by Irma Moore | Apr 23, 2024 | Uncategorized
You’ll bring your skills in expert project management and stakeholder management, backed up by excellent communication and presentation skills . Additionally, you’ll bring experience building cross-functional alignment with multiple teams.
This is a US based remote position. The ideal candidate will live within the East Coast time zone.
What you’ll do:
- Proactively identify, assess, and address business and brand website needs, while driving innovation and clear cross-functional communication.
- Own the maintenance and improvement of a brand website including content management and architectural changes
- Prepare and oversee long-term web content plans and strategy for website development and presence.
- Ensure compliance with relevant web standards, best practices and regulatory requirements, such as GDPR and accessibility standards.
- Own SEO strategy, ensuring a strong positioning on key topics across multiple languages
- Track key performance metrics and analyzed traffic and engagement while providing optimization recommendations to the organization
- Manage all tools, software, vendor relationships and budget for the website as a channel
by Irma Moore | Apr 23, 2024 | Uncategorized
As a Professional Fee Coder III, you will monitor, review, and apply correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. You will identify and apply diagnosis codes, cot codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. Lastly, you will ensure that billing discrepancies are met and corrected.
The ideal future caregiver is someone who:
• Has at least three years of coding experience in a multi-specialty facility.
• Demonstrates strong critical thinking and analytical skills.
• Effectively works under pressure.
• Excels in a remote work environment.
By taking this opportunity, you will work with an empathetic and supportive team that has created a positive and flexible culture. You will work 100% remotely with flexible hours.
by Irma Moore | Apr 23, 2024 | Uncategorized
Create manual payment batches in accordance with departmental policies and procedures to resolve aged checks.
• Manually associate open checks to available payment batches with 99% accuracy.
• Monitor frequency of carrier payments and notify account team or data management when off cycle.
• Resolve processing issues timely for assigned workload:
• Upload bank files and monitor for exceptions. Contact bank or account team as needed to resolve issues.
• Research and request missing remittance through retrieving data from carrier online portals, working with Payer Relations Team, or calling the carrier to request paper form.
• Perform routine file maintenance including but not limited to setting up new stores, carriers or processing rules based on direction given by account team or manager.
• Monitor exceptions to initiate action for missing store or carrier information.
• Confirm set up of bank cross reference file using MICR line information from newly submitted payments by carriers.
• Follow HIPAA policies and procedures per company guidelines
• Performing special projects and other duties as assigned by management
by Irma Moore | Apr 22, 2024 | Uncategorized
- Collaborate with Data Engineering to identify and source essential data for fulfilling your deliverables.
- Promote data-driven culture and awareness throughout the organization.
- Drive and maintain a robust data dictionary for curated datasets with the team.
- Create data pipelines that generate well-curated datasets.
- Design and oversee the ETL workflow processes, transitioning base-layer data into curated datasets.
- Transform lake house data into consumable datasets within Athena and Redshift platforms.
- Write reusable code and modules for executing data transformation logic.
- Design data delivery systems for high-volume, near real-time reporting.
We’re looking for someone who has:
- Bachelor’s Degree in Computer Science, Applied Math, Economics, Statistics or a related discipline is preferred but not required.
- Strong SQL, data analysis, and business analysis skills.
- Proficiency in PySpark and Python programming.
- Proficiency in AWS architecture, including S3, networking, and database solutions.
by Irma Moore | Apr 22, 2024 | Uncategorized
- Understand, own, and manage business requirements for billing calculations, ensuring alignment with company standards and objectives.
- Create and maintain comprehensive documentation of billing calculations, providing clear context on their utilization and maintenance.
- Collaborate closely with software engineering and technical teams to ensure accurate implementation of billing logic.
- Provide regular updates to technical and non-technical stakeholders on the status, findings, and recommendations related to billing.
- Conduct in-depth current state analysis to identify efficiencies, discrepancies, and areas of improvement.
- Utilize SQL queries to extract necessary data for analysis.
- Support ad-hoc corrective action efforts as they arise.
- Support ad-hoc initiatives aimed at improving SageSure’s insurance programs.
We’re looking for someone who has:
- Bachelor’s degree in Business, Finance, Computer Science, or a related field.
- Advanced Excel skills such as complex formulas and VBA.
- Demonstrated understanding of billing concepts and how those are treated through the insurance policy lifecycle.
- Minimum of 5+ years of experience in billing systems, business analysis, or a related role.
- Proven track record of successfully collaborating with technical and non-technical teams.
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