A-Line Staffing Solutions

  • Hartford,CT
A-Line Staffing Solutions Remote * (Buffalo Grove,IL)
Nov 25, 2020
Full-Time
Location is Buffalo Grove, Illinois- This will eventually be work from home! You will be verifying insurance coverage for potential new clients Re-verifying insurance coverage for existing patients in order to process patient prescription needs successfully and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers Strong attention to detail, and proven analytic and problem solving Computer experience is required with proficiency in Microsoft Outlook, Word and Excel. Need an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs Training for first 2-3 weeks will be 8-430, then shifts will be between 630am-8pm Mon-Fri/8-3 Sat Contact Joan at 1-877-###-#### for more information Job Requirements: HS Diploma or GED is Required
A-Line Staffing Solutions Remote * (Los Angeles,CA)
Nov 24, 2020
Full-Time
100% remote work The scheduler will be responsible for scheduling established markets that have established a rotating schedule We are looking for 4-5 people to be located in Pacific time zones to support West coast. Job Requirements: Responsible for scheduling Providers and any ancillary staff to ensure adequate market coverage with the goal of keeping the clinics open 100% of the time.
A-Line Staffing Solutions Remote * (Louisville,KY)
Nov 24, 2020
Full-Time
A-Line Staffing is looking to hire an experienced Registered Nurse to work remotely as a HEDIS Reviewer for the upcoming 2021 NCQA HEDIS Review season. This position is for a well-known health plan based in Louisville, KY. Registered Nurse MUST HAVE AN ACTIVE LICENSE IN KENTUCKY AND LIVE IN OR NEAR LOUISVILLE! 2-3 seasons of HEDIS experience REQUIRED. WHAT YOU LL DO: This position will be in support of the HEDIS Medical Record Review (MRR) cycle. Review, abstract and data enter pertinent medical record data obtained via paper, electronic, CD, fax or mail Access a variety of EMR systems to obtain and abstract medical record data per specifications Name and store medical record files electronically, maintaining member PHI and PII Fax medical record requests to provider offices if requested Provide patient lists to provider offices Accurately enter data into Electronic Medical Record Review abstraction tool QUALIFICATIONS: Must carry...
A-Line Staffing Solutions Remote * (Woonsocket,RI)
Nov 22, 2020
Full-Time
The Learning & Development Analyst will support sales enablement and learning innovation initiatives . You will work closely with sales leadership to manage emerging requests, conduct research, interpret findings, and make recommendations to innovate learning and development programs. Responsibilities include: Create intake process to document, address and track emerging requests Research and evaluate best-in-class learning programs and contingent education offerings Work with SMEs to design, develop and implement learning solutions Identify and establish project impact and metrics You will not be responsible for direct employee management but will be required to project manage activities related to your deliverables. WORK REMOTE Job Requirements: Create process to document emerging requests and actions to address Research and evaluate best-in-class learning programs and contingent education offerings Work with SMEs to design,...
A-Line Staffing Solutions Remote * (Houston, TX, USA)
Nov 14, 2020
A Remote Home Health Case Manager is needed for a major health system in Houston, TX! Do you want to take your skills to the next level? $30.00-35.00/hr based on license type We are looking for an Nurse to support high-risk, high-needs patients in the home and facility based setting. This unique role will provide the opportunity to interact with physician and health care leaders on a regular basis. In addition to navigating members across the care continuum, you will help support clinical program developments and initiatives. You will be a nurse, an advocate, a navigator, and a leader! NOTE: Role is remote during the COVID-19 pandemic Job Summary: Provide home visits to high-risk members for evaluation of needs in an effort to reduce barriers to care. Ensure supportive services are in place to reduce inappropriate utilization patterns and condition exacerbation. Assist members with accessing needed services o Identifies problems and acts to anticipate and...
A-Line Staffing Solutions Remote * (Louisville, KY, USA)
Nov 14, 2020
A-Line Staffing is looking to hire an experienced Registered Nurse to work remotely as a HEDIS Reviewer for the upcoming 2021 NCQA HEDIS Review season. This position is for a well-known health plan based in Louisville, KY. Registered Nurse MUST HAVE AN ACTIVE LICENSE IN KENTUCKY AND LIVE IN OR NEAR LOUISVILLE! 2-3 seasons of HEDIS experience REQUIRED. WHAT YOU'LL DO: This position will be in support of the HEDIS Medical Record Review (MRR) cycle. Review, abstract and data enter pertinent medical record data obtained via paper, electronic, CD, fax or mail Access a variety of EMR systems to obtain and abstract medical record data per specifications Name and store medical record files electronically, maintaining member PHI and PII Fax medical record requests to provider offices if requested Provide patient lists to provider offices Accurately enter data into Electronic Medical Record Review abstraction tool QUALIFICATIONS: Must carry...
