by twochickswithasidehustle | Oct 30, 2021 | Uncategorized
The Claims Representative Associateis responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
- Authorize the appropriate payment or refers claims to investigators for further review.
- Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
- Analyze and identify trends and provide reports as necessary
- Consistently meet established productivity, schedule adherence, and quality standards
- Recognize claims by determining claim type – HCFA, Hospital, UB, and/or RX
- Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
- Calculate other insurance and re-pricing benefits
- Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
- Updates and maintains claims tracking database
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)
- 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
- 2+ years of data entry experience
- Basic understanding of healthcare claims including ICD-9 and CPT codes
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
Preferred Qualifications:
- 1+ years of experience working with medical claims
- Prior experience working with IDX software
- 1+ years of working in production based environment
- Type 60+ WPM
Soft Skills:
- Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
APPLY HERE
by twochickswithasidehustle | Oct 30, 2021 | Uncategorized
Job ID: BH412425
Category: Data Entry, Administrative Assistant
Specialty: Administrative
A retail company on the South Shore in MA seeks a Data Entry Specialist for a 2 month contract assignment with the potential to convert to a permanent employee.
Must Haves:
- Data entry experience with strong attention to detail
- Excel experience
Preferred:
- Retail industry experience
- Oracle experience
Job Summary/Description:
Creates reporting and analysis to support the business. Provides back-up to Manager Data Operations. Inputs data, manipulates and edits existing data, and proofs new entries into database for accuracy within established policies, procedures, and standards. Compiles, sorts, and verifies accuracy of data to be entered. Trouble shoots problems relating to data entry.
ESSENTIAL FUNCTIONS:
Reporting
- Create and run weekly and monthly reports to support planning and merchandising
- Assist in developing specific reports and analysis to support the business
Purchase Orders
- Data entry of unit commitments into PLM
- Data entry of all finalized purchase orders into RMS, to be sent to vendors
- Data entry of PO changes – RMS
- Responsible for accuracy of weekly PO and Receipt reports
Promotions
- Responsible for company promotion set up in the mozart, promo services, and ECP systems
- Ensures accurate promotional pricing for web and concierge (not POS)
- Proofs all Merchandising promotion lists for accuracy
Markdowns
- Markdown file setup and updates for planning team
- Uploading Approved markdowns into RMS
- Responsible for accuracy of pricing in stores and on the web
Mapping
- Attach list of new items to offer codes – for catalog and web reporting
- Move carryover items monthly from old codes to new active codes
- Move all MD items from FP codes to MD codes in time for MD effective date
- Responsible for accurate reporting by offer code
Item maintenance (Item setup now automated through PLM interface)
- Data entry MPCS item/color plans
- Data entry CNS codes (do not backorder) in MPCS
Systems support
- RMS/RPM – pricing and purchase orders
- Mozart table maintenance, offer code set up
- MPCS table maintenance, offer code set up
- Actively participate in system upgrades and implementations
APPLY HERE
by twochickswithasidehustle | Oct 30, 2021 | Uncategorized
Job ID: BH395984
Category: Data Entry, Administrative Assistant
Specialty: Administrative
Job Title: Data Entry Operator
Must Haves:
- Bachelor’s Degree
- 1-3 years of experience – Recent grads with internship experience are encouraged to apply
- Proficient with Excel
- Proficient with Computers and Computer Programs
Preferred:
- Healthcare Experience
- Experience following and enhancing operational processes
Job Summary:
The Research Patient Data Registry (RPDR) is a centralized clinical data registry designed for facilitating research across the organization’s enterprise. Our team is focused on the consolidation of data from a variety of hospital systems into an organized format that can be easily queried by investigators from across the organization. We provide tools to search this data as well as process workflows for the dissemination of clinical data for IRB approved studies. Our repository contains over 15 billion individual data points on over 6 million patients. Our team handles over 30,000 query requests from over 1500 researchers annually, including the creation and delivery of over 5000 identified data sets. The total value of grants that depend on data delivered from the RPDR for their associated research projects is estimated to be over $1 billion.
The analyst’s primary responsibilities will be to help process clinical data sets compiled from our data repository, review for any processing errors, and deliver in a timely manner to the research community. The ideal candidate can quickly learn new concepts, is excited about building efficiency in their day to day work, has a great attention to detail, and strong sense of accountability.
Principal Duties and Responsibilities:
The RPDR team receives approximately 500 data requests monthly using our self-service tools. These requests are used by the research community to recruit patients into research, conduct retrospective analyses, and other clinical research data needs. These requests constitute “jobs” that must be processed. Responsibilities for the operations analyst will entail:
• Starting new data jobs and configuring them according to our Standard Operating Procedures.
