by twochickswithasidehustle | Feb 20, 2022 | Uncategorized
Employer: OCHIN
OCHIN is a rapidly growing national nonprofit health IT organization with two decades of experience transforming health care delivery to drive health equity. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our mission.
OCHIN provides leading-edge technology, data analytics, research, and support services to more than 500 community health care sites, reaching nearly 6 million patients nationally. We believe that every individual, no matter their race, ethnicity, background, or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. We partner, learn, innovate, and advocate, in order to close the gap in health for individuals and communities negatively impacted by racism or other structural inequities.
At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture of belonging.
Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 500 diverse professionals, working remotely across 40+ states. We offer a generous compensation package and are committed to supporting our employees’ entire well-being by fostering a healthy work-life balance and equitable opportunity for professional advancement. We are curious, collaborative learners who strive to live our values everyday: leadership, collaboration, excellence, innovation, inclusion, and stewardship. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.
Position Overview
The Medical and Dental Billing Specialist supports the mission of OCHIN by providing high quality billing services to one of more OCHIN Billing Services (OBS) member clinics. The Billing Specialist will primarily focus on payor follow-up and denial management, recognize potential high-risk accounts, and develop techniques to improve collections and streamline processes. The OBS team member will discuss difficult or unique collection problems with the Billing Supervisor, resolve issues, apply new information to future collection issues, and make suggestions to enhance our efficiency and effectiveness through process improvement with the assistance of their immediate supervisor. This position will enhance the billing department’s reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.
COVID-19 Vaccination Requirement
To keep our colleagues, members, and communities safe, OCHIN requires all employees—including remote employees, contractors, interns, and new hires—to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.
Essential Duties
Medical Billing
- Provide efficient and effective account receivable services on behalf of our member clients to maximize their reimbursement and support OCHIN revenue cycle performance indicators for financial health
- Accurately bill Medicare, Medicaid, self-pay/uninsured, and commercial insurance, processing claims in accordance with payer requirements and organization policy
- Assist with the collection of receivables by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting supervisor of seriously overdue accounts and trends
- Post patient payments, electronic remits, and paper explanation of benefits (EOBs).
- Correct claim and charge errors
- Thoroughly research and resolve credit balances
- Answer phone calls from patients and responsible parties regarding account balances and/or other matters. Provide compassionate and empathetic customer service
- Perform other specific projects related to billing, data entry, and computer operations as required
Account Maintenance
- Perform registration updates in Epic
- Maintain complete and accurate billing and accounts receivable records
- Send correspondence to member clinic/Client in accordance with their policies and procedures
Additional Responsibilities
- Establish and maintain positive working relationships with patients, payers, team members, clients, and other stakeholders. Maintain confidentiality of patient information, organization data and information always in compliance with HIPAA regulations
- Continuously improve understanding of collection processes and strategies by working with colleagues within OBS and OCHIN Collaborative. Other duties as assigned
Qualifications
- 1 year of progressive experience in similar or relevant role preferred. 2 years of applicable experience desired
- Minimum of a high school diploma or GED is required. Some higher education is preferred
- Previous FQHC/RHC experience preferred
- Knowledge of Medical Terminology is preferred in this role
- Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge
- Bilingual Preferred (English/Spanish)
- Dual language differential of 10% of base rate for intermediate to advanced in skills to speak, write and read dual languages, regardless of what language.
- Desired Certifications include:
- Medical coding from AAPC (CPC Certificate)
- AHIMA (CCS Certificate)
- Current certification from ADCA (CDC certificate)
- HFMA (CRCR certificate)
- Experience using EPIC practice management system, strongly preferred
Work Location and Travel Requirements
- This position is 100% remote. Work from home requirements are:
- Ability to work independently and efficiently from a home office environment
- High Speed Internet Service
- It is a requirement that employees work in a distraction free workplace
- Travel may be required based on business requirements for OCHIN
We offer a comprehensive range of benefits. See our website for details: https://ochin.org/employment-openings
APPLY HERE
by twochickswithasidehustle | Feb 20, 2022 | Uncategorized
Employer: Change Healthcare
Overview of Position
Organizes in-patient and out-patient claims for electronic or hard copy mail and forwards to appropriate third party payers. May receive payment and prepare payment for deposit and forward to appropriate financial institution. Responsible for posting payments, rejections and LOA’s to accounts and making corrections to misapplied payments. Reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary.
What will be my duties and responsibilities in this job?
- Meet productivity standards as outlined in client metrics
- Identify any issues or trends and bring them to the attention of management team
- Work on special projects as assigned
- Other duties as assigned
What are the requirements needed for this position?
- High School Diploma or equivalent
- 1-3 years of relevant work experience
- Advanced knowledge of the payment posting process
- Ability to meet position metrics goals (KPI’s)
- What other skills/experience would be helpful to have?
- Knowledge of the payment posting process
- 10,000 keystrokes with 5% or less error rate
- Organized
- Detail Oriented
- Ability to multi-task
- Work well with others
- Computer literate
What are the working conditions and physical requirements of this job?