A-Line Staffing Solutions Remote * (Orlando, FL, USA)
Nov 14, 2020
We are seeking Customer Service Representatives in Orlando, FL. MUST be able to start on 11/30/2020. This Position is working Remote but training is onsite (6 Weeks) Pay Rate : $12.00 Schedule: M - F: 8 Hours between 8 AM - 9 PM Job Requirements: MUST have 1 Year of Call Center experience. MUST have a GED or High School Diploma. MUST have Customer Service Skills. Job Description: This position is responsible for overall coordination and processing of new patient medication orders and reorders. This individual works with both internal and external customers to ensure that orders are processed in a timely manner and meet all financial and clinical requirements prior to fulfillment. The resource will manage inbound calls and make outbound calls related to setting up specialty medication orders working with medical providers customers and other pharmacy staff to ensure patients receive their specialty medication in a timely manner. 90% of...
A-Line Staffing Solutions Remote * (Woonsocket, RI 02895, USA)
Nov 14, 2020
• Knowledge of working for a large, complex client organization • Skill in health care, retail and ecommerce communications • Ability to work expertly in all major social media platforms % Time 1. Create or inspire innovative, effective multi-channel marketing communications campaigns 50 2. Work with Creative Directors, Account Service and Planners to lead communications for specific areas of the business 15 3. Mentor younger creative team members 10 4. Help develop a culture of creativity, innovation and passion for great, effective creative work 10 5. Drive the development of new capabilities 15 Job Requirements: • 7-10 years of relevant work experience in account management role or similar • Knowledge of working on integrated campaigns for national brands • Skill in strategic thinking, big idea generation and video/digital production • Ability to create themselves as well as identify and develop award-winning communications in all...
A-Line Staffing Solutions Remote * (Woonsocket, RI 02895, USA)
Nov 14, 2020
The duties include: Reviewing requests, Using SAS, SQL and VBA. Must do testing, help other team members with QC. The successful candidate will be spending their day doing SAS coding. The SAS code will be used to query data in Teradata, Hana and DB2 systems using SQL. Once all of the required data is retrieved, then SAS code will be used to manipulate data to produce the results required by the mandatory templates Job Requirements: Must have at least 2 years experience using SAS code. Must have at least 3 years experience working with SQL. Bachelor's degree in Computer Science or a related discipline.
A-Line Staffing Solutions Remote * (Woonsocket, RI 02895, USA)
Nov 14, 2020
The Learning & Development Analyst will support sales enablement and learning innovation initiatives . You will work closely with sales leadership to manage emerging requests, conduct research, interpret findings, and make recommendations to innovate learning and development programs. Responsibilities include: • Create intake process to document, address and track emerging requests • Research and evaluate best-in-class learning programs and contingent education offerings • Work with SMEs to design, develop and implement learning solutions • Identify and establish project impact and metrics You will not be responsible for direct employee management but will be required to project manage activities related to your deliverables. WORK REMOTE Job Requirements: • Create process to document emerging requests and actions to address • Research and evaluate best-in-class learning programs and contingent education offerings • Work with SMEs to design, develop...
A-Line Staffing Solutions Remote * (Los Angeles, CA, USA)
Nov 14, 2020
100% remote work The scheduler will be responsible for scheduling established markets that have established a rotating schedule We are looking for 4-5 people to be located in Pacific time zones to support West coast. Job Requirements: Responsible for scheduling Providers and any ancillary staff to ensure adequate market coverage with the goal of keeping the clinics open 100% of the time.
A-Line Staffing Solutions Remote * (Detroit, MI, USA)
Nov 14, 2020
A Data Coordinator is needed for a major managed care company in Detroit, MI! M-F 8:00 PM - 4:30 PM This is a 9 week contract needed for HEDIS season Day to Day Responsibilities of this Position and Description of Project: Provide support and technical assistance to manager, data analysts, and cross-functional teams by downloading, archiving, and maintaining multiple datasets for standard monthly reports and ad hoc requests. Assist in ad-hoc data pulls to support the successful implementation of new initiatives and/or modifications to existing reports to meet dynamic business needs. Download, archive, and manage multiple datasets across numerous platforms, portals, and systems. Prepare and generate reports using data maintained in databases and/or online portals on a set schedule and on an ad-hoc basis Facilitate requests for downloading, transferring, and/or transforming of data. Maintain an inventory of monthly data file receipt and delivery to ensure all data...
