by twochickswithasidehustle | Sep 4, 2024 | Uncategorized
Description
JOB SUMMARY
The Credentialing Specialist is responsible for screening reviewers for required credentialing and background information, including professional sanctions and criminal background information. The position requires coordination between multiple departments at Dane Street to provide support relating to the information, data, and standards involved in reviewer credentialing.
Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.
MAJOR DUTIES & RESPONSIBILITIES
- Initial Credentialing: Enters reviewer application data, performs online searches of reviewers, conducts primary source verification of reviewer board certifications, licenses, background checks, and malpractice checks. Uploads documents to the electronic reviewer file, produces Judgments page to include comments from the Medical Director. Applies client Do Not Use status as required. Communicates the application status with the Operations team, including when an application is denied by the Medical Director.
- Recredentialing of Reviewers: Sends applications to reviewers, conducts prime source verification of board certifications, licenses, and malpractice checks. Performs online searches of reviewers. Refers reviewers with “red flags” to the Medical Director for review. Indicates Do Not Use status and Medical Reviewer comments in Judgments document.
- Updating Expired Licenses, Board Certifications, and Workers’ Compensation Registration: Reviews licenses, certifications, and registrations for expiration status.
- Exclusions, Preclusions, Background and Sanction Checks: Creates and receives sanctions check clearinghouse reports and search for each sanction identified. Finds supporting documentation, including court documents or National Practitioner Data Bank reporting. Sends information to the Medical Director for review.
- Reactivating, Deactivating, Do Not Use, Reviewer Contact Data and W9 Requests: Obtains W-9 documents in response to address changes. Clones profiles in the event of a fundamental identifying data change. Removes reviewers from the panel based on client or Operations department requests.
- Editing Fee Schedules: Performs data entry of new fees or updated fees. Obtains new fee agreements as appropriate.
- Participation on the Quality Management Committee: Participates in the Quality Management Committee meetings, which is required by URAC but incorporates Dane Street quality improvement functions. Participation includes requested follow up activities.
- Assist Dane Street Team Members with Credentialing Content: Provides credentialing related advice to leadership and for contracting and Operations functions.
Other duties & special projects, as assigned and based on business needs.
Requirements
EDUCATION/CREDENTIALS:
An Associate’s Degree or Bachelor’s Degree is preferred.
JOB RELEVANT EXPERIENCE:
Credentialing experience in a healthcare or insurance setting preferred. .
JOB RELATED SKILLS/COMPETENCIES:
Knowledge of URAC and relevant State and Federal guidelines. Excellent communication skills as well as understanding of medical terminology. Critical thinking, ability to manage time efficiently and to meet specific deadlines. Computer literacy and typing skills required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.
WORK FROM HOME TECHNICAL REQUIREMENTS:
Supply and support their own internet services.
Maintaining an uninterrupted internet connection is a requirement of all work from home position.
This job description is subject to change at any time.
Benefits
Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.
ABOUT DANE STREET:
A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
by twochickswithasidehustle | Sep 4, 2024 | Uncategorized
Join our growing team at Vetcove, and help us transform how veterinarians buy the supplies they need to keep America’s pets healthy. Vetcove’s eCommerce and mobile platforms enable veterinary practices to compare and buy from all of their vendors in one place. Our community of more than 17,000 veterinary hospitals employs tens of thousands of veterinarians, and delivers care to many millions of animals every year across all 50 states. We’re a growing team on a mission to modernize the $50B+ animal health industry. Simply put, Vetcove helps veterinary organizations spend more time giving care, and less time shopping and comparing across vendors to supply their practices. Vetcove is a Y Combinator and venture-backed growth stage company with notable investors in Silicon Valley and NYC. We’re looking for exceptionally talented and passionate people to join our growing team.
About the Position
The Support Associate is responsible for engaging with our vibrant community of veterinary professionals to support them in their critical purchasing decisions and processes through the use of the Vetcove platform.
Members of the support team work collaboratively to help provide our users an excellent experience on our platform through live chats, phone calls, emails, internal discussion boards, and platform demos This role plays a pivotal part in ensuring a positive and delightful day-to-day experience for every user leveraging the platform for their supply ordering needs.
