by twochickswithasidehustle | Mar 20, 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.
APPLY HERE
by twochickswithasidehustle | Mar 20, 2022 | Uncategorized
Description
DATA ENTRY OPERATOR
Systems & Methods, Inc. (SMI)
SMI is one of the most highly regarded technology producers in the human services field. We develop state-of-the-art solutions for complex human service operations. To maintain our prominence in this competitive industry, SMI recruits individuals who are technical, creative, client-focused, and most importantly willing to go the Extra Mile. In our 50th year as a family-owned and operated business, SMI considers its employees and clients part of an extended family. We are a family serving families. Our culture is one of teamwork, dedication, empowerment, and a strong emphasis on work-life balance. We offer an optimal atmosphere for career growth and achievement while remaining competitive in terms of compensation and benefits. We are multi-state operation and administrative private company with a staff of over 650 employees throughout the United States. We depend on the expertise of our SMI team to support and develop the very best systems and product lines in the industry and expect continued innovation. If you are looking for a meaningful and fulfilling career, we hope that you will consider SMI.
Position Overview
The Data Entry Operator is responsible for processing child support payments in the SDU (State Disbursement Unit) system in accordance with Standard Operating Procedures. In addition, the Data Entry Operator will be responsible for other duties as assigned.
Required Skills:
- Must maintain a general understanding of policies and procedures
- Possess strong interpersonal skills using tact, patience and courtesy
- Maintain the ability to collect, research, organize and analyze data
- Possess the ability to work as a team member, but also independently at times with limited direction
- Successful at working in a fast-paced environment
- Maintain flexibility and/or the ability to work overtime as needed in order to meet stringent schedules and time lines
Required Experience:
- High School Diploma or equivalent required
- At least one year prior experience in the areas of data entry or other related field. Will accept equivalent combination of education and experience that provides the knowledge, skills and abilities needed to perform the duties assigned
- Must be proficient in data entry skills including keyboard, mouse, 10 key pad
- Basic knowledge of Microsoft Office
APPLY HERE
by twochickswithasidehustle | Mar 19, 2022 | Uncategorized
Employer: Telus International
Part time, Independent Contractor, Work from Home Opportunity
The Role – Online Data Analyst
Company Info:
We help companies test and improve machine learning models via our global AI Community of 1 million+ annotators and linguists. Our proprietary AI training platform handles all data types (text, images, audio, video and geo) across 500+ languages and dialects. Our AI Data Solutions vastly enhance AI systems across a range of applications from advanced smart products, to better search results, to expanded speech recognition, to more human-like bot interactions and so much more.
Learn more at http://www.telusinternational.com
Position Open:
The position will allow you to work from home as an Independent Contractor on a flexible schedule of up to 20 hours per week completing tasks in a web-based evaluation tool. The tasks will involve determining the relevance and accuracy of information by performing online research and referring to guidelines provided to you. You will be rating tasks to validate data. You will be helping to authenticate data that will be used in live online search tools and applications by millions of users across the world.
Ideal Candidate:
Candidates for this position will need to have good research skills and a strong understanding of local and national information. Cultural, geographical, social media and current affairs knowledge are important in this role.
Job Requirements:
- Fluency in English essential.
- You must be living in the United States for the last 2 consecutive years
- Working knowledge of local and national geographical areas
- You must pass an open book online evaluation to demonstrate capability of reading and applying the guidelines
- Experience/know-how of using online maps, search engines and website research
- You must have familiarity with current and historical business, media, sport, news, social media and cultural affairs in the United States
- Access to and use of a broadband internet connection and associated computer and software to perform the work, all provided at your own expense
Benefits:
- Flexible Hours to work around home life
- Better Work-Life Balance
- Remote work & Location Independence
- Positive Environmental Impact
What’s next?
Don’t Delay! Submit your application through and a member of our recruitment team will review your application.
APPLY HERE
by twochickswithasidehustle | Mar 18, 2022 | Uncategorized
The GitHub Trust & Safety team is looking for a full-time team member based in North America.
Trust & Safety is a distributed team whose overall mission is to help maintain a safe, welcoming, and productive environment for GitHub’s diverse community of users. The Trust & Safety team investigates reports of abuse, processes content removal requests, and works closely with other internal teams to help develop and maintain GitHub’s user-facing site policies and internal policies and procedures related to user-generated content moderation.
This role may require working one weekend day a week and may include non-standard working hours, including holidays. This role will review content that may be graphic, violent, sexual, or otherwise distressing.
Responsibilities:
- Capably and consistently maintain multiple task queues covering different fields of knowledge.
