Customer Sales Analyst

by Irma Moore | Jan 28, 2025 | Uncategorized

Job Description

Here at Kraft Heinz, our US Sales team aspires to be an Indispensable Partner with a Growth and Winning Mindset, acutely focused on Superior Execution every day. This is our guiding compass to grow something great and make life delicious!

The Customer Sales Analyst (CSA) is an internal sales position that provides business insights and volume growing recommendations through category research to the Ahold Delhaize USA Customer Business Teams. The CSA ensures that customer, consumer, and internal information are used to build knowledge and insights that can be used to improve overall performance and results. Under the direction of the team and execution organization, the CSA identifies and addresses new and existing business opportunities across all Kraft Heinz categories and business teams supporting Kroger. This position backs the application of category management to business issues, identifying business opportunities and providing an assessment of the sales controllable, including promotion, pricing, distribution and assortment. The CSA also coordinates information-training activities, steers data for sales planning, and continually works to improve sales category management value to the team. The CSA is knowledgeable, skilled in transforming data from a variety of sources into actionable insights; ideally with Microsoft PowerBI. If you’re seeking an opportunity to make an impact at scale, come grow with us!

Essential Functions & Responsibilities

· Area expert in the study of syndicated data and household panel data steering key insights and business recommendations on the key sales controllable of distribution and assortment, pricing, and promotion.

· Strong problem-solving skills with the ability to identify trends and actionable insights from large datasets.

· Ensures that the customer, consumer, and category insights are delivered effectively.

· Conducts annual category reviews and periodic assessments.

· Pulls relevant information to build effective selling stories.

· Develops impactful customer specific selling stories that reflect key category business building initiatives.

Expected Experience & Required Skills

· Advanced knowledge of Excel and other data analysis software.

· Knowledge of Python or R for data manipulation and predictive analysis

· Knowledge of SQL for querying databases, joining tables and optimizing database performance

· Proficient in DAX calculations, data cleaning and modeling

· Strong sales background with knowledge of business processes and Category Management

· Ability to work within a Customer Business Team framework and collaborate with cross-functional teams.

· Ability to plan, organize and set/achieve priorities when performing work

· Excellent communication skills (written, verbal, presentation)

Preferred Experience & Skills

· Strong analytical skills with proficiency in data visualization tools (e.g. Microsoft Power BI)

· Ability to derive actionable insights from data to help guide the customer business team

Work Environment & Schedule

This position is considered a Remote based role that can be performed from a home office Additionally, this role requires the ability to work a salaried, exempt schedule to best execute against customer and internal expectations

Physical Requirements

Physical demands include but not limited to

· Operate a computer and view screens for ~100% of work schedule

This job description is not designed to cover or contain all duties or responsibilities that are required of the role. Duties or responsibilities may change or be added with or without notice.

Our Total Rewards philosophy is to provide a meaningful and flexible spectrum of programs that equitably support our diverse workforce and their families and complement Kraft Heinz’ strategy and values.

New Hire Base Salary Range:

$77,800.00 – $97,300.00

Bonus: This position is eligible for a performance-based bonus as provided by the plan terms and governing documents.

The compensation offered will take into account internal equity and may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors

Benefits: Coverage for employees (and their eligible dependents) through affordable access to healthcare, protection, and saving for the future, we offer plans tailored to meet you and your family’s needs. Coverage for benefits will be in accordance with the terms and conditions of the applicable plans and associated governing plan documents.

Wellbeing: We offer events, resources, and learning opportunities that inspire a physical, social, emotional, and financial well-being lifestyle for our employees and their families.

You’ll be able to participate in a variety of benefits and wellbeing programs that may vary by role, country, region, union status, and other employment status factors, for example:

• Physical – Medical, Prescription Drug, Dental, Vision, Screenings/Assessments
• Social – Paid Time Off, Company Holidays, Leave of Absence, Flexible Work Arrangements, Recognition, Training
• Emotional – Employee Assistance Program , Wellbeing Programs, Family Support Programs
• Financial – 401k, Life, Accidental Death & Dismemberment, Disability

Location(s)

Employee’s Home – National

Kraft Heinz is an Equal Opportunity Employer that prohibits discrimination or harassment of any type. All qualified applicants are considered for employment without regard to race, color, national origin, age, sex, sexual orientation, gender, gender identity or expression, disability status, protected veteran status, or any other characteristic protected by law. Applicants who require an accommodation to participate in the job application or hiring process should contact [email protected].

Coding Support Specialist -Revenue Cycle

by Irma Moore | Jan 28, 2025 | Uncategorized

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

Once you join us you won’t want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:  

• 100% paid medical premiums for our full-time employees  
• Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year) 
• The longer you stay, the more vacation you’ll accrue! 
• Longevity Pay (Monthly payments after two years of service) 
• Build your future with our awesome retirement/pension plan! 

We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as… 

• Free financial and legal counseling 
• Free mental health counseling services 
• Gym membership discounts and access to wellness programs 
• Other employee discounts including entertainment, car rentals, cell phones, etc. 
• Resources for child and elder care 
• Plus many more! 

Position Summary:

The Coding Support Specialist supports coding leadership and staff with various clerical functions. This role includes reviewing records within Epic and other software applications for completion. This position is also responsible for handling paper medical records including pick up from various UTHealth and affiliated sites and drop off, sorting and scanning as needed for abstracting. The specialist may be responsible for charge entry functions and simple billing edit resolution within Epic charge review work queues.

As a Coding Support Specialist, you will play a crucial role in assisting our clients with their coding needs. You will be responsible for troubleshooting coding issues, providing guidance on best practices, and ensuring our clients’ coding projects are successful.

• Department: Revenue Cycle
• Status: Full-time
• Location: Remote (2- 4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) meetings, additional training, etc.).
• Must live in Texas (TX)This is a Remote position, and you must reside in Texas
  • Must be able to attend any required onsite meetings

**We DO NOT provide lodging or mileage reimbursement for training**

Position Key Accountabilities:

• Charge Entry and Reconciliation 
• Prepares billing sheets for abstracting by reviewing medical record information.
• Performs charge entry of professional services including but not limited to non-invasive tests, anesthesia, hospital or office-based visits. Enters all CPT, ICD-10, modifiers accurately with minimal errors.
• Resolves any charge entry system edits in Epic.
• Processes finalized charge entry batches on a daily basis.
• Performs charge reconciliation when applicable to the department via logs, visit schedules, and other reports. 
• Medical Record Pick Up and Processing
• Picks up medical records as needed from various UTHealth and affiliated sites and drops off at central business office for processing.
• Prepares medical records for scanning and abstracting.
• Scans records to the patient’s chart.
• Retrieves medical records from hospital electronic medical record system and forwards to coders for abstracting. 
• May handle confidential and departmental records.
• Generates basic physician queries in accordance to established procedures.
• Compiles data from reports.
• Resolves less complex charge review edits in Epic.
• Meets the required productivity expectations per department policy and procedure.
• Stays up-to-date with all coding & departmental procedures.
• Preforms other duties as assigned.
   

Certification/Skills:

• None
• Analytical skills, ability to interpret data, and maintain Excel spreadsheets.
• Knowledge of basic ICD-10 CM and CPT coding conventions 
• Working proficiency of Microsoft Office suite such as Word, Excel, Outlook, PowerPoint required.
• Effective verbal and written communication between internal and external customers.
• Excellent time management skills required.
• Self-motivated with willingness to learn.
• Ability to work effectively under pressure due to changing priorities, interruptions, and workload variability
• Must possess reliable transportation to travel to and from various UTHealth locations.
   

Minimum Education:

High School Diploma or equivalent required.

Minimum Experience:

2 years of general office experience is required.

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

Residency Requirement:

Employees must permanently reside and work in the State of Texas.

ROI Medical Records Specialist – Remote

by Irma Moore | Jan 28, 2025 | Uncategorized

Job Description:

This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Essential Job Functions:

• Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
• Date stamps all requests and highlights pertinent data to facilitate processing.
• Validates requests and authorizations for release of medical information according to established procedures.
• Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
• Maintain equipment in excellent operating condition (inside and out).
• Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
• May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
• Maintains a neat, clean, and professional personal appearance and observes the dress code established.
• Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
• Maintains working knowledge of the existing state laws and fee structure
• Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
• Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
• Maintains confidentiality, security and standards of ethics with all information.
• Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

• High School Diploma (GED) required
• A minimum of 2 years prior experience in a medical records department or like setting preferred
• Must have strong computer software experience – general working knowledge of Microsoft Word and Excel required
• Requires ability to work remotely and at times provide support in client locations. Geographical proximity to the assigned client site required.
• Excellent organizational skills a must
• Must be able to type 50 wpm
• Must be able to use fax, copier, scanning machine
• Must be willing to learn new equipment and processes quickly.
• Must be self-motivated, a team player
• Must have proven customer satisfaction skills
• Must be able to multi-task

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Sharecare is an Equal Opportunity Employer and doesn’t discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.

Change Order Representative (REMOTE)

by Irma Moore | Jan 28, 2025 | Uncategorized

Change Order Representative (REMOTE)

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Job Details

Requisition #:202688
Location:Houston, TX 77095
Category:Administrative/Clerical
Salary:$17.00 – $18.00 per hour

Position Details

Position Overview: The Change Order Representative is responsible for reviewing changes on existing patient orders. This includes checking prescription validity, authorization validity, insurance requirements, demographics, patient needs, and making necessary notations prior to shipping orders of medical supplies. This is a remote position that demands strong organizational and communication skills, attention to detail, and dedication to delivering outstanding patient support.

Essential Job Functions:

• Data Entry: Enter demographics and other pertinent information into the digital system, ensuring the completion of all change order paperwork.

• Insurance Verification: Confirm insurance coverage, clearly explain benefits to patients and case managers, and process payments as applicable to minimize delays and support patient understanding.
• Patient Needs Assessment: Assess individual patient needs, clarify relevant information, research solutions for complex inquiries, and provide clear and compassionate resolutions.
• Collaboration with Sales Team: Work closely with the sales team to streamline patient admissions, reduce time to start of care, and create a seamless experience, enhancing both patient satisfaction and operational efficiency.

• Documentation:  Responsible for creating, reviewing, and maintaining accurate medical documentation in accordance with regulatory standards and organizational policies. Ensure all patient interactions, clinical assessments, and care plans are properly documented.
• Authorization Management: Submit and follow up on authorizations, determining when a changed prescription is needed.
• Formula Calculation: Accurately calculate and verify nutritional formulas to meet individual patient requirements.
• Portal Navigation: Navigate insurance and payor portals effectively.

• Performance Metrics: Consistently meet or exceed daily, monthly, and quarterly performance metrics and goals established by management to support continuous improvement.
• Interdepartmental Communication: Engage proactively with other departments to address patient concerns, presenting clear solutions and fostering effective teamwork.
• Compliance: Ensure work meets internal and external compliance requirements, maintaining confidentiality and adhering to HIPAA guidelines/regulations.

• Clerical Support: Execute various clerical tasks such as faxing, scanning, and copying to support document management and streamline office processes.
• Authorization Management: Submit and follow up on authorizations, identifying when a new prescription or modification is required to prevent delays in patient care.

• Support Company Culture: Demonstrate core values such as compassion, team integrity, accountability, trust, innovation, compliance, and fun, supporting the Aveanna mission and culture.
• Continuous Improvement: Maintain skills and qualifications necessary to provide or support quality care, including attending company-wide educational programs.
• Professional Interactions: Maintain consistent and harmonious interactions with coworkers and customers, including patients, medical office staff, vendors, and the general public.
• Policy and Procedure Adherence: Comply with all company policies and procedures from the onset of employment, contributing to a safe, structured, and consistent work environment.
  

• Remote Work Requirements:
  • Workspace: Maintain a quiet, dedicated workspace free from non-work-related distractions.
  • Professional Appearance: Employees are expected to maintain professional appearance and a camera-ready presence during working hours. In order to foster engagement and connection, employees are expected to be on camera during scheduled meetings or team discussions.
  • Dependent Care: Working remotely is not intended as a substitute for childcare or other caregiving obligations.
  • Internet Connectivity: Ensure appropriate internet speed to handle call center software and communication needs (typically a minimum of 100 Mbps download and 50 Mbps upload speeds).
  • Security: Adhere to company data security policies, ensuring a secure work environment to protect patient information.
  • Communication: Maintain regular communication with the team through virtual meetings, email, telephone and instant messaging tools.
  • Self-Management: Demonstrate strong self-management skills, including time management, accountability, and discipline to stay productive without in-person supervision.
  • Technical Support: Be proactive in resolving technical issues and communicate promptly with IT support if needed.
• In-Office Requirements (This applies only to employees who have additional responsibilities in an Aveanna office):

