Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc.
Now is the perfect time to join the journey. Here’s why
It’s working. We’re in multiple states and on our way to operating countrywide. We have thousands of agents selling our product and millions of dollars of annual customer premiums.
It’s not too late! Despite this traction and stability, we’re still early enough in the journey that there’s time to make a real difference during Openly’s formative period.
If you’d like to understand more about Openly’s mission, consider checking out this video (https://vimeo.com/267654520) from a company pitch we gave several years ago at Techstars.
Job Details
Openly is seeking an experienced Claims Systems & Process Expert responsible for ensuring the claims systems and processes are optimized for the Property Claims Team. The ideal candidate is highly skilled in homeowners claims processes, workflows, technology, and innovation. This role requires a strategic and critical thinker who excels at collaboration, problem identification and problem solving. Opportunities to join a team like this don’t come up often, so if this sounds right up your alley, then keep reading and join our ever-growing team!
Key Responsibilities
Responsible for optimizing, improving and maintaining Openly’s claim management system (SnapSheet)
Responsible for optimizing, improving and maintaining Openly’s estimating platform, CoreLogic.
Identify and implement system and workflow improvements and build new processes
Works closely with key partners to advocate for necessary changes and improvements within core systems
Collaborate with the claims team, product management, engineering, and external partners with all things related to claims systems.
Create efficiencies through automation and optimizing claims systems.
Drive continuous improvement through root cause problem-solving
Able to perform data analysis to identify trends and opportunity areas and present recommendations to the leadership team.
Drive Key Performance Indicators (NPS, Cycle Time, Estimating Accuracy, etc.)
Requirements
At least five years of P&C (homeowners) claims experience required
At least two years of process design/improvement required
At least two years of systems administration experience required
Four (4) year degree required
Must have experience working with systems/ applications, building out processes and system workflows
Must be curious and want to help leverage data to improve process and systems implementation
Must be able to think outside the box and pivot to solve problems
Must be a team player and have a passion for being a part of a hard-working and passionate team
Must have strong attention to detail when communicating with others (verbal & written)
Exceptional analytical and problem-solving skills
Technical Knowledge:
CoreLogic, SnapSheet, and Phone Systems
Experience with program and project management preferred
Knowledge of API rules & protocols to enable software applications and integration preferred
Knowledge of insurance contracts, investigation techniques, legal requirements, and insurance regulations
Ability to work effectively in cross-functional teams and with a wide variety of people (internally and externally)
Can lead and drive KPI’s in a rapidly changing environment
#LI-HK1
Compensation & Benefits:
The target salary range represents the budgeted salary range for this position. Actual compensation for this position will be determined based on the successful candidate’s experience and skills. We are committed to providing a compensation package that not only reflects the responsibilities and requirements of the role, but also the unique expertise that the chosen candidate will bring to our team.
Target Salary Range
$86,000—$101,000 USD
The full salary range shows the min to max salary range for this position. Actual compensation will be commensurate with experience and qualifications and determined based on various factors including the candidate’s qualifications, skills, and experience.
Full Salary Range
$75,825—$126,375 USD
Benefits & Perks
Remote-First Culture – We supported #remotelife long before it was a given. We’ll keep promoting it.
Competitive Salary & Equity
Comprehensive Medical, Dental, and Vision Plan Offerings
Life and disability coverage including voluntary options
Competitive PTO – 20 days and 11 paid holidays (including floating holidays) per year under the Company’s vacation and holiday policies.
Parental Leave – up to 8 weeks (320 hours) of paid parental leave based on meeting eligibility requirements (Birthing parents may be eligible for additional leave through STD)
401K Company Contribution – Openly contributes 3% of the employee’s gross income, even if the employee does not contribute.
Work-from-home stipend – We provide a $1,500 allowance to spend on setting up your home workplace
Annual Professional Development Fund: Each employee has $2,000 in professional development (PD) funds to spend on activities or resources annually. We want each Openly employee to achieve personal and professional success and to feel supported, confident, and informed about improving their efficiency and productivity.
