PLS Review Specialist

PLS Review Specialist

BCforward is currently seeking a highly motivated PLS Review Specialist for an opportunity in Remote - Indiana, CST or EST

Job Details:

Position: PLS Review Specialist

Location: Remote - Indiana, CST or EST

Duration: 6 months (up to three additional 6-month extensions, not to extend beyond two years)

Work Type: Remote

Working hours: 30 Hours per week, preferred 11:00 AM to 5:00 PM shift, no lunch or 10:30 AM to 5:.00 PM with 30-minute lunch.

Pay Rate: $21.47/hr

Position Purpose:

• Perform retrospective review of Emergency Room claims for benefit determination, according to the Prudent Layperson Standard (PLS) for emergency room visits and other non-clinical aspects of review.

Education/Experience:

• High school diploma or equivalent. Experience with office equipment to include personal computer (dual monitor), Excel and Microsoft Office.

MHS Indiana only:

Education/Experience:

• High school diploma or equivalent.
  No Medical training required but person draws on his/her own practical experience when making a decision whether an emergency medical condition is present wherein treatment is needed.
• Experience with office equipment to include personal computer and have experience with Excel and Microsoft Office.
• Contingent Staff to be utilized to allow for a maximum of two years duration in this position.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is 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, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 247715 when responding to this ad.

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