by twochickswithasidehustle | Jul 31, 2024 | Uncategorized
Job ID 24REQ-05339
About Xtend Healthcare
Xtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company’s services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business processing solutions company. Learn more at www.xtendhealthcare.net
Xtend Healthcare is looking for aClinical Appeals Specialist, RN with Five years experience as a RN with appeal writing to work collaboratively with Xtend project leaders and / or with clients on a consulting basis to assist healthcare providers.
THIS IS A REMOTE (WORK FROM HOME) POSITION. (All work must be performed in the United States for this remote role.)
JOB SUMMARY:
- Evaluates, reports findings, and provides recommendations on denied or underpaid claims.
- At the direction of Xtend Project leaders and based on instructions provided by the client (hospital and/or physician practice) assists to ensure services inappropriately denied by payers are identified, compliantly appealed and reversed.
- Works closely with appropriate departments / functional areas of the client, e.g. Patient Care Management, HIM/coding and medical team, to review and obtain medical documentation required to facilitate denial appeals process.
- Upon direction of the Xtend Project leader and with approval of the client, may work proactively within various medical multidisciplinary teams to develop procedures to reduce the number of denials received through reporting of denials and education of denial trends.
- May be asked to compile, analyze and report on data related to underpayments, denials, revenue opportunities and revenue leakage.
- If applicable, categorizes denials based on root cause findings and distributes reports and metrics to applicable Xtend leaders, client representatives and teams
- Serves as a resource when needed for Xtend billing and reimbursement questions requiring clinical knowledge and / or medical records review and interpretation
- Continuously reviews applicable regulations, updates and maintains current knowledge
- Other duties as assigned related to clinical review and patient care management
1. Clinical documentation review and evaluation.
- Assists Xtend Project leaders with identification of the reason (either technical or clinical) for denied services.
- Understands whether provider documentation supports a clinical appeal.
- Prepares appeal letter if appropriate.
2. Project assistance related to outstanding facility coding and/or charge requests.
- Works proactively with Xtend Project leaders to improve communication regarding clinical information required for account resolution.
3. Direct assistance to client hospitals and/or physician practices.
- Client may need assistance with clinical decision-making process improvement and/or documentation improvement.
For example: Patient status determination (IP, OP or OBS) Optimizing DRG categorization.
- May assist with communication between Patient Care Management and Health Information Management to improve processes and coding.
For example: Concurrent DRG assignment
4. Client and/or Xtend Project Training
- As governmental regulations change, may provide training to client and/or Xtend team members in the areas of coverage of services, coding, billing and reimbursement based on clinical requirements.
- May travel to a client location to provide training.
5. Provide consulting services in the areas of patient care management – Case Manager, utilization review nurse, discharge planner and/or documentation
Review Specialist.
6. Since this is a new position for Xtend and Project / Client needs are still being assessed, this job role may include other duties as yet to be determined.
This position is also responsible for actively supporting the execution of specific project strategic initiatives, client process re-design, root cause analysis, metric/report development and special projects as it relates to clinic review and denials management.
MINIMUM REQUIREMENTS:
- Bachelor’s degree in Nursing, Business, Health Information, Clinical Studies, Registered Nurse (RN) from an accredited institution
- Five (5) years’ experience as an RN. At a minimum, this must include appeal writing, denials and/or utilization review experience.
- Electronic health record (EHR) expertise, including knowledge of a variety of vendors
OFFICE AND TECHNOLOGY REQUIREMENTS:
Xtend Healthcare will provide all hardware and software. Qualified candidates must secure the following to successfully execute job responsibilities:
- Reliable high-speed internet– 100mbps download, 10 upload speed minimum, and latency less than 25 ms: (Please note: Rural, Satellite Services, MIFI/Jetpacks, 5G networks, Google Pod, EERO Device and WIFI extenders are not compatible with our systems)
- Cell phone that has the ability to download an app
- Wired internet connection by connecting an Ethernet cord into your server from the router/modem
- Computer equipment will be provided on Day 1 of Training
- Private workspace or home office free from distractions
- As a work-from-home employee, I understand that I may encounter slowdowns during periods of heavy internet use due to a variety of factors; one of which is the number of devices connected to the internet in the home and especially devices streaming Netflix, Hulu, games etc. I understand that WiFi is not compatible with company systems and that connecting device directly to the router will provide the best connection.
PREFERRED QUALIFICATIONS:
- Previous experience working denial/appeal management with appeal writing experience on both the provider and payor side.
