by twochickswithasidehustle | Aug 19, 2024 | Uncategorized
Description
Job Summary:
We are looking for a Remote Data Entry Clerk to join our team and help us maintain accurate and up-to-date information in our databases and systems. The ideal candidate will have excellent typing skills, an eye for detail, and the ability to work independently. This role is crucial to ensuring that our data is reliable and easily accessible to our team members and clients.
Key Responsibilities:
• Accurately enter data into various databases and systems from source documents within time limits
• Review data for deficiencies or errors, correct any incompatibilities, and check the output
• Verify data by comparing it to source documents
• Update existing data and retrieve data from the database as requested
• Perform regular backups to ensure data preservation
• Organize and maintain files and records for efficient data retrieval
• Collaborate with team members to address any discrepancies or issues with data entry
• Maintain confidentiality and security of sensitive information
Requirements:
• Proven experience as a Data Entry Clerk or similar role
• Excellent typing speed and accuracy
• Strong attention to detail and ability to spot errors
• Proficiency in using data entry software and Microsoft Office Suite (Word, Excel, etc.)
• Ability to work independently and meet deadlines
• Strong organizational and time management skills
• Excellent communication skills, both written and verbal
• High school diploma or equivalent; additional qualifications in data management or related fields are a plus
Preferred Qualifications:
• Experience with remote work and virtual collaboration tools
• Familiarity with data protection regulations and best practices
Compensation:
• Competitive pay rate of $18 to $24 per hour
• Flexible working hours and remote work environment
• Opportunities for professional growth and development
• Supportive and collaborative team culture
• Access to the latest technology and tools to perform your job efficiently
by twochickswithasidehustle | Aug 19, 2024 | Uncategorized
Description
NoGigiddy, a leading company in the on demand staffing and recruiting industry, is seeking a dedicated and passionate Chat Support Agent to join our remote team. In this role, you will play a vital role in ensuring a positive gig worker experience by providing top-notch customer support through our chat system. With our innovative platform connecting gig workers to various staffing local businesses, you will have the opportunity to make a real impact in revolutionizing the gig staffing industry.
At NoGigiddy, we prioritize our gig workers and aim to promote flexibility and convenience. Our dedication to improving the gig worker experience sets us apart, as we constantly explore new ways to create even more earning opportunities for gig workers. By joining our GigSquad, you will be part of a team that values your contribution and offers various paths for growth and development.
Responsibilities
- Respond promptly to gig workers’ inquiries and provide accurate and helpful information through our chat support system.
- Address and resolve gig workers’ concerns, issues, or complaints with empathy and professionalism.
- Collaborate with other team members to ensure a seamless and efficient chat support experience for gig workers.
- Stay up-to-date with the features and functionalities of the NoGigiddy platform and our partner staffing apps.
- Assist gig workers in navigating the NoGigiddy platform and troubleshoot any technical issues they may encounter.
- Actively promote the benefits and features of NoGigiddy to gig workers to encourage engagement and participation.
- Document and escalate complex or unresolved queries to the appropriate departments for further assistance.
Requirements
- Proven experience as a customer support agent or similar role, preferably in the gig economy or staffing industry.
- Excellent written and verbal communication skills, with the ability to communicate clearly and concisely.
- Strong multitasking and problem-solving skills, with the ability to navigate between multiple chat conversations efficiently.
- Empathetic and customer-oriented mindset, with a genuine desire to help gig workers succeed.
- Proficient computer skills, including the ability to navigate software applications and work with chat support tools.
- Ability to work independently and remotely while maintaining a high level of productivity and focus.
- Flexibility to work during peak hours, including evenings and weekends, to provide support as needed.
by twochickswithasidehustle | Aug 19, 2024 | Uncategorized
Position: Medical Claim Review Nurse
Location: Fully Remote (Candidates should be CST)
Schedule: M-F 9AM-5PM local time
Training Schedule: M-F 9AM-5PM CST
Employment Type: Contract to Permanent
Pay: $40/hr.
Benefits: Various levels of medical, dental, and vision offered by the agency
Daily Responsibilities:
- Review medical patient records against standard medical criteria.
- Perform clinical/medical reviews of retrospective medical claim reviews, medical claims, and previously denied cases, where an appeal has been submitted.
- Identify and report quality of care issues.
- Assist with complex claim review requiring clinical decision-making experience.
- Document clinical review summaries, bill audit findings, and audit details in the database.
- Provide supporting documentation for denial and modification of payment decisions.
- Re-evaluate medical claims and associated records by applying advanced clinical knowledge, Federal and State regulatory requirements and guidelines, organizational policies and procedures, and individual judgment to assess the appropriateness of service provided, length of stay, and level of care.
- Review medically appropriate clinical guidelines and other criteria with Medical Directors on denial decisions.
- Supply criteria supporting all recommendations for denial or modification of payment decisions.
- Serve as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals.
- Provide training, leadership, and mentoring for less experienced clinical peers and LVN, RN, and administrative support staff.
- Resolve escalated complaints regarding Utilization Management and Long-Term Services & Supports issues.
