by twochickswithasidehustle | Dec 22, 2021 | Uncategorized
Employer: UnitedHealth Group
$1000 Sign-On Bonus For External Candidates
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:00am 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Provides administrative clinical support to the inpatient clinical team up to including requesting clinical information as directed the Inpatient nurse
- Manage incoming clinical information from providers and external partners
- Ensure a timely acknowledgement and response to all fax requests for medical services documents received providing appropriate feedback to address processing issues
- Maintain high level of data integrity and compliance to set turnaround time to meet regulatory / contractual requirements and operational metrics
- Communicate with the clinical team to ensure the provider receives a response with necessary information
Required Qualifications:
- High School Diploma / GED (or higher)
- 2+ years of customer service experience analyzing and solving customer problems
- 2+ years of data entry experience in administrative or clerical support role
- 1+ years of experience working within the healthcare industry, hospital, physician’s office or medical setting
- Experience handling confidential client / patient information
- Must be able to navigate a PC to open multiple applications, send emails, and conduct data entry
- Intermediate Microsoft Office Suite skills: Microsoft Excel (ability to sort, sum, insert bar graphs and use formulas, create and edit data in spreadsheets), Microsoft Word (ability to create documents and complete mail merging), Microsoft Outlook (ability to manage email, calendar, and task lists)
- Ability to work Monday – Friday 8:00 am – 4:30 pm CST or EST
Preferred Qualifications:
- Some College (or higher)
- Experience with Captiva, ECAA, and / or ICUE / HSR
- Professional experience in a clerical or administrative support related role
- 1+ years of experience Medical Terminology to communicate with members and providers
- Experience working with ICD – 10 and CPT and HCPC coding
- Experience working with Medicare and / or Medicaid Services
- Experience working in a call center environment
- Previous work experience in a virtual environment
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
- Ability to work with multiple screens and applications at one time
APPLY HERE
by twochickswithasidehustle | Dec 22, 2021 | Uncategorized
Employer: CVS Health
The Care Management Associate works an 8-hour shift Monday through Friday between the hours of 8 am-9 pm EST. The Employee will work a set schedule based on the business need of the department. Saturday and Holiday coverage is staffed on a voluntary basis but rotated if voluntary coverage is not secured. Hours are 8 am-4:30 pm and the rotation would be approximately 2-3 Saturdays per year and 1 Holiday per year if a rotation is required.
Employees can live in any state and the job is 100% remote.
- The Care Management Associate provides comprehensive healthcare management to facilitate delivery of appropriate quality healthcare, promote cost-effective outcomes and improve program/operational efficiency involving clinical issues.
- Support comprehensive coordination of medical services including Care Team intake, screening, and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of Healthcare Services.
- Responsible for initial review and triage of Care Team tasks.
- Identifies principal reason for admission, facility, and member product to correctly apply intervention assessment tools.
- Screens patients using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff, and coordinate the required services in accordance with the benefit plan.
- Monitors non-targeted cases for entry of appropriate discharge date and disposition.
- Identifies and refers outlier cases (e.g., Length of Stay) to clinical staff.
- Identifies triggers for referral into Aetna’s Case Management, Disease Management, Mixed Services, and other Specialty Programs.
- Utilizes eTUMS and other Aetna systems to build, research and enter member information, as needed.
- Support the Development and Implementation of Care Plans. Coordinates and arranges for health care service delivery under the direction of a nurse or medical director in the most appropriate setting at the most appropriate expense by identifying opportunities for the patient to utilize participating providers and services.
- Promotes communication, both internally and externally to enhance the effectiveness of medical management services (e.g., health care providers, and health care team members respectively)
- Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases
- Provides support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems.
- Adheres to Compliance with PM Policies and Regulatory Standards.
- Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
- May assist in the research and resolution of claims payment issues.
- Supports the administration of the hospital care, case management, and quality management processes in compliance with various laws and regulations, URAQ and/or NCQA standards, Case Management Society of America (CMSA) standards where applicable, while adhering to company policy and procedures. (*)
- Effective communication, telephonic, and organization skills.
- Familiarity with basic medical terminology and concepts used in care management.
- Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.
- Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word.
- Ability to effectively participate in a multi-disciplinary team including internal and external participants.
Required Qualifications
- 2 years of experience preferably in customer service, telemarketing, and/or sales
- Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word.
- Flexibility to work outside of standard business hours
- Strong organizational skills, including effective verbal and written communications skills
- Effective communication, telephonic, and organization skills.
- Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.
- Ability to effectively participate in a multi-disciplinary team including internal and external participants.
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
- If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimens, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
- If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for accommodation is not approved, then your employment may be terminated.
Preferred Qualifications
- Data entry and documentation within member records is preferred
- Background in healthcare setting a plus
- Call center experience preferred
- Familiarity with basic medical terminology preferred
Education
APPLY HERE
by twochickswithasidehustle | Dec 22, 2021 | Uncategorized
Employer: UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Assist in the review of medical records to highlight Star opportunities for the medical staff.
- Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities.
- Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of Clinical data.
- Track appointments and document information completely and accurately in all currently supported systems in a timely manner.
- Optimize customer satisfaction, positively impact the closing of gaps in care and productivity.
- Partner with your leadership team, the practice administrative or clinical staff to determine the best strategies to support the practice and our members ensuring that recommended preventative health screenings are completed and HEDIS gaps in care are addressed
- Interaction with UHC members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities.
- Answer inbound calls from members and/or providers regarding appointments.
