Registration Specialist

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

Job Description:

As part of the KanCare Clearinghouse Program, the Registration Specialist will be responsible for gathering thorough documentation and entering information into various systems for Medicaid Family Applications.

Essential duties may include, but are not limited to:

  • Analyze the initial applications (for Family Medical programs) and supporting documentation provided by applicant.
  • Reviews applications submitted and enters applicant information within the Kansas Economic and Enforcement System (KEES).
  • Verifies data in support of the Medical application
  • Researches and analyzes issues and ensures sufficient information is available to make decisions on next steps. Conducts additional searches to extract accurate data and inputs the same.
  • Completes assignments using multiple source documents to verify data or use additional information to do the work.
  • Follows up on pending documents involving analysis.
  • Returns erroneous electronic data forms to the customer for additional information.
  • Attend training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Through training and experience, begin to develop expertise in additional areas of determination categories.
  • Maintain with up-to-date knowledge of regulations, policies, and guidelines

Preferred Skills or Knowledge:

  • Knowledge of Medicaid and managed care programs
  • Must possess good interpersonal and communication skills both verbally and in writing including knowledge of basic grammar, spelling & punctuation
  • Requires excellent data entry skills the ability to type 28-30 minutes per minute accurately
  • Maintain the integrity and confidentiality of all records and communications
  • Willingness to work part of a team
  • Maintain the integrity and confidentiality of all records and communications
  • All other duties as assigned

Minimum Qualifications/Experience

  • High School diploma or GED equivalent; post-secondary education preferred
  • Minimum of two (2) years’ experience in data entry
  • Strong computer skills with the ability to maneuver in complex software systems

Intermediate level of skill with MS Office, Outlook, and Internet usage

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Customer Experience Specialist

Who We Are: 

At Calm, we have a simple, albeit BIG mission: to make the world a happier and healthier place. Through our website, blog, and app—filled with meditations, sleep stories, music, movement, and more—we’re redefining what mental care looks like in 2021 and beyond. With over 100 million users worldwide, 100,000 new users daily, and our growing partnerships with major companies, we’re having a positive effect on more and more people each and every day. And while the heart of Calm is digital, we are growing and expanding offline with a variety of products and services to help deliver on our mission of health and happiness, the world over. 

What We Do:

The Customer Experience Team’s mission is to empower Calm’s community to lead happier, healthier lives through extending the Calm experience beyond the product. For our customers, we provide resources both proactively and reactively, while also advocating on their behalf to the wider company. For ourselves, we foster a nurturing and growth-minded environment, allowing us to reflect kindness and care back out into the world.

What You’ll Do:

Calm’s Customer Experience Department is looking for a CX Specialist to help our D2C members engage with our products through providing exceptional customer support, as well as contribute to documentation and process improvement projects. You’ll work closely with CX leadership to represent the voice of the customer and facilitate visibility between CX and our cross-functional partners, including Consumer Product and Marketing teams. 

  • Ensure each user’s support experience is of the highest possible quality through providing personalized, efficient, and empathetic replies 
  • Confidently answer escalated customer inquiries or route them to the agent best equipped to respond
  • Be an expert of Calm’s operating platforms, features, and available documentation
  • Identify patterns in bug reports and feature requests and escalate appropriately
  • Own the tickets and tasks assigned to you, and thoughtfully prioritize them based on the evolving needs of the team
  • Write internal and external knowledge base articles as well as canned responses to common inquiries both proactively and as assigned
  • Assist with support agent on-boarding, training, and quality assurance
  • Suggest guidelines and offer new best practice ideas for the support team

Who You Are:

The ideal Customer Experience Specialist for Calm loves making a difference through their work, brings a passion for meditation and mindfulness, and is always looking for ways to improve the user experience. They have previous experience providing customer support for a tech company and enjoy helping users of varying levels of tech-savviness engage with technology. They are someone who… 

  • Has exceptional written and verbal communication skills with a solutions oriented approach
  • Is able to turn a negative into a positive through effort and consideration
  • Works autonomously and takes responsibility for completing assigned work 
  • Volunteers for tasks rather than waiting for them to be assigned 
  • Cares about not just making sure the work is done, but that it’s done well; always seeking ways to do things better through asking for advice and feedback
  • Willing to work on-call one weekend per month in order to assist our weekend agents and to respond to production issues

Nice-to-Haves: 

  • Experience supporting a subscription-based service with in-app purchases
  • 1-year working with Zendesk or a similar ticketing platform
  • Other helpful tech: JIRA, Confluence, Asana, Stripe, Braintree and basic SQL queries a plus

We believe that mental health is health, and every person should be considered in the discussion. That’s why we’re proud to be an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state or local law.