• Daily monitoring of data jobs that have been compiled and following our Standard Operating Procedures to deliver data to the research teams who requested data.
• Helping the team meeting a 2-day turnaround time for delivering data by successfully delivering data daily, and managing old requests and new requests, as well as requests to expedite some if researchers have upcoming deadlines.
• Identifying issues in data log files and escalating as needed for potential resolution.
• Updating Standard Operating Procedures as need to adapt to changing needs; new steps; changed requirements
• Escalating issues in a timely manner and documenting issues following the team’s best practices.
• Use the organization’s values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
• Performs all other duties as required.
• Additional responsibilities to be given based on completion of core team tasks.
Qualifications
• Bachelor’s Degree Required.
• 1-3 years of experience. New grads with internship experience are encouraged to apply.
• Strong knowledge of the Microsoft Office suite.
• Strong written and verbal communication skills.
• Experience following and enhancing operational processes a plus.
Skills/Abilities/Competencies Required
• A customer-first attitude.
• Ability to work remotely and communicate clearly to team members about status of work, using MS Teams audio and video, chat, and email as appropriate.
• Ability to work independently.
• Be self-motivated despite work that, at times, can be repetitive.
• Ability to work and thrive in a large complex organization.
• Strong aptitude for problem-solving; detail-oriented; calm under pressure or when faced with ambiguity.
• Metric-driven with an eye toward process improvements.
• Ability to work collegially and able to develop and maintain productive relationships with colleagues and others across the organization, at all levels.
APPLY HERE
by twochickswithasidehustle | Oct 29, 2021 | Uncategorized
Employer: Kalsec
Essential Job Functions:
- Provides dedicated service regarding orders, sample requests, documentation requests, returns, credits, complaints, and invoices.
- Support customer order fulfillment by working closely with a cross-functional team including Sales Support, Regulatory Affairs, Logistics, and Planning to ensure that all transactions and processes meet external compliance and regulatory requirements
- Continuously self-educate to improve the knowledge of Kalsec procedures, products, sales process, freight carriers / transportation options, and the food and beverage industry in general.
Education/Experience/Skills:
Required:
- High School Diploma or equivalent
- 3-5 years Customer Service Experience
- Bilingual English and Spanish. Must be able to speak, write and read fluently in both languages
- Must be able to work a schedule equivalent to 11am 8pm EST, can be located anywhere in the USA.
- Excellent interpersonal, communication, and customer service skills
- Ability to succeed in a dynamic, fast-paced work environment
- Ability to thrive in a cross-cultural work environment
- Positive Phone Etiquette ( speak with a smile )
- Order Entry Experience
- Detail and solution-oriented approach
- Tactful and skilled in conflict resolution
- Demonstrated computer skills (e.g. ERP systems, Outlook, Access, Excel and Word.)
Desired:
- Bachelor s degree, preferably in business or related discipline
- International Business Knowledge
- Fluency in Portuguese
APPLY HERE
by twochickswithasidehustle | Oct 29, 2021 | Uncategorized
Employer: Clarabridge
About the role:
In this role, you will be a core member of the Clarabridge Speech Engineering team. You will be carefully transcribing audio sourced from a variety of different industries for use in improving our speech recognition models. Attention to detail is a key requirement, as are outstanding clerical and organizational skills and an ability to meet deadlines.
Responsibilities include:
- Manually transcribing audio recordings in accordance with Clarabridge transcription standards
- Ensuring the quality and accuracy of manual transcripts
- Proactively enhancing transcription standards and conventions
- Collaborating with your teammates to resolve issues
This is a work-from-home role.
About the team:
The Clarabridge Speech Engineering team is focused on delivering state-of-the-art automated speech transcription capabilities to our customers. We are a highly collaborative and supportive team, using agile practices to accommodate changing priorities and great tools to keep us productive. We make heavy use of video conferencing, Slack, Jira, and other collaboration tools to bring the team together.
About you:
You are a candidate with the following qualifications:
- Bachelor’s degree in English, Linguistics, Speech Pathology, or other language focused degree
- Strong attention to detail
- Affinity for editing and proofreading
- Excellent writing skills
- Able to type 60+ WPM
- Proficient with Microsoft Word or equivalent
- English is your first language
- Basic windows skills, and ability to use Express Scribe.
Additionally, the following skills and experiences would be great:
- Experience with software packages like Audacity, WavPad, Anchor, or Hindenburg Journalist
- Experience with transcription aids such as foot pedals
- Legal or Medical transcription experience
- Experience with Remote file systems, including copying to and from cloud storage.
APPLY HERE
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