Top 4935 Remote positions with benefits Jobs in Georgia

REMOTE ** Determinations Specialist
EXAMWORKS COMPLIANCE SOLUTIONS LLC —Lawrenceville, GA
- $22 - $26 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
12d
Licensed Healthcare Agent - FULLY REMOTE, Medicare Only, W-2, Flexible Schedule!
UNIFIED HEALTH —Atlanta, GA
- From $18 an hour
- Choose your own hours
- Computer literacy
- Mid-level
- In-person
- Paid training
- Health insurance
Quick Apply
2d
Water Tester
Georgia Pure Energy Water and Air —Marietta, GA
- $110,000 - $150,000 a year
- Part-time
- Hybrid work
- Sales
- Mid-level
- Residential
- Employee discount
- Professional development assistance
Quick Apply
Customer Service Representative - Healthcare (Remote)
Concentrix —Georgia
- $15 an hour
- Urgently hiring
- Remote
- Background check
- Computer literacy
- Residential
- Paid training
- Paid holidays
2d
Contact Center Customer Experience Specialist - Cardmember Services
U.S. Bank National Association —Georgia
- $20 an hour
- Weekends as needed
- Remote
- 18 years or older
- Research
- High school diploma or GED
- Paid holidays
- Disability insurance
Customer Service / Tech Support Rep – Tech Products (Remote)
Concentrix —Georgia
- $17.31 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
11h
Patient Enrollment Specialist - Contractor
Aviary —Atlanta, GA
- $20 - $22 an hour
- Full-time
- Remote
- Cardiology
- Entry level
- Under 1 year
Inbound Contacts Representative
Humana —Georgia
- $39,000 - $49,400 a year
- 8 hour shift
- Remote
- Mid-level
- Travel
- Computer skills
- Paid parental leave
- Paid holidays
Customer Service Representative (Remote GA)
Oscar Health —Atlanta, GA
- $19 - $21 an hour
- Remote
- Writing skills
- High school diploma or GED
- Analysis skills
- Paid parental leave
- Paid holidays
Quick Apply
Remote - Enrollment Specialist
CareHarmony —Georgia
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Call Center/Customer Service Rep
Automated Health Systems —Columbus, GA
- $14 - $17 an hour
- Remote
- Bilingual
- Mid-level
- High school diploma or GED
- Wellness program
- Opportunities for advancement
Quick Apply
12d
Radiology Patient Scheduling Representative
T2 Group —Conyers, GA
- $18 an hour
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- 401(k)
- Work from home
Quick Apply
Healthcare Contact Center Agent - Remote US
Gainwell Technologies —Georgia
- $29,100 - $41,600 a year
- Full-time
- Remote
- Mid-level
- 2 years
- Travel reimbursement
- Profit sharing
1d
Customer Service / Tech Support Rep – Financial (Remote)
Concentrix —Georgia
- $15 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
Customer Service Rep – Healthcare (UMA Grads, Remote)
Concentrix —Georgia
- $15 - $17 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
Call Center Service Advocate I - Remote
Oak Street Health —Georgia
- $17.00 - $34.15 an hour
- Weekends as needed
- Remote
- Spanish
- Computer literacy
- Microsoft Office
- Health insurance
- Dental insurance
Radiology Scheduling Specialist GA
Atrium Health —Macon, GA
- $21.85 - $32.80 an hour
- Full-time
- Remote
- Computer literacy
- HIPAA
- High school diploma or GED
- Paid parental leave
- Disability insurance
1d
Customer Service Rep – Financial (Seasonal, Remote)
Concentrix —Georgia
- $15 - $17 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
Temporary - Data Entry Clerk
E-djuster USA Inc. —Georgia
- $11 an hour
- Full-time
- Remote
- Microsoft Outlook
- Customer service
- Writing skills
- Paid parental leave
- Health savings account
Quick Apply
Senior Customer Support Services Specialist
TriNet —Atlanta, GA
- $23.08 - $36.06 an hour
- Full-time
- English
- Mid-level
- Office
- Employee stock purchase plan
- Disability insurance

I want to receive the latest job alert for remote positions with benefits in georgia

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

remote positions with benefits jobs near georgia

Enrollment Specialist jobs in Atlanta, GA

Customer Service Representative jobs in Atlanta, GA

Data Entry Clerk jobs in Georgia

Customer Service Representative jobs in Georgia

Call Center Representative jobs in Georgia

Call Center Representative jobs in Columbus, GA

Call Center Representative jobs in Maine

Pharmacy Technician jobs in Scranton, PA

Customer Service Technician jobs in Oak View, CA

Engineering Technician jobs in Salt Lake City, UT

Pharmacy Technician jobs in Idaho

Customer Service Technician jobs in Beaverton, OR

Customer Service Technician jobs in Seattle, WA

Customer Service Technician jobs in Missouri

Enrollment Specialist jobs in Jackson, MS

Enrollment Specialist jobs in Clackamas, OR

Enrollment Specialist jobs in Manassas, VA

Enrollment Specialist jobs in Boston, MA

Medical Device Clinical Specialist jobs in Boston, MA

Surgical Sales Representative jobs in Florida

REMOTE ** Determinations Specialist

EXAMWORKS COMPLIANCE SOLUTIONS LLC
Lawrenceville, GA

Quick Apply

Job Details

Full-time
$22 - $26 an hour
12 days ago

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Medicare
Customer service
CMS
HIPAA
Research
Workers' compensation insurance knowledge
CMS regulatory compliance
Healthcare regulatory compliance research
Medicare regulations
Fax machines
Health information regulatory compliance
Clinical confidentiality policies
Faxing

