field reviewer

TELUS Digital

<div>
 <p>
  Looking for a freelance opportunity where you can make an impact on technology from the comfort of your home? If you are dynamic, tech-savvy, and always online to learn more, this part-time flexible project is the perfect fit for you!
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   A Day in the Life of a Content Reviewer - US:
  </strong>
 </p>
 <ul>
  <li>
   In this role, you&rsquo;ll be analyzing and providing feedback on texts, pages, images, and other types of information for top search engines, using an online tool
  </li>
  <li>
   Through reviewing and rating search results for relevance and quality, you&rsquo;ll be helping to improve the overall user experience for millions of search engine users, including yourself.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Join our team today and start putting your skills to work for one of the world's leading search engines.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   The estimated hourly earnings for this role are 14 USD per hour.
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  Please note only one member per household can work on this program. If at a later stage it is identified that more than one person in your household is working on the TELUS Digital Rating Program, it will result in removal from the program.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   TELUS Digital AI Community
  </strong>
 </p>
 <p>
  Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world&rsquo;s largest brands.
 </p>
 <p>
  <br/>
 </p>
 <p>
  Qualification path
 </p>
 <p>
  <br/>
 </p>
 <p>
  No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Basic Requirements
  </strong>
 </p>
 <ul>
  <li>
   Working as a freelancer with excellent communication skills in English
  </li>
  <li>
   Being a resident in the United States for the last 3 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in the US.
  </li>
  <li>
   Active use of Gmail and other forms of social media and experience in the use of web browsers to navigate and interact with a variety of content
  </li>
  <li>
   Daily access to a broadband internet connection, a smartphone (Android 5.0, iOS 14 or higher), and a personal computer to work on.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Assessment
  </strong>
 </p>
 <p>
  In order to be hired into the program, you&rsquo;ll take a language assessment and an open book qualification exam that will determine your suitability for the position and complete ID verification. Don&rsquo;t worry, our team will provide you with guidelines and learning materials before your exam. You will be required to complete the exam in a specific timeframe but at your convenience!
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Equal Opportunity
  </strong>
 </p>
 <p>
  All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants&rsquo; qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
 </p>
</div>


Content Reviewer - US | WFH

TEEMA

<div><p><b>Claims Reviewer Opportunity</b></p><p>
Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims processing. If you have a strong foundation in medical claims and are passionate about quality, we want to hear from you!</p><p><b>
Position Highlights</b></p><ul><li><p><b>
Role</b>: Conduct retrospective review of medical, surgical, and behavioral health claims.</p></li><li><p><b>
Focus</b>: Evaluate claims for medical necessity, appropriateness, and adherence to program benefits.</p></li><li><p><b>
Collaboration</b>: Work closely with medical directors, providers, peer reviewers, and various internal teams.</p></li></ul><p><b>
Key Responsibilities</b></p><ul><li><p>
Review and validate claims using established criteria and processing guidelines.</p></li><li><p>
Prepare cases for payment or further review.</p></li><li><p>
Identify opportunities for process improvement and flag quality or fraud concerns.</p></li><li><p>
Support peers and clinical/non-clinical staff with claims and coding inquiries.</p></li></ul><p><b>
What You Bring</b></p><ul><li><p><b>
Required</b>:</p><ul><li><p>
High School Diploma or GED.</p></li><li><p>
2+ years of experience in medical claims review.</p></li><li><p>
Familiarity with medical claims processing and terminology.</p></li></ul></li><li><p><b>
Preferred</b>:</p><ul><li><p>
Coding experience.</p></li><li><p>
Knowledge of behavioral health claims.</p></li></ul></li></ul><p><b>
Skills for Success</b></p><ul><li><p>
Strong technical skills in claims tools (e.g., CDST, Supercoder).</p></li><li><p>
Organizational and team-building abilities.</p></li><li><p>
Resilience in a fast-paced, high-intensity environment.</p></li><li><p>
Effective communication and problem-solving.</p></li></ul><p><b>
Additional Requirements</b></p><ul><li><p>
Must pass background, credit, and drug screening.</p></li><li><p>
Adherence to federal THC policies (medical card required if applicable).</p></li></ul><p><b>
Eligible Locations</b><br>
The position is remote, but you can only reside in the following states: AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY.</p><p>
Ready to bring your claims expertise to a rewarding role? Apply today to be part of our team!</p>
#Workwolf #BCDC_Consulting</div>

