by twochickswithasidehustle | Nov 28, 2021 | Uncategorized
REMOTE – USA /JOIN THE MODS – NEW MODS /CONTRACTORAPPLY FOR THIS JOBModSquad has partnered with multiple top tier brands/clients across the globe and we need the best of the best in Chat and Ticket Customer Support!
Do you have a Chat and Ticket Customer Support background?Do you enjoy work-from-home and flexible schedules?ModSquad is seeking Mod Contractors to join our network!
If you want the chance to work gigs on the coolest of client projects…then ModSquad is the place for you!! Our clients are strictly Top Tier whose product offerings and services are hip, contemporary and very current. You will instantly know who they are and very likely use them yourselves. Their customers expect the best service and support and that’s where we come in.
Our Mods bring super skills, a positive attitude and great vibe to project work everyday. Mods assist and guide customers to the right answers, solve concerns and are the GPS for customers to understand and optimize the best use of a client’s product or services. Project gigs available now and more are on the horizon.
Do you enjoy researching technical issues? A private email service is looking for a tech savvy, fast paced, mod contractor who can do simultaneous tickets and live chat support in Zendesk.
We need you ASAP!
Project Hours (all times Pacific):Monday-Friday: 5:30 am – 6:30 pmSaturday and Sunday: 7:00 am – 2:00 pm
Hourly Rate:To be discussed at interview phase
Commitment:11 hours per week90 days (as needed)
Especially Seeking Availability (all times Pacific):Tuesday – 12:00 pm – 2:00 pmWednesday – 5:30 am – 7:00 amThursday – 5:30 am – 7:00 am and 11:00 am – 2:00 pmFriday – 12:00 pm – 3:00 pm
This is a very intense project at times with a lot of moving parts. Strong researching and troubleshooting skills are required.
Responsibilities:
- Responding to customers requiring support with email service
- Following approved processes and adhering to client guidelines
- Providing thorough and accurate ticket and chat documentation for all interactions
- Protecting and promoting client’s brand when communicating with customers
- Keeping up to date on all product and support knowledge
- Submitting timely shift reports detailing all activity from any shift
- Forwarding customer feedback to the client via the proper channels
- Assisting customers with advanced technical troubleshooting relating to email setup and delivery
- Notifying client of any potential system issues uncovered during troubleshooting customer issues
What’s In It For You:
- The potential to work with some of the coolest clients around the world like the NFL, Vimeo, and Topps!
- Flexible self-scheduling
- Access to ‘Hot Gigs’ postings exclusive to the Mod Network
- Work from home
- Competitive hourly rate – Discussed during your first interview
- Paid orientation
What We Are Looking For:
- Familiarity with basic internet mail protocols (POP, IMAP) and their configuration
- Proficiency with cloud-based service ticket tools (ZenDesk)
- Ability to discuss, and research, technical information with a customer base that is mostly non-technical
- Utilizing knowledge bases and other process documentation
- Patience and composure at all times when facing customers
- Knowledge/experience setting up and using email on many types of devices such as: iOS, Android, PC, Mac
- Advanced proficiency with configuring and troubleshooting all relevant email protocols and clients
- Positive attitude
- Strong work ethic
- Critical thinking is a MUST
- Typing @ 45WPM or more
- Must be able to work independently with no supervision
- Reliable and able to assist with last minute shift swaps
WorkSpace Requirements:
- Dedicated laptop or desktop computer with Windows 10 or above
- PC that is able to handle multitasking with upwards of 10 tabs open at a time
- Fast and reliable internet
- Quality headset
- Quiet workspace
- Willingness to install MSQ security software and 2FA app on phone
***PRO TIP***: Take your time and make sure you do a thorough job in completing your application. Your responses should be grammatically correct and comprehensive. This will greatly increase the probability of scoring an interview!
Please note: A Chromebook is not sufficient for ModSquad projects.
