Credentialing Coordinator I

The Provider Credentialing Coordinator is responsible for the background checks, applications and document follow-up.

 

GENERAL DUTIES AND RESPONSIBILITIES:

  • Maintains knowledge of current requirements for credentialing providers.
  • Prepare and/or update the provider’s application for newly affiliated and existing providers.
  • Processes applications for appointment and reappointment for One Call.
  • Build knowledge base for payer requirements and forms.
  • Tracks license, and professional liability expirations for appointed providers.
  • Completes provider credentialing and re-credentialing applications for escalated cases; monitors applications and follows-up as needed.
  • Ensures recredentialing timeliness meets and/or exceeds the NCQA expectations by following up in a timely manner and escalating items as designated by policy.
  • Maintains appointment files and information in credentialing.
  • Provides excellence in customer service for internal and external customers when handling communications, whether oral or written.
  • Ensure all workflow items are completed within the set turn-around-time, meeting expectations.
  • Responsible for exceptions in committee decision follow up.

EDUCATION REQUIREMENTS:

  • Associate’s degree or other related discipline is preferred; or equivalent combination of education and experience that is required for the specific job level.

GENERAL KNOWLEDGE, SKILLS AND ABILITIES:

  • Excellent attention to details.
  • Ability to work independently, set priorities and meet deadlines with minimal supervision.
  • Strong working knowledge of word processing, spreadsheets, data entry, data base experience and other computer related skills. Experience with other Microsoft Office products.
  • Ability to communicate effectively, both orally and in writing.
  • Must be able to communicate well with a wide variety of contacts at all levels of the organization.
  • Must be able to work cohesively in a team oriented environment and be able to foster good working relationships with others both within and outside the organization.
  • Ability to maintain confidentiality, work with deadlines and manage multiple priorities.
  • Ability to maintain a high degree of professionalism and independent judgment in response to complex sensitive issues and decision-making.
  • General understanding of related accreditation and certification requirements.
  • General understanding of medical credentialing and privileging procedures and standards.
  • General understanding of medical staff policies, regulations, and bylaws and the legal environment within which they operate.

APPLY HERE

Quality Control Specialist

HealthMark Group is a leader in health information management and technology focusing on serving the health information management needs of physician practices and hospitals throughout the nation. HealthMark Group’s innovative technology and superior customer service enable clients to streamline operations by outsourcing administrative support functions such as the release of information and form completion processes. By integrating experience, technology and service, we help hospitals, health systems and clinics concentrate on what they do best, patient care.

HealthMark Group is growing and looking for bright, energetic and motivated candidates to join our team. This is an entry level position and an exciting opportunity for someone looking to start their career with a fast-growing company.

Our Data Entry role involves entering data from various sources into the company computer system for processing and management. A candidate working in data entry will need to efficiently manage a large amount of information that is often sensitive or confidential.

Location: Can work remotely

Entry level job duties include but not limited to:

  • Preparing and sorting documents for data entry.
  • Entering data into database software and checking to ensure the accuracy of the data that has been inputted.
  • Resolving discrepancies in information and obtaining further information for incomplete documents.
  • Reports directly to Quality Control/Data Entry Manager
  • Completes Data Entry of all requests
  • Records any relevant notes on specific requests for further/proper handling throughout the request life cycle
  • Identify and accurately classify each request
  • Uphold HealthMark Group’s values by following our C.R.A.F.T.
  • Work quickly to meet the high-volume demand

Requirements:

  • Computer literacy and familiarity with various computer programs such as MS Office (formal computer training may be advantageous in progressing in this career)
  • Attention to detail
  • Knowledge of grammar and punctuation
  • Ability to work to time constraints

When applying, it would be greatly appreciated if you would complete the assessment screening process. This helps us to set candidates apart and make more informed decisions.

Job Type: Full-time $14.00 to 16.00 per hour DOE

APPLY HERE

Posting Payment Specialist

Quick Med Claims, a provider of best-in-class billing services for ground and air EMS, is seeking a Full-Time, Payment Posting Specialist Job to join our team.  At QMC we are dedicated to delivering compliant, personal service so that our clients can remain focused on patient care in their communities. 

While this is a work-from-home position the ideal candidate will be located in one of the following states: Connecticut, Florida, Georgia, Maryland, Maine, Missouri, North Carolina, Nebraska, New Hampshire, New Jersey, Ohio, Pennsylvania, Texas, or Virginia.

Why Work at QMC?:

  • Scheduling Monday through Friday 8 AM to 4:30 PM, No Weekends!
  • Flexible scheduling to those that qualify
  • Comprehensive medical, dental, and vision options
  • Amazing work-life balance with PTO and paid holidays
  • Generous 401k package with company match
  • Your initial training period is paid
  • Upward career growth and professional development
  • Supportive and appreciative workplace culture

Required Qualifications:

  • Minimum of two years of experience and relevant knowledge of revenue cycle functions
  • Minimum of two years of prior experience in a Payment Posting Specialist position (preferably working with Ambulance Claims), accounting, or similar specialty area of focus is required
  • Minimum of one year of prior experience with processing credit card payments and data entry
  • A high school diploma or equivalent
  • Previous working knowledge of Medicare, Medicaid, and commercial insurances is required

Preferred Qualifications:

  • The ability to do basic math and the desire to work with numbers
  • Basic computer knowledge, and experience with Microsoft Office products including Word, Excel, and Outlook
  • One to two years of previous customer service experience 
  • Previous experience using a multiline phone system making outbound calls and receiving inbound calls is preferred
  • Ability to handle multiple tasks and quickly adapt to changing priorities in a fast-paced environment
  • Sufficient communication skills (both written and verbal)

What does a Payment Posting Specialist Do?

