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Insperity provides the most comprehensive suite of scalable HR solutions available in the marketplace with an optimal blend of premium HR service and technology. With more than 90 locations throughout the U.S., Insperity is currently making a difference for thousands of businesses and communities nationwide.Behind our success is the unshakeable belief in the value of our people. We value diversity, inclusivity and a sense of belonging. We celebrate work and life events, and we partner with our clients and communities to make great things happen Culture - Insperity.We have received numerous workplace awards, most recently ranking on Glassdoor’s “Best Places to Work in the U.S. 2024” list, and U.S. News &amp; World Report’s “Best Companies to Work for 2024” list. In addition, we have been recognized as a certified Great Place to Work®, and for having one of the country’s Top 50 Midsize Early Talent Programs by RippleMatch’s 2024 Campus Forward Awards. There is no better time to be a part of Insperity, and our best work is yet to come. To learn more about sales careers with Insperity, Sales - Insperity.Why Insperity?Work-Life Balance:&nbsp;We want your time to have balance, whether it’s spent with coworkers, clients, family or your community.Career Growth: Insperity provides many ways to grow with the company. We offer continuous learning programs, world-class onsite training at corporate headquarters, mentorship opportunities and education reimbursement.Well-Being:&nbsp;Our total rewards package includes 19 days paid time off, 9 paid holidays, top-tier medical, dental and vision benefits, health &amp; wellness support, paid volunteer hours and much more. We take care of our people so that you can do your best work.Competitive Compensation: In addition to a competitive base salary, enrollment bonuses and residual income, you’ll have access to an expense allowance and additional incentive compensation, and be eligible to compete for annual awards and trips.Outside Sales Consultant (Business Performance Advisor)We’re in search of salespeople who know that making a sale is about being an advisor – helping the client find the right solution for their unique human resource needs. You’ll have the backing of an organization dedicated to helping you make the deal and a service team committed to keeping your clients happy – even after the sale is complete.You’ll get:•&nbsp; &nbsp;&nbsp;The resources needed to be successful, including training at corporate headquarters, face-to-face leadership and small-team mentorship/collaboration.•&nbsp; &nbsp;&nbsp;Marketing support, and a team to help nurture your network through company-sponsored events.•&nbsp; &nbsp;&nbsp;The stability of a recession-proof industry, and the excitement of a growing company!You are:•&nbsp; &nbsp;&nbsp;Consultative – You’d rather build relationships and recommend the best solution based on needs and challenges.•&nbsp; &nbsp;&nbsp;Motivated by a big payoff – We’re talking long-term residual income.•&nbsp; &nbsp;&nbsp;Business savvy – Maybe you’ve had your own business or have the spirit of an entrepreneur. Either way, you know the heart of a business owner.•&nbsp; &nbsp;&nbsp;Good with people – You’re able to take on an advisory role with the C-suite in a professional manner.•&nbsp; &nbsp;&nbsp;Connected – You’re growing a network of business executives who can help expand your sales pipeline.What you’ll do:•&nbsp; &nbsp;&nbsp;Identify small and midsized businesses to offer Insperity’s human resource services and technology.•&nbsp; &nbsp;&nbsp;Call on business owners virtually and in person to explain how Insperity’s HR solutions can help solve their challenges.•&nbsp; &nbsp;&nbsp;Engage your network and build lasting partnerships.At Insperity, we celebrate the diversity of our employees and our leadership. Insperity is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Insperity

Outside Sales Consultant (Business Performance Advisor)

About CorroHealth: At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp; JOB SUMMARY:Status – Independent Contractor (Part-Time/Flexible) About CorroHealth: At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.JOB SUMMARY:As a DRG Downgrade Appeals Clinician, you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor. You will perform retrospective clinical case reviews and draft appeals that focus on establishing the Medical Necessity of diagnosis in question by the payor or 3rd party audit firm.&nbsp;Essential Duties and Responsibilities:<ul><li>Performs retrospective medical necessity reviews to determine appeal eligibility of clinical validation DRG Downgrade denials.</li><li>Constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate medical necessity criteria and other pertinent clinical facts.<ul><li>Pertinent clinical facts include, but are not limited to, documenting that the clinical criteria utilized in diagnosing the patient was appropriate.</li></ul></li><li>Adheres to all coding and clinical documentation guidelines as endorsed by ACDIS and AHIMA.</li></ul>Minimum Qualifications &amp; Competencies: <ul><li>RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States.</li><li>Certified in coding through either the AAPC (CPC/COC) or AHIMA (CCS/CCS-P)</li><li>Minimum of 5 years recent acute-care hospital experience, preferred.</li><li>Minimum of 2 years Utilization Review / Case Management experience within the last 5 years.</li><li>Must have excellent written communication skills and be computer proficient.</li></ul>Appeal Type &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Fee In Patient &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; $ 45/appeal &nbsp;Out Patient &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; $ 25/appeal &nbsp;QA Review &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; $ 25/appealDRG Downgrade Review $70ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

2 Project Management / Professional Services Jobs in New Brunswick, NJ, USA