Data Entry Associate (US Remote)

WHAT’S IN IT FOR YOU

  • Competitive compensation of $15/hour and a $2,000 annual bonus, with a clear career progression ladder based on metrics & licensing
  • COMPANY PAID: Life, Health, and Accident Insurance Producer License (multi-state)
  • 100% company-paid Medical, Dental, and Vision Insurance coverage for you and your dependents
  • We’re currently working from home due to Covid-19, and the following don’t apply until we’re safely back in the office: Team Outings (in-person), Offsite Retreats Every 6 months (in-person), Dog-Friendly Offices, Collaborative Office Space, and Stocked Kitchen
  • Stock option packages
  • A values-based culture that invests in employee success

WHAT WE ARE ALL ABOUT

SimplyInsured is on a mission to eliminate the fear from purchasing and navigating health insurance in the United States. We specifically work with small business owners who have the enormous task of purchasing the right type of insurance for their employees and families. With more than 15,000 customers and major partnerships with Intuit and Square, we’re quickly growing and disrupting this convoluted, confusing industry by making it more transparent and fully accessible to everyone. 

Our team’s broad experience includes founding companies; scaling successful startups like Cardpool and Domo; working in established companies like Cisco Systems, Convergys, Dell EMC, and Yahoo; consulting at Bain, McKinsey, and Deloitte; and venture capital investing. We got our start in the Y-Combinator incubator and have been funded by top-tier investors at Polaris Partners, New York Life Ventures, Bessemer Venture Partners, and AltaIR Capital. We are a Series A company and have raised $10M+ in venture capital.

We value radical transparency, feedback, bias to action, growth, and an obligation to dissent. Every perspective is respected and supported. We are motivated by the diversity in our backgrounds and unified by 100% alignment on our mission.

HOW YOU’LL MAKE A DIFFERENCE

In this role, you will be a critical member of the Revenue Operations team which is responsible for shepherding small business applications for health, dental, and vision insurance through the approval process with our insurance carrier partners. As part of the Revenue Operations team, you will review, prepare, and submit customer applications to insurance carriers for approval. You will be responsible for reviewing and compiling necessary information, ensuring application packet completeness and accuracy, verifying proper formatting, and submitting the application using the carrier-specified channel. You will also conduct administrative tasks that support the submissions process. This role requires productive collaboration with other members of the team to quickly triage and resolve issues.

As a submissions expert, you will also be expected to identify opportunities to improve our internal processes and identify opportunities for gaining efficiencies with our carrier processes. You’ll have unique insight and access into submissions issues and you’ll be empowered through data to propose process improvements or product enhancements to improve the customer enrollment experience. 

Your goals are to drive high throughput of submissions with a high degree of quality and consistency. As a member of the Revenue Operations team, you will be responsible for growing the company’s revenue from new business as well as increasing the number of small business groups and employees purchasing insurance through SimplyInsured.  

WHO WOULD BE A GOOD FIT?

  • 1-2 years of experience in customer service or sales role
  • Highly productive with good multitasking skills
  • Passion for helping people – especially when it comes to their health
  • Able to work in a high-volume contact center environment
  • Familiarity working with support ticketing and/or support CRM software tools
  • Fantastic oral and written communication skills
  • Strong desire to help businesses maximize their health care

Regarding COVID-19

With the spread of COVID-19, SimplyInsured offices will remain closed until further notice except for employees who require access. Our primary concern is for the health and well-being of our employees as well as candidates. We have transitioned all interviews and onboarding to will be conducted virtually. 

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

APPLY HERE

Virtual Medical Scribe

Nuance’s Virtual Medical Scribe, or what is internally called a Quality Documentation Specialist (QDS), works nearly in real-time with a physician and their care team to complete documentation of clinic visits. Specialists support healthcare providers and their patients by using an emerging technology platform to complete confidential medical documentation summaries of patient encounters. Our team saves time for providers by delivering accurate documentation within hours of patient visits. Documentation includes patient histories, exams, radiographic findings, assessments, and treatment plans. Specialists make healthcare functional and efficient by allowing providers to keep their focus on their patients.