Be Well Program – Employees receive $50 per month to use towards your overall well-being
Paid Volunteer Service Hours
Referral Program and Reward
Depending on position, Employees generally are eligible for cash incentive compensation, including commissions for sales eligible roles. In all cases, eligibility for compensation and benefits is subject to applicable plan and policy terms in effect from time to time.
U.S. Citizens, Green Card Holders, and those authorized to work in the U.S. for any employer and currently residing in the US will be considered.
Openly is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person’s race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Openly is an E-Verify Employer in the United States. Openly will make reasonable accommodations for qualified individuals with known disabilities under applicable law.
At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that’s wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community.
If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we’ve received multiple awards for quality, safety, and outstanding work environment.
In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we’re committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We’re also affiliated with Penn Medicine for cancer and neurosciences, and the Children’s Hospital of Philadelphia for pediatrics.
Location:100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only.
Employment Type:Employee
Employment Classification:Per Diem
Time Type:Part time
Work Shift:1st Shift (United States of America)
Total Weekly Hours:0
Additional Locations:
Job Information: Summary:
Schedules inpatient or outpatient procedures.
Informs patients and physician office of prep instructions or other test requirements.
Correctly identifies the patient, matches medical records, and facilitates hospital care.
Position Responsibilities:
• Responsible for the organized flow of patients throughout the department by accurately inputting surgical procedures and preference cards, orders.
• Acts as the key contact within the department for coordinating the admission process and scheduling surgical procedures.
• Alerts facilitator of current or potential problems and assists in resolution.
• Handles a high volume of incoming and outgoing communication from the unit while providing excellent customer service.
• Maintains medical records, stat reports, enters data into multiple data bases, and runs reports as required.
• Maintains office supplies and equipment.
• Assists in orienting new staff on scheduling and data collection processes.
• Assists with unit coverage as needed.
Position Qualifications Required / Experience Required:
Schedule: Training schedule is M-F 8-4:30 PM, flexbility to tranisiton to 4 10’s after 2-3 weeks
Pay: $20-$27/he depending on experience and qualifications
Contract Duration: Contract will go through December 2024 (6 months). Great opportunity to get your foot in the door with a large community health center organization.
Day to day:
Medical Coding:
Assign accurate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services provided during patient encounters.
Review medical records and documentation to ensure completeness, accuracy, and compliance with coding guidelines.
Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.
Documentation Review and Auditing:
Conduct regular audits of medical records to verify coding accuracy and compliance with regulatory requirements.
Provide feedback and education to healthcare providers and staff on coding and documentation improvement opportunities.
Ensure coding practices adhere to Medicare, Medicaid, and third-party payer guidelines.
Quality Assurance and Compliance:
Stay updated on changes in coding guidelines, regulations, and healthcare industry standards.
Maintain confidentiality and security of patient information in accordance with HIPAA regulations.
Participate in coding-related training programs and continuing education to enhance skills and knowledge.
Communication and Team Collaboration:
Work closely with healthcare providers, medical billing staff, and other team members to resolve coding-related issues.
Communicate effectively with insurance companies and external auditors regarding coding inquiries and audits.
Reporting and Documentation:
Prepare reports on coding accuracy, compliance metrics, and audit findings as required.
Maintain organized records of coding activities, audits, and documentation reviews.