- Remote office environment
How much should I expect to travel?
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
APPLY HERE
by twochickswithasidehustle | Feb 20, 2022 | Uncategorized
Employer: Eurofins
Company Description
Interested in contributing to improving and saving lives? Eurofins Food Chemistry Madison is growing and we’re looking for amazing team members to join us.
In 2021 we moved into a brand new ISO 17025 accredited laboratory in Madison, WI designed to conduct food chemistry testing specializing in infant formula, sole-source nutrition products, hemp and CBD, dietary supplements, and a variety of botanicals. Our testing portfolio includes vitamins, minerals, contaminants, pesticides and shelf-life studies.
We are looking for Data Entry Specialists to join our Sample Registration team who are at the forefront of our laboratory processes. The Data Entry Specialists will help enter samples into our lab software systems to prepare the samples for lab testing. If you are looking for an opportunity to work for an exciting growth oriented company, we look forward to talking with you!
Position is Full-Time, Monday-Friday with work hours starting at 10AM Central Standard Time. This position can be fully remote so long as the individual has working internet at their place of living. Eurofins will provide laptop and necessary items to complete the job.
Job Description
- Learn sample accession tasks including: entering & tracking of samples.
- Learn to Coordinate with Client Service Coordinators to establish or update customer service procedures, with guidance, as appropriate.
- Learn LabWare Laboratory Information System (NIMS) and how to use in daily duties.
- Works closely with rest of sample management staff on other projects and duties as assigned.
The ideal candidate would possess:
- Ability to define problems, collect data, establish facts, and draw valid conclusions. Strong analytical and problem solving skills required.
- Technical knowledge
- Working knowledge of computers
- Attention to detail
- Excellent organizational skills.
- Responsive problem solver and action oriented.
Qualifications
- HS Diploma required
- Some knowledge and experience working within dietary and supplement industry would be preferred
- Authorization to work in the United States indefinitely without restriction or sponsorship
As a Eurofins employee, you will become part of a company that has received national recognition as a great place to work!
Life at Eurofins is a meritocracy, where people are empowered to make decisions and are rewarded for their success, allowing them to advance quickly. Become your most extraordinary self with support and development throughout your career.
We offer excellent full-time benefits including comprehensive medical coverage, life and disability insurance, 401(k) with company match, paid holidays, vacation, personal days, and dental and vision options.
APPLY HERE
by twochickswithasidehustle | Feb 20, 2022 | Uncategorized
Employer: Change Healthcare
Overview of Position
The General Clerk is responsible for bringing outstanding communication and organization skills to the company. A successful candidate will be an important contributing member of a highly collaborative team. Performing a variety of clerical duties, such as sort, route, and answer emails.
What will be my duties and responsibilities in this job?
- Sorting through emails and patient/insurance correspondence
- Handling daily claims
- Reviewing request for information letters and entering insurance into system
- Reviewing HIPPA authorizations from attorney’s
- Frequent attorney and insurance communication via email and phone
- Sending patient statements and filing insurance claims
- Reviewing bankruptcies
- Other duties may apply
What are the requirements needed for this position?
- High School Diploma or equivalent work experience.
- Entry-level experience
- Basic computer knowledge
- Proficient in Microsoft Office (Word, Adobe, Excel, Outlook)
What other skills/experience would be helpful to have?
- Must have good attention to detail and accuracy
- Some knowledge of Medical Billing and Health Insurances.
- Organized
- Ability to multi-task
- Works well with others
What are the working conditions and physical requirements of this job?
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
APPLY HERE
by twochickswithasidehustle | Feb 20, 2022 | Uncategorized
Job Description
About Conduent
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them.
You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Job Description
Medical Benefit Review Services Associate II – Pharmacy
Medical Benefit Review Services Associate II – Pharmacy is responsible for providing analytical support to CPIS overpayment programs via access to the client claims systems related to Medicare Part D, Medicaid and Commercial pharmacy claim overpayments identified through various audits.
Responsibilities include (but are not limited to):
- Review of paid claims, adjusted claims, and offset claims in the client system.
- Review of member eligibility, update of member eligibility.
- Investigates and communicates questionable situations.
- Documents findings from the client system in the related systems.
- Communicates effectively with other staff/team members.
- Works independently based on established procedures.
Training: 2 weeks M-F, 6am – 2:30pm PST / 6:30am – 3pm PST
Work Hours: Monday – Friday, 6am – 2:30pm PST / 6:30am – 3pm PST
Pay: Min- $17/hourly
Full Time – regular position
Equipment provided [Laptop & Headphones]
This a Remote / WFH position
Requirements:
Must be at least 18 years of age with at High School Diploma or a GED.
Must pass a criminal background check and drug screening.
Must have WIRED internet connection, WIFI is not permitted.
Preferred:
Experience with Microsoft Office Excel.
Experience with data entry / medical claims data entry processing.
Basic knowledge of insurance procedures, working with insurance carriers, Medicare, and Medicaid.
Background in pharmacy benefit/coverage concepts desired.
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