APPLY HERE
by twochickswithasidehustle | Nov 28, 2021 | Uncategorized
Location: Remote
Categories: Customer Support & Administration
Req ID: 2021-51900
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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
*Conduent is hiring REMOTE Healthcare- Claims Quality Assurance Associates*
We need a select few upbeat, articulate, computer/tech savvy, and reliable Claims Quality Assurance Associates to join our Team. You will conduct audits on the entire Life Cycle of Medical Claims:
- Data Entry
- Provider Add
- Prepay
- Post Pay
- Adjustments/Corrected Claims
- PDRs
- Training: Will mirror work schedule
- Work Hours – Flexible
- Pay: $19/hourly – $20/hourly
- Full Time – regular position [40 hours – overtime when needed by client]
- Equipment provided
- This a Remote / WFH position
Experience:
- Medicaid / Medicare Claim Processing Experience
Hard Skills:
- Microsoft Office 365
- Excel (Proficient)
- Microsoft Teams
- SharePoint
- Access Database
Soft Skills:
- Quick Study
- Positive
- Excellent Communication and Documentation
- Attention to detail
- Organized
Requirements:
- Must be at least 18 years of age with at least a high school diploma or GED.
- Must pass a criminal background check.
- Must have WIRED internet connection, WIFI is not permitted.
Plus:
- Bilingual [Spanish / English]
Job Track Description:
- Performs business support or technical work, using data organizing and coordination skills.
- Performs tasks based on established procedures.
- In some areas, requires vocational training, certifications, licensures, or equivalent experience.
General Profile
- Expands skills within an analytical or operational process.
- Maintains appropriate licenses, training, and certifications.
- Applies experience and skills to complete assigned work.
- Works within established procedures and practices.
- Establishes the appropriate approach for new assignments.
- Works with a limited degree of supervision.
Functional Knowledge
- Has developed skillset in a range of processes, procedures, and systems.
Business Expertise
- Helps teams to integrate and work together to support the achievement of company goals.
Impact
- Impacts a team, by example, through the quality service and information provided.
- Uses discretion to modify work practices and processes to achieve results or improve efficiency.
Leadership
- May provide informal guidance to junior team members.
Problem Solving
- Ability to problem solve, self-guided.
- Evaluates issues and solutions to provide the best outcome for clients and end-users.
Interpersonal Skills
- Clearly and effectively exchanges information and ideas.
Responsibility Statements
- Creates a quality checklist to determine potential defects.
- Reviews transactions and selects samples for auditing.
- Performs risk assessments related to performance monitoring and financial operations.
- Understands the connectivity of up-stream and down-stream processes with respect to the process they are auditing.
- Validates audit findings with operations personnel to concur with root cause analysis (RCA).
- Performs other duties as assigned.
- Complies with all policies and standards.
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by twochickswithasidehustle | Nov 28, 2021 | Uncategorized
Description
Review the members Coordination of Benefits questionnaire forms when they are doing enrollment or renewal aas well as Medicare information to determine who is primary and Medicare involvement/eligibility
- Problem Solving
- Navigating multiple systems efficiently
- Able to work well under pressure
Training will be 3 weeks from 9-5:30pm EST
Qualifications
- COB processing experience
- Tertiary processing experience (not required but a plus)
- Medicare/Medicaid/Private Processing experience
- High school diploma or equivalent
Primary Location
: United States-Remote-Remote
Job
: Associate
Organization
:Â HPHS – Onshore Operations
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by twochickswithasidehustle | Nov 28, 2021 | Uncategorized
Job Description
Innovative, Dynamic, Fast Pace and Collaborative, these are just some of the words that our employees use to describe us but hey – don’t just take it from us – become a part of BroadPath today and experience our Culture of Constant Connection! BroadPath is excited to be hiring Claim Processors. You will be responsible for the accurate and timely entry, review, and resolution of simple to moderate complexity Medicaid claims in accordance with guidelines, procedures, and policies as outlined by our client.
Responsibilities
• Process incoming Medicaid claims in accordance with policies, procedures and guidelines
• Verify presence of all required data fields and that applicable medical records are included/reviewed (where required)
• Refer claims for medical claim review as necessary/applicable
• Work effectively in a virtual, work-from-home, telecommute position processing claims.
