by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Job Details
Job Location
Allied Benefit Systems – CHICAGO, ILRemote Type
Fully RemotePosition Type
Full TimeSalary Range
$19.00 – $21.00 HourlyJob Category
Customer Service
Description
POSITION SUMMARY
This employee will be responsible for all plan member communications in the Allied Advocate Department. Employee will work with plan members throughout the process starting with patient letter and finishing with call to explain final resolution. Communication may be in written or verbal form.
ESSENTIAL FUNCTIONS
- Confer with members by telephone and/or email to answer questions or provide information in response to inquiries on Allied Advocate claims.
- Contact members to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
- Coordinate with member and/or client services to obtain a signed HIPAA release to aide with the negotiation process.
- Keep records of member and provider interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
- Obtain and examine all relevant information to assess need for negotiation on balance due issues.
- Work with other departments (Account Management, Client Services, Customer Service) as needed to resolve member issues
- Meet and sustain productivity and quality metrics determined by management.
- Other duties as assigned.
EDUCATION
- High school diploma or equivalent required.
EXPERIENCE AND SKILLS
- 1-2 years of customer service experience required.
- Insurance knowledge preferred.
- Excellent verbal and written communication skills.
- Excellent interpersonal and customer service skills.
- Proficient with Microsoft Office Suite or related software.
- Excellent time management skills with a proven ability to meet deadlines.
- Strong analytical and problem-solving skills.
- Ability to function well in a high-paced and at times stressful environment.
POSITION COMPETENCIES
- Communication
- Customer Focus
- Accountability
- Functional/Technical Job Skills
PHYSICAL DEMANDS
- This is an office environment requiring extended sitting and computer work.
WORK ENVIRONMENT
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company’s discretion to determine what pay is provided to a candidate within the range associated with the role.
by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Job Description
Senior Reporting Analyst
Remote – United States
The Opportunity:
Anthology delivers education and technology solutions so that students can reach their full potential and learning institutions thrive. Our mission is to empower educators and institutions with meaningful innovation that’s simple and intelligent, inspiring student success and institutional growth.
The Power of Together is built on having a diverse and inclusive workforce. We are committed to making diversity, inclusion, and belonging a foundational part of our hiring practices and who we are as a company.
For more information about Anthology and our career opportunities, please visit www.anthology.com.
Primary responsibilities will include:
- Working with different databases and leading the effort to design, migrate and programming effort for these platforms
- Creating information solutions covering data security, data privacy, metadata management, multi-tenancy and mixed workload management within contemporary insights-based tools, technologies, frameworks, platforms, and deployment models
- Providing technical leadership to project team(s) to perform design to deployment related activities, providing guidance, participating in reviews, preventing, and resolving technical issues
- Reviewing escalations from business stakeholders and assisting them to resolve
- Providing best practice recommendations
- Helping customers solve their challenges related to data migration
- Supporting customers to reach the desired goal with respect to migration
- Proactively identifying challenges and communicating to business stake holders with suggestions to overcome
- Ensuring the delivered data matches with the data provided
- Always striving for consistent, quality results
- Working with business stakeholders to understand the business and functional requirements to develop ETL processes
The Candidate:
Required skills/qualifications:
- Great customer service and client engagement skills
- Excellent oral and written communication skills
- Familiarity with education related technologies
- 5-8 years of relevant work experience
- Experience with SQL scripting
- Solid knowledge of SQL Server with the development of complex stored procedures, views, and other SQL objects
- Ability to analyze the output of complex SQL statements
- Deep understanding of database (SQL) operations including debugging
- Demonstrated leadership skills
- Critical thinking and problem-solving skills
- SSRS and PowerBI knowledge
- ADF – Azure data factory understandings
- Ability to travel occasionally and work extra hours as needed
- Fluency in written and spoken English
Preferred skills/qualifications:
Pay range is $99,100 – $100,000/year depending upon experience. We use national and industry-specific survey data to assist in determining compensation. Additionally, we consider factors such as external market rate, budget for the role, and the compensation rates of current employees performing the same function. Some roles will have variable pay.
