by Irma Moore | Jun 24, 2024 | Uncategorized
Overview
Now is the time to join us!
We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.
Responsibilities
Who are you?
The Delivery Specialist will have responsibility for maintaining a broad understanding and technical knowledge of all Personify Health products and services to ensure quality delivery on service and performance commitments to clients. This client-facing and engaged role will help execute the strategy coordinated by Account Management and the client team.
In this role you will wear many hats, but your knowledge will be essential in the following:
- Coordinate the documenting, submission, tracking, communication, and monitoring of client program requirements post-implementation (either new logo or cross/upsell implementation)
- Help clients to match program needs with operationally efficient delivery options.
- Build relationships with cross-functional teams (Finance, Implementation, Client Operations, Member Services, Product, DSR, and Live Services teams) to execute deliverables for clients.
- Deliver agreed reporting from internal tools.
- Support member service delivery by resolving needs for client-specific information, updating training agents and completing documentation.
- Proactively monitor satisfactory resolution of client technical support issues by appropriate internal team
- Working knowledge of tools significant in responsibilities, including but not limited to Salesforce, GenAdmin, Gainsight, MicroStrategy, JIRA and/or Confluence.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Qualifications
What you bring to the Personify Health team:
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:
- Bachelor’s degree or comparable experience in a related field (health, healthcare, health science, wellness, customer service, business management, operations, and/or logistics)
- 1-3+ years of professional work experience, preferably aligned to roles in operations/logistics, customer service, customer management, software implementation and/or project management.
- Previous experience in SaaS, or health/wellness and/or health care industry (preferred).
- Excellent customer facing skills, including a commitment to client satisfaction.
- Impeccable organization and priority management skills
- Ability to manage multiple tasks with varied dependencies and timelines.
- Self-motivated with proactive approach, appropriate sense of urgency and a positive attitude
- Able to navigate change and support clients in change management.
- Proficiency with various software applications, including but not limited to Microsoft Suite (Word, Excel, PowerPoint, Outlook, Teams, and OneDrive), virtual meeting platforms.
- Ability to navigate a dynamic technological environment.
- Required to work cross functionally with co-workers.
- Outstanding interpersonal skills, including strong communication skills, both verbal and written. While not required, language proficiency in Spanish, German, or French are valuable.
- Solid analytical and problem-solving skills
Work Environment:
- Remote or in office environment.
Physical Requirements: To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform essential job functions.
- Must be able to remain in a stationary position 50% of the time.
- The person in this job needs to occasionally move about inside the office to access office machinery, file cabinets and meeting facilities.
- Constantly operates a computer and other office productivity machinery, such as copy and fax machine, computer printer, calculator, etc.
- Frequently positions self to maintain files in file cabinets.
- Frequently moves boxes or equipment weighing up to 25 pounds.
- Must have the ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
- Must have the ability to observe details at close range.
No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!
Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.
In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges up to $60,000.00. Note that salary may vary based on location, skills, and experience. This position is eligible for 5% target bonus as well as health, dental, vision, mental health and other benefits.
We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.
by Irma Moore | Jun 21, 2024 | Uncategorized
Description
Quick Med Claims (QMC) is a nationally recognized leader in emergency medical transportation billing and reimbursement. QMC is committed to providing services in a manner that ensures compliance with all applicable billing and reimbursement regulations while maximizing the capture of allowable reimbursement for each client. The commitment to adherence to both principles make QMC the partner of choice for emergency medical transportation providers.
QMC is headquartered in Pittsburgh, PA. This position is remote.
Summary:
The Billing Specialist I will utilize master billing guides and other process instructions to review PCR to ensure medical necessity, reasonableness, level of service, ICD10 coding and mileage is correct. This role is fundamental in QMC’s revenue cycle management process and ensures that claims are coded and billed accurately and timely. The selected Billing Specialist I will maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims.
Responsibilities:
- Review patient medical records and supporting documentation.
- Add required data elements to the account in RescueNet including ICD9 code, charges and billing narrative.
- Follow up with insurance carriers on the status of past due accounts
- Contact patients, hospitals, attorneys and other parties to obtain insurance information
- Review claims that have been denied by insurance carriers and submit corrected claims or appeals as necessary.
- Ensure all tasks are completed according to Quick Med Claims policies as well as state and federal guidelines.
- Meeting or exceeding defined productivity standards of the position
- Responsible for properly notating accounts reviewed.
- Responsible for attaching necessary documentation within the system or to paper 1500’s.
- Calling patients, facilities, insurances, and attorneys as needed to research claims.
- Verify patient’s insurance information utilizing various resources such as websites, telephone, IVR, and provider CSR’s when applicable.
- Generate and follow up on self-pay bills to patients for that portion of the bill not covered by third party insurance.
- Respond to patient calls related to billing inquiries and follow up.
- Work return mail and bad address accounts as needed.
- Obtain additional information from clients when needed, such as HIPAA forms, pre authorizations from insurance companies and physician medical necessity forms in order to submit third party claims.