- Investigate and respond to reports of abuse on GitHub.com, including categories such as:
- Spam
- Harassment
- Impersonation
- Privacy violations
- Malware, cryptocurrency abuse, and other reports of fraudulent activity
- Objectionable speech and content such as hate speech and pornography
- Investigate and respond to reports of content that may present legal risk to GitHub
- Organize and triage the team’s ticket queue periodically on a daily basis
- Catalog workflow, log noteworthy events, and apply data to improve procedures
Minimum Qualifications:
- Excellent organizational, analytical, and written communication skills
- Operationally minded, with excellent attention to detail
- A strong sense of empathy and the ability to advocate for others
- Interest in user-generated content moderation and the policy behind it
- Self-starter who works well without direct supervision
- Team player with excellent collaboration skills
- Comfortable with ambiguity and making decisions with incomplete or conflicting information
- Tech-savvy, and have no problem learning and becoming proficient in new tools
- 1-3 years of relevant experience
Preferred Qualifications:
- Previous Trust & Safety experience
- Previous Customer Support experience at a tech company
- Experience with the open source community
- Previous experience as a legal assistant or other law or policy-based profession working with attorneys
- Experience communicating with users/customers
- Experience working remotely
(Colorado only*) Minimum hourly of $24.03/hr to maximum hourly of $51/hr + bonus + equity + benefits.
· Note: Disclosure as required by sb19-085 (8-5-20) of the minimum salary compensation for this role when being hired in Colorado.
Who We Are:
GitHub is the developer company. We make it easier for developers to be developers: to work together, to solve challenging problems, and to create the world’s most important technologies. We foster a collaborative community that can come together—as individuals and in teams—to create the future of software and make a difference in the world.
Leadership Principles:
Customer Obsessed – Trust by Default – Ship to Learn – Own the Outcome – Growth Mindset – Global Product, Global Team – Anything is Possible – Practice Kindness
Why You Should Join:
At GitHub, we constantly strive to create an environment that allows our employees (Hubbers) to do the best work of their lives. We’ve designed one of the coolest workspaces in San Francisco (HQ), where many Hubbers work, snack, and create daily. The rest of our Hubbers work remotely around the globe. Check out an updated list of where we can hire here: https://github.com/about/careers/remote
We are also committed to keeping Hubbers healthy, motivated, focused and creative. We’ve designed our top-notch benefits program with these goals in mind. In a nutshell, we’ve built a place where we truly love working, we think you will too.
GitHub is made up of people from a wide variety of backgrounds and lifestyles. We embrace diversity and invite applications from people of all walks of life. We don’t discriminate against employees or applicants based on gender identity or expression, sexual orientation, race, religion, age, national origin, citizenship, disability, pregnancy status, veteran status, or any other differences. Also, if you have a disability, please let us know if there’s any way we can make the interview process better for you; we’re happy to accommodate!
Please note that benefits vary by country. If you have any questions, please don’t hesitate to ask your Talent Partner.
APPLY HERE
by twochickswithasidehustle | Mar 18, 2022 | Uncategorized
Part time, Independent Contractor, Work from Home Opportunity
The Role – Online Data Analyst
Company Info:
We help companies test and improve machine learning models via our global AI Community of 1 million+ annotators and linguists. Our proprietary AI training platform handles all data types (text, images, audio, video and geo) across 500+ languages and dialects. Our AI Data Solutions vastly enhance AI systems across a range of applications from advanced smart products, to better search results, to expanded speech recognition, to more human-like bot interactions and so much more.
Learn more at http://www.telusinternational.com
Position Open:
The position will allow you to work from home as an Independent Contractor on a flexible schedule of up to 20 hours per week completing tasks in a web-based evaluation tool. The tasks will involve determining the relevance and accuracy of information by performing online research and referring to guidelines provided to you. You will be rating tasks to validate data. You will be helping to authenticate data that will be used in live online search tools and applications by millions of users across the world.
Ideal Candidate:
Candidates for this position will need to have good research skills and a strong understanding of local and national information. Cultural, geographical, social media and current affairs knowledge are important in this role.
Job Requirements:
- Fluency in English essential.
- You must be living in the United States for the last 2 consecutive years
- Working knowledge of local and national geographical areas
- You must pass an open book online evaluation to demonstrate capability of reading and applying the guidelines
- Experience/know-how of using online maps, search engines and website research
- You must have familiarity with current and historical business, media, sport, news, social media and cultural affairs in the United States
- Access to and use of a broadband internet connection and associated computer and software to perform the work, all provided at your own expense
Benefits:
- Flexible Hours to work around home life
- Better Work-Life Balance
- Remote work & Location Independence
- Positive Environmental Impact
What’s next?
Don’t Delay! Submit your application through and a member of our recruitment team will review your application.
APPLY HERE
Recent Comments