This job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities that are required. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities at any time.
by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Job Details
Description
SUMMARY
Paragon Professional Services, LLC, is currently seeking a qualified Invoicing Specialist for a government security contract. This position reports directly to the Invoicing Administrator for Paragon Professional Services. This position may be considered for remote work.
ESSENTIAL DUTIES & RESPONSIBILITIES
The Essential Duties and Responsibilities are intended to present a descriptive list of the range of duties performed for this position and are not intended to reflect all duties performed within the job. Other duties may be assigned.
- Ensure all detainee transports are documented and that documentation (trip logs, gas receipts, travel receipts and G-391 forms) is retained with a copy provided to the AOR COR.
- Collect, prepare and submit weekly transportation metrics for the AOR COR.
- Collect transportation metrics and invoice support documentation as required by the contract for the AOR COR.
- Prepare separate monthly invoice materials and present to the Invoicing Administrator for approval to include the G-391 Upload and Fuel Report. Forward approved invoice materials to corporate offices for submittal.
· Attend meetings as required.
QUALIFICATIONS – EXPERIENCE, EDUCATION AND CERTIFICATION
To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. 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.
Required (Minimum Necessary) Qualifications (applies to both this section and KSAO’s)
- Ability to obtain and maintain Public Trust Clearance.
· High School Diploma / GED.
· Experience with Accounting/Finance/Invoicing.
- Must maintain an active cellphone to receive assignments and maintain communication with co-workers and supervisory staff.
- Valid Driver’s License for the State you reside in.
Knowledge, Skills, Abilities, and Other Characteristics
- Proficiency in all Microsoft Office products
- Strong written and verbal communication skills
- Strong organizational skills and attention to detail
- Sensitivity to confidential matters is required
- Ability to obtain and maintain Public Trust Clearance
Preferred
· Public Trust Clearance
· Prior experience with a government contractor or other government entity and understanding of public safety, law enforcement and/or corrections.
NECESSARY PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Employees must always maintain a constant state of mental alertness. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential and marginal functions may require maintaining physical condition necessary for bending, stooping, sitting, walking or standing for prolonged periods of time; most of time is spent sitting in a comfortable position with frequent opportunity to move about.
DOT COVERED/SAFETY-SENSITIVE ROLE REQUIREMENTS
· This position is not subject to federal requirements regarding Department of Transportation “safety-sensitive” functions.
WORK ENVIRONMENT
Work Environment characteristics described here are representative of those that must be borne by an employee to successfully perform the essential functions of this job.
Job is performed in an office setting with exposure to computer screens and requires extensive use of a computer, keyboard, mouse, and multi-line telephone system. The work described herein is primarily in a modern office setting. Occasional travel may be required.
SUPERVISORY RESPONSIBILITIES
· No supervisory responsibilities.
ADDITIONAL QUALIFYING FACTORS
As a condition of employment, you will be required to pass a pre-employment drug screening and have acceptable background check results. If applicable to the contract, you must also obtain the appropriate clearance levels required and be able to obtain access to military installations.
Shareholder Preference. BSNC gives hiring, promotion, training and retention preference to BSNC shareholders, shareholder descendants and shareholder spouses who meet the minimum qualifications for the job.
Bering Straits Native Corporation is an equal opportunity employer. All applicants will receive consideration for employment without regard to any status protected by state or federal law, or any other basis prohibited by law.
by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
OneSource Virtual (OSV) has helped more than 1,000 Workday customers take their teams from transactional to transformational with innovative technology and services for HR, payroll, and finance. Founded in 2008, OSV is the leading exclusive provider of Business-Process-as-a-Service (BPaaS) solutions for Workday, delivering services with unparalleled choice, unwavering commitment, and uncompromising support. OneSource Virtual’s global headquarters is located in Dallas, Texas, with additional locations across North America and Europe. Find your company’s solution at www.onesourcevirtual.com.
