by twochickswithasidehustle | Dec 20, 2021 | Uncategorized
Employer: Abbott
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals, and branded generic medicines. Our 109,000 colleagues serve people in more than 160 countries.
JOB DESCRIPTION:
**This position is open to being remote**
WHAT YOU’LL DO
The Verification of Benefits Specialist is responsible for contacting insurance companies to verify eligibility and benefits for patients needing medical services for Mechanical Circulatory Support (MCS), Neuromodulation (NMD), CardioMems (CMEMs), and any new product lines for Continuum Services. This position will be responsible for documenting and maintaining all information related to patient’s insurance eligibility, benefits, insurance updates/changes, coordination of benefits for primary and secondary plans, as well as correspondence by and between Continuum Services and applicable payors/plans. This position will also support submission of prior authorization requests for new and ongoing services, as well as requests for patient-specific LOA/SCAs either directly or indirectly by working with Authorization/LOA specialists. The VOB specialist will be required to work cross-functionally to support and respond to inquiries related to insurance eligibility, benefits, insurance changes, coordination of benefits requirements, etc. from across all Continuum departments including customer service, sales, territory support, billing, and contracting.
The duties and responsibilities for this position include, but are not limited to, the following:
- Contacts insurance companies to verify eligibility and insurance benefits.
- Initiates prior-authorization requests or works with prior authorization specialists to support prior authorization requests for new and ongoing services with insurance companies and performs follow up activities to assist in obtaining prior authorization determinations.
- Files appeals for denied benefits coverage to insurance companies as needed.
- Maintains patient records in patient management / billing system. Includes patient information related to eligibility, benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communications/correspondence with insurance companies.
- Updates patient insurance changes within patient management system, maintains process for verifying eligibility on regular basis for existing patients (e.g. monthly fee patients, patients with insurance plans that are month-to-month such as Medicaid and Marketplace plans, etc.).
- Coordinates and communicates with other departments as needed to obtain necessary information to complete eligibility and benefit verification, authorization, appeals and documents outcomes for services of care.
- Provides customers and patients with information that includes but is not limited to updates on status of benefits and authorizations, information on patient financial responsibility and out-of-pocket cost estimates, financial assistance options, etc. in conjunction with customer service and/or billing collections team as needed and if applicable.
- Assist in coordination of patient-specific Letters of Agreement or Single Case Agreements for non-contracted payors/plans.
- Applies knowledge of company policies and procedures, including contracted and non-contracted payor guidelines, to process patient referrals, respond to incoming inquiries and correspondence, and documents/updates patient records with relevant information, service options, care management decisions.
- Performs other related duties as assigned.
EDUCATION AND EXPERIENCE YOU’LL BRING
Required
- High School Diploma or equivalent
- A minimum of one year experience in insurance / benefits verification and/or collections and/or managed care contracting. Two or more years with direct insurance verification of eligibility and benefits preferred.
- Understand the process for verification of benefits or collections as it relates to Continuum’s policies and procedures for effective determination of services to be offered.
- Familiarity / understanding of Medicare Rules and Regulations
- MS Office experience, with an emphasis on MS Excel desired
- Good analytical, planning, organizational skills and excellent interpersonal/communication skills.
- Ability to work cross-functionally with all levels of staff.
- Outstanding communication skills, able to work effectively across boundaries and build strong working relationships with stakeholders inside (at all levels) and outside the company.
- Autonomous and a self-starter but also able to work effectively in a team environment.
Preferred
- Knowledge in managed care as it relates to benefits and authorizations
- Knowledge of managed care contracting, reimbursement, and fee schedules
- Strong verbal and written communication skills
- Ability to handle inbound and outbound call queues, including professional and courteous phone conversation skills that may include long hold times.
- Strong Computer/Software Skills
WHAT WE OFFER
At Abbott, you can have a good job that can grow into a great career. We offer:
- Training and career development, with onboarding programs for new employees and tuition assistance
- Financial security through competitive compensation, incentives and retirement plans
- Health care and well-being programs including medical, dental, vision, wellness and occupational health programs
- Paid time off
- 401(k) retirement savings with a generous company match
APPLY HERE
by twochickswithasidehustle | Dec 20, 2021 | Uncategorized
Employer: Peraton Corporation
Responsibilities
Peraton has an immediate need for a Provider Enrollment Specialist for our Global Financial Health and Solutions Sector.
NHIC, Corp. processes Healthcare Claims and Provider Enrollment applications. NHIC has identified a need for a Provider Enrollment level position with opportunity for growth with increased experience. This position will perform clerical tasks involved in an organization. These tasks may include, but are not limited to, compiling data, verifying data, placing telephone calls to providers and or their established contacts, completing forms, data entry, processing various CMS Provider Enrollment Applications and other established general clerical tasks.
Other responsibilities may include performing daily office tasks such as filing, recording, maintaining records, copying, posting, and other similar duties, using a computer terminal, typewriter, and other word processors. Follows organization and department procedures to complete tasks in a timely manner. Maintains and updates filing, inventory, mailing, and database systems, either manually or using a computer. Operates office machines, such as photocopiers and scanners, facsimile machines, voice mail systems and PCs. Greets visitors, answers telephones, directs calls and takes messages. Inventories and orders materials, supplies, and services. Opens, sorts and routes incoming mail, prepares outgoing mail, receives incoming packages. May oversee the work of less experienced clerks.
This is a remote/telework opportunity.
