by twochickswithasidehustle | Mar 20, 2022 | Uncategorized
Employer: Ciox Health
Overview
Medical Billing Specialist is responsible for the complete revenue cycle process of claims submission and follow up which includes accurate interpretation of EOB’s, working credit balances, and resolution of patient billing concerns. Keep current with third party payer rules/regulations and maintains the focus of processing clean claim and reducing days in accounts receivable.
Responsibilities
- Enter charge posting from EOBs
- Follow-up charge review
- Responsible to process claims edits as needed
- Work credit balances
- Responds to patient questions and inquiries in regard to claims
- Data entry of claims into the computer system
Qualifications
- High school diploma or equivalent required.
- Required CPC-A or 2+ years of directly related work experience
- Familiarity with Hospital/Insurance computer system preferred.
- Must be able to effectively deal with insurance companies to understand benefits, deductibles, out of pocket expenses, and benefit limitations.
- Effective oral and written communication skills required.
- Knowledge of third-party payer billing rules and UB 04 and/or CMS 1500 bills preferred.
- Medical terminology and knowledge of CPT and diagnosis coding preferred.
- Excellent computers skills with the ability to work in multiple software packages and 10-key pad proficiency required.
- Detail orientated, analytical and ability to problem solve required.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Ciox Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.
APPLY HERE
by twochickswithasidehustle | Mar 20, 2022 | Uncategorized
Employer: Change Healthcare
Work Location: Remote (Anywhere in U.S.)
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
APPLY HERE
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
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