Basic Qualifications
• 2+ years of recent Health Insurance Claims Processing experience
• Ability to maintain balanced performance in areas of production and quality
• Ability to maintain confidentiality and project a professional business image
• Good attitude and ability work independently from home, as well as with a team
Preferred Qualifications
•   Prior experience processing Medicaid claims highly preferred, but not required.Â
•   Prior work from home experience
•   IDX system experience
•   AHCCCS system experience
•   Citrix, Siebel, HPIS, DataNet, Excel/SharePoint Â
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by twochickswithasidehustle | Nov 28, 2021 | Uncategorized
Job Description
If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you!
We are looking for 20 individuals to join the Medical Claims team.
Positions are full-time work-from-home and may be filled in the Eastern, Central, Mountain, or Pacific time zones.
Ideal candidates will have:
- Strong customer service and organizational skills
- Self-motivated, willingness to learn, self-sufficient, and focused
- Medical experience/knowledge is a plus
- Casualty Claims experience is a plus
(Internal Use Only) Compensation Grade: D3
Please note that this role may be filled at aother level, depending on qualifications and related experience.
Colorado Residents: Email [email protected] for salary information.
Job Description SummaryProviding exceptional customer service and developing productive, trusting relationships with policyholders and claimants allow us to deliver on Nationwide’s promise. Complexity of coverage and the intricacies of medical claims offers variety of work and requires critical thinking and adaptability. If you can empathize, listen and protect confidential information and work collaboratively to resolve and pay claims, we want to hear from you!
As a Claims Specialist I, you’ll investigate and evaluate first-party medical claims – personal injury protection (PIP), medical pay and medical benefits claims – for eligibility, medical necessity, appropriateness of charges and alignment with state fee schedules. You’ll establish relatedness, casualty and appropriateness of treatment based on the compensable injury and make payment decisions according to standard claims methodologies. We’ll count on you to promote and provide outstanding customer service.
Job Description
Key Responsibilities:
- Pays claims accurately, based on policy provisions, state mandates and/or fee schedules.
- Initiates and conducts follow-ups via proficient use of claims systems and related business systems
- Ascertains and initiates appropriate requests for medical and non-medical information needed to accurately pay claims.
- Determines applicable coverage, medical necessity and applicability of charges related to injury claim.
- Partners with Special Investigation Unit and National Recovery to identify fraud and subrogation opportunities.
- Maintains and develops current knowledge of: assigned insurance lines; court decisions which may impact the claim function, current guidelines and policy changes and modifications. This may require attendance at various seminars or training sessions.
- Reviews and researches medical bills and surgical reports acquired from providers for contestability and pre-existing health history.
- Submits severe incident reports, reinsurance reports and other information to claims management as needed.
- Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers.
- Communicates regularly with policyholders, agents, providers and field claims representatives through telephone calls, and letters.
May perform other responsibilities as assigned.
Reporting Relationship: Reports to Manager.
Typical Skills and Experiences:
Education: Undergraduate degree or equivalent experience preferred.
Licenses/Designations/Certifications: State licensing where required. Successful completion of required claims certification schools/classes.
Experience: One to three years of customer service and/or claims processing/handling experience preferred.
Knowledge, Abilities and Skills: General knowledge of insurance theory and practices, insurance contracts and their application. Familiarity with claims processing and medical terminology. Familiarity with related standard methodologies and procedures preferred. Confirmed ability to meet customer needs and provide outstanding service by advising customers of the claims process. Strong analytical skills to make decisions and resolve issues in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigatory facts, application of policy exclusions and exceptions. Able to effectively prioritize work. Validated written and verbal communication skills for contact and/or negotiation with policyholders, claimants, peers, attorneys, physicians, agents and the general public. Ability to efficiently operate personal computer and software for claims-related and other business applications.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Staffing Exceptions to the above must be approved by the hiring manager’s leader and HR Business Partner.
Values: Regularly and consistently demonstrates Nationwide Values.
Job Conditions:
Overtime Eligibility:Â Eligible (Non Exempt)
APPLY HERE
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