The ideal candidate is a proactive self-starter who thrives in a fast-paced, team environment. This person will be excited by the challenge of supporting and growing a large community of thousands of passionate veterinary professionals through answering intercoms via our platform, troubleshooting, and working cross-functionally to help evolve our platform.
Experience in a relevant customer-facing role, as well as excellent written and verbal communication skills, are required. Knowledge of intercom and/or experience with other chat platforms is strongly preferred.
What you’ll do
Support existing Vetcove users by responding to user inquiries via live chat, email, and phone in a timely manner
Troubleshoot issues quickly and explain scenarios/solutions in an easily digestible and effective manner
Handle various daily and weekly admin responsibilities, such as proactive account management, item issue reports, item reviews, credit approvals, and more
Work cross-functionally to provide our engineering, partner, and corporate teams with information on feature requests and recommendations for enhancements to our tools
Work with vendor and industry partners to streamline communication and alerts between systems
Help to continuously develop and expand processes in order to streamline support workflows
You should have
1 year of relevant, customer facing work experience
2 Year Associates Degree or 4 Year College Degree
Excellent written and verbal communication skills
Experience in chat support preferred
Patience and compassion when handling difficult situations
Ability to adapt quickly and manage many concurrent responsibilities
A strong desire to learn and help our customers succeed
A positive attitude and one-for-all team mentality and excellent collaboration skills
Tech/start-up work experience is a plus but not required
Benefits (Full Time Roles)
100% remote within the USA
Medical, Dental, and Vision Insurance
Automatic 401k contribution
Employee referral program
At home office set up
Bi-annual company retreats
Open vacation policy
Equity
Monthly team events
Please note we are unable to sponsor work visas at this time.
Attention all job seekers! We want to ensure that you’re well-informed about a serious matter affecting the job market. It has come to our attention that scammers are operating in the industry, impersonating employees and attempting to deceive savvy applicants like you. Here’s what you need to know:
Our job listings are exclusively available on official sites (our careers page, LinkedIn, BuiltIn, and Indeed). Be cautious of other sources claiming to represent us or any organization that you’re interested in. Stay on the lookout!
Authentic communications from our company will only come through verified email addresses and phone numbers. If you receive unexpected messages or calls, exercise caution and verify their authenticity. Don’t let scammers catch you off guard!
It’s essential to independently verify the legitimacy of any job postings you come across. Visit our official careers page to confirm the validity of any openings. Stay proactive and protect yourself!
Remember that during the application process, we will never request sensitive personal or financial information from you. Be wary of anyone asking for such information. Keep your personal data secure!
If you suspect any fraudulent activity or encounter suspicious individuals, please report it immediately to our recruiting department. By working together, we can combat these scams and keep the job market safer for everyone.
We understand the importance of your job search and want to ensure your experience is positive and secure. Always exercise caution and stay scam-smart!
Vetcove is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We welcome applicants from all backgrounds, regardless of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status. We are dedicated to providing a work environment free from discrimination, harassment, and retaliation. It is our policy to provide equal employment opportunity to all applicants in accordance with all applicable laws and regulations. If you require accommodations during the application or interview process, please let us know and we will make every effort to accommodate your needs.
by twochickswithasidehustle | Sep 3, 2024 | Uncategorized
Job Details
Description
** Note: This job posting is only available to US residents. **
A Virtual Medical Scribe works from home, partnering with a medical provider to document patient visits in real-time.
Now offering a $500 bonus once the scribe has completed ALL training and is performing real-time documentation one-on-one with assigned physician!!! (See more details below in regard to job requirements and required training.)
Requirements include:
-Knowledge of medical terminology
-Fast typing speed and accuracy; computer skills
-Flexibility to work uninterrupted 8-to-10 hour shifts between 7am and 7pm, Monday through Friday. (Open, flexible availability is required for both part-time and full-time, but part-time schedules vary between 3 to 4 days a week, no more than 30 hours weekly). (No evening/weekend hours available.)
-Access to secure internet and private workspace
-Professionalism; communication skills
Keep reading to find out more!
Virtual Medical Scribes make a difference by…
Reducing physician burnout and turnover!
Improving accuracy of clinical documentation!
Allowing physicians to focus more on their patients!
Virtual Medical Scribes document physician-patient encounters by…
Actively listening to live conversations between physicians and patients.
Communicating and verifying patient information with physicians.
Utilizing EHR/EMR programs like Epic, Athena, Cerner, etc.
Why work with AQuity Solutions, an IKS Health Company?
Work from the comfort of your own home! Our scribe teams are 100% remote.
Opportunities for growth and leadership experience!
Company equipment is provided! (Upon successful completion of training program.)
Great benefits including insurance options, 401k, holiday and paid time off.
What skills do YOU need to be successful as a Virtual Medical Scribe?
Working knowledge of medical terms through:
Recent clinical experience as a medical assistant, medical transcriptionist, etc.
OR college-level courses in medical terminology, anatomy, and physiology.
Successful completion of AQuity’s scribe training program (including “team training” with assigned physician).
Strong computer and typing skills. (Typing test required.)
Strong communication skills including:
Ability to hear and understand all information provided by patient or healthcare provider in a remote environment and transcribe into clear written records.
Excellent listening skills and ability to understand diverse accents and dialects of physicians, their staff, and patients.
Bilingual scribes needed (Spanish). (Not required.)
Other position requirements…
Availability to work full, uninterrupted 8-to-10 hour shifts during normal business hours (at least 3 shifts per week, Monday through Friday, 7am to 7pm).
18 years of age or older.
Currently live and authorized to work in the borders of the United States.
HIPAA compliant and noise-free workspace.
Secure, high-speed internet connection. (Satellite internet not acceptable.)
Personal computer compatible with Microsoft programs used for training. (Company equipment is provided after training.)
About IKS Health
On October 31, 2023, IKS Health purchased AQuity Solutions to create the most comprehensive provider of administrative, clinical, and financial services for healthcare organizations in the U.S.
IKS Health takes on the chores of healthcare – spanning administrative, clinical, and operational burdens – so that clinicians can focus on their core purpose: delivering great care. Combining pragmatic technology and dedicated experts, IKS enables stronger, financially sustainable enterprises. IKS’s Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality, and achieve cost savings through forward-thinking solutions. Founded in 2006, IKS’s global workforce supports large health systems across the United States.
Compensation and Benefits: The pay range for this position is $9.00 – $12.00 per hour (unless dictated by state/local minimum wage). Pay is based on several factors including but not limited to current market conditions, location, education, work experience, certifications, etc. Aquity Solutions offers a competitive benefits package including healthcare, 401k, and paid time off (all benefits are subject to eligibility requirements for full-time employees). Aquity Solutions is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Qualifications
Behaviors
Preferred
Dedicated: Devoted to a task or purpose with loyalty or integrity
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Motivations
Preferred
Growth Opportunities: Inspired to perform well by the chance to take on more responsibility
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
by twochickswithasidehustle | Sep 3, 2024 | 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: Data Entry Specialist
POSITION SUMMARY:
Under the general supervision of the Supervisor and Manager, the Data Entry Specialist provides exemplary service to multiple clients including product manufacturers, physician, patients, and internal customers. Contributes to the profitability of CareMetx by ensuring personal productivity and efficient use of material resources.
PRIMARY DUTIES AND RESPONSIBILITIES:
- Maintains effective systems to support the timely release of accurate information to diverse clients.
- Responsible for the intake of all programs specific correspondence including mail, inbound faxed documents.
- Logs information into appropriate database and triages all program specific mail to the appropriate reimbursement case advocate, reimbursement specialist and/or management team.
- Responsible for payer research and territory assignment management.
- May assist with inbound call volume as received.
- Distributes reports daily disseminating information to appropriate distribution vendors reimbursement case advocate, reimbursement specialist and/or management team.
- Maintains and promotes a positive and professional working relationship with associates and management.
- Complies with all appropriate program policies and procedures.
- Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action.
- Typically receives little instruction on day-to-day work, general instructions on new assignments.
- Perform related duties as assigned.
Requirements
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
Previous 1+ years of professional work experience in a customer service or healthcare environment.
MINIMUM SKILLS, KNOWLEDGE, AND ABILITY REQUIREMENTS:
- Ability to communicate effectively both orally and in writing.
- Strong computer application skills.
- Strong interpersonal skills, team player.
- Strong organizational and time management skills.
- Strong attention to detail.
- Adaptable and flexible to new situations.
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.
by twochickswithasidehustle | Sep 3, 2024 | Uncategorized
Who We Are
We’re Chomps, the fastest-growing meat snack brand reimagining best-for-you snacking. Made from the highest quality, humanely raised proteins, no sugar, and only real ingredients, we make snacking simple, delicious, and nutritious. Chomps can be found in over 20,000 stores nationwide with a strong e-commerce presence. Our mission is to inspire, educate, and fuel our community with accessible, sustainable, and real food that tastes great.
Traits of a Chompian
If you’ve been called scrappy, resourceful, and persistent, then you might just be a Chompian. You’re a team player who’s self-motivated and action-oriented. You’re committed to delivering efficiency and accuracy, and you happen to be great at proactive cross-functional communication. You’re a critical thinker and a natural problem solver who enjoys details, research, and data. You take initiative and complete ownership of everything you do, and you’ll go the extra mile for your team, consumers, and audience. You’re hungry to learn with a passion to grow and improve every day. You also take a keen interest in health, fitness, and nutrition. Sound like you? Then we want to meat you.
Accepting applications from 9/1/24-9/8/24
The Chomps Learner Program
The Chomps Learner Program is designed as an opportunity for those that are wanting to grow in a new field or gain post-schooling experience. Our Learners will get the opportunity for hands-on learning and development with snacking’s best team.
What You Will Do
As the Finance Learner you will work on various analyses to find working capital and cost efficiencies across the business. You will have the opportunity to provide and present valuable data and tools to teams across the business that will positively impact their data-driven decisions. You will learn how to review an income statement, conduct variance analysis and update financial reports that aid business leaders in understanding business performance.
Responsibilities
- The Finance Learner will support the Accounting and Finance teams through the following initiatives:
- Weekly cash flow model refreshes and forecast accuracy analysis
- Month end close variance analysis and reporting
- Finance KPI leadership reporting
- Ad hoc financial analysis
Who You Are
- Must have had a prior position or project in school where you’ve worked with a large data set and used excel to review and manipulate data
- Must have adequate excel skills
- Must be organized and a self starter to complete the projects this role will be responsible for
- Must have taken at least one introductory accounting course
- Financial Analysis
- Excel Modeling
- Data Visualization
- Financial Variance Analysis
Position: Learner, Finance
Reports to: Senior Manager, FP&A
Location: Remote
Type: Part-Time, non-exempt. 6-12 month temporary position.
Pay Range Opportunity:
- The pay range for this role is $20-$25/hr. 20-28 hours per week.
Compensation Philosophy & Total Comp:
- Our compensation ranges are based on verified market data and our philosophy of paying competitively for our size and industry
- Individual pay rate decisions are based on several factors, including qualifications for the role, experience level, skillset, and balancing internal equity relative to peers at the company
Other Perks:
- Ability to make an impact: Join a rapidly growing and entrepreneurial-spirited team at a pivotal point to positively impact the food industry.
- Opportunities to grow: Advance within Chomps quickly based on outstanding performance.
- Company-wide Continual Education budget.
- Differentiated experience: Gain practical, hands-on experience in a fast-paced start-up environment.
- Competitive pay: We value top talent and are building a profitable business together. This is a paid position.
- Flexible work arrangements: We are focused on the health and wellbeing of our team members. This is a remote position.
Our Commitment
Chomps is committed to a diverse and inclusive workforce. To achieve our mission of making nutritious food more accessible we greatly benefit from a range of perspectives, which comes from diversity of all types, at all levels of the organization. Achieving true diversity and inclusion is the right thing to do and the smart thing for our business.
We’re aware of the research showing that historically underrepresented groups are less likely to apply for a job if they don’t believe that they meet all of the criteria. Do you hesitate to submit an application because you believe you need to check every box? Please apply anyway with a thoughtful cover letter! We would love to hear from you to discuss how you can help us build a great team at Chomps.
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