A-Line Staffing Solutions Remote * (Phoenix, AZ, USA)
Nov 14, 2020
A HEDIS Reviewer is needed for a major health insurance company in the Phoenix, AZ area! LOCATION: work from home in Phoenix, AZ area. Will potentially make onsite visits to provider offices therefore MUST live IN or NEAR Phoenix. Rate: 23.00/hr M-F 8 AM - 5 PM DO NOT REQUIRE to be nurses or licensed. MUST HAVE Hedis Abstraction Experience HEDIS Abstractor (Onsite/Abstraction/Data Entry/Calls as Required) The assignment may encompass medical chart data collection from provider offices, abstraction from medical records received online by a vendor for the HEDIS project and data entry of all assigned medical records into the applicable software system. Training will be provided prior to the start of the assignment. Duties Include: • Make and confirm site visit appointment (prior to the date of appointment). • Timely notification to office of need to cancel/change appointment. • Provide patient lists to provider offices via fax. • Locate and review ALL...
A-Line Staffing Solutions Remote * (Phoenix, AZ, USA)
Nov 14, 2020
Full time Pharmacy Technician CPhT openings Remote / Work From Home with a major healthcare company! Apply now to Damian Sroka with A-Line! Urgent need, for Pharmacy Technicians! Please apply for consideration! Position will be completely remote or work from home!! PAY RATE : $14.00 per hour (possible increase after 90 days) HOURS : Full-time 40 hours per week. Monday - Friday no weekends - 8:00 AM - 5:00 PM is main shift. Other shift available. Pharmacy Technician Details This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. Job Requirements: Required : Must have a State Pharmacy Technician License clear and active or Must be Certified as a Pharmacy...
A-Line Staffing Solutions Remote * (Penn, PA 15675, USA)
Nov 14, 2020
Full-time, REMOTE opportunity with a major health insurance plan based in Philadelphia. Qualified candidates must live in Allegheny, Westmoreland or Erie County to be considered. 3 positions available for hire! WHAT YOU'LL DO: *When Covid-19 restrictions are lifted* Conduct home visits with members with chronic conditions to reinforce following the care plan improve access to care identify health care needs and reduce unnecessary hospitalizations. Assist members to identify socio-economic issues that affect their overall health and develop health/social management plans and goals. Identify gaps and opportunities to strengthen systems of care within the members community and assists members in utilizing available community services. Build and maintain positive working relationships with the members, provider, nurse case managers agency representatives, supervisors and office staff from diverse cultural and socio-economic backgrounds. Assist with...
A-Line Staffing Solutions Remote * (Nashville, TN, USA)
Nov 14, 2020
We are looking for a Remote Accounts Receivable Specialist in Nashville, TN. This position is Remote due to Covid 19 but candidate will return to work Onsite when the office reopens. This is a Great Opportunity to work for a Large Company! M - F: 8 AM - 5 PM Pay: $17.50 Summary: Receivable responsibilities include full understanding and ability to research cash that cannot be applied through automation, call clients for cash application, posting of deposits, process direct bill transactions, cash receipt adjustments and reconciliations of accounts as needed. This position also includes researching insurance information and providing customer service to field offices, clients, and carriers. • Reads and understands insurance documents in order to research issues • Researches account information to complete accounting activities related to cash application, collections or billing and communicates that information to field offices, clients or carriers as...
A-Line Staffing Solutions Remote * (Nashville, TN, USA)
Nov 14, 2020
We are looking for a Remote Insurance Biller in Nashville, TN. This position is Remote due to Covid 19 but candidate will return to work Onsite when the office reopens. This is a Great Opportunity to work for a Large Company! M - F: 8 AM - 5 PM Pay: $17.50 Summary: This position is responsible for reviewing, analyzing and assessing carrier/broker documentation as it relates to processing insurance billings using the online accounting system. The role is also responsible for providing customer service to field offices, clients and carriers to solve and deliver billing related needs. Process Agency Bill billings including endorsements, audits, cancellations, extensions, new accounts, renewals, reports and fees Attend pre-renewal meetings and process special handling and complex bills Record, store, and maintain accounting information in either written form or by electronic filing system. Research account information to complete accounting activities...
A-Line Staffing Solutions Remote * (Kansas City, KS, USA)
Nov 14, 2020
Hours: Monday thru Friday, 8-6 pm Contract: January - May Location: remote Participates in the review of medical records to abstract clinical information for HEDIS reporting. May require travel to physician offices; Nursing license preferred but not required. (Successful HEDIS review experience may be substituted for licensure) Interprets relevant clinical criteria and/or medical policy/benefits for an identified case. Determines when to consult appropriate provider or practitioner and to review case with medical Director for additional action. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. Prepares and reports business information to internal and external constituents. Consults with the constituents on solutions to business issues. Identifies trends involving clinical issues and reports/recommends solutions to senior management and others. Conducts audits and/or...