Full Time,  Benefits eligible,  100% Work from Home

Multiple Shifts Available 

Our team seeks candidates who are passionate about medicine and desire to impact the future of healthcare. We are looking for quick learners who can get up to speed with medical terminology to include anatomy and treatment modalities and strive for continual learning and improvement. Successful candidates will be eager to learn new technology and be open to making changes as new technologies evolve. Training will be provided through our Quality Documentation Specialist training program.

Responsibilities

  • Provide documentation coverage for a set of healthcare providers, which involves listening to audio recordings of patient clinic visits and leveraging technology to summarize medical facts in professional clinical reports (History of Present Illness, Physical Exam, Results, Assessment & Plan).
  • Achieve proficiency in navigating EHRs and enter clinical reports and data directly into customer EHRs, adhering to specific clinic guidelines and workflows.
  • Maintain a high-quality standard and adhere to account-specific documentation which delineates documentation requirements for our customers.
  • Collaborate with managers on feedback from providers and successfully resolve issues.

Required Qualifications/Experience

  • Experience required in  a medical office, clinical or healthcare documentation or similar academic setting.
  • Familiarity with medical terminology.
  • Excellent English professional writing skills; including advanced proficiency in grammar and spelling.
  • Excellent listening skills and ability to understand diverse accents and dialects of physicians, their staff, and patients.
  • Ability to work independently in a secure and private location with a reliable high-speed internet connection. 
  • Ability to participate in live video chat and screen sharing sessions for training.
  • Experience with the Microsoft Office 365 or other cloud-based productivity tools.

Preferred Qualifications/Experience

  • Experience as a medical scribe or a transcriptionist preferred but not required.
  • Experience or training in the medical specialty of Oncology, Orthopedics, Neurology, ENT, Cardiology, Ophthalmology, GI, Dermatology, Rheumatology, Family Medicine, Pain Medicine, Nephrology, or Urology preferred but not required.
  • Familiarity with Electronic Health Record Systems; Epic, Cerner, or Athena experience is highly preferred.

Pay Rate: $15/hour

At Nuance, we’re committed to taking care of you with comprehensive benefits and rewards.

To learn more, visit our Benefits page: https://www.nuance.com/about-us/careers/benefits.html

#LI-Remote

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Insurance Authorization Specialist (Remote)


Ensemble Health Partners is a leading innovator in revenue cycle management, helping healthcare providers improve financial outcomes and patient experiences with an unrivaled depth of expertise and best-in-class technologies. Ensemble offers full revenue cycle outsourcing as well as a comprehensive suite of healthcare financial management point solutions. With clients spanning the U.S. and Europe, we have been helping to improve healthcare outcomes for millions of patients while saving hundreds of millions of dollars for healthcare providers. Recognized with multiple industry awards and as a Becker’s Healthcare Top Workplace, Ensemble is setting a new standard for provider support services – redefining the possible in healthcare by empowering people to be the difference. 

Insurance Authorization Specialist 

The Insurance Authorization Specialist I is responsible for performing insurance authorization for all patients scheduled for services. Insurance Authorization Specialist I will work within the policies and processes as they are being performed across the entire organization. 

Insurance Authorization Specialist Responsibilities include: 

  • The Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety and working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment. 
  • Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval. 
  • Will be the liaison between the ordering physician and insurance company to ensure any and all requirements to secure approval are identified and communicated.  

Insurance Authorization Specialist will receive benefits: 

  • Competitive compensation and benefits packages that reflect our commitment to providing fair and just workplaces. 
  •  Wellness programming designed to help our associates enhance their health, including a comprehensive annual health risk assessment. 
  • A culture truly participatory and to strengthen diversity and inclusion. 
  • Growth-Once you’ve joined our team, you will discover a variety of traditional and online learning opportunities, including tuition reimbursement, to help you acquire new skills and obtain degrees, certifications and CEUs. And our managers will coach you toward greater success. 
  • Recognition-We recognize our associates through programs that include service awards, celebrations and personal appreciation. We also survey associates annually to assess their satisfaction with our organization and managers, and to identify areas for improvement. 