Claims Reviewer

MCMC

<div><div><div><b>Ready for a Rewarding Career that Fits Your Lifestyle?</b>
</div></div><p></p><div><div>Imagine a job where you can keep your <b>clinical skills sharp</b>, tackle exciting challenges, AND work from the comfort of your own home. Sounds like the perfect mix, right?</div></div><p>
</p><p></p><div><div><b>MES</b> is looking for a <b>self-driven, high-performing Registered Nurse (RN) or Licensed Vocational Nurse (LVN)</b> to join our dynamic team as a <b>Clinical Quality Assurance Coordinator</b>. In this role, you&rsquo;ll ensure our <b>Peer Review case reports</b> are nothing short of exceptional&mdash;delivering top-notch quality and integrity, all while staying fully aligned with <b>client agreements</b>, <b>regulatory standards</b>, and <b>state and federal mandates</b>.</div></div><p>
</p><div><div>The position is <b>100% remote</b> with a schedule of<b> </b><b>Monday through Friday:</b></div></div><ul><li><div><b>
three days: 12-8:30PM EST
</b></div></li><li><div><b>two days: 8-4:30PM EST</b></div></li></ul><p>
</p><ul><li><div>Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.</div></li><li><div>
Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.</div></li><li><div>
Ensures that all client instructions and specifications have been followed and that all questions have been addressed.</div></li><li><div>
Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.</div></li><li><div>
Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.</div></li><li><div>
Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.</div></li><li><div>
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.</div></li><li><div>
Ensures the provider credentials and signature are adhered to the final report.</div></li><li><div>
Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</div></li><li><div>
Assists in resolution of customer complaints and quality assurance issues as needed.</div></li><li><div>
Ensures all federal ERISA and/or state mandates are adhered to at all times.</div></li><li><div>
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.</div></li><li><div>
Promote effective and efficient utilization of company resources.</div></li><li><div>
Participate in various educational and or training activities as required.</div></li><li><div>
Perform other duties as assigned.</div></li></ul><p>
</p><div></div><div><div>If you&rsquo;re ready to make a real impact in healthcare, all while enjoying the flexibility of working remotely, we want to hear from you!
</div></div><p></p><ul><li><div>Active RN/LVN nursing license required.</div></li><li><div>
Must be a graduate of an accredited nursing program or related medical experience; bachelor's degree preferred.</div></li><li><div>
A minimum of two years clinical or related field experience; or equivalent combination of education and experience.
</div></li><li><div>Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</div></li><li><div>
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.</div></li><li><div>
Must be a qualified typist with a minimum of 40 W.P.M</div></li><li><div>
Must be able to operate a general computer, fax, copier, scanner, and telephone.</div></li><li><div>
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</div></li><li><div>
Must possess excellent skills in English usage, grammar, punctuation and style.</div></li><li><div>
Ability to follow instructions and respond to upper managements&rsquo; directions accurately.</div></li><li><div>
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.</div></li><li><div>
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.</div></li><li><div>
Must be able to work independently, prioritize work activities and use time efficiently.</div></li><li><div>
Must be able to maintain confidentiality.</div></li></ul><p>
</p><p></p><div><div><b>MES Solutions</b> is a premier provider of independent medical examination and peer review services to the insurance, corporate, legal, and government sectors. Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. MES has been providing services nationally since 1978 in accordance with the industry's highest standards of operating excellence and regulatory compliance.</div></div><p>
</p><p></p><div><div>Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.</div></div><div><div><b>
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans</b></div></div><div><div><b><i>
MES offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.</i></b></div></div></div>

