Electronic Remittance Specialist

Employer: Vituity

Everybody Has A Role To Play In Transforming Healthcare

As an Electronic Remittance Specialist, you play a vital role in Billing Operations, balancing, interpreting EOBs’ and/or ERA files for posting of insurance, patient payments and denials which can be received via Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA) or paper EOB. You contribute to our team’s success. At Vituity we know the impact you can have.

Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.

Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

  • Review and interpret Electronic Remittance Advice (ERA) files or Explanation of Benefits (EOB) to ensure they balance to the corresponding Electronic Transfer Fund (EFT) Deposits.
  • Follow up on outstanding and/or out of balance deposits in PARM (Payment Automation/Reconciliation Manager).
  • Contact insurance carriers and utilize payer websites to obtain necessary information for processing of EFT deposits
  • Review and update patient accounts to reflect the correct Financial Classification (FC), Contract ID (CID) and Insurance key based on the Electronic Remittance Advice Query to ensure accounts reflect payment from the correct payer.
  • Review outstanding Electronic Remittance Advice (ERA) batches for assigned payers to ensure timely posting and aging requirements are met. Aging is to be kept within 45 days of creation date.
  • Post Electronic Payments and Denials in the Electronic Funds Transfer (EFT) tab in Payment Automation Reconciliation Manager (PARM) application and CPU/AS400 Billing System.
  • Review Open Batch Query to resolve outstanding aging electronic batches.
  • Maintain current knowledge of payment posting practices by attending meetings, training sessions and seminars.
  • Post paper check payment packs via PARM (Payment Automation/Reconciliation Manager).
  • Process ACT Code (SC) Share of Cost, (OC) Outside Collections, (RT) Retractions.
  • Complete ACT (Activity Code Tracking) codes related to Billing Team inquiry on payments pending for outstanding patient accounts receivable.

Required Experience and Competencies:

  • High school diploma or GED required
  • At least one year of work experience in a related field required
  • Payment representative or equivalent experience is preferred

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

  • Monthly wellness events and programs such as yoga, HIIT classes, and more
  • Trainings to help support and advance your professional growth
  • Team building activities such as happy hours and holiday celebrations
  • Flexible work hours
  • Opportunities to attend Diversity, Equity and Inclusion (DEI) events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

  • Superior health plan options
  • Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
  • Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
  • Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical
  • Student Loan Repayment Program
  • Professional and Career Development Program
  • EAP, travel assistance and identify theft included
  • Wellness program
  • Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
  • Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants Only. No agencies please.

APPLY HERE

Order Fulfillment Coordinator

Employer: Amplify Education

A pioneer in K–12 education since 2000, Amplify is leading the way in next-generation curriculum and assessment. Our captivating core and supplemental programs in ELA, math, and science engage all students in rigorous learning and inspire them to think deeply, creatively, and for themselves. Our formative assessment products turn data into practical instructional support to help students at every skill level build a strong foundation in early reading and math. Our programs provide teachers with powerful tools that help them understand and respond to the needs of all their students. Today, Amplify serves over eleven million students in all 50 states.

Amplify is seeking an Order Fulfillment Coordinator to join the Business Operations team. . The Coordinator will work cross-departmentally to ensure orders have been suitably processed and received by our vendors. This position includes order entry and administrative duties with oversight into shipping and tracking of orders to ensure orders are processed in accordance with the organization’s customer service standards.

The position will work through data entry, email monitoring, reporting, and various other duties as required, to ensure the workload is appropriately dispersed and handled. Data entry skills with Excel and some customer interaction required. Salesforce and ERP experience is a plus.

“Amplify’s COVID-19 vaccination policy requires all staff to provide proof of vaccination for in-person meetings unless an approved exemption is provided. “

Responsibilities:

  • Prioritize issues in accordance with their severity and Service Level Agreement (SLA)
  • Participate in training for relevant technology and products including networking, hardware and mobile device management
  • Interpret instructional and user documentation
  • Supply to the continual improvement of team training programs, ticketing process, and standard methodologies

Basic Qualifications:

  • Bachelor’s degree in Business or a related field
  • Proficiency with office software including Google products (docs, search) and Microsoft products (Excel, Word)
  • Experience using a variety of operating systems with knowledge of networking, connectivity, and internet protocol
  • Customer service experience in a fast-paced, professional work environment

Preferred Qualifications:

  • Experience using Salesforce software
  • Ability to efficiently complete multiple projects simultaneously, while maintaining acute attention to customer care and details
  • Instructional and technical writing experience

We celebrate diversity and are committed to creating an inclusive environment for all employees. To that end, we seek to recruit, develop and retain the most talented people from a diverse candidate pool. Amplify is an Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities.

This position may be funded, in whole or in part, through American Recovery & Reinvestment Act funds.