Insurance Authorization Specialist Requirements include: 

  • High School Diploma Required – Associates Preferred 
  • 2 years’ experience in a healthcare related position required. 
  • Experience working with insurance companies and/or pre-authorizations required.  
  • Certification Medical Assisting preferred. 
  • Understanding of admission, billing, payments and denials.   
  • Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.   
  • Knowledge of medical terminology or CPT or procedure codes. 
  • Patient Access experience with managed care/insurance and Call Center experience highly preferred. 
  • Articulate, personable, dependable and confident with excellent communication skills. 
  • Customer service oriented, builds trust and respect by exceeding customer expectations.  

Scheduled Weekly Hours:40

Work Shift:

We’ll also reward your hard work with:

  • Great health, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • Paid time off
  • Tuition reimbursement
  • And a lot more

APPLY HERE

Benefits Specialist in Remote Position 

JOB DESCRIPTION

TeamHealth is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.

Position Summary

The benefits specialist assists in the administration of TeamHealth benefit programs, such as medical, dental, vision, life, FSA’s, COBRA administration and ACA Compliance in accordance with state and federal regulations.

Reporting Relationship

Reports To: Mgr Benefits

Supervisory Responsibilities: None

Job Duties and Responsibilities

  • Assists with benefits integration of newly acquired groups.
  • Administers and interprets policies related to benefit plans and responds to inquiries regarding policies, procedures, and programs.
  • Determines staff eligibility for benefits and assists staff with enrollments, changes, and termination of benefits.
  • Loads payroll files from the Benefit Administration System vendor and goes through file errors.
  • Assists with auditing and maintaining benefit deductions in the HRIS.
  • Assists with development and distribution of communications pertaining to benefit programs, including but not limited to open enrollment and legally required notices.
  • Provides support for the open enrollment period and for special project work as needed.
  • Assists with COBRA Administration.
  • Assists with invoicing associated with benefit programs.
  • Answers complex employee questions, resolves issues and communicates with vendors to assure system resolution.
  • Process HSA feed ensuring accurate vendor feeds and balancing against employee’s accounts.
  • Performs other related duties as assigned.

JOB REQUIREMENTS

Education

Bachelor’s degree in business, human resources or related field required.  Equivalent experience may be considered in lieu of degree requirement.

Experience

Two to four years of benefits administration experience required.

Licensures and Certifications

None required.

Knowledge, Skills and Abilities

  • Possess strong problem-solving and organizational skills.
  • Proficient in various computer applications such as word, excel, PowerPoint, email, etc. Lawson system experience preferred.
  • Able to handle stress, multiple tasks and deadlines effectively.
  • Able to work in a team oriented environment.
  • Possess strong written and verbal communication skills.
  • Able to function as part of a team, yet work with minimum supervision.
  • Able to handle confidential information.

APPLY HERE

Clinical Documentation Integrity, Coder, Remote

We are currently recruiting a Clinical Documentation Integrity- Coder to support clinical documentation integrity and coding within practices participating in value-based contracts. This position is critical to our practices’ ability to provide better care to Medicare beneficiaries and the CDI-C is expected to be an example of regulatory compliance. The CDI-C will review medical record documentation to help identify educational opportunities related to complete and accurate diagnostic documentation and coding, in accordance with ICD-10 CM coding guidelines, internal protocols and CMS and payer guidelines.  The CDI-C must be detail-oriented, service-minded, possess strong verbal and written communication skills, and be fluent in (or willing and able to master) Google Suite tools. 
We are looking for individuals who genuinely believe that Aledade’s model of physician-led ACOs can improve quality and lower cost. This position will work remotely within the US and includes periodic travel to Aledade’s Headquarters in Bethesda, MD and assigned markets as needed.