Payment Posting Specialist performs a wide variety of duties which include general accounting functions like posting payments and reconciling bank deposits.  A Posting Specialist is required to uphold all rules and regulations set by QMC’s standards and federal guidelines.  Other responsibilities include pulling deposits from bank lockbox sites, pulling remits from various sources to post payments, running deposit reports to ensure daily deposits are balanced, and posting denials.

About Quick Med Claims:

Quick Med Claims (QMC) is a nationally recognized leader in emergency medical transportation billing and reimbursement.  We are determined to provide best-in-class billing services and reimbursement consulting for our EMS and Air Medical clients, so they can focus on patient care and other critical goals.  Our vision is to be the trusted partner of choice that 100% of our clients and team members would recommend to a colleague.  Established in 1991, we have grown to be an organization that supports a multitude of clients across the United States.

You Belong at QMC:

Quick Med Claims is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

APPLY HERE

Math Grading Assistant

Job Summary:

  • Grading Service Assistants grade digital math worksheets completed by Kumon students
  • The hourly rate for this role is $11.00 an hour
  • Grading of Kumon students’ math homework and corrections using provided answer keys
  • Flag student work as necessary following pre-determined criteria
  • Use judgment in reading students’ handwriting, and recognizing alternate math formats/solutions that are correct
  • Manage tracking sheets and consent forms using email and digital signature software
  • Must be available to work holidays, except for Thanksgiving, Christmas and New Year’s Day
  • This role is virtual
  • Grading Service hours of operation are 8:00am to 1:00pm Mountain Time, 7 days/week; however, each grader will be asked to work 5 of the 7 days each week and may be asked on occasion to cover additional shifts.
  • You must have access to a privately-owned computer, web camera and stable internet access through the duration of your employment to use for business purposes

Job Description: 

  • Grade of Kumon students’ math homework and corrections using provided answer keys
  • Flag student work as necessary following pre-determined criteria
  • Use judgment in reading students’ handwriting, and recognizing alternate math formats/solutions that are correct  

Skills/Requirements:
Basic –

  • Analytical Skills
  • Computer/Technical Skills
  • Time Management 
  • Communication 

Intermediate –

  • Clerical/Administrative
  • Math proficiency

Advanced-

  • Attention to detail
  • Customer Service 

APPLY HERE

Summarizer 

Employer: AlphaSights

About AlphaSights

AlphaSights is the global leader in knowledge on-demand. We connect investment and business leaders with a dynamic network of industry professionals whose informed perspectives help our clients make superior investment and business decisions. With 1200+ employees and nine offices across the US, Europe, Middle East, and Asia, AlphaSights regularly ranks as one of the fastest-growing companies in the world.

The Remote Summarizer Position

At AlphaSights, our people are our greatest asset and integral to the services we provide. As a Summarizer you will focus on creating high quality Summaries for AlphaSights’ renowned clients, helping them to quickly view and share the most important information from their call in a condensed, digestible format. Your responsibilities will include creating a Summary according to our guidelines and within the permitted time limit. This unique opportunity will provide you with relevant and valuable experience for a full-time role, or support you in excelling in careers that require our skill set.

Role Features

  • Ongoing projects
  • Independent contractor status (freelance)
  • Remote work – work from the comfort of your own home
  • Flexible schedule
  • Join a global team of hardworking, like-minded individuals!

Summarizer Responsibilities

  • Taking top quality, detailed notes by downloading and listening to complex conversations
  • Creating Summaries in accordance with the formatting guidelines and client’s context requests
    • Cleaning up your Summary document, i.e. checking for syntax, grammatical, and formatting errors
  • Condensing the content to maintain the meaning, without the fluff (Eliminate fluff!)
  • Creating Sections depending on the in-call subject matter i.e. there are four sections in one call, Market Research, Market Growth Opportunities, Regulatory Concerns.
    • The relevant questions should be bulleted underneath these Sections to allow for an easily searchable and consistent
  • Monitoring email for work opportunities
  • Being proactive about availability for work projects

What You’ll Need to be Successful

  • Attentive and detailed listening skills
  • Excellent attention to detail and strong organizational skills
  • A minimum of 2 years work experience, with specific experience in consulting, detailed note taking, market research, paralegal / legal experience or technical writing
  • Prone to simplify when needed & able to follow process
  • Great communication skills, written & verbal. Ability to express ideas clearly and succinctly, in a structured manner
  • Proficient in MS Office & Google Drive Suite
  • Bachelor’s degree required
  • Must be willing to sign an NDA

What to Expect from our Hiring Process

  • We strive to set clear expectations about the requirements for this role, and would ask the same transparency, integrity and honesty from our applicants regarding all aspects of their application
  • Qualifying candidates will be asked to complete a short assessment and interview with our team. Please note that not all applicants will qualify
  • Due to the high volume of interest in this role, applications which are rejected will not be reviewed again within a 6-month period
  • Contractors are required to pass a high-level background check

APPLY HERE