Senior Data Consultant

by Irma Moore | Jan 27, 2025 | Uncategorized

Bonterra exists to propel every doer of good to their peak impact. We measure that impact against our vision to increase the giving rate as a percentage of GDP from 2% to 3% by 2033. We know that this goal is lofty, but we are confident that the right technology and expertise will strengthen trust in the sector, allowing the social good industry to accelerate growth and reach peak impact. Bonterra’s differentiated, end-to-end solutions collectively support a unique network of over 20,000 customers, including over 16,000 nonprofit organizations and over 50 percent of Fortune 100 companies. Learn more at bonterratech.com.

Are you passionate about leveraging technology for social good? Do you have a vision for using innovative solutions to drive impactful change in communities?

We are seeking a dynamic and strategic consultant to join our team as the Senior Data Consultant for a multi-city community violence intervention (CVI) initiative. In this crucial role, you’ll play a key part in deploying innovative data management solutions, collaborating closely with key stakeholders including CAPS (Community Anti-Violence Programs) and cities, to evaluate systems, interpret data, and offer actionable recommendations for improvement to ensure the successful execution of project initiatives. This position is perfect for someone with a proven track record in managing complex data projects, engaging stakeholders effectively, and delivering impactful results in a dynamic, fast-paced environment. 

By leveraging deep analytical skills, insights from data, and collaborative strategies, this role helps shape policies, frameworks, and processes that propel cities and cohorts toward their violence reduction goals. This role reports to Professional Services Senior Director and will contribute significantly to on-the-ground implementation and program success. 

What You’ll Do: 

Operational Excellence & Data Management 

• Lead conversations with community stakeholders to integrate diverse perspectives into actionable, data-driven strategies for operational improvements. 

• Advocate for iterative enhancements to CVI models, ensuring operational efficiency and fostering a culture of continuous improvement. 

• Develop a Data Management Toolkit to include:   

• Data Migration: Details how to migrate data from Apricot forms and reports into SafeStat

• Data Management Strategy: Details how data will be collected, stored, reported, and quality control methods for SafeStat   

• Data Dictionary: Defines the CVI-specific fields inside of the Apricot Database for SafeStat reporting   

• Entity Relationship Diagram (ERD): Visually represents how elements in Apricot relate to one another allowing organizations to understand what data is stored, entities and their attribute, and how entities relate to one another   

• Establish and maintain rigorous data governance standards, ensuring the quality, accuracy, and timeliness of data used in decision-making. 

• Define data standards and model for data capture   

• Audit existing data systems and data export capabilities  

• Audit current data collection practices  

• Define reporting needs for each Stakeholder in each city 

Reporting & Analysis 

• Collaborate with stakeholders to define reporting and analysis needs, developing enhanced dashboards, reports, and analytics tools using SAP Business Objects [i.e. Apricot Results Reporting] 

• Deliver timely, accurate data insights, identifying key trends and making strategic recommendations for program adjustments and improvements. 

• Lead efforts to standardize data collection, validation, and analysis processes, ensuring data integrity and the successful integration of multiple data sources. 

• Provide training to stakeholders on data interpretation, best practices for reporting, and the effective use of analytics tools. 

Strategic Advisory 

• Analyze performance data to identify trends, distill actionable insights, and guide the strategic direction of CVI initiatives. Including:  

• Advise on emerging opportunities and challenges within the CVI landscape, recommending agile, data-informed responses. 

• Translate complex data sets into clear, practical recommendations for stakeholders to drive the CVI program forward. 

Collaborative Planning & Stakeholder Engagement 

• Develop and execute strategic plans [i.e. Individualized City Playbooks; Implementation Playbooks; Data Management Toolkit] that align with the goals of cities and cohorts, ensuring unity and a shared purpose in CVI efforts, including:  

• Facilitate stakeholder workshops, guiding the collaborative development of shared visions, goals, and actionable strategies. 

• Engage cross-functional teams and diverse stakeholders to co-create strategies and ensure alignment with the overarching CVI objectives. 

• Continuously monitor and adjust strategic plans based on feedback, performance metrics, and evolving community needs. 

Requirements: 

• A minimum of 3 years in a senior level strategic consulting, data management, or a related role, ideally within a SaaS, community violence intervention, public safety, or health and human services environment. 

• Advanced knowledge of data management best practices, including governance, security, and confidentiality. 

• Ability to work effectively in a collaborative, multi-stakeholder environment and navigate complex organizational dynamics.

• Strong ability to analyze complex data and distill insights that inform high-level strategies and decision-making. 

• Expertise in developing, implementing, and managing data strategies that align with programmatic goals. 