Calm is deeply committed to diversity, equity and inclusion, both in our hiring practices and in our experiences as a Calm employee. We strive to create a mindful and respectful environment where everyone can bring their authentic self to work, and experience a culture that is free of harassment, racism, and discrimination. 

Calm is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. Please inform Calm’s Recruiting team if you need any assistance completing any forms or to otherwise participate in the application process.

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Audit Support Assistant

Job Details

Description

We are looking for a full-time Audit Support Assistant to join our support team. In this role, the Audit Support Assistants are directly responsible for serving as the point of contact for the audit team in facilitating responses to general inquiries and data requests from both internal and external clients.  

For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually.  In addition, the majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well.  As we monitor the pandemic, these arrangements may change and we will update accordingly. 

What will you do? 

  • Perform a variety of support and general administrative assignments in support of the audit or auditors, including filing, data entry, and tracking/correspondence while following established standards and work processes.
  • Obtains data files and/or generates reports for audits by identifying appropriate file parameters extracting data from downloaded and/or imported data files as requested by auditor. May be required to review client systems and update Cotiviti systems accordingly.
  • Serves as a point of contact and facilitate responses to general inquiries and data requests from both internal and external customers. As requested or required, communicates directly with the client or providers following established processes and procedures.
  • Provides proofing support on claims submittals to double check totals, verbiage, calculations or general accuracy prior to client submission.
  • Maintains productivity goals and standards set by the department. Insure all department rules and processes are followed. Alerts manager of system issues or other issues impacting productivity.
  • Achieves the expected level of quality set by the department. Verifies completeness and accuracy of work. Alerts manager of issues or concerns impacting quality of work. 

What skills should you possess? 

  • At least 6 months experience in healthcare related field preferred
  • Bachelors’ Degree in Health Information Management, Health Policy, and/or related field, preferred
  • Strong computer skills – Microsoft Office (Word, Excel, Outlook); Access preferred
  • Excellent verbal and written communication skills
  • Ability to work well in an individual and team environment

LI-KJ1

#LI-Remote

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Hospital Bill Processing Associate

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

Work Requirements

To be successful in this role, you will have a MINIMUM of 1 year of experience in the following areas:

  • Processing UB 4 Forms
  • Processing Outpatient, Inpatient and Ambulatory Surgery bills
  • Reading and comprehending medical records
  • Processing implant surgery billing
  • Hospital billing reconsideration
  • Great problem-solving skills
  • Ability to effectively multi-task

Educational Requirements

  • High school diploma, GED Minimum. College degree preferred

Closing

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Cash Research Representative

  • Remote, United States
  • Full-time
  • Full-time
  • Fully remote
  • Commensurate with Experience
  • 15528

Job Description

Job Summary

With over 300 locations across the US, Apria Healthcare’s mission is to improve the quality of life for our 1.8 million patients at home by providing home respiratory services and select medical equipment to help them sleep better, breathe better, heal faster, and thrive longer. Additional information can be found at www.apria.com.

JOB SUMMARY

The Cash Research Representative is responsible to research and resolve all unapplied cash, recoupments, refunds, audits and denials within department guidelines.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Reconciles unmatched deposits to electronic remittance advices, credit card, paper explanation of benefits,  and/or any tool for cash distribution within company best practices
  • Researches unapplied payments and denial of payments using internal sources, written communication, web sites and phone inquiries to determine appropriate accounts for payment application.
  • Researches and applies unidentified/undistributed cash to the correct invoice line to ensure accurate account activity within best business practices.    
  • Processes denial of payments to correct invoice lines to expedite future collection and appeal activity within best business practices.
  • Identifies payment discrepancies requiring notification, refund or recoupment to third party payers.
  • Researches all refund requests and recoupments from payers to ensure within Contract and/or State Statues.
  • Posts adjustments and recoveries to appropriate accounts as necessary based on company policies and procedures.
  • Ensures standard protocol for Cash business practices are met.
  • Performs other duties as required.

SUPERVISORY RESPONSIBILITIES

  • N/A

Minimum Required Qualifications

Education and/or Experience

  • High school diploma is required. 
  • One year of related experience is required.

Certificates, Licenses, Registrations or Professional Designations

  • NA

SKILLS, KNOWLEDGE AND ABILITIES

  • Problem solving
  • Communication Proficiency
  • Personal effectiveness/Credibility

Computer Skills

  • Basic skills in excel, word and PowerPoint
  • Basic data entry and calculator skills

Language Skills

  • English (reading, writing, and verbal).

Mathematical Skills

  • Basic level of mathematical proficiency.

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