$18/hr

Full-time

Posted 10 days ago


IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

63rd of 225 rated it services


Job description

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.

IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contract Pharmacy Support Call Center Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Pharmacy Support Call Center Representative is primarily responsible for fielding requests such as: card activation, program eligibility, explanation of program benefit and explanation/troubleshooting of submission rejection.

Role Purpose:

  • Primary Call Center contact for patients, pharmacies and medical professionals utilizing an Opus Health program. Call Center Representatives are responsible for fielding requests such as: card activation, program eligibility, explanation of program benefit and explanation/troubleshooting of submission rejection.

Job Responsibilities:

  • Provide initial support for customer requests via telephone, email, fax, or other available means of contact to the Support Center
  • Quickly assess the user's issue and provides first level support for problem resolution
  • Document information specific to the resolution and escalate unresolved issues expeditiously to the appropriate area
  • Recognize operational challenges and suggest recommendations to management, as necessary
  • Ability to work 40 hours per week (shifts available: 8:00 am - 5:00 pm EST or, 9:00 am - 6:00 pm EST or, 10:00 am - 7:00 pm ET or, 11:00 am EST - 8:00pm EST) under moderate supervision

Minimum Education & Experience:

  • High School Diploma or equivalent
  • Pharmacy Technician experience required
  • HIPAA certified
  • Call center experience required (3+ years preferred)
  • Experience in medical claim processing is a plus
  • Bi-lingual (English/Spanish) is a plus

The pay range for this role is $18.00 per hour.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-Remote

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role is $18.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

What IQVIA employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US