- Prepare and present cases in conjunction with the Chief Medical Officers and Medical Directors for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers.
- Represent and present cases effectively to Judicial Fair Hearing Officer during Fair Hearings as may be required.
Job Function:
- Administer claims payments, maintain claim records, and provide counsel to claimants regarding coverage amount and benefit interpretation.
- Monitor and control backlog and workflow of claims.
- Ensure that claims are settled timely and in accordance with cost control standards.
Required Education:
- High School Diploma or GED
Required Experience:
- Minimum of three years of clinical appeals review experience.
- Minimum of one year of utilization review experience.
- DRG experience is prioritized.
Required License, Certification, Association:
- Active, unrestricted State Registered Nursing (RN) license in good standing.
Preferred License, Certification, Association:
- Certified Clinical Coder, Certified Medical Audit Specialist, Certified Case Manager, Certified Professional Healthcare Management, Certified Professional in Healthcare Quality, or other healthcare certification.
by twochickswithasidehustle | Aug 19, 2024 | Uncategorized
Job Posting Closing Date: Open until Filled
Where do you belong?
Your career is more than just a job, it’s part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you’ll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.
USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.
Job DescriptionResearches patient accounts on all requested refunds to determine if applied payment should be refunded. This includes reviewing explanation of benefits and contacting insurance carriers for additional information.
Essential Job Functions:
- Determines if applied payments should be refunded by researching patient accounts on all requested refunds or credit balances.
- Confirms how payment was applied to patient’s account by reviewing explanation of benefits.
- Communicates with insurance carriers via phone to gather additional information needed to process requested refund.
- Performs all necessary adjustments within guarantor account and/or enters adjustments for refund when applicable.
- Enters all necessary notations in system to allow for proper communication and tracking.
- Enters refunds into the billing system.
- Maintains corresponding back up documentation on all adjusted and refunded accounts.
- Performs and assists with other department duties as needed.
Knowledge, Skills, and Abilities:
- Thorough knowledge of the payment processing functions and all related issues
- Knowledge of and skill in using personal computers in a Windows environment. Emphasis on basic spreadsheet applications and data entry.
- Ability to pay close attention to detail.
- Ability to identify, research and solve problems and discrepancies
- Ability to communicate with coworkers, management, and third-party payers in a courteous and professional manner.
- Ability to maintain confidentiality
- Ability to process assigned duties in an organized manner
- Ability to perform basic mathematical calculations such as adding, subtracting, multiplying and dividing.
- Ability to effectively perform in a multi-task environment
- Ability to work overtime as needed
Education and Experience:
- High school diploma or equivalent.
- At least one year of combined experience in a medical insurance, payment processing or insurance follow-up.
Hourly Rate: $14.53 – $26.88
Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.
US Acute Care Solutions current and potential employees enjoy best in class benefit programs with a wide array of options. To learn more, please visit the following link: https://www.usacs.com/benefits-guide-2024
Click the red apply button to submit an application and resume. If you are an USACS employee, please apply via the Jobs Hub in the Workday system.
by twochickswithasidehustle | Aug 19, 2024 | Uncategorized
Remote
Integrated Programs – Operations /
Temporary / Seasonal /
Remote
Apply for this job
We are seeking a highly organized and detail oriented Healthcare Credentialing Assistant (temp) to join our team. This is a two month temporary role, you will be essential in supporting the credentialing and enrollment process for healthcare providers, ensuring accuracy and compliance while managing multiple projects and deadlines.
How you will make an impact
- Manage Multiple Projects and Deadlines: Independently prioritize and manage multiple credentialing projects and deadlines to ensure timely completion.
- Data Entry and Accuracy: Perform accurate data entry of provider information into credentialing software and spreadsheets.
- Process Improvement: Identify opportunities for process improvement within the credentialing and enrollment processes and implement effective solutions.
- Communication and Engagement: Communicate effectively with healthcare providers to collect necessary information and engage them in the credentialing process.
- Collaboration with Leadership: Work closely with leadership to coordinate workflow, ensure deadlines are met, and resolve any issues that arise.
- Expert Tracking: Maintain detailed records and tracking systems for credentialing applications, expirations, and updates.
- Learning and Adaptation: Quickly learn and adapt to new credentialing and enrollment processes, staying updated on industry standards and regulations.
How you will make an impact
- Organization and Autonomy: Must be extremely organized, able to work autonomously, and effectively manage multiple projects and deadlines.
- Attention to Detail: Accuracy is critical in data entry and documentation management.
- Communication Skills: Excellent verbal and written communication skills with the ability to engage healthcare providers professionally.
- Proficiency in Spreadsheets: Experience working with spreadsheets (e.g., Excel) for data entry, tracking, and analysis.
- Process Orientation: Strong orientation towards process improvement and efficiency.
- Adaptability: Ability to quickly learn new systems, processes, and industry standards related to credentialing and enrollment.
- Previous experience in healthcare credentialing or related administrative role.
- Familiarity with credentialing software and databases.
- Understanding of healthcare compliance and regulatory requirements.
$20 – $27 an hour
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