Basic Qualifications:
- High School Diploma and a minimum of 1 to 2 years of experience.
- Must be a US Citizen or Green Card who has lived in the US 3 out of the past 5 years
- Basic knowledge of the administrative methods, and an acumen to develop the required administrative skills of the job.
- Specific level of software skills as required by the work unit.
- Proficient with MS Word and Excel
Preferred Qualifications:
- Detail-oriented and have excellent verbal and written communications skills.
- Ability to work independently, and as a team member.
The hourly Colorado compensation range for this role is: $11.71-$23.25
The successful candidate will be offered an hourly compensation that aligns with their individual skills and experience as it directly relates to the position requirements.
In addition to the hourly salary, Peraton provides a variety of benefits.
APPLY HERE
by twochickswithasidehustle | Dec 20, 2021 | Uncategorized
Employer: Literably
Are you looking for a flexible job where you can work from home? Make your own schedule? Earn great money while sitting in your pajamas? If so, Literably might be the right place for you! Literably is currently looking for transcriptionists and captioners who can listen to audio recordings of students reading and transcribe and caption reading errors.
What is Literably? Literably is an online literacy assessment system that screens K-8 students for reading difficulties, monitors their progress as readers, and diagnoses skill gaps. Literably’s mission is to help teachers get 100% of their students reading on grade level.
Benefits:
- Make over $10 per hour
- Work from anywhere
- Make your own schedule
- No experience necessary
- Help students and teachers
Eligibility: You must be at least 18 years old and neither live in, nor score from, the states of CA, CT, MA, MT, NE, or NJ.
Important:
- We’re accepting applicants now, and we will take the first qualified people, so please get in touch!
- Please do not feel the need to submit a polished cover letter / resume. We have built a “training mode†that will both teach you how to transcribe and will evaluate your performance. We will hire the applicants who perform well in training.
APPLY HERE
by twochickswithasidehustle | Dec 16, 2021 | Uncategorized
Employer: Press Ganey
About Press Ganey:
Press Ganeypioneered the health care performance improvement movement 35 years ago. Today Press Ganey offers an integrated suite of solutions that enable enterprise transformation across the patient journey. Delivered through a cutting-edge digital platform built on a foundation of data security, Press Ganey solutions address safety, clinical excellence, patient experience, and workforce engagement. The company works with more than 41,000 health care facilities in its mission to reduce patient suffering and enhance caregiver resilience to improve the overall safety, quality, and experience of care.
Position Description/Overview:
Press Ganey currently has an exciting opportunity for multiple Transcription Specialist roles. This is a remote position. Thisrole supports the Survey Data CollectionDepartment.
The Bi-Lingual Transcription Specialistis responsible for typing written comments from surveys into a database program. The individual will be responsible for maintaining an acceptable rate of speed and accuracy when typing comments and meet commenting performance standards.
Duties & Responsibilities:
- Read questionnaires to determine type of comment.
- Inputs written comments from surveys into software according to established guidelines.
- Maintainacceptable comment processing performance standards.
- Maintainacceptable accuracy according to established guidelines (99.5%)
- Maintain acceptable speed according to established guidelines (55 words per minute).
- Performs other duties as may be appropriately required.
Qualifications:
- Previous typing or data entry computer skills required.
- Typing speed of 55 words per minute is required.
- Must be able to read and interpret typed and/or handwritten text.
- Must be ableto work independently.
- The candidate must have high attention to detail.
Minimum Education:
- High school graduate or equivalent required
APPLY HERE
by twochickswithasidehustle | Dec 16, 2021 | Uncategorized
Employer: GoHealth Urgent Care
Description
At GoHealth Urgent Care, we place the needs of our patients first – by providing an effortless patient experience, a welcoming culture of care and seamless integration with market-leading health systems and our communities.
The Payroll Specialist is responsible for the administration of payroll processing, including but not limited to export of payroll time across multiple locations, employee data entry, maintenance of system, payroll reporting, and communication with management and employees for assigned market(s).
Schedule: 9 am – 6 pm Monday – Friday
JOB REQUIREMENTS
Education
- High School Diploma or equivalent required
- Some College courses preferred
Work Experience
- 5+ years experience of full cycle payroll process experience required
- Experience processing payroll for multiple states
- Experience with payroll system platform(s)
Required Licenses/Certifications
Certified Payroll Professional (CPP) certification preferred
Additional Knowledge, Skills and Abilities Required
- Efficient knowledge in payroll best practices
- Attention to detail
- Ability to multi-task
- Effective written and verbal communication skills
- Ability to collaborate with cross-functional teams
- Able to work under stress to meet deadlines.
- Proficiency in Microsoft Excel and Word
Additional Knowledge, Skills, and Abilities Preferred
Knowledge of multiple state and local taxes preferred
ESSENTIAL FUNCTIONS
- Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job.
- Process payroll to net complete for assigned Pay Groups.
- Responsible for timely updates and verification of employee changes, including tax withholding’s, direct deposits and addresses within the database system
- Serve as the administrator for time and attendance for assigned market(s).
- Responsible for making updates employee 401(k) Benefits deductions as requested.
- Responsible for various payroll reporting to be distributed to Operational Management or other teams as needed.
- Reconcile Paid Time Off balances
- Respond to payroll related inquiries from management and employees.
- Assist with implementation of new Pay Groups and employee/manager training
- Additional duties as assigned
APPLY HERE
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