- Must be an RN, with clinical knowledge of documentation requirements for payment
- Must have working knowledge of patient care management “best practices” and HIM coding guidelines
- Must be able to interact positively with clients and understand their needs in the patient care arena.
- Experience in managed care contracts, reconciling patient accounts, and balancing payment transactions against contract rates and terms is strongly desired
- Collaborative work experience with a hospital Revenue Cycle department desired
- Exercise understanding of hospital and professional services payer adjudication rules
- Ability to read and interpret medical charts and related documentation
- Experience in hospital operations and general understanding of revenue cycle with an emphasis on coverage, charge capture, coding, billing and reimbursement methodologies
- Keen attention to detail with ability to spot trends and proactively reduce denials
- Critical thinker with demonstrated ability to perform root cause analysis, problem solve, prepare and implement action plans and lead improvement initiatives
- Strong oral and written communication skills
- Excellent interpersonal skills and experience interacting with clinicians and financial personnel
- Proficiency in the use of PCs and MS Office suite
- Ability to adapt to a changing and dynamic environment
- Comfortable working in both individual and team settings, and on-site with clients
- Ability to interpret and implement regulatory standards
by twochickswithasidehustle | Jul 31, 2024 | Uncategorized
Brand: Bath & Body Works
Location: Columbus, OH, US
Location Type: Remote
Job ID: 04CIY
Job Area: Human Resources
Employment type: Full-time
Pay Range: $19.80 – $19.80 per hour
Description
At Bath & Body Works, everyone belongs. We are committed to creating a diverse, equitable and inclusive culture focused on delivering exceptional fragrances and experiences to our customers. We focus on recruiting, retaining, and advancing diverse talent where our associate population is as diverse as the communities we serve, live and work. In addition, we work to improve our communities and our planet in a way that will make us proud for years to come because we believe the world is a brighter, happier place when everyone has access to the things that make them happy.
The Data Team Representative is responsible for processing a high volume of time sensitive HR transactions and data corrections.
Dates: 8/12/2024 through 2/28/2025 (Hours may be reduced to Part Time between 11/18/2024 and 1/6/2025
Hours: 8am-5:00pm (Mandatory over-time may be required during peak season Sept – Nov and Jan -Feb)
Position is Remote
Responsibilities:
- Manage pay entry and pay discrepancies with temporary assignment pay for enterprise
- Accurately correct Core HR, Benefit and Leave Plan data in HRIS system
- Support business with annual or special projects, such as minimal wage, by entering and validating transactions accurately and timely
- Document all transactions and calls in HRDirect call tracking system
- Provide excellent customer service to all customers
Qualifications
Qualifications & Experience
- Ability to work independently
- Communicate effectively with leadership, team and business partners
- Ability to focus and minimize distractions
- Strong attention to detail, follow up and organization skills
- Efficient with time management
- Experience with Oracle Cloud HCM
- Proficient with Microsoft Excel, Outlook and OneNote
- Possesses an interest and aptitude for the use of technology
- Acute sense of urgency and accuracy
- Manages confidential information with discretion
- Oracle Cloud Core HR, Benefits is a plus
Education
- High School Diploma or equivalent
Core Competencies
- Lead with Curiosity & Humility
- Build High Performing Teams for Today & Tomorrow
- Influence & Inspire with Vision & Purpose
- Observe, Engage & Connect
- Strive to Achieve Operational Excellence
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required.
We are an equal opportunity and affirmative action employer. We do not make employment decisions based on an individual’s race, color, religion, gender, gender identity, national origin, citizenship, age, disability, sexual orientation, marital status, pregnancy, genetic information, protected veteran status or any other legally protected status, and we comply with all laws concerning nondiscriminatory employment practices. We are committed to providing reasonable accommodations for associates and job applicants with disabilities. Our management team is dedicated to ensuring fulfillment of this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, associate activities and general treatment during employment. We only hire individuals authorized for employment in the United States.
Application window will close when all role(s) are filled.
by twochickswithasidehustle | Jul 30, 2024 | Uncategorized
Job Description
Additional Information Pay; $22.00/hour
Job Number 24126930
Job Category Reservations
Location The St. Regis Aspen Resort, 315 East Dean Street, Aspen, Colorado, United States VIEW ON MAP
Schedule Full-Time
Located Remotely? Y
Relocation? N
Position Type Non-Management
POSITION SUMMARY
Process all reservation requests, changes, and cancellations received by phone, fax, or mail. Identify guest reservation needs, determine appropriate room type, and verify availability of room type and rate. Explain guarantee, special rate, and cancellation policies to callers. Accommodate and document special requests. Answer questions about property facilities/services and room accommodations. Follow sales techniques to maximize revenue. Communicate information regarding designated VIP reservations. Input and access data in reservation system. Respond to any challenges found for accommodating rooming requests by communicating with appropriate individual or department. Oversee accuracy of room blocks and reservations. Input group rooming lists using reservation systems, revise room blocks to maintain the required number of available rooms and keep organized files of all groups. Set-up proper billing accounts according to Accounting policies.
Follow all company policies and procedures; ensure uniform and personal appearance are clean and professional; maintain confidentiality of proprietary information; protect company assets. Welcome and acknowledge all guests according to company standards; anticipate and address guests’ service needs; assist individuals with disabilities; thank guests with genuine appreciation. Speak with others using clear and professional language; prepare and review written documents accurately and completely; answer telephones using appropriate etiquette. Develop and maintain positive working relationships with others; support team to reach common goals; listen and respond appropriately to the concerns of other employees. Comply with quality assurance expectations and standards. Read and visually verify information in a variety of formats. Move, lift, carry, push, pull, and place objects weighing less than or equal to 10 pounds without assistance. Perform other reasonable job duties as requested by Supervisors.
PREFERRED QUALIFICATIONS
Education: High school diploma or G.E.D. equivalent.
Related Work Experience: At least 1 year of related work experience.
Supervisory Experience: No supervisory experience.
License or Certification: None
California Applicants Only: The pay range for this position is $22.00 to $22.00 per hour.
Colorado Applicants Only: The pay rate for this position is $22.00 per hour.
Hawaii Applicants Only: The pay range for this position is $22.00 to $22.00 per hour.
New York Applicants Only: The pay range for this position is $22.00 to $22.00 per hour.
Washington D.C. Applicants Only: The pay range for this position is $22.00 to $22.00 per hour.
Washington Applicants Only: The pay range for this position is $22.00 to $22.00 per hour. Employees will accrue 0.04616 PTO balance for every hour worked and are eligible to receive minimum of 7 holidays annually.
All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending account, life insurance, disability insurance, accident insurance, adoption expense reimbursements, paid parental leave, educational assistance, 401(k) plan, stock purchase plan, discounts at Marriott properties, commuter benefits, employee assistance plan, and childcare discounts. Benefits are subject to terms and conditions, which may include rules regarding eligibility, enrollment, waiting period, contribution, benefit limits, election changes, benefit exclusions, and others.
The application deadline for this position is 21 days after the date of this posting, 07/22/2024.
Marriott International is an equal opportunity employer. We believe in hiring a diverse workforce and sustaining an inclusive, people-first culture. We are committed to non-discrimination on any protected basis, such as disability and veteran status, or any other basis covered under applicable law.
Combining timeless glamour with a vanguard spirit, St. Regis Hotels & Resorts is committed to delivering exquisite experiences at more than 50 luxury hotels and resorts in the best addresses around the world. Beginning with the debut of The St. Regis hotel in New York by John Jacob Astor IV at the dawn of the twentieth century, the brand has remained committed to an uncompromising level of bespoke and anticipatory service for all of its guests, delivered flawlessly by a team of gracious hosts that combine classic sophistication and modern sensibility, as well as our signature Butler Service. We invite you to explore careers at St. Regis. In joining St. Regis, you join a portfolio of brands with Marriott International. Be where you can do your best work, begin your purpose, belong to an amazing global team, and become the best version of you.
by twochickswithasidehustle | Jul 30, 2024 | Uncategorized
Remote
Revenue Cycle – Representatives /
Full-Time /
Remote
APPLY FOR THIS JOB
The vision of Clinical Health Network for Transformation (CHN) is to better fulfill the mission and promise of Planned Parenthood to bring high-quality, affordable care to every member of our communities. CHN is a collaboration between Planned Parenthood affiliates across the United States.
CHN is looking for individuals who are committed to supporting our shared goal of strengthening and enhancing our awareness and commitment to advancing the cause of health and race equity in our organization.
Reporting directly to the Revenue Cycle Manager, the Revenue Cycle Representative is responsible for activities leading up to the initial electronic claims submission to include charge entry edits, payment posting, and overall account resolution of patient accounts by interacting with patients and insurance payors. This position ensures timely submission of electronic claims, daily resolution of clearinghouse rejections and will assist in monitoring and resolving outstanding balances including unpaid, partial paid, underpaid, and overpaid claims for insurance and patient balances using aging reports, work queues and goal settings.
Essential Functions
- Resolving pre-bill claim edits and ensure claims are clean and submitted daily
- Reviewing daily clearinghouse rejections, resolving, and resubmitting accounts
- Posting all insurance and patient payments received through automated and manual channels
- Review aged accounts and take steps to resolve for payment by contacting payors for claim status, process rebilling requests and escalating issues when needed
- Reviews denied claims to resolve by resubmitting corrected claims or filing claim reconsiderations
- Reconciling all insurance and patient credit balances/overpayments and ensuring a timely refund is processed
- First to receive and address all channels of patient billing inquiries and escalate as appropriate
- Collect patient co-pays/coinsurance/deductible amounts due after insurance
- Establish, monitor, and pursue patients with payment plans until reconciliation
- Mail and correspondence management along with other department administrative functions
- Perform various clerical activities to support daily operations
- Creates and promotes a culture of continuous improvement
- Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations
- Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community
- Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
- Provides positive and development feedback and accountability related to practices including, but not limited to, equity
Qualifications and Experience (Required)
- 1 to 2 years of relevant account receivable experience
- Previous experience using ICD-10 Medical Coding and Current Procedural Terminology (CPT)
- Knowledge of medical terminology
- Strong analytical and problem-solving abilities
- Proficiency with Microsoft software (Excel, etc.)
- Demonstrated ability to maintain a customer-centric service approach in a fast-paced environment
- Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary
- Strong attention to detail and follow-up; and ability to multi-task in fast-paced environment
- Demonstrated dedication to Planned Parenthood’s mission, vision, and values
- Strong interpersonal skills and the ability to build relationships with stakeholders
- Excellent time management, and problem-solving skills
Qualifications and Experience (Preferred)
- Strong General Technology Skills: proficient utilization of Excel, Word, and Windows environment, Epic, eCW, NextGen or other practice management systems experience a plus
- Medical Billing and Coding certification, a plus
Key Requirements
- Commitment to advancing race (+) equity in one’s work: interested in expanding knowledge about the role that racial inequity plays in our society
- Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions
- Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn
- Strong sense of accountability to equitable practices
- Understanding of the impact of identity dynamics on organizational culture
- Commitment to CHN and Planned Parenthood’s In This Together service ethos, workplace values, and service standards
Total Rewards. CHN provides employees with a competitive compensation and benefits; some highlights include the following.
– Above Position Compensation Range: $18.00/hour (Minimum); goes up based on relevant experience
– Geographic Differentials available for residences of NYC (Manhattan & Boroughs)
– Health Care Coverage (Medical, Dental, & Vision); eligibility for full-time, regular employees on date of hire
– Flexible Spending Accounts and Health Savings Account
– Short-Term Disability and Basic Life & AD&D Insurance provided by CHN
– Voluntary elections for Long Term Disability and Additional Life & AD&D Insurance available at cost
– Employee Assistance Program
– Retirement Plan, 3% employer match after one year of service
– Paid Time Off Program includes accrual-based PTO and nine (9) paid Holidays
Clinical Health Network for Transformation (CHN) is an equal employment opportunity employer. We comply with all applicable laws prohibiting discrimination based on race, color, religion, gender and gender expression/identity, age, ethnicity, national origin, ancestry, physical or mental disability, uniformed service member/veteran status, marital status, medical condition, pregnancy, sexual orientation, citizenship status, genetic information, as well as any other category protected by federal, state, or local. We are committed to building an inclusive workplace that values racial & social justice. We strongly encourage all persons to apply, including people of color and members of the LGBTQ community.
by twochickswithasidehustle | Jul 30, 2024 | Uncategorized
remote typeRemotelocationsIowa – Work From Hometime typeFull timeposted onPosted 11 Days Agojob requisition idR5477
At EMC, you’ll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company’s success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees.
**This position can be performed remotely for candidates who reside in IA, ND, SC, IL, OH, TX, MI, KS, MO, MI, WI, MN, NE, AZ, RI, PA**
Essential Functions:
- Collects, reviews, and enters rating information into the system to provide quotes to underwriters for new business, endorsements and renewals
- Contacts the agent and follows up for missing information
- Reviews the automated renewal quote document and makes necessary updates
- Reviews and processes endorsements that fall within a specified list of requirements
- Prepares and approves renewals within authority limit
Education & Experience:
- High school diploma or equivalency
- One year of office support experience desired
Knowledge, Skills & Abilities:
- Keyboarding speed of 40 wpm
- Accurate data entry skills
- Good personal computer skills
- Proficiency in Microsoft Word
- Strong customer service skills and telephone etiquette
- Knowledge of insurance terminology desired
Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.
All of our locations are tobacco free including in company vehicles.
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