by twochickswithasidehustle | Feb 7, 2022 | Uncategorized
Overview
Ready for a career that excites you and has you up early, beating the alarm clock in the morning?
Joining ExamWorks as a Claims Analyst may be the best decision you ever make.
You will be responsible for determining the reasonable cost of medical care and manually reviews for application of proper fee schedule, accurate diagnosis and ICD/CPT coding, and duplicate billing in addition to other factors.
This position is 100% remote. Candidate must be available to work 8:00a-5:00p PST; Monday through Friday. Office equipment (office phone, screen, keyboard, mouse and virtual desktop) will be provided. In order to work remote you must have access to your own ISP with a router (both the phone and virtual desktop must be plugged in) and a dedicated “office space” where you can set up your work station with desk and chair.
Responsibilities
- Processes claims by correctly identifying the billing type (physician, surgery center, hospital, etc) and entering medical bills into the reviewing system, allowing automated adjudication to process.
- Receives client submissions and inputs client and examinee data in the system database.
- Reviews each claim and addresses all necessary modifications manually.
- Ensures all medical records and reports are properly documented and saved in the appropriate location and available for audit at all times.
- Processes client invoicing in accordance with the client’s fee schedule.
Qualifications
- High school diploma or equivalent required.
- Experience in a medical office or insurance industry with knowledge and experience utilizing ICD9, CPT coding and Medical Terminology preferred.
- Must have moderate to high level of computer and multiple software programs competency, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
- Must have a full understanding of claim adjudication for First & Third Party, Med Pay, No-Fault, Group Health, Workers Compensation, hospital claims and PPO.
- Must have full understanding of the various types of medical billings and ability to identify which system database should be used.
- Must be able to cross reference different types of billings to ensure consistency in the review process.
- Must possess knowledge of standard fee schedule review, UC&R review, drug and supply charges, rarity, utilization review, CPT guidelines, ICD-9 coding, bundling/unbundling and duplicate billing.
ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers’ compensation insurance coverages.
ExamWorks offers a fast-paced team atmosphere with competitive benefits, paid time off, and 401k.
APPLY HERE
by twochickswithasidehustle | Feb 7, 2022 | Uncategorized
Senior Chat Manager
WGAMES Inc. is a leading social and casual games company with an exciting new opportunity. As a Chat Host, you will be responsible for maintaining a fun, safe and inclusive environment for our customers from around the world to interact and connect with each other and to provide valuable insight to the game to make the playing experience more engaging. The ideal candidate should be outgoing, energetic, passionate about mobile gaming, and driven to provide amazing customer experiences.
Established in 2017 by President & CEO, Daniel Kajouie, the company’s headquarters operates in the heart of Downtown Toronto. WGAMES is equipped with unsurpassed facilities and world-class talent in art, design and software development paired with a seasoned leadership team in the mobile and social gaming industry.
Responsibilities include:
- Communicating in real-time with app users via in-app chat, including managing multiple simultaneous interactions;
- Providing timely solutions by asking users the right questions, and quickly analyzing situations on a case-by-case basis;
- Actively moderating and posting engaging content within our game communities, including managing and answering users questions and comments;
- Building rapport with players and develop relationships;
- Create engaging and fun experience for players;
- Stimulating the chat to create excitement;
- Assisting with support tasks when needed;
- Be able to take feedback from players and synthesize into something actionable.
Qualifications:
- Strong verbal and written communications skills in English (Fluency in other languages is an advantage);
- Proven ability to provide excellent and personalized customer support;
- Experience and/or post-secondary degree/diploma in communications, marketing, or community engagement an advantage;
- Previous experience working as chat moderator or similar;
- Comfortable working flexible/evening hours, and taking on a variety of tasks which may evolve over time;
- Ability to work independently and resourcefully without constant supervision;
- Interest within the gaming industry, particularly in mobile games;
- Knowledgeable with social media and online engagement platforms;
- Constantly strive to find opportunities to improve processes and drive personal growth.
Other:
- Company is Located in Toronto, Canada. Work will be done remotely and person can be located anywhere in the world.
- Possible Part Time Available
APPLY HERE
by twochickswithasidehustle | Feb 7, 2022 | Uncategorized
What are important things that YOU need to know about this role?
- This is a fully remote position
- You can choose your 8 hour shift between 7am-5:00pm, Central Time
- Depending on work load, There may be times when overtime will be required
What will YOU be doing for us? Ensure accurate and timely payment of claims to medical providers. Utilize research and knowledge of coverage and benefits to ensure resolution to more difficult claim payment issues.