Amplify Education, Inc. is an E-Verify participant.

APPLY HERE

Medical Payment Poster

Employer: Quick Med Claims – QMC

Quick Med Claims (QMC) is a nationally recognized leader in emergency medical transportation billing and reimbursement and was recently named Top Places to Work in the Healthcare Industry in 2021. QMC is committed to providing services in a manner that ensures compliance with all applicable billing and reimbursement regulations while maximizing the capture of allowable reimbursement for each client. The commitment to adherence to both of these principles makes QMC the partner of choice for emergency medical transportation providers.

The company experience is deep enough and broad enough to ensure a high level of quality in all aspects of the service while maintaining a manageable number of clients to provide individual attention for each. This balance has been the hallmark of the QMC approach since the foundation of the company.

QMC enjoys the best reputation in the industry for enhancing reimbursement, quality personnel, and commitment to customer service excellence.

QMC is committed to the success of the emergency medical transportation programs that it supports and the existing client base has benefited from this commitment. QMC leadership works closely with client leadership to meet the strategic goals of the program and the sponsoring organizations.

Overview of the Position:

Under the direction of the Posting Manager, the Medical Payment Poster oversees the intake of payments. This includes accepting, processing billing statements, and conducting audits for each billing cycle. The applicant selected for this role must be able to keep accurate electronic records, maintain accurate billing processes, and demonstrate computer skills, attention to detail, and mathematical ability.

The position is located in Pittsburgh, PA; however, we are open to considering remote candidates based on location and experience.

Responsibilities include:

  • Pulls deposits from bank lockbox/website and remits from various websites to post payments;
  • Runs deposit reports to make sure daily deposits are balanced;
  • Posts all payments and denials;
  • Maintains up-to-date knowledge of the accounts being posted, especially schedules and payers;
  • Calls insurance companies when needed to request remits;
  • Attends daily huddles and scheduled Posting and Billing team meetings;
  • Responds to Billing team inquiries related to posting; and
  • Acts as a backup Payment Posting Assistant when needed, which includes finding remits on various websites.

Qualifications:

  • A high school diploma or equivalent is required
  • Basic accounting principles and medical billing experience preferred, but not required
  • Basic computer knowledge, and experience with Microsoft Office products including Word, Excel, and Outlook;
  • Customer service oriented;
  • Attention to detail, accuracy, and data entry skills;
  • Ability to handle multiple tasks and quickly adapt to changing priorities in a fast-paced environment;
  • Strong organizational and time-management skills; and
  • Sufficient communication skills (both written and verbal).

Benefits:

  • Comprehensive & competitive benefit package
  • Generous 401k Company Match Program
  • Profit Sharing Potential
  • Flexible work schedules
  • Paid time off and holidays
  • Training and development opportunities
  • Receive your birthday off and much more!

APPLY HERE

EMR Remote Processor

Overview

The EMR Remote Processor serves as a key member of the EMR Remote team. This position is responsible for processing Release of Information (ROI), specifically medical record requests in a timely and efficient matter, ensuring accuracy and individual metrics are met. Verifying and analyzing data to affect the efficient and effective retrieval of charts in accordance with the core business function of Ciox Health. Associate must always safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Responsibilities

  • Enter accurate data when assigned by team lead/coordinators
  • Remote processing of electronic medical records through various EMR systems as directed
  • Ability to work with minimum supervision responding to changing priorities and role needs
  • Report any technical difficulties that you may experience as soon as they occur.
  • Meet required metrics for your role (CPH – Charts Per Hour), Attendance.
  • Actively participate in all training that is assigned to you by your supervisor
  • Maintain high standards of Confidentiality to safeguard and protect Patient’s Right and comply with all company and facilities policies and HIPPAA regulations
  • Read all documentation and follow written instructions provided to ensure compliance and accurate job completion.
  • Immediately report to team lead/coordinator/supervisor or management any security breaches, unsafe behavior witnessed or any site difficulties.
  • Support a service environment that focuses on quality processes
  • Ensure that deadlines are met and respond to emails and other requests for information timely

Qualifications

  • Six months data entry experience required
  • High School Diploma/GED required
  • Adhere to company policies
  • Experience in a healthcare environment or office setting is strongly preferred.
  • Work effectively with co-workers in a constructive and positive manner
  • Listen to and objectively consider ideas and suggestions for improvement
  • Address problems constructively to find acceptable solutions
  • Demonstrate accuracy and attention to detail
  • Computer skills including Windows based applications (Word, PowerPoint, Excel, Access, Outlook)
  • Excellent organizational skills
  • Adaptable to changing business environment
  • Demonstrated ability to work within a diverse group of individuals
  • Perform other duties as assigned

APPLY HERE

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