• Office Management: Ensure a well-organized and efficient office environment, overseeing daily operations and addressing any administrative needs.
• Temperature Checks for Enteral Formula: Conduct regular checks to verify that enteral formula is stored at safe temperatures, meeting quality and safety standards.
• Fire Extinguisher Maintenance: Perform periodic maintenance checks on fire extinguishers to comply with safety regulations and ensure emergency readiness.
• Inventory Management: Track and manage inventory of supplies and equipment, ordering as necessary and keeping accurate records to maintain stock levels.
• Clean/Dirty Equipment Area Maintenance: Maintain designated areas for clean and dirty equipment, following health and safety protocols to prevent cross-contamination.
• Customer, Vendor, and Surveyor Assistance: Provide a positive and responsive experience for customers, vendors, and surveyors, addressing inquiries, offering guidance, and facilitating visits as needed

Position Qualifications:

• Minimum Education: High school diploma or GED
• Preferred Education: Education or experience equivalent to a bachelor’s degree in a related field is highly preferred.
• Minimum Experience: Minimum of 2 years of related experience.
• Preferred Experience: Home Health/DME related experience preferred; knowledge of insurances is a plus.
• Required Certification/License: None
• Preferred Certification/License: None

Supervises: None

Special Skills:

• Proficient in Microsoft Office Suite (Outlook, Word, Excel).
• Self-starter with high integrity and respect for confidentiality.
• Effective judgment and sensitivity to changing needs and situations.
• Strong organizational skills and attention to detail.
• Strong sense of urgency and ability to prioritize multiple tasks to meet deadlines.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.
• Adaptability to change.
• Collaborative interaction with other departments and teams.

Physical Demands/Requirements:

• Must be able to speak, write, read and understand English
• Occasional lifting, carrying, pushing and pulling of 10 pounds
• Prolonged walking, sitting, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch

I have read this job description and understand the position accountabilities, position qualifications, physical requirements and working conditions. Also, I have been provided with a copy of this document.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California

Claims Review Specialist

by Irma Moore | Jan 28, 2025 | Uncategorized

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.

Job SummaryThis is a remote role that can be done from most US states.

The Claims Review Specialist processes claims that do not auto adjudicate through the claim system adhering to Mass General Brigham Health Plan current administrative policies, procedures, and clinical guidelines.

Primary Responsibilities:

-Adjudicate claims to pay, deny, or pend as appropriate in a timely and accurate manner according to company policy and desktop procedure.
-Review and research assigned claims by navigating multiple systems and platforms, then accurately capturing the data/information necessary for processing (e.g., verify pricing/fee schedules, contracts, Letter of Agreement, prior authorization, applicable member benefits).
-Manually enters claims into claims processing system as needed.
-Ensure that the proper benefits are applied to each claim by using the appropriate processes and desktop procedures (e.g., claims processing policies, procedures, benefits plan documents).
-Communicate and collaborate with external department to resolve claims errors/issues, using clear and concise language to ensure understanding.
-Learn and leverage new systems and training resources to help apply claims processes/procedures appropriately (e.g., on-line training classes, coaches/mentors).
-Meet the performance goals established for the position in areas of productivity, accuracy, and attendance that drives member and provider satisfaction.
-Create/update work within the call tracking record keeping system.
-Adhere to all reporting requirements.
-Keep up to date with Desktop Procedures and effectively apply this knowledge in the processing of claims and in providing customer service.
-Identify and escalate system issues, configuration issues, pricing issues etc. in a timely manner.
-Process member reimbursement requests as needed.

Qualifications

Basic Requirements:

• High School Diploma or equivalent experience
• Pharmacy Technician certification is required
• At least 2-3 years of previous experience in the health insurance industry in functions such as hospital or physician biller, call center experience, previous claims processing, or similar industry experience
• Attention to detail, decision making problem solving, time management and organizational skills, communication and teamwork.
• Basic math and language skills
• Demonstrated competency in data entry

Preferred Qualifications:

• Knowledge of ICD-10, HCPCS, CPT-4, and Revenue Codes.
• Knowledge of medical terminology
• Knowledge of claim forms (professional and facility)
• Knowledge of paper vs. electronic filing and medical billing guidelines preferred
• Completion of coding classes from certified medical billing school
• Professional Coder Certificate is highly desirable

About Us:

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated. 

We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.

Additional Job Details (if applicable)Additional Job Description

Remote TypeRemote

Work Location399 Revolution Drive

Scheduled Weekly Hours40

Employee TypeRegular

Work ShiftDay (United States of America)

EEO Statement:Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.