• Demonstrated experience in facilitating cross-functional collaboration and guiding multi-stakeholder decision-making. 

• Strong communication skills, capable of articulating complex technical concepts to both technical and non-technical stakeholders. 

• Demonstrated commitment to racial justice, equity, and cultural humility, with hands-on experience working in or with communities affected by violence. 

Additional Preferred Skills: 

• Experience with cloud-based data platforms  

• Bachelor’s degree in data science, public health, social sciences, or a related field (or equivalent work experience). 

• Familiarity with community violence intervention frameworks and models, and expertise in strategic planning and data-driven decision-making, particularly within the context of community violence intervention and public safety. 

• Technical proficiency in in advanced data analysis, and visualization and reporting tools, for data management (e.g., SQL, Tableau, SAP BI/Business Objects). 

• Experience with Apricot database 

Compensation

The range displayed on this job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. 

Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and in addition to benefits this role may be eligible for discretionary bonuses/incentives, and equity. 

US Base Salary Range: $60,000 – $145,000

Please note that the compensation range and benefits specified in this job posting is applicable to candidates based in the United States. For international applicants, actual salary offers and benefit plans may vary based on the local market compensation standards and will be determined in accordance with regional considerations, including but not limited to applicable laws, cost of living, and industry norms.  

We will be accepting applications for this role until 2/15/2025

Our Culture:  At Bonterra, we’re innovating with a higher purpose: to increase giving to 3% of US GDP by 2033, creating $573 billion more in global impact every year. To achieve our vision, we cultivate an inclusive environment where diversity is embraced and every team member feels empowered to contribute. Innovation, curiosity, and a commitment to equity guide our work. We foster a culture of belonging, ensuring that every individual is valued, respected, and given the tools to succeed. Together, we are dedicated to making a positive impact in the world.

Our comprehensive and competitive benefits include:

• Generous Flexible Time Off (FTO) Policy
• Up to 15 paid company holidays including some commemorating social justice events and self-care
• Paid volunteer time
• Resources for savings and investments
• Paid parental leave
• Paid sick leave
• Health, vision, dental, and life insurance with additional access to health and wellness programs.
• Opportunities to learn, develop, network, and connect

Please note the benefits specified on this page are applicable to full-time employees based in the United States. For international employees, actual benefits may vary based on local standards and regulations and will be determined in accordance with regional considerations, including but not limited to applicable laws and industry norms.

We are committed to being an equal opportunity employer and evaluate qualified applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, diversity of thought and any other characteristic protected by applicable law.

Data Verification Specialist

by Irma Moore | Jan 27, 2025 | Uncategorized

Cybercrime is rising, reaching record highs in 2023. According to the FBI’s IC3 report total losses exceeded $12 billion. With investment fraud and BEC scams at the forefront, the message is clear: the real estate sector remains a lucrative target for cybercriminals. At CertifID, we take this threat seriously and provide a secure platform that verifies the identities of parties involved in transactions, authenticates wire transfer instructions, and detects potential fraud attempts. Our technology is designed to mitigate risks and ensure that every transaction is conducted with confidence and peace of mind.

We know we couldn’t take on this challenge without our incredible team. We have been recognized as one of the Best Startups to Work for in Austin, made the Inc. 5000 list, and won Best Culture by Purpose Jobs in 2023. We are guided by our core values and our vision of a world without wire fraud. We offer a dynamic work environment where you can contribute to meaningful impact and be part of a team dedicated to enhancing security and fighting fraud.

As a Data Verification Specialist, you’ll be at the forefront of maintaining and enhancing our product database, ensuring accuracy, and upholding database integrity. You’ll be a data detective and will play a vital role in protecting our customers from fraud.

Responsibilities:

– Meticulously examine data from various sources to ensure accuracy and completeness

– Identify and correct data errors and inconsistencies

– Research and verify missing information to ensure data completeness

– Conduct an average of 35 daily outreach calls to confirm business information

– Follow established data entry procedures and guidelines to maintain a high level of accuracy and efficiency

– Maintain confidentiality and security of sensitive information 

What you will need:

– Clerical office skills, including computer skills and data entry preferred

– Detail-oriented with strong investigative skills

– Reliable with a positive and professional attitude and strong work ethic

– Ability to learn to navigate through different systems and portals

– Adaptability to handle changes in procedures and software system

– Ability to prioritize, ask questions when appropriate and exercise good judgment

– Strong organizational skills with an ability to manage time and resources effectively

– Excellent communication and interpersonal skills

Benefits: 

