by Irma Moore | Apr 3, 2024 | Uncategorized
- Monitors the unit’s schedule for sufficient coverage. Reviews aging of forms, while continually re-prioritizing based on departmental needs.
- Participates in the establishment and review of departmental goals and implements procedures and performance standards. Ensures goals are communicated to staff.
- Prepares reports and documentation concerning departmental activities. Reviews weekly auditing reports.
- Monitors processing, tracks and delegates work based on departmental goals, backlogs and ensures equitable distribution.
- Reviews weekly auditing reports for accuracy and maintains accuracy and production tracking logs.
- Works with staff to reconcile audit discrepancies and resolve eligibility questions. Reviews/analyzes returned audit tickets. Identifies training/performance gaps.
- Ensures action plans are in place to reduce backlog and effect resolution to ongoing issues.
- Mentors and trains new associates. Advises and/or counsels staff members on correct procedures.
- Responds to phone calls from other service centers and internal units.
- Encourages associates in the units to assist other units as necessary.
Education/Experience:
- Associate’s Degree in Business or Health Care or related experience is preferred.
- Four years membership accounting or related experience.
- Previous experience with vendor oversight/leading a team strongly preferred
- Intermediate Excel skills strongly preferred
- Knowledge of medical insurance and/or medical terminology strongly preferred
- Healthcare or healthcare insurance experience preferred
by Irma Moore | Apr 3, 2024 | Uncategorized
- Reviews all medical records and addresses each question posed by the client utilizing client-specific criteria or other nationally recognized evidence-based criteria
- Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
- Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
- Provides copies of any criteria utilized in a review with the report in a timely manner
- Returns cases on or before the due date and time
- Makes telephone calls as mandated by the state and/or client specifics
- Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
- Attends all required orientation and training
- Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
by Irma Moore | Apr 3, 2024 | Uncategorized
- Collect information for and prepare payroll payments for employees
- Assist the financial director in creating financial reports on a regular basis
- Adhere to the company’s or organization’s financial policies and procedures
- Answers question and provide assistance to stakeholders, customers, and clients as needed
- Attend finance department and company-wide meetings, sometimes assisting with financial reporting to managers and senior executives
- Suggest changes or improvements to increase accuracy, efficiency, and cost reductions.
Requirements:
- Excellent mathematical skills
- Understanding of data privacy standards
- Integrity, honesty
- Customer-service skills
- Solid communication skills, both written and verbal
- Familiarity with business principles and practices
- Superior attention to detail, organizational skills, planning skills,
by Irma Moore | Apr 3, 2024 | Uncategorized
Core Responsibilities
- Gain a working knowledge of the construction industry and key players
- Learn to develop relationships and gain expertise in specific data sources
- Research, collect, verify, and maintain project data through various means, including outbound phone calls, emails, and digital research with guidance from manager
- Ensure timely, accurate, and comprehensive data entry for all assigned projects and use this data to create or update Dodge Reports on the DCN platform
- Maximize project coverage by collecting information on as many active projects as possible within the assigned regions
- Complete formal documentation required to support data collection processes
- Maintain accountability for performance metrics, ensuring accurate, punctual, and thorough data collection
Skills and Qualifications
· High School Diploma or GED
· 6 months of outbound call experience
· Data entry experience
· Experience in the construction industry preferred
· Proficient in all Microsoft areas
· Exceptional attention to detail
· Excellent written and verbal communication
· Excellent reading comprehension
· Excellent internet research skills
· Able to work effectively in an independent, remote environment
· Comfortable working in a fast-paced role/production driven environment
· Strong typing skills
· Critical thinker and problem solver
by Irma Moore | Apr 3, 2024 | Uncategorized
- 2+ years direct NSQIP Registry Abstraction experience for a Health System or Hospital
- Must hold a current SCR certification
- Current abstracting experience. Actively abstracting within the past 12 months highly preferred
- Experience and knowledge of several medical registries with relevant clinical background
- Knowledge of basic medical terminology, proficiency in EMR, and exposure to a healthcare environment is appropriate.
- Ownership approach to workload, ability to work independently
- Organized with a high attention to detail and commitment to accuracy
- Excellent communication skills.
- Team player who is collaborative and can work in an independent environment.
- Remote training and onboarding compatible
- Wants to grow with the company and believes in the mission
Responsibilities:
- Data collection and entry for multiple registries for Carta Healthcare clients
- Collaborate with nurse practitioners, physician assistants, physicians, other medical professionals to complete patient encounters
- Ensure quality submission of all data in specified registries maintaining a high accuracy threshold.
- Communicate with Carta team and reporting hospitals to streamline data management
- Provide data analysis to reporting hospital managers, as appropriate
- Keeps up to date on mandated regulatory/publicly reported data requirements as specified by federal, state, payer and other agencies.
Recent Comments