by Kay Tay | Oct 23, 2023 | Uncategorized
Are you a detail oriented professional, with a background in accounts receivable, billing and/or collections? Are you driven to succeed, and being recognized for your success? Wouldn’t you love to be a part a team where management is focused on nurturing a strong culture? If so come join us at BetterNight.
BetterNight is a professional medical service and supply company, focused on sleep & sleep therapy. Our focus is on diagnosis on sleep apnea through home sleep study and treatment through the use of CPAP therapy or oral appliance therapy.
SUMMARY
This position is responsible for posting patient, insurance, and other payments through the billing software (Brightree). This position is an escalation point for other employees in posting for questions regarding AR. The expectation of this position is to provide a first-class service experience, with every patient/or physician interaction.
CORE RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Fluently works in Brightree computer system to perform daily job duties
- Responsible for posting all forms of patient, insurance, and other payments to the correct accounts in Brightree
- Ensures ERN (Electronic Remittance posting) / ERA (Electronic Remittance Advise) posting are accurate and timely
- Verifies insurance payments against fee schedule
- Reviews and processes patient refund requests
- Reconciles patient’s account credit balances
- Informs Billing of any Brightree price table discrepancies
- Deposit checks into the bank account by the end of each business day
- Retrieves EOB (Explanation of benefits) from insurances when necessary
- Responsible for keeping all patient details and information orderly, confidential, current and HIPAA compliant at all times
- Must be knowledgeable in Patient Rights and Responsibilities
- Performs other administrative duties for the company such as; orders office supplies, plans parties, contacts building management with building issues, orders foods for monthly celebrations and business meetings.
- General clerical duties such as filing, photo copying, data entry, scanning as assigned.
- Work mandatory overtime as scheduled
- Other duties and projects may be assigned
Requirements
QUALIFICATIONS & SKILLS
- Strong commitment to patient care, customer service, friendly, helpful and caring nature is required
- Knowledge of all commercial, government, managed care, and federal health insurance plans
- Strong oral and written communication and problem-solving skills.
- Must be able to work overtime as scheduled
EDUCATION & EXPERIENCE
- HS diploma or equivalent required; AA preferred
- Experience must be 2-3 years in accounts receivable, billing and/or collections
- Minimum 1 year working for Sleep Data or DME (Durable Medical Equipment) experience
Salary Description
$17.00 – $18.00 per hour
APPLY HERE
by Kay Tay | Oct 23, 2023 | Uncategorized
The Part Time Data Entry Administrative Clerk is responsible for data entry of transcripts and other data related to the Office of the Registrar. This position is accountable for compiling, verifying, processing, maintaining, and/or recording various information types. The Data Entry Administrative Clerk maintains a high standard of data quality for information recorded in our internal systems and ensures compliance with our policies and data regulations. This position ensures strict confidentiality of records.
What to expect in the role:
- Performs the preparation, data entry, verification, and editing of confidential data. Responsible for checking data and information for minor changes.
- Creates, maintains, and purges specified data files and logs as required; makes individual and/or mass corrections, modifications, and/or updates to data in files, as appropriate.
- Extracts and releases information according to specified criteria and in strict compliance with established policies, procedures and/or regulations; answers questions from client departments and others on specific data as requested.
- Performs limited data analysis; may prepare and generate various reports.
- Other duties as assigned.
Experience:
- High School Diploma/GED; Some college/Associate Degree preferred.
- Minimum of 0-2 years clerical and/or data entry experience.
What we’re looking for:
- Computer knowledge with skills in Microsoft Office and Google Workspace.
- Minimum typing speed of 60 wpm.
- High level of accuracy and meticulous attention to detail.
- Ability to work independently with minimal supervision.
- Ability to follow processes, collaborate, work effectively on a team, and maintain a positive attitude.
- Ability to meet deadlines and maintain confidentiality.
- Effective oral and written communication skills, with the ability to adapt communication style and method to suit different audiences.
- Strong interpersonal skills with the ability to effectively communicate with a professional demeanor with people at all levels within the organization and from diverse backgrounds.
Additional Information:
- This is a Part-Time position. The target rate is $15/hr.
- This is a remote position; no relocation required. Candidates must be based in and legally authorized to work in the United States.
- Purdue University Global will not sponsor employment authorization for this position.
- A background check will be required for employment in this position.
- FLSA: Non-Exempt (Eligible For Overtime)
- Purdue Global is proud to be an EEO/AA employer. Our goal is to recruit and retain the most talented people from a diverse candidate pool. We celebrate the diversity of thought, backgrounds, and skills necessary to support an inclusive environment. Employment decisions are based on qualifications, merit, and business needs. All individuals are encouraged to apply.
APPLY HERE
by Kay Tay | Oct 23, 2023 | Uncategorized
The Billing Coordinator II is part of the customer insurance certificate team. This role is responsible for researching and validating customer provided insurance certificates that meet Ryder’s requirements. You will be responsible for clearing several work queues and shared email boxes as well as acting as the SME for all things customer provided insurance; partnering with off-shores contractors; insurance reporting; researching customer disputes; and all other duties as assigned by the supervisor.
Essential Functions
· Research and validate customer provided Certificates of Insurance
· Read and respond to internal and external customer emails in join mailbox
· Image approved insurance certificates and apply to customer accounts
· Backup other Billing Coordinators in the event another Billing Coordinator is out of the office
· Research any discrepancies or previous billings to ensure accuracy
Additional Responsibilities
· Performs other duties as assigned.
Skills and Abilities
· Computer literate with general knowledge of software to include Microsoft Office Suite
· Strong verbal and written communication skills
· Ability to work with minimum supervision
· Highly thorough and dependable
· Detailed oriented with excellent follow-up practices
· Ability to work a flexible schedule for month-end close- (1st, 2nd and 3rd workday)
· Demonstrates customer service skills
· Ability to prioritize, structure and schedule tasks to maximize effort and meet deadlines
· Ability to efficiently work in a remote environment
· Critically think to solve one-off problems
Qualifications
· H.S. diploma/GED required
· Bachelor’s Degree (preferred)
· Analytics knowledge preferred
· Insurance knowledge preferred
Applicants from Colorado, New York. New Jersey, Connecticut and Washington State:
The hourly rate for this position ranges from $17.00-$18.50 an hour.
Ryder offers comprehensive health and welfare benefits, to include medical,
prescription, dental, vision, life insurance and disability insurance options, as well as
paid time off for vacation, illness, bereavement, family and parental leave, and a tax advantaged 401(k) retirement savings plan
Ryder operates behind the scenes, managing critical fleet, transportation and supply chain functions for over 50,000 customers, many of which make the products that consumers use every day. When you choose Ryder, you get access to industry-leading technology, one of North America’s largest fleet of trucks, an expansive infrastructure of maintenance facilities and warehouses, and some of the most talented people in the industry.
APPLY HERE
by Kay Tay | Oct 23, 2023 | Uncategorized
Our client, a well-funded and very rapidly growing software startup is looking for a contract Customer Support Specialist to join their team.
This is a 100% remote position. The Customer Support Specialist will be responsible for directly communicating with customers via email and through their online support ticketing system, to answer questions and resolve payment and service issues. Ideal candidates will have 1 year or more of direct client-facing experience in a customer service/support or client success position. This is an excellent opportunity to join a rapidly expanding company!
Responsibilities:
– Effectively respond and resolve customer inquiries in a considerate, accurate, and timely manner over email and phone.
– Compose thoughtful, personalized responses to customers for a variety of requests.
– Escalate defects to Product Support Engineers.
– Serve as the voice of the customer in identifying product enhancements
– Communicate with customers via email and through Zendesk
– Answer questions and resolve payment and service issues
Qualifications:
– BA/BS degree or equivalent practical experience.
– 1 year of client-facing experience.
– Customer-first attitude with a strong sense of empathy.
– Impeccable written communication skills.
– Effectively articulate information to both technical and non-technical customers.
– Organized, responsible and motivated individual, with the ability to work well as part of a fast-paced team.
– Excellent problem-solving and analytical skills.
– Experience with Zendesk or similar is a must.
APPLY HERE
by Kay Tay | Oct 23, 2023 | Uncategorized
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
Required hours: Wednesday-Sunday with a flexible start time between 9am-1pm.
Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals. Identify trends and emerging issues and report and recommend solutions. Independently coaches others on appeals ensuring compliance with Federal and/or State regulations. Manage control and trend inventory, independently investigate, adapts to changes or revise policy to resolve the most escalated cases coming from internal and external constituents for all products. Responsible for serving as the point of contact for the appeal if there is an inquiry from leadership, compliance and State regulators. Understand and adapt to departmental process and policies. Medicare knowledge is a plus. Fast Turn Around of inventory, collaboration with clinical team and management. Attention to detail is needed and must be able to maintain compliance turn-around times, with accurate case resolution or research. Remain a part of the solution by escalating issues that may impact compliance timeliness. Additional duties as assigned which will include a carrying a modified case load including but not limited to:
-Serves as a content model expert and mentor to team regarding Aetna’s policies and procedures, regulatory and accreditation requirements.
-Ensures work of team meets federal and state requirements and quality measures, with respect to letter content and turn-around time for appeals, complaints and grievances handling.
-Independently researches and translates policy and procedures into intelligent and logically written responses for Executive or Senior leaders on escalated cases.
-Successfully works across functions, segments, and teams to create, populate, and trend reports to find resolution to escalated cases.
-Identify potential risks and cost implications to avoid incorrect or inaccurate responses and/or decisions which may result in additional rework, confusion to the constituents, or legal ramifications.
-Additional duties as assigned which will include a carrying a modified case load including but not limited to:-Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
-Research Standard Plan Design or Certification of Coverage (Evidence of Coverage) relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
-Research claim processing logic to verify accuracy of claim payment, member eligibility data, billing/payment status, prior to initiation of appeal process.
–Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
-Research Standard Plan Design or Certification of Coverage relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
-Identify and research all components within member or provider/practitioner appeals, complaints and grievance for all products and services.
Required Qualifications
– At least 2+ years in one of the following areas: claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience
Preferred Qualifications
-Some Medicare and/or Medicaid knowledge
– Experience in reading or researching benefit language
– Ability to work in fast paced, high volume environment
– Excellent verbal and written communication skills
– Excellent organizational skills to handle high inventory which aids in meeting or exceeding metrics
– Solution driven and can handle complex issues with accuracy
Education
High School or GED
Pay Range
The typical pay range for this role is:
$17.00 – $29.30
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
APPLY HERE
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