– Health, dental, and vision Insurance

– 401k with matching and no waiting period

– Equity

– Wellness reimbursement of $300/year

– Life insurance

– Parental leave

– 20 vacation days

– 5 sick days

– 12 company-paid holidays

– No work on your birthday

ROI Medical Records Specialist – Remote

by Irma Moore | Jan 27, 2025 | Uncategorized

Job Description:

This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Essential Job Functions:

• Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
• Date stamps all requests and highlights pertinent data to facilitate processing.
• Validates requests and authorizations for release of medical information according to established procedures.
• Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
• Maintain equipment in excellent operating condition (inside and out).
• Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
• May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
• Maintains a neat, clean, and professional personal appearance and observes the dress code established.
• Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
• Maintains working knowledge of the existing state laws and fee structure
• Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
• Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
• Maintains confidentiality, security and standards of ethics with all information.
• Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

• High School Diploma (GED) required
• A minimum of 2 years prior experience in a medical records department or like setting preferred
• Must have strong computer software experience – general working knowledge of Microsoft Word and Excel required
• Requires ability to work remotely and at times provide support in client locations. Geographical proximity to the assigned client site required.
• Excellent organizational skills a must
• Must be able to type 50 wpm
• Must be able to use fax, copier, scanning machine
• Must be willing to learn new equipment and processes quickly.
• Must be self-motivated, a team player
• Must have proven customer satisfaction skills
• Must be able to multi-task

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Sharecare is an Equal Opportunity Employer and doesn’t discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status, or other non-merit factor.

Medical Coding Reviewer I

by Irma Moore | Jan 27, 2025 | Uncategorized

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 Position Purpose: Perform clinical/coding medical claim review to ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records, claims history, state regulations, contractual obligations, corporate policies and procedures and guidelines established by the American Medical Association and the Centers for Medicare and Medicaid Services.

• Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion

• Review medical records to ensure billing is consistent with medical record for appeals, adjustments and miscellaneous/unlisted code review

• Review cases with Medical Director to validate decisions and identify opportunities to create medical policy in the absence of guidelines

• Assist with research of health plan coding questions

• Identify potential billing errors, abuse, and fraud

• Identify opportunities to flag potential cases which may warrant a prepayment review (versus an automatic system denial or payment)

• Maintain appropriate records, files, documentation, etc
• Performs other duties as assigned

• Complies with all policies and standards

Education/Experience: Associate’s degree in related field or equivalent experience. Coding certification and 2+ years of experience in medical billing & coding, coding/data analysis, accounting/business or physician/hospital data management or RN/LPN and 2+ years of related clinical experience. Experience in provider communication and education preferred.

License/Certification: LPN, RN, CPC, CPC-H, CPC-P, CPC-A, CCS, CCS-P, RHIT, RHIA, CPMA, or ParamedicPay Range: $26.50 – $47.59 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

A/R Representative

by Irma Moore | Jan 27, 2025 | Uncategorized

Job Description:

Baptist Health Medical Group is looking for an A/R Representative to join our team. This is a remote position that requires residency in KY or IN

Under the direction of the Medical Group’s CBO Supervisors and Managers, the A/R Rep is responsible for CBO related duties such as billing, follow-up, claim edits, credits, provider enrollment review, and other billing-related projects, cash posting and payer underpayment resolution, customer service, and/or administrative functions.

Essential Duties:

• Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately.
• Review previous notes, correspondence, and document actions taken on account in the Practice Management System.
• Follows up on unpaid claims, identifies overpayments, and initiates refunds and adjustment process to ensure accurate and timely submission. 
• Perform account reconciliations and analysis to ensure accuracy and completeness of invoices.
• Maintains working knowledge of payor policies applicable to assigned work group.
• Works closely with the supervisor or manager in the department to report denial trends and follow up with the payer.
• Works Customer Service inquiries from patients and others to include written requests, emails, and/or answer phones.
• Works with all other revenue cycle departments and practices to resolve any outstanding encounters
• Maintain productivity and quality standards as set by CBO leadership.
• Maintains an acceptable average “Quality Review” score as set by CBO quality and productivity policy.
• Maintains an acceptable productivity average of 90% or greater.
• Maintains working knowledge of payor policies applicable to assigned work group.
• Maintain billing/coding knowledge of assigned specialty and identify trends to report up to leadership.

Minimum Education, Experience, Training and Licensures Required

• High school graduate or GED certificate required; Associate degree preferred
• 3+ years of Ambulatory/Provider Billing in a multi-specialty practice preferred
• 1-2 years EPIC Practice Management experience preferred
• Proficient with standard Windows applications (e.g., MS Office application suite, advanced skilled using MS Excel functions)
• High level proficiency in use of basic computer applications (e.g., Internet Explorer, word processing, email applications)
• Advanced keyboarding skills

Monday-Friday, 1st shift

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!