- Communicate scheduling challenges or trends that may negatively impact quality outcomes.
- Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs.
- Provide ongoing support and education to team members and assist in removing barriers in care.
- Manage time effectively to ensure productivity goals are met.
- Ability to work independently in virtual setting. Ability to problem solve, use best professional judgment, and apply critical thinking techniques to resolve issues as they arise.
- Identify and seek out opportunities within one’s own workflow to improve call efficiency.
- Adhere to corporate requirements related to industry regulations/responsibilities.
- Maintain confidentiality and adhere to HIPAA requirements.
- Data analysis required for multiple system platforms to identify open quality opportunities to address on a member or provider level
- Appointment coordination for specialist appointments, late to refill medication outreach and scheduling members for local market clinic events
- Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts.
- Field based activities require the abilities to support appropriate targeted providers.
- Other duties, as assigned
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED (or higher)
- 2+ years of telephonic customer service experience
- 1+ years of a healthcare background with medical terminology familiarity of clinical issues
- 1+ years of working experience with ICD- 9/10 and CPT Codes
- 1+ years of working experience with / knowledge of HIPAA compliance requirements
- Experience with Microsoft Excel (navigating, filtering and analyzing reports)
- Data entry skills, with a typing speed of at least 45-50 WPM
- Ability to work Monday-Friday any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
- 1+ years of STARs experience
- Medical/clinical background
- Knowledge of electronic medical record systems
- Consulting experience
- Knowledge of the Medicare market
- Knowledge base of clinical standards of care, preventive health, and Stars measures
- Experience in managed care working with network and provider relations/contracting
- Financial analytical background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models)
- Microsoft Office specialist with exceptional analytical and data representation expertise – Microsoft Outlook (compose and respond to email) and Microsoft PowerPoint (create, edit, and format presentations)
- LPN or Medical Assistant
Soft Skills:
- Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities.
- Demonstrated ability to perform effective active listening skills to empathize with the customer in order to develop a trust and respect.
- Demonstrated ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done in order to achieve a goal(s).
- Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
- Strong problem-solving skills
- Good Attendance Record
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
APPLY HERE
by twochickswithasidehustle | Dec 22, 2021 | Uncategorized
Employer: Transactly
Who we are
The team at Transactly is on a mission to be the platform of choice for the people and companies involved in real estate transactions. Our online platform supports agents and their clients with a place where everyone can come together to coordinate and manage these transactions collaboratively. Transactly provides real estate technology and transaction coordination services that shorten the amount of time it takes to close a real estate transaction.
We live by our six core values: Take Ownership, Do the Right Thing, Be Efficient, Be Informed, Invest in People, and Move the Needle. If these are values you embrace, we encourage you to reach out and say hello, we’d love to hear from you.
What we need
We are seeking an organized multi-tasker with exceptional customer service skills to join our team as an Order Processor. An Order Processor will own the relationships we have with our clients and pride themselves on always providing an exceptional customer experience.
This position can be fully remote.
What you’ll do:
- Manage clients’ orders from time of order through installation
- Enter orders into the system
- Ensure client orders are placed properly and installed on the date requested
- Additional responsibilities as assigned
What you have:
- Excellent oral and written communication skills
- Must be comfortable on the phone
- Customer Service experience
- Call Center experience is highly preferred
- Previous order processing experience preferred
- Experience with Salesforce or a similar CRM preferred
What we offer:
- Opportunities for career growth and a chance to make a big impact
- A culture that supports work/life balance and flexibility
- Competitive pay
- Health, dental, & vision plans
- Wellness reimbursement
- 401(k) plan w/ company match
- Generous paid time off, including 10 paid holidays
APPLY HERE
by twochickswithasidehustle | Dec 22, 2021 | Uncategorized
Employer: UnitedHealth Group
$1000 Sign-On Bonus For External Candidates
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:00am 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Provides administrative clinical support to the inpatient clinical team up to including requesting clinical information as directed the Inpatient nurse
- Manage incoming clinical information from providers and external partners
- Ensure a timely acknowledgement and response to all fax requests for medical services documents received providing appropriate feedback to address processing issues
- Maintain high level of data integrity and compliance to set turnaround time to meet regulatory / contractual requirements and operational metrics
- Communicate with the clinical team to ensure the provider receives a response with necessary information
Required Qualifications:
- High School Diploma / GED (or higher)
- 2+ years of customer service experience analyzing and solving customer problems
- 2+ years of data entry experience in administrative or clerical support role
- 1+ years of experience working within the healthcare industry, hospital, physician’s office or medical setting
- Experience handling confidential client / patient information
- Must be able to navigate a PC to open multiple applications, send emails, and conduct data entry
- Intermediate Microsoft Office Suite skills: Microsoft Excel (ability to sort, sum, insert bar graphs and use formulas, create and edit data in spreadsheets), Microsoft Word (ability to create documents and complete mail merging), Microsoft Outlook (ability to manage email, calendar, and task lists)
- Ability to work Monday – Friday 8:00 am – 4:30 pm CST or EST
Preferred Qualifications:
- Some College (or higher)
- Experience with Captiva, ECAA, and / or ICUE / HSR
- Professional experience in a clerical or administrative support related role
- 1+ years of experience Medical Terminology to communicate with members and providers
- Experience working with ICD – 10 and CPT and HCPC coding
- Experience working with Medicare and / or Medicaid Services
- Experience working in a call center environment
- Previous work experience in a virtual environment
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
- Ability to work with multiple screens and applications at one time
APPLY HERE
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