Full Job Description

Are you a Medicare Set-Aside expert who enjoys analyzing complex cases, solving problems, and making a meaningful impact? ExamWorks is seeking a highly skilled Determinations Specialist to join our team and play a critical role in advocating for accurate Medicare Set-Aside (MSA) recommendations and ensuring compliance with CMS guidelines.

In this position, you'll leverage your clinical knowledge, analytical expertise, and critical thinking skills to evaluate CMS determination letters, identify discrepancies, conduct research, and support successful MSA outcomes for our clients. If you're passionate about navigating complex regulatory requirements and collaborating with clients to achieve the best possible results, we'd love to hear from you.

Schedule: Monday-Friday, 8:00 AM-5:00 PM

Required Qualifications

Current MSCC (Medicare Set-Aside Certified Consultant) certification
Strong knowledge of the WCMSA Reference Guide and CMS Medicare coverage guidelines
Exceptional analytical, research, and problem-solving skills
Strong written and verbal communication abilities

Medicare Set-aside Certified Consultant (MSCC)
Medicare Set-aside (MSA)
Centers for Medicare & Medicaid Services (CMS)
Workers' Compensation Review Contractor (WCRC)
MSP Compliance
Medicare Secondary Payer (MSP)

What You'll Do

As a Determinations Specialist, you will:

Review CMS determination letters and evaluate cases with and without disagreement regarding MSA recommendations.
Identify, analyze, and communicate discrepancies between ECS and CMS recommendations.
Conduct comprehensive research and gather supporting clinical and regulatory documentation to substantiate ECS MSA recommendations.
Assess CMS findings and determine whether a case warrants reconsideration.
Partner with clients to explain recommendations, provide supporting rationale, and determine next steps.
Utilize your expertise in Medicare coverage policies and the WCMSA Reference Guide to support case evaluations and decision-making.
Analyze and defend ECS recommendations, including complex prescription drug allocations.
Build compelling, well-documented submissions and supporting materials for presentation to CMS.
Maintain accurate and timely documentation within Galileo and other company systems.
Ensure compliance with client protocols, departmental procedures, HIPAA requirements, and all applicable regulations.
Contribute to a collaborative team environment while supporting additional projects and initiatives as assigned.

Why Join ExamWorks?

At ExamWorks, you'll work alongside industry experts in a highly specialized field where your knowledge and expertise directly influence outcomes for clients. This role offers the opportunity to tackle challenging cases, deepen your regulatory expertise, and contribute to a team dedicated to excellence, accuracy, and continuous improvement.

If you're an experienced MSCC professional looking for a role that values critical thinking, attention to detail, and subject matter expertise, we encourage you to apply today.

QUALIFICATIONS

Previous Customer Service experience required. Minimum 12 months production environment experience or related experience preferred.
Adequate knowledge of 3rd party/COB (Coordination of Benefits) / insurance verification / medical billing (ICD-9/CPT) experience preferred.
Competency in mathematics, business terminology, clerical skills and time management.
Must possess complete knowledge of general computers, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, Adobe and the Internet.
Must have a full understanding of HIPAA regulations and compliance.
Ability to follow instructions and respond to managements’ directions accurately.
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate strong written and oral communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
Must be able to demonstrate and promote a positive team-oriented environment.
Must be able to stay focused and concentrate under normal or heavy distractions.
Must be able to work well under pressure and/or stressful conditions.
Must possess the ability to manage change, delays, or unexpected events appropriately.

ExamWorks, LLC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

#LI-MB1

Quick Apply

Refine Your Search

remote positions with benefits jobs in georgia

REMOTE ** Determinations Specialist

Licensed Healthcare Agent - FULLY REMOTE, Medicare Only, W-2, Flexible Schedule!

Water Tester

Customer Service Representative - Healthcare (Remote)

Contact Center Customer Experience Specialist - Cardmember Services

Customer Service / Tech Support Rep – Tech Products (Remote)

Patient Enrollment Specialist - Contractor

Inbound Contacts Representative

Customer Service Representative (Remote GA)

Remote - Enrollment Specialist

Call Center/Customer Service Rep

Radiology Patient Scheduling Representative

Healthcare Contact Center Agent - Remote US

Customer Service / Tech Support Rep – Financial (Remote)

Customer Service Rep – Healthcare (UMA Grads, Remote)

Call Center Service Advocate I - Remote

Radiology Scheduling Specialist GA

Customer Service Rep – Financial (Seasonal, Remote)

Temporary - Data Entry Clerk

Senior Customer Support Services Specialist

I want to receive the latest job alert for remote positions with benefits in georgia

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected