by twochickswithasidehustle | Mar 21, 2022 | Uncategorized
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM
The Claims Representative Associateis responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
- Authorize the appropriate payment or refers claims to investigators for further review.
- Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
- Analyze and identify trends and provide reports as necessary
- Consistently meet established productivity, schedule adherence, and quality standards
- Recognize claims by determining claim type – HCFA, Hospital, UB, and/or RX
- Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
- Calculate other insurance and re-pricing benefits
- Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
- Updates and maintains claims tracking database
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High school diploma / GED (or higher)
- 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
- 2+ years of data entry experience
- Basic understanding of healthcare claims including ICD-9 and CPT codes
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
- 1+ years of experience working with medical claims
- Prior experience working with IDX software
- 1+ years of working in production based environment
- Type 60+ WPM
Soft Skills:
- Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
APPLY HERE
by twochickswithasidehustle | Mar 21, 2022 | Uncategorized
Employer: Change Healthcare
Company: Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Position: As an Accounts Receivable Specialist, you will process Change Healthcare’s accounts receivables and/or payables and complete related responsibilities in a timely manner.
Core Responsibilities:
- Process accounts receivables and/or payables
- Prepare payments for expense vouchers and invoices
- Coordinate client billing and collections activities
- Handle vendor inquiries and in the absence of a credit or collections specialist, negotiate with past-due accounts
- Identify any issues or trends and bring them to the attention of management
- Meet productivity standards as outlined in client metrics
- Generate routine balance reports
- Maintain files and accounting documentation
Requirements:
- High school diploma and 1+ year of related work experience
- Knowledge of the accounts receivables (A/R) process
- Strong written and verbal communication skills
- For remote roles, a dedicated workspace and strong internet connection
Preferred Qualifications:
- Bachelor’s Degree in a related field
- 1+ year healthcare or insurance billing processing experience
- 2+ years’ customer service experience
Working Conditions / Physical Requirements: General office demands
Unique Benefits:
- Flexible work arrangements
- Paid Time Off (PTO), eight (8) paid holidays and two (2) floating holidays
- Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
- Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
- Your choice of four medical plans & My Healthy Changes well-being program
Diversity and Inclusion:
At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
APPLY HERE
by twochickswithasidehustle | Mar 21, 2022 | Uncategorized
Employer: Change Healthcare
Overview of Position
The Refund Specialist/ Credit Resolution Representative is primarily responsible for monitoring and resolving credit activity that is housed in credit work queues as well refund request letters received from governmental and commercial carriers. This individual reviews the specifics regarding charges, accuracy of reimbursement to expected reimbursement and how that payment was posted to the billing system to determine if a true credit exits. If a refund is required, the Credit Resolution Representative will perform the appropriate steps in the billing system to generate the refund. The Credit Resolution Representative also, looks for trends that exist and the root cause for credits and works with the appropriate parties to minimize refunds. The Credit Resolutions Representative reports to the Manager of Payment Applications.
What will be my duties and responsibilities in this job?
- Research credit balances on patient accounts.
- Make posting corrections as necessary.
- Research and post refunds appropriately in patient accounting system.
- Determine the correct course of action to resolve the refund request or credit balances
- Work closely with third-party payors throughout the refund and credit issue resolution processes.
- Maintain knowledge of insurance payments and rejection/denial processing.
- Update credit balance/refund work queue as necessary.
- Utilizes all available resources (EOBs, IMAGENOW, payor websites, Availity, Navinet) to ensure refunds/take-backs (recoupments) are adjudicated correctly.
- Notifies payor representative to initiate take-back (recoupment), and provides support documentation as required to the payor representative.
- Provides all required documentation necessary for refund approval.
- Prepares approved refund requests and submits to Team Lead for review and in turn submission to finance for reimbursement.
- Updates billing system to ensure that refunds/take-backs are properly documented. Identifies all misallocated reimbursement for proper disbursement.
- Ensures complete, accurate, and timely account notation and documentation in the Revenue Cycle systems, including adjudication and denial processing. Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate.
What are the requirements needed for this position?
- 3+ years of working with patient accounts
- High Diploma
What other skills/experience would be helpful to have?
- Ability to work independently; prioritize work and results oriented.
- Excellent written, verbal communication and interpersonal skills.
- Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment.
- A demonstrated ability to use PC based office productivity tools (e.g. Microsoft Outlook, Microsoft Excel) as necessary; general computer skills necessary to work effectively in an office environment.
- Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.
- Experience working with refunds
- Advanced understanding of payment methodology for Physician services.
- An understanding of CPT, ICD-9, HCPCS.
- An understanding of contract terms and payer policy.
- Clear understanding of the impact payment applications and refund/credit processing has on Revenue Cycle operations and financial performance.
- Must possess a strong math aptitude.
What are the working conditions and physical requirements of this job?
- General office duties and conditions
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
APPLY HERE
by twochickswithasidehustle | Mar 21, 2022 | Uncategorized
Employer: Conduent
About Conduent
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them.
You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Data Entry Processor
$14.00hr & Great Benefits
NO WEEKENDS!
Summary:
Conduent is hiring immediately for a data entry processor. In this role, you will be providing top notch customer service by entering data for our valued customers.
What you will be doing:
· Working to identify documents and key alphanumeric data into various systems
· Perform subjective reading to interpret data for keying purposes
· Working independently to help meet daily production expectations
· Responsible for performing work according to quality expectations set forth by the customer
· Various other tasks as assigned
What you get:
· Part time or Full Time Employment
· $14.00 hourly
· Flexible schedules available with possible overtime
· Onsite training with the possibility of converting to a remote opportunity
· Weekends OFF!
· Career Growth
· Full Benefit Options with Full time employment
· Great Work Environment
People who succeed in this role have:
· Have a minimum typing capability of 35 WPM/8750KPH
· Data entry experience is preferred but not required
· Computer experience with both Windows 7 and Windows 10
· Strong work ethic.
· Effective and accurate written and verbal communication skills.
· Effective problem-solving skills.
· Attention to detail
Requirements
· Must be at least 18 years of age or older.
· Must have a high school diploma or general education degree (GED).
· Must be eligible to work in the United States.
· Must be able to clear a criminal background check and drug test
Join a rapidly growing customer service organization that can support your career goals and Apply Today!
APPLY HERE
by twochickswithasidehustle | Mar 21, 2022 | Uncategorized
Employer: Armanino
The Full-Charge Bookkeeper [also known as Account Manager] will work directly with clients, as well as team members to handle accounts payable, accounts receivable, and complete action items for clients. This position may have some supervisory responsibilities. He/she will possess at least 3 years experience in business management, knowledge of bookkeeping concepts, and have strong interpersonal and communication skills. A successful candidate goes above and beyond to proactively help the team when needed.
DO YOU HAVE WHAT IT TAKES?
WHAT YOU’LL DO:
- Has direct client contact
- Review mail, email, and other communications daily for actionable items, such as checks, invoices, notices, etc. and communicate timely to team lead
- Responsible for cash management, including cash transfers and managing cash balances
- Enter/Review client’s invoices into accounting software and pay bills timely on an ongoing basis
- Prepare wire transfers accurately and timely
- Process, record, and review bank deposits into correct entities/accounts
- Run payroll
- Review and reconcile intercompany activity between multiple entities
- Review monthly bank reconciliations timely and accurately prepared by assistant bookkeeper
- Prepare/Review cash receipt and disbursement report and send to client timely
- Reviews AR Aging Report and follows up as necessary
- Assist with preparation for financial statements
- Assist with clients’ medical insurance reimbursements, as needed
- Prepare/Assist with team lead of annual 1099 filings
- Coordinate with third party payroll company to report periodic payroll runs, as needed
- Review payroll tax returns prepared by payroll company to the general ledger, as needed
- Assist and prepare Tax & License forms such as City Business License Returns, Secretary of State Statements of Information and Business Personal Property, as needed
- Collaborate with team lead to prepare credit applications (mortgages, autos, etc.), as needed
- Collaborate with team lead in communications with property & casualty insurance brokers, as needed
- Communicate with clients’ vendors to resolve billing inquiries (telephone company, cable, etc.), as needed
- Consistently attend team meetings to be informed of client needs
BUT WAIT… THERE’S MORE!
WHAT YOU’LL NEED
- High school diploma is required, Bachelor’s Degree is preferred
- At least 3 year(s) of experience working in Business Management
- Datafaction/AgilLink knowledge is a plus
- Has knowledge of bookkeeping concepts
- Relies on instructions and pre-established guidelines to perform the functions of the job.
- Strong interpersonal, verbal and written communication skills.
- Works effectively in a team environment through collaboration and partnership.
- Client service oriented.
- Excellent typing skills for all data entry (productivity and efficiency is a priority for this job)
- Ability to work accurately and quickly under operational deadlines.
- Good working knowledge of MS Office, including Word, Excel, and Outlook
APPLY HERE
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