Responsibilities:

  • Reviews content of medical record to identify principal diagnosis, secondary diagnoses, and procedures performed 
  • Identifies opportunities for better accuracy in clinical documentation and coding within the medical record
  • Evaluate and optimize coding workflows
  • Partner with internal stakeholders to improve reporting and analytics tools to drive improvements in the accuracy and completeness of clinical documentation and diagnosis coding
  • Reviews annual mapping of ICD-10 CM crosswalk from CMS Website
  • Participates in continuing education update programs made available to CDI-C staff
  • Updates and corrects historical data by identifying trends with inaccuracies in documentation and coding
  • Provide guidance to field staff and practices regarding general documentation and coding best practices and risk adjustment
  • Support performance in value-based contracts

Qualifications:

  • Current certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent
  • 3+ years of recent, relevant work experience in medical coding, preferably in risk adjustment
  • Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement, and the impact of diagnosis documentation on risk adjustment payment models
  • Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
  • Ability to identify and communicate opportunities to improve documentation and diagnosis capture for accurate risk adjustment coding
  • Experience working directly with physician practices and individual providers to achieve demonstrable improvement in increasing the accuracy and completeness of documentation and diagnosis coding

Key Characteristics of the Successful Candidate:

  • Successful track record in medical coding through previous experience
  • Strong understanding of value-based care principles, particularly as they relate to the impact of clinical documentation and coding on risk adjustment payment models in value-based contracts
  • Solution-oriented individual who can execute tactical continuous quality improvement work to deliver results in value-based contracts
  • Excellent communicator who can articulate the impact of documentation and diagnosis initiatives to Aledade ACO member practices and their key staff (e.g., office managers, practice billers, etc.), and internally within the company. 
  • Ability to work collaboratively across Aledade clinical and non-clinical teams to gain buy-in and implement key documentation improvement initiatives
  • References demonstrating high degree of integrity and professional accountability

All prospective hires will be required to demonstrate that they have been fully vaccinated, including booster shots, against COVID-19 with a COVID-19 vaccine for which the U.S. Food and Drug Administration has issued a license or an Emergency Use Authorization prior to mutually-agreed upon start date at Aledade, unless they qualify for a medical or religious accommodation to this vaccination requirement. In certain limited circumstances, Aledade will accept documented proof of prior infection with COVID-19 in lieu of a booster shot.
If you are passionate about transforming the healthcare system into one that best serves the needs of patients, doctors, and society, we’d love for you to join us!
Who We Are:Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients.  We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. 
We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed.  From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO),  revamping the way they practice and getting them back to where they should be: quarterbacking their patients’ health care!
Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.
What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness, and a desire to learn.  You will work with team members that bring a wide range of experiences, interests, backgrounds, beliefs, and achievements to their work, united by a shared passion for public health and a commitment to the Aledade mission.
We’ve recently been recognized as a Top Workplace by The Washington Post, Best Workplace in HealthCare & Biopharma, Top 100 Best Small & Medium Workplaces,  Glassdoor Best Places to Work, a Best and Brightest Companies to Work for in the Nation, a Tech Tribune 10 Best Tech Startups in Maryland and Bethesda, Best Tech for Good, Best Workplaces for Millennials, Best Workplaces for Women, Best Workplaces for Parents, and a 2020 Inno on Fire by DC Inno.
That’s because the things that matter to you also matter to us!
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the needs of our team-members:
Flexible work schedules and ability to work remotely available for many rolesEducational Assistant ProgramRobust time off plan (21 days of PTO in your first year!)Paid Volunteer Days10 paid holidays12 weeks paid Parental Leave for all new parents6 weeks paid sabbaticalHealth, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners401(k) with up to 4% matchStock optionsMonthly cell phone stipend Weekly catered lunchesJeans everyday workplaceGender neutral bathrooms And more!

APPLY HERE