by Irma Moore | Apr 10, 2024 | Uncategorized
Responsibilities:
1. Identify and monitor overdue insurance claims. 2. Submit and process claims electronically via insurance portals. 3. Follow-up on claims status, resolve denials & discrepancies, and re-appeal if necessary. 4. Communicate professionally and effectively with insurance companies, patients, and healthcare providers. 5. Maintain accurate and up-to-date documentation of claims processing and patient profiles. 6. Conduct regular reviews of unpaid claims and manage collections process. 7. Ascertain patient health coverage and ensure adherence to policy. 8. Maintain patient confidentiality and follow all compliance guidelines and regulations.
Requirements
1. High school diploma or equivalent. 2. Minimum 2 years experience in medical billing or insurance collections. 3. Proficient knowledge of healthcare billing, coding, and insurance processes. 4. Excellent communication, negotiation, and problem-solving skills. 5. Self-motivated with the ability to effectively manage time and meet deadlines. 6. Proficiency in using Microsoft Office and billing software.
by Irma Moore | Apr 10, 2024 | Uncategorized
- Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients.
- Process assigned AR work lists provided by the manager in a timely manner.
- Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
- Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations.
- Recommend accounts to be written off on Adjustment Request.
- Reports address and/or filing rule changes to the manager.
- Check the system for missing payments.
- Properly notates patient accounts.
- Review each piece of correspondence to determine specific problems.
- Research patient accounts.
- Reviews accounts and determines appropriate follow-up actions (adjustments, letters, phone insurance, etc.).
- Processes and follows up on appeals. Files appeals on claim denials.
- Inbound/outbound calls may be required for follow-up on accounts.
- Respond to insurance company claim inquiries.
- Communicates with insurance companies about the status of outstanding claims.
- Meet established production and quality standards as set by Ventra Health.
- Performs special projects and other duties as assigned.
Education and Experience Requirements
- High School Diploma or GED.
- At least one (1) year in the data entry field and one (1) year in medical billing and claims resolution preferred.
- AAHAM and/or HFMA certification preferred.
- Experience with offshore engagement and collaboration desired.
by Irma Moore | Apr 10, 2024 | Uncategorized
You’ll drive forward our mission of financial inclusion by serving as the voice of Mission Lane, via live customer phone calls in a virtual call center environment.
Day-by-day, you’ll speak with customers who have fallen behind on their Mission Lane credit card payments, approach them with dignity and respect, and help them improve their financial health by negotiating payment or settlement plans. Your strong communication and problem-solving skills will make a real difference in the lives of people working hard to build or rebuild their credit.
You’ll thrive in this role if:
- You have 1+ year(s) customer service experience, in any industry.
- You have some sales experience, and are comfortable negotiating.
- You’re curious, use good judgment, and can quickly process situations to find solutions.
- You’re a great listener and find it easy to connect with others and build rapport.
- You stay calm during conflict and recover quickly from difficult conversations.
- You have strong written and verbal communication skills.
- You’re tech-savvy and comfortable learning new software.
- You’re growth-minded, a fast learner, and use constructive feedback to learn and improve.
- You’re adept at handling change and enjoy a fast-paced, dynamic work environment.
Work location:
- Ability to work 100% remotely or from our office in Richmond, VA – or a little bit of both!
- If you choose to work remotely, remote employment for this role is contingent upon being a resident of AR, AZ, FL, GA, MO, TX, UT or VA. All states are subject to change.
- A private, quiet, distraction-free, interruption-free work area is required for remote employees in this role.
- Fast, reliable internet service with minimum download speed of 80Mbps and upload speed of 8 Mbps is required for remote employees in this role.
by Irma Moore | Apr 10, 2024 | Uncategorized
We are seeking a skilled and motivated Identity and Access Management (IAM) Engineer with a specialization in implementation. As an IAM Engineer, you will play a critical role in designing, implementing, and maintaining robust IAM solutions to ensure secure access to our customer’s systems and data. The ideal candidate should have a strong background in IAM technologies, scripting experience, and proficiency in working with XML.
Job requirements
Key Responsibilities:
1. IAM Implementation:
– Design, implement, and maintain IAM solutions to support access control and identity management.
– Collaborate with cross-functional teams to integrate IAM solutions into existing systems and applications.
2. Scripting and Automation:
– Develop and maintain scripts for the automation of IAM processes and workflows.
– Utilize scripting languages (e.g., GroovyScript, PowerShell) to enhance IAM functionality and efficiency.
3. XML Integration:
– Work closely with XML-based identity data structures, ensuring seamless integration with IAM systems.
– Troubleshoot and resolve issues related to XML-based configurations.
4. Policy Development:
– Define and enforce access control policies in alignment with industry best practices and compliance requirements.
– Regularly review and update IAM policies to address emerging security threats.
5. Collaboration and Documentation:
– Collaborate with IT and security teams to understand business requirements and translate them into IAM solutions.
– Create comprehensive documentation for IAM implementations, configurations, and troubleshooting procedures.
by Irma Moore | Apr 10, 2024 | Uncategorized
The Information Security Officer (ISO) is responsible for advising the business on best practices for protecting its sensitive information assets while complying with international laws and regulations regarding customer data and other privacy concerns.
This is a relationship position that requires excellent verbal and written communication, an ability to communicate with various individuals with different backgrounds and experience, while maintaining an understanding of the overall goals and needs of the business and how any recommendations support those business goals. You need to be able to analyze a multitude of situations and technologies in a fast-paced environment.
Beatport will provide certification training and other on-going educational support for the right candidate.
In this role of Information Security Officer you will be responsible for:
- Proactive identification and mitigation of IT risks as well as responding to observations identified by third party auditors or examiners while assisting in the development of periodic reports and dashboards presenting the level of controls compliance and current IT risk posture.
- Responsible for PCI-DSS 4.0 compliance (Level 1) company-wide.
- Educating technical and non-technical team members across the company on security matters.
- Regularly auditing all IT provided internal services including but not limited to hardware (computers, storage, and network equipment).
- Assisting Company managers and staff with external audits and facilitate management response and remediation efforts. Ensure overall compliance with regulatory requirements through proactive planning and communication, ownership and relationships.
- Coordinating the continuous development, implementation, and updating of security and privacy policies, standards, guidelines, baselines, processes and procedures in compliance with local, state, and federal regulations and standards for information systems.
- Developing and managing the frameworks, processes, tools and consultancy necessary for the organization to properly manage risk and to make risk-based decisions related to IT activities.
- Broadening and deepening knowledge of the business and technology environment with respect to the delivery of projects, strategic initiatives, and systems portfolio to effectively assist IT managers and staff with risk and compliance management.
- Facilitating information systems security management education and training in regulatory and industry standards for all employees.
- Remaining current on applicable international laws and regulations that may impact the Company.
To be successful in this role of Information Security Officer you will need the following experience and qualifications:
- A Bachelor’s degree or equivalent in Computer Information Systems, Management Information Systems, or Computer Science.
- A minimum of 5 years work experience with similar type of work.
- Previous experience as a PCI Internal Security Assessor (ISA) or Qualified Security Assessor (QSA), or demonstrated experience performing such analysis and tasks for an organization.
- Experience in risk, compliance and information security policy development.
- Knowledge and understanding of corporate/industry information security, governance, risk and compliance practices and standards.
- Knowledge of laws and regulations including but not limited to: CCA, GDPR and PCI-DS
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