What will YOU be working on?
This list of duties and responsibilities is not intended to be a complete list of all the duties and responsibilities performed by incumbents. Duties, responsibilities and expectations may be added, deleted or modified at any time at the discretion of the supervisor.
- Submit accurate and timely payments to providers, keeping within contractual service level agreements for each market. Develop and maintain controls over the proprietary processed data and systems set up through developing and implementing auditing procedures, and identifying potential claim audit exposures.
- Interpret and understand coverage and benefit limitations by having a comprehensive understanding of benefits and state requirements for multiple markets.
- Assure that claims are paid within the expected time frames by monitoring inventory control and working with team members and appropriate resources in other areas to resolve issues related to claims entry.
- Identify trends and suggest and develop efficiencies in the review of edit reports and other documentation by reviewing procedures and making appropriate suggestions and adjustments to procedures.
- Resolve complex claim payment inquiries by analyzing patient activity and related documentation (including enrollment, claims, and authorizations) and determine appropriate action to be taken.
- Resolve complex client issues that may require research, analysis and working with management.
- Complete requests for claims review and/or reprocess within internal guideline turnaround times.
Additional Responsibilities:
- Develop and maintain client and provider relationships by interacting directly with the client and providing necessary feedback and communications as needed.
- Provide training and guidance to team members on market specific issues by providing feedback to management on claims and provider issues, and updating client business rules and check run procedures as needed.
- Partner with Reimbursements team Assist in completing all other tasks as necessary to ensure accurate and timely check runs and internal turnaround times.
What qualifications do YOU need to have to be GOOD candidate?
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Required Level of Education, Licenses, and/or Certificates
- High school diploma or equivalent
- Required Level of Experience
- 2 years of prior job related experience (Medical Assistant, Medical Office Manager, medical front office, or health/dental insurance, including managed care operations, accounts receivable and or billing)
- Required Knowledge, Skills, and Abilities
- Knowledge of health or dental procedures coding and terminology.
- Basic knowledge of Microsoft software (Outlook, Excel and Word).
- Exceptional written and verbal communication skills.
- Competencies
- Fostering Innovation: The ability to develop, sponsor, or support the introduction of new and improved method, products, procedures, or technologies.
- Critical Thinking: The ability to analyze/evaluate information as presented, utilize past experience to make decisions that are logical and reasonable and demonstrate sound judgment.
- Initiative: Identifying what needs to be done and doing it before being asked or before the situation requires it.
- Results Orientation: The ability to focus on the desired result of one’s own or one’s unit’s work, setting challenging goals, focusing effort on the goals, and meeting or exceeding them.
- Detail Oriented: Ensuring that one’s own and/or others’ work and information are complete, timely and accurate; carefully preparing for meetings and presentations; following up with others to ensure that agreements and commitments have been fulfilled.
- Time Management: The ability to manage several competing tasks at once effectively while still meeting deadlines.
What qualifications do YOU need to have to be a GREAT candidate?
- Preferred Level of Education, License, and/or Certificates
- Bachelor’s Degree in a related field
- Preferred Level of Experience
- Knowledge of vision claim processing
- Preferred Knowledge, Skills, and Abilities
APPLY HERE
by twochickswithasidehustle | Feb 7, 2022 | Uncategorized
Join Our Community of Food People!With limited supervision, responsible for recommending credit limits by developing a credit file, overseeing and controlling major national account collections and their aggregation within the account master with some degree of latitude and judgment using existing systems.
Remote Anywhere – 100% Remote anywhere in the United States excluding Hawaii and U.S. Territories
APPActs as the principal in gathering financial and other credit information to be used in risk analysis to develop credit limits for potential customers.
Make credit decisions and establish payment terms within assigned authorities per Corporate Credit Policy (Credit limit authority level – $50K/Payment Terms – up to Net 21 days).
Prepares credit write-ups and recommends credit limits in accordance with the Corporate Credit Policy.
Establish and maintain communication with major accounts to insure expeditious collections with rapid resolution of past due accounts.
Maintain national account reconciliations of skipped and disputed invoices using database queries and workbooks to drive collections or resolutions.
Report on status of all major national accounts to senior credit management as required.
Provide leadership, mentoring and training to junior team members (Credit Coordinators). In the absence of a manager may temporarily act on behalf of the manager.
Participate in special projects and assignments as requested by Senior Management.