Job Title: Credit Balance SpecialistJob Responsibilities: – Post payments and adjustments to patient accounts – Books appropriate entries for refunds processing – Receive daily receipts from Cashiers Office, and entities -Prepares daily bank deposit; scan Bank deposit information – Prepare book or refund payments received in error – Prepare Electronic reports as required – Balance the daily cash reconciliation to include direct deposit reconciliation – Reconcile Bank to Book discrepancies and prepare monthly reports for Finance – Identifies variances, balancing and report issues on Daily & Monthly reconciliation – Keeps supervisor apprised of any job related issues. – Prepare and combine reconciliation for direct deposit items, wire transfers, daily cash recon and automated payors into monthly reports; Resolves unidentified variances. – Resolve history, un-located and internal accounts. – Post General Ledger entries. – Print & sign out batches for posting. – Post payments and/or adjustments to proper patient accounts and insurance payor. – Run tape on EOB’s per batch to ensure it balances. – Prepare daily work report and forward to appropriate individuals. – Balance and verify cash reports with receipts. – Prepare Daily deposit totals sheet. – Scan patient account/Lawson receipts, and checks to the Daily cash folder. – Prepare or initiate refunds and key into system for interface with A/P. – Balance on a daily basis electronic payers responsible for; Prepare monthly reports.3-5 Must Have Skills/Qualifications -Experience working in a Credit Balance Healthcare Department – Refunds experience – Epic experience – HB and PB experience – Government and Commercial Insurance experience – Remote experienceSchedule: – Monday through Friday – business hours – Some flexibility after training (start as early as 630am and work as late as 6pm), but they need to consistently work their 8 hours through the dayPay: $17-$20/hr DOE (pay increases based on performance as well!)
A position at White Cap isn’t your ordinary job. You’ll work in an exciting and diverse environment, meet interesting people, and have a variety of career opportunities.
The White Cap family is committed to Building Trust on Every Job. We do this by being deeply knowledgeable, fully capable, and always dependable, and our associates are the driving force behind this commitment.
Job Summary
Responsible for ensuring compliance with state and local sales and use tax laws and regulations and other indirect taxes. Implement controls to reduce company tax exposure. Resolve issues that arise as a result of operations and various taxing jurisdictions. Prepare, calculate, project, and perform other related assignments.
Major Tasks, Responsibilities, and Key Accountabilities
Handles one or more of the following sub functions: preparing and reviewing multi-state sales and use tax returns; reviewing business licenses and unclaimed property returns; coordinating and managing sales/use tax and business licenses audits, including sample selection and projections; reviewing, testing and updating point of sales systems (production and development environments) to ensure accuracy of tax calculations including rates and taxability determination; and/or reviewing reconciliations and journal entries.
Ensures compliance with state and local sales and use tax laws and regulations and other indirect taxes.
Assists Sales Tax Manager and provides leadership, training and direction to other staff members.
Implements controls to reduce company tax exposure.
Reviews, researches and responds to government notices.
Identifies and communicates solutions to complex, time-critical or recurring business issues.
Manages exemption certificate issuance and management.
Researches complex tax issues, laws and pending legislation to determine its application to operations, including regulations, statutes and case law. Assists with special projects as needed.
Nature and Scope
Identifies key barriers/core problems and applies problem solving skills in order to deal creatively with complex situations. Troubleshoots and resolves complex problems. Makes decisions under conditions of uncertainty, sometimes with incomplete information, that produce effective end results.
Independently performs assignments with instruction limited to the expected results. Determines and develops an approach to solutions. Receives technical guidance only on unusual or complex problems or issues.
May oversee the completion of projects and assignments, including planning, assigning, monitoring and reviewing progress and accuracy of work, evaluating results, etc. Contributes to employees’ professional development but does not have hiring or firing authority.
Work Environment
Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable.
Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions there may be a need to move or lift light articles.
Typically requires overnight travel less than 10% of the time.
Education and Experience
Typically requires BS/BA in a related discipline. Generally 5-8 years of experience in a related field OR MS/MA and generally 3-5 years of experience in a related field. Certification is required in some areas.
Preferred Qualifications
Strong Excel skills – ability to analyze large data sets
Vertex experience helpful
Oracle ERP experience helpful
If you’re looking to play a role in building America, consider one of our open opportunities. We can’t wait to meet you.
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