Summary
The Payroll Specialist I will be responsible for providing managed payroll administration services and Workday payroll processing support to a book of clients and will manage multiple projects with various deadlines in a fast-paced work environment. This position resides in a customer team environment and, in addition to supporting named customers, the team will also support all customers across all service levels as the leaders and business deem necessary. In addition to day-to-day support, Workday payroll configuration and year-end support is required.
Responsibilities
- Act as named Specialist for Payroll Administrative customers, and support other OSV payroll, tax, and garnishment customers as needed within the service team.
- Manage and respond to cases daily to ensure service level agreements and high client satisfaction levels are being met.
- Troubleshoot quarter and year-end audit reports and make recommendations to customers.
- Meet quality and production metrics and scorecards.
- Works with peers and customer teams to collaboratively support customers and resolve requests.
- Experience in a team environment and a willingness to work towards improvements, open to new ideas and procedures.
Competencies
- Excellent critical thinking, consultative, and problem-solving skills
- Strong communication skills with emphasis on outstanding customer service
- Strong organizational skills with the ability to multitask and support multiple customers effectively
- Strong analytical, data entry, research skills, and excellent problem-solving and mathematical skills.
- Self-directed management of workload with the ability to meet tight deadlines and competing demands.
- Strong understanding of payroll processes and procedures
Qualifications
Education/Certification Requirements
Required
- 3+ years of Payroll experience involving end-to-end processing, research, payroll logic, and troubleshooting.
- One year of experience with taxes at the Federal, State, and local levels.
- One year of experience with garnishments; general understanding of how garnishments are processed.
- Advanced Proficiency with Microsoft Word and Excel
- Experience with year-end payroll processes and W2 experience
- Strong written and verbal communication skills
Preferred
- Experience in an outsourcing environment – payroll, tax, Workday, and Salesforce programs
by twochickswithasidehustle | Jun 13, 2025 | Uncategorized
Description
From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.
Job Title: Reimbursement Specialist
POSITION SUMMARY:
Under the general supervision of the operational program leadership, the Reimbursement Specialist is responsible for various reimbursement functions, including but not limited to benefit investigations, prior authorization support, and call triage. The Reimbursement Specialist responds to all provider account inquiries, appropriately documents all provider, payer and client interactions into the CareMetx Connect system and ensures that the necessary data for prior authorization request are obtained.
PRIMARY DUTIES AND RESPONSIBILITIES:
- Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
- Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
- Completes and submits all necessary insurance forms in a timely manner as required by all third party payors for prior authorizations. Tracks and follow up on prior authorization request.
- Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
- Maintains frequent phone contact with provider representatives, third party customer service representatives, and pharmacy staff.
- Reports any reimbursement trends/delays to supervisor.
- Processes any necessary insurance/patient correspondence.
- Provides all necessary documentation required to expedite prior authorization request. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.
- Coordinates with inter-departmental associates as necessary.
- Communicates effectively to payors to ensure accurate and timely benefit investigations.
- Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
- Reports all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP)
- Typically receives little instruction on day-to-day work, general instructions on new assignments.
- Other duties as assigned – Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Requirements
Qualifications
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
- High School, Diploma, or GED required
- Previous 1+ years of experience in a specialty pharmacy, medical insurance, physician’s office, healthcare setting, and/or related experience.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
- Ability to communicate effectively both orally and in writing.
- Ability to build productive internal/external working relationships.
- Strong interpersonal skills.
- Strong negotiating skills.
- Strong organizational skills; attention to detail.
- General knowledge of pharmacy benefits, and medical benefits.
- Global understanding of commercial and government payers preferred.
- Ability to proficiently use Microsoft Excel, Outlook and Word.
- Ability and initiative to work independently or as a team member.
- Ability to problem solve.
- Strong time management skills.
- Customer satisfaction focused.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to sit.
- The employee must occasionally lift and/or move up to 10 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Schedule
- Must be flexible on schedule and hours
- Overtime may be required from time to time
- Must be willing to work weekends if required to meet company demands
CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.
At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.
CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.
Salary Description
$30,490.45 – $38,960.02
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