Clinical Quality Assurance Coordinator

<div>
 <p>
  Looking for a freelance opportunity where you can make an impact on technology from the comfort of your home? If you are dynamic, tech-savvy, and always online to learn more, this part-time flexible project is the perfect fit for you!
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   A Day in the Life of a Personalized Internet Assessor:
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <ul>
  <li>
   In this role, you&rsquo;ll be analyzing and providing feedback on texts, pages, images, and other types of information for top search engines, using an online tool
  </li>
  <li>
   Through reviewing and rating search results for relevance and quality, you&rsquo;ll be helping to improve the overall user experience for millions of search engine users, including yourself.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <em>
   Join our team today and start putting your skills to work for one of the world's leading search engines.
  </em>
 </p>
 <p>
  <br/>
 </p>
 <p>
  The estimated hourly earnings for this role are 14 USD per hour.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   TELUS Digital AI Community
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world&rsquo;s largest brands.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Qualification path
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Basic Requirements
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <ul>
  <li>
   Working as a freelancer with excellent communication skills in English
  </li>
  <li>
   Being a resident in the United States for the last 3 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in the US.
  </li>
  <li>
   Active use of Gmail and other forms of social media and experience in the use of web browsers to navigate and interact with a variety of content
  </li>
  <li>
   Daily access to a broadband internet connection, a smartphone (Android 5.0, iOS 14 or higher), and a personal computer to work on.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Assessment
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  In order to be hired into the program, you&rsquo;ll take a language assessment and an open book qualification exam that will determine your suitability for the position and complete ID verification. Don&rsquo;t worry, our team will provide you with guidelines and learning materials before your exam. You will be required to complete the exam in a specific timeframe but at your convenience!
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Equal Opportunity
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants&rsquo; qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Interested to apply? Click the link below to register
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   <u>
    https://www.telusinternational.ai/cmp/contributor/jobs/available/128325?utm_source=Craigslist&amp;utm_medium=Ads&amp;utm_campaign=SHTArlyn_AMERICAS_Paid+Site_Craigslist_Ads_128325
   </u>
  </strong>
 </p>
 <p>
  <br/>
 </p>
</div>


Content Reviewer - US

<div>
 <p>
  <strong>
   Looking for a freelance opportunity where you can make an impact on technology from the comfort of your home? If you are dynamic, tech-savvy, and always online to learn more, this part-time flexible project is the perfect fit for you!
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   <br/>
   <br/>
   A Day in the Life of a Personalized Internet Assesso
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   r:
   <br/>
   <br/>
   - In this role, you&rsquo;ll be analyzing and providing feedback on texts, pages, images, and other types of information for top search engines, using an online
  </strong>
 </p>
 <p>
  <strong>
   tool- Through reviewing and rating search results for relevance and quality, you&rsquo;ll be helping to improve the overall user experience for millions of search engine users, including yours
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   elf.
   <br/>
   <br/>
   Join our team today and start putting your skills to work for one of the world's leading search en
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   gines.
   <br/>
   💵The estimated hourly earnings for this role are 14 USD per
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   hour.
   <br/>
   <br/>
   TELUS Digital AI
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Community
   <br/>
   Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world&rsquo;s large
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   st brands.
   <br/>
   <br/>
   Qualif
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   ication path
   <br/>
   <br/>
   No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of th
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   is agreement.
   <br/>
   <br/>
   Ba
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   sic Requirements
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   &checkmark;Working as a freelancer with excellent communication
  </strong>
 </p>
 <p>
  <strong>
   skills in English&checkmark;Being a resident in the United States for the last 3 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural a
  </strong>
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 <p>
  <strong>
   ffairs in the US.&checkmark;Active use of Gmail and other forms of social media and experience in the use of web browsers to navigate and interact with a v
  </strong>
 </p>
 <p>
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   ariety of content&checkmark;Daily access to a broadband internet connection, a smartphone (Android 5.0, iOS 14 or higher), and a personal com
  </strong>
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 <p>
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 <p>
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 <p>
  <strong>
   puter to w
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   ork on.
   <br/>
   <br/>
   Assessment
   <br/>
   In order to be hired into the program, you&rsquo;ll take a language assessment and an open book qualification exam that will determine your suitability for the position and complete ID verification. Don&rsquo;t worry, our team will provide you with guidelines and learning materials before your exam. You will be required to complete the exam in a specific timeframe but
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   at your convenien
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   ce!
   <br/>
   <br/>
   Equal Opportunity
   <br/>
   All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants&rsquo; qualifications, merits, competence, and performance without regard to any characteristi
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
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 <p>
  <strong>
   c related to diversity.
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   <br/>
   🔗Interested to apply? Click t
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   he link below to register
   <br/>
   <br/>
   https://www.telusinternational.ai/cmp/contributor/jobs/available/128325?utm_source=Craigslist&amp;utm_medium=Ads&amp;utm_campaign=SHTArlyn_AMERICAS_Paid
  </strong>
 </p>
 <p>
  <br/>
 </p>
 +Site_Craigslist_Ads_128325
</div>


Search 5440+ Field reviewer jobs near you this June. New roles added regularly across leading industries. Apply today.

5440 field reviewer jobs Near Me

Content Reviewer - US | WFH

Claims Reviewer

Clinical Quality Assurance Coordinator

Content Reviewer - US

Content Reviewer - US

Content Reviewer - US

Content Reviewer - US