Physician Advisor - Fully Remote

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<p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Job Purpose</strong></span></p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the highest degree of compliance. The Physician Advisor works closely with the Client’s medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital services for all patients. This includes identifying opportunities to optimize length of hospital stay and efficient management of resources, ensuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.</span></p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"> </p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Duties and Responsibilities</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Responds to requests for assistance on clinical reviews for medical necessity or any other reason, by any member of the Case Management department in a timely fashion</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Provides consultation to attendings, nurses, and case management staff regarding complex clinical issues and advises on justification required for continued stay, medical necessity and utilization management</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Obtains familiarity and working knowledge of standard published criteria such as MCG/InterQual and applies professional judgment and patient specific variables as may be necessary or justifiable</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Maintains accountability for achieving case management outcomes and fulfills the obligations and responsibilities of the role to support the medical staff in the clinical progression of patient care</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Describes ways to provide improved health record documentation that specifically affect ICD code assignment capture of severity, acuity, risk of mortality, and DRG assignment</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Participates in ongoing training and education related to the Physician Advisor role and responsibilities including topics related to Utilization Management, Care Management and other related areas as requested</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Meets productivity and quality standards within established time requirements. Work product and performance meets or exceeds quality standards.</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Achieve performance goals as outlined in employment agreement</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Maintains confidentiality of patient care and business matters</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Demonstrates behavior that supports the organization’s mission. Participates in required orientation and training related to the Physician Advisor role</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Demonstrates commitment to meeting/exceeding strategic initiatives of organization</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Upholds the organization’s values of teamwork and professionalism and applies Code of Conduct standards to all members of the healthcare team</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Facilitate, mentor, and educate other physicians regarding payer requirements</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Attends all meetings as requested by PAOC leadership</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Participate in the peer review process as may be necessary or requested</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Maintain medical licensure and board certification in good standing</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">During scheduled work hours, commits full attention to Physician Advisory and execution of outlined tasks</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Other duties as assigned</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Understand and comply with Information Security and HIPAA policies and procedures at all times</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Qualifications</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Board Certified and licensed to practice medicine in the US or 3+ years active clinical experience in the US</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">3+ years working as a Physician Advisor performing Level of care reviews as well as Peer to Peer Reviews</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Basic technical skills with Hospital EMRs a must</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Hold and maintain an unrestricted medical license and Board Certification</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Possess a working knowledge of (Hospital) organization & case management operations and administrative standards and policies</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Familiarity with MCG/InterQual placement status criteria is preferred</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Member of the American College of Physician Advisors (ACPA) preferred</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Able to effectively present information, both formal and informal</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Strong analytical skills</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Proficiency</span><span style="margin: 0; padding: 0; user-select: text;"> in Microsoft Office Suite</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Strong interpersonal skills, ability to communicate well at all levels of the organization</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on </span><span style="margin: 0; padding: 0; user-select: text;">accurate</span><span style="margin: 0; padding: 0; user-select: text;"> and </span><span style="margin: 0; padding: 0; user-select: text;">timely</span><span style="margin: 0; padding: 0; user-select: text;"> analyses</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">High level</span><span style="margin: 0; padding: 0; user-select: text;"> of integrity and dependability with </span><span style="margin: 0; padding: 0; user-select: text;">a strong sense</span><span style="margin: 0; padding: 0; user-select: text;"> of urgency and results oriented </span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Excellent written and verbal communication skills </span><span style="margin: 0; padding: 0; user-select: text;">required</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></span></span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Working Conditions</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">This role requires availability to provide a minimum of 16 shifts per month. Each shift is 6-8 hours in duration and includes 2 weekend shifts per month.</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Must</span><span style="margin: 0; padding: 0; user-select: text;"> </span><span style="margin: 0; padding: 0; user-select: text;">possess</span><span style="margin: 0; padding: 0; user-select: text;"> a </span><span style="margin: 0; padding: 0; user-select: text; background-position: left bottom; background-repeat: repeat-x; border-bottom: 1px solid rgba(0, 0, 0, 0);">smart-phone</span><span style="margin: 0; padding: 0; user-select: text;"> or electronic device capable of downloading applications, for multifactor authentication and security purposes.</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Work Environment: The noise level in the work environment is usually minimal.</span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"> </p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><em>Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.</em></span></p>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...