Monitor and control Customer account applications for ownership linkage so major account exposures are linked with the same ownership ID to ensure risk is accurately assessed and assigned at the highest level.
Prepare files for uncollectible accounts for submission to USF Third Party Collections unit and ultimate assignment to outside collection agencies.
Promptly prepare files and documentation for submission to USF Legal Department on bankrupt national accounts to ensure maximum recovery in the bankruptcy process.
Education/Training: High School Diploma, some college preferred.
Related Experience: 5+ years credit collection experience required
Knowledge/Skills/Abilities: Strong knowledge of Microsoft Office Suite. Knowledge of accounts receivable systems, D&B and other credit reporting systems. Excellent written and communication skills. Ability to negotiate with customers and sales without conceding US Foods financial objectives. Ability to research account information in state, court and other websites to identify ownership, proper legal name and other information required to set up and link accounts.
APPLY HERE
by twochickswithasidehustle | Feb 7, 2022 | Uncategorized
YOUR JOURNEY STARTS HERE…
OUR VALUES
This position presents the opportunity to work in a business-critical role in a rapidly growing company. You will also uphold our four core values:
- Be the solution – take ownership, drive collaboration
- Be resourceful – strive for new wins every day
- Be honest – default to transparency
- Be respectful – treat others like you want to be treated
We encourage applicants from diverse backgrounds and underrepresented groups and would invite you to apply. A diverse workforce is a highly productive one, so why not take a chance, send us your application even if you don’t meet all our requirements, we may surprise you!
“Culture add” is so much better than “culture fit” and welcome applications from all groups, irrespective of your, age, disability, gender reassignment, gender, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, veteran status and sexual orientation.
ROLE SUMMARY
WeTravel is looking for an experienced, passionate and creative Social Media and Community Engagement Specialist to join our growing marketing team. In this capacity, the desired candidate will boost community engagement and conversations, moving prospective and current B2B clients through the marketing funnel by effective use of our social media.
You will be a critical addition to our small but mighty (big ideas, big vision and big values) marketing team, who are based around the world, working directly with the Content Manager, Multimedia Marketing Specialist, Public Relations Manager and the Product Marketing Manager to distribute content efficiently and effectively, with the brand’s voice, values and USPs leading each communication.
Key responsibilities
- Work alongside the marketing team to develop, implement, and manage our social media strategy
- Liaise with the sales team to understand customers’ needs, likes and dislikes, and find creative ways to address common trends and increase product knowledge on our social media channels
- Research current benchmark trends and profile our target audience
- Grow social media community through organic outreach strategies, focusing on an engaged community base
- Post relevant and engaging content across our social media platforms → Facebook, Instagram, Linkedin, Twitter, Pinterest, etc.
- Help build campaigns, track engagement, and define KPIs
- Act as the brand’s voice in the community: Communicate with followers, respond to queries in a timely manner and monitor customer reviews
- Manage distribution of our WeTravel Academy content via external social media channels, industry groups, community forums, etc.
- Track and monitor social media distribution metrics, including reach, engagement and community sentiment, to increase WeTravel’s online community
Skills
- Detailed knowledge and expertise around all social platforms
- Highly experienced in B2B social media marketing, campaign management, content creation, and distribution
- Excellent copywriting and communication skills
- A good eye for designing and visual elements to make us stand out from the crowd
- Advanced knowledge on design platforms such as Photoshop, Canva, or Illustrator
- Experience with social media monitoring tools, including but not limited to: Meltwater, MOZ, Cision
Nice to have
- Previous experience using Hubspot Marketing Hub
- Experience in aligning public relations, product marketing and content marketing strategies with social media outreach
- Spanish language skills
ABOUT US
WeTravel (www.wetravel.com) is an online fintech payment platform that transforms travel companies’ finances, communication, and marketing from a lot of manual paperwork to digital. We are a very well funded VC-backed company, bringing together a diverse and highly motivated team.
Read about us on TechCrunch, Huffington Post, Yoga + Life, Financial Times (FT), Skift, Lonely Planet, etc: www.wetravel.com/press
BENEFITS & SALARY
Salary – $40- 50,000 USD
- Unlimited Paid Time Off!
- Attractive compensation
- Remote first option – Work from home, or where ever suits you as long as you can manage the hours / timezone
- As a travel-related company, we have fantastic team retreats, two of our founders love surfing, so it’s normlly beside a great beach
- The latest tech you need to be successful.
- 1099 agreement (negotiable)
APPLY HERE
Recent Comments