- Create, review, and complete billing documents on Rescue Net by using dates provided on patient care reports, physician medical necessity forms and hospital face sheets.
- Review and submit finalized claims either on 1500 paper forms with supporting documentation or electronically.
- Review edits and rejections stemming from electronic billing and the correction and resubmitting of the same.
- Review denials making adjustments and/or corrections in order to resubmit claims for payment.
- File appeals when necessary in order to have a denial decision reversed.
- Submit 1500 forms to secondary insurance companies with required documentation such as explanation of benefit forms from primary insurance companies.
- Maintaining workflow to keep aging accounts at a minimum by following up on unpaid claims on a daily basis.
- Responsible for follow up on all assigned accounts that have reached collections to ensure they have been fully worked before turning them over to a collection agency.
- Process all insurance claim forms in accordance with Federal and State laws as well as departmental procedures.
Requirements
Qualifications:
- High school diploma or equivalent is required
- 1+ years of work experience in medical billing and coding preferably with EMS or ambulance claims required
- 1+ years of experience navigating electronic and paper medical record systems required
- 1+ years of experience preparing and submitting clean claims to various insurance companies required
- Medical billing certification or degree from a technical school or college preferred
- Certified Ambulance Coder Certification (CAC) preferred
- Prior experience with RescueNet, Cerner, Tritech, or similar systems is preferred
- Excellent communication skills to include verbal and written
- Ability to work between multiple screens and computer programs
- Excellent verbal and written communication skills with a strong client service focus
- Basic computer skills, such as sending emails, typing, and using spreadsheets
- Exceptional time management skills with the ability to work independently and as a part of a team
- Confidence to maintain the strictest confidentiality while adhering to all HIPAA guidelines and regulations
Benefits:
- Comprehensive & competitive benefit package
- Generous 401k Company Match Program
- Profit Sharing Potential
- Bonus Program Potential
- Flexible work schedules
- Paid time off and holidays
by Irma Moore | Jun 21, 2024 | Uncategorized
ABOUT HUB INTERNATIONAL:
HUB International Limited (“HUB”) is the 5th largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 18,000 employees in 500+ offices throughout North America, HUB has grown substantially, in part due to our industry leading success in Mergers and Acquisitions.
WHAT WE OFFER YOU:
At HUB we believe in investing in the future of our employees. Our entrepreneurial culture fosters an environment of open feedback and improvement that empowers our people to make the best decisions for our customers and organization. We offer:
- Competitive salaries and benefits offerings
- Medical/dental/vision insurance and voluntary insurance options
- Health Savings Account funding
- 401k matching program
- Company paid Life and Short-Term Disability Plans
- Supplemental Life and Long-Term Disability Options
- Comprehensive Wellness Program
- Paid Parental Leave
- Generous PTO Package – Vacation, Holiday, Sick, and Personal Time Off
- Great work/life balance, because that’s important for all of us!
- Focus on creating a meaningful environment through employee engagement events
- The ability to be a part of a motivated, winning team with the opportunity to learn from colleagues who are amongst the top talent in the industry!
- Growth potential – HUB is constantly growing and so can your career!
- A rewarding career that helps local businesses in the community
- Strong community support and involvement through HUB Gives
SUMMARY:
The Billing Specialist role requires an individual who is professional and who displays the drive, determination, and self-motivation to help build a business. Specifically, your mission will be to work closely with the ARC and local Producers to fill the gap of agency bill issues.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Invoice ALL agency bill items for GUS P&C Regions
• Follow set workflows for all agency invoicing
• Work with account managers to invoice all agency billed premiums for endorsements, renewals, new business, audits,
• Review account set up in EPIC to be sure PR/BR and production credit information is correct
• Review and update all commissions in EPIC for the carrier, producer, and agency
• Work with HFC to review and correct all discrepancies
• Work with Payable department to ensure payments sent on all large accounts
• Track aged receivables past due and advise producer and account manager to request cancellations or provide completed advance documentation
• Complete all finance agreement transactions
• Work with producers to find, verify, and track down missing transactions to make corrections to their producer commission that are on their statements by fixing any errors
• Other duties assigned as they relate to direct bill transactions, corrections, and reports
• Work with the agency bill and payables team to expedite corrections and carrier payments
• Work with Ops Manager to gather information for accounts going to collection
• Other duties as assigned
REQUIREMENTS:
• Prior insurance accounting experience would be helpful
• A high school diploma required; some college preferred
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook) Knowledge of EPIC agency management system highly preferred
• High attention to detail essentialDepartment Accounting & FinanceRequired Experience: 1-2 years of relevant experienceRequired Travel: No Travel RequiredRequired Education: High school or equivalent
HUB International Limited is an equal opportunity and affirmative action employer that does not discriminate on the basis of race/ethnicity, national origin, religion, age, color, sex, sexual orientation, gender identity, disability or veteran’s status, or any other characteristic protected by local, state or federal laws, rules or regulations. The EEO is the Law poster and its supplement is available here at http://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm .
EEOAA Policy
E-Verify Program
We endeavor to make this website accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the US Recruiting Team toll-free at (844) 300-9193 or [email protected]. This contact information is for accommodation requests only; do not use this contact information to inquire about the status of applications.
by Irma Moore | Jun 21, 2024 | Uncategorized
ABOUT HUB INTERNATIONAL:
HUB International Limited (“HUB”) is the 5th largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. With over 18,000 employees in 500+ offices throughout North America, HUB has grown substantially, in part due to our industry leading success in Mergers and Acquisitions.
WHAT WE OFFER YOU:
At HUB we believe in investing in the future of our employees. Our entrepreneurial culture fosters an environment of open feedback and improvement that empowers our people to make the best decisions for our customers and organization. We offer:
- Competitive salaries and benefits offerings
- Medical/dental/vision insurance and voluntary insurance options
- Health Savings Account funding
- 401k matching program
- Company paid Life and Short-Term Disability Plans
- Supplemental Life and Long-Term Disability Options
- Comprehensive Wellness Program
- Paid Parental Leave
- Generous PTO Package – Vacation, Holiday, Sick, and Personal Time Off
- Great work/life balance, because that’s important for all of us!
- Focus on creating a meaningful environment through employee engagement events
- The ability to be a part of a motivated, winning team with the opportunity to learn from colleagues who are amongst the top talent in the industry!
- Growth potential – HUB is constantly growing and so can your career!
- A rewarding career that helps local businesses in the community
- Strong community support and involvement through HUB Gives
SUMMARY:
The Billing Specialist role requires an individual who is professional and who displays the drive, determination, and self-motivation to help build a business. Specifically, your mission will be to work closely with the ARC and local Producers to fill the gap of agency bill issues.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Invoice ALL agency bill items for GUS P&C Regions
• Follow set workflows for all agency invoicing
• Work with account managers to invoice all agency billed premiums for endorsements, renewals, new business, audits,
• Review account set up in EPIC to be sure PR/BR and production credit information is correct
• Review and update all commissions in EPIC for the carrier, producer, and agency
• Work with HFC to review and correct all discrepancies
• Work with Payable department to ensure payments sent on all large accounts
• Track aged receivables past due and advise producer and account manager to request cancellations or provide completed advance documentation
• Complete all finance agreement transactions
• Work with producers to find, verify, and track down missing transactions to make corrections to their producer commission that are on their statements by fixing any errors
• Other duties assigned as they relate to direct bill transactions, corrections, and reports
• Work with the agency bill and payables team to expedite corrections and carrier payments
• Work with Ops Manager to gather information for accounts going to collection
• Other duties as assigned
REQUIREMENTS:
• Prior insurance accounting experience would be helpful
• A high school diploma required; some college preferred
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook) Knowledge of EPIC agency management system highly preferred
• High attention to detail essentialDepartment Accounting & FinanceRequired Experience: 1-2 years of relevant experienceRequired Travel: No Travel RequiredRequired Education: High school or equivalent
HUB International Limited is an equal opportunity and affirmative action employer that does not discriminate on the basis of race/ethnicity, national origin, religion, age, color, sex, sexual orientation, gender identity, disability or veteran’s status, or any other characteristic protected by local, state or federal laws, rules or regulations. The EEO is the Law poster and its supplement is available here at http://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm .
EEOAA Policy
E-Verify Program
We endeavor to make this website accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the US Recruiting Team toll-free at (844) 300-9193 or [email protected]. This contact information is for accommodation requests only; do not use this contact information to inquire about the status of applications.
by Irma Moore | Jun 21, 2024 | Uncategorized
Job Description
Posted Sunday, June 16, 2024 at 11:00 PM
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive’s vision for healthcare revenue management visit finthrive.com/why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we’re proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at https://finthrive.com/careers#culture.
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit finthrive.com/careers-benefits.
About the Role
Impact you will make
The Revenue Accountant is responsible for the accurate and timely processing of financial information. This role will play an essential part in creating visibility into revenue accuracy.
What you will do
- Prepare Journal entries and account reconciliations
- Prepare detailed analyses
- Review customer contracts and ensure revenue is recorded timely and accurately
- Serve as initial point of contact for internal stakeholders
- Follow internal controls and participate in quarterly and year-end audits
- Work closely with other accounting personnel and other internal departments
What you will bring
- Bachelor’s degree in accounting or finance
- Ability to work in a team environment that requires quick turnaround and quality output
- Ability to recognize customer problems and find appropriate resources to help solve the problem
- Ability to handle critical deadlines
- Solid knowledge of all Microsoft Office products, specifically Excel
What we would like to see
- Accounting or customer service experience preferred
FinThrive’s Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive’s core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive’s business practices; this includes becoming familiar with FinThrive’s Code of Ethics, attending training as required, notifying management or FinThrive’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights
Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
© 2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
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