by twochickswithasidehustle | Oct 9, 2021 | Uncategorized
Overview
Are you ready to accelerate your career? Join Cielo as Talent Acquisition Coordinator- Data entry! A career at Cielo will give you the opportunity to work with the industry’s smartest people and to take ownership of your success!
Cielo is a brand that reflects our big idea – that talent is rising – and with it our opportunity to rise above. We create careers for ambitious people by moving beyond traditional assumptions of what it means to work in talent acquisition.
Responsibilities
- Responsible for day-to-day operational delivery for key HR processes and applications, spanning across Recruiting, Employee/Manager self-service & Compensation
- Ensure data integrity of all Workday transactions by following the outlined peer review/audit process
- Maintain effective working relationships.
- Other duties and projects as assignedQualifications
This is a remote & temporary position (3 month assignment) – Pay rate is USD $ 25 per hour.
Education:
- High school diploma or equivalent required. Bachelor’s degree strongly preferred.
Experience:
- 2+ years HR Operations experience
- Prior experience with Workday (or equivalent HRIS platform) for advanced employee manager inquiries
Functional/Technical Knowledge, Skills and Abilities Required:
- Demonstrated proficiency with the Microsoft Office suite, including Outlook.
- Prior experience with Workday (or equivalent HRIS platform) for advanced employee manager inquiries
- Proficiency in Microsoft Office, particularly Word and Excel (includes V-Lookups)
APPLY HERE
by twochickswithasidehustle | Oct 8, 2021 | Uncategorized
POSITION SUMMARY: Under the general supervision of the Supervisor and Manager, the Data Entry Specialist provides exemplary service to multiple clients including product manufacturers, physician, patients and internal customers. Contributes to the profitability of CareMetx by ensuring personal productivity and efficient use of material resources. PRIMARY DUTIES AND RESPONSIBILITIES:
- Maintains effective systems to support the timely release of accurate information to diverse clients.
- Responsible for the intake of all program specific correspondence including mail and faxed documents.
- Logs information into appropriate database and triages all program specific mail to the appropriate reimbursement case advocate, reimbursement specialist and/or management team.
- Responsible for payer research and territory assignment management.
- Distributes reports daily disseminating information to appropriate distribution vendors reimbursement case advocate, reimbursement specialist and/or management team.
- Maintains and promotes a positive and professional working relationship with associates and management.
- Complies with all appropriate program policies and procedures.
- Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action.
- Typically receives little instruction on day-to-day work, general instructions on new assignments.
- Perform related duties as assigned.
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
- Previous 1+ years of professional work experience in a customer service or healthcare environment.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
- Ability to communicate effectively both orally and in writing.
- Strong computer application skills.
- Strong interpersonal skills, team player.
- Strong organizational and time management skills.
- Strong attention to detail.
- Adaptable and flexible to new situations.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
· While performing the duties of this job, the employee is regularly required to sit.
· The employee must occasionally lift and/or move up to 10 pounds.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Schedule
- Must be flexible on schedule and hours
- Overtime may be required from time to time
- Must be willing to work weekends if required to meet company demands
APPLY HERE
by twochickswithasidehustle | Oct 8, 2021 | Uncategorized
The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review.
ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
Review and analyze pre and post pay complex health care claims from a medical perspective:
• Perform clinical review work as assigned; may provide guidance to other team members and accurately
interpret and apply broad CMS guidelines to specific and highly variable situations.
• Conduct review of claim data and medical records to make clinical decisions on the coverage, medical
necessity, utilization and appropriateness of care per national and local policies, as well as accepted
medical standards of care.
• Review provider practices and identify issues of concern, overpayment and need for corrective action as
necessary; includes surfacing potential fraud and abuse or practice concerns.
• May develop recommendations for further corrective action based on medical review findings.
• May refer for review, or implement, corrective action related to medical review activities.
• May process claims and complete project work in the appropriate computer system(s).
Identify providers needing education and individually educate providers who are subject to medical
review processes:
• Initiate or participate in provider teaching activities, creating written teaching material, providing one on one education or education to a group as a result of an MR review (e.g., probe, progressive corrective action, consent, etc.) or appeal.
• This may involve discussion with CMS leaders and leaders in the provider community.
• Participate in special projects as assigned.
Performs other duties as the supervisor may, from time to time, deem necessary.
REQUIRED QUALIFICATIONS
• Nursing education diploma
• 2 years’ clinical experience
Utilization review experience
• Excellent written and oral communication skills
• Demonstrated experience with evaluating medical and health care delivery issues
• Strong computer skills to include Microsoft Office proficiency
*Remote position**
• Active and current Registered Nurse license
PREFERRED QUALIFICATIONS
Knowledge, Skill, Education/Training and Experience Requirement. (List the KSEs that would be a plus for the incumbent to have, however, are not required to successfully perform the job duties and responsibilities.
Certifications, Licenses, Registrations (List the credentials that are preferred for this role; i.e. RN
Insurance industry experience
Oral and written Spanish multi-lingual skills
APPLY HERE
by twochickswithasidehustle | Oct 8, 2021 | Uncategorized
Primary Responsibilities and Percentages:
- Design contact quality standards and scoring formats with the goal of achieving customer experience excellence while balancing business needs. Work with managers to ensure standards meet all needs and get buy-in from teams. (20%)
- Use a broad base of cross-departmental knowledge and perspective to identify gaps and make recommendations for process changes to improve customer experience, business efficiency, and crew member effectiveness. Drive design and implementation of new processes. (20%)
- Lead calibration exercises with team leads and managers to ensure quality expectation and standards alignment between all evaluators. Perform contact quality evaluations and quality monitoring. (20%)
- Use quality monitoring data to track performance at the team and individual levels. (20%)
- Work with the Training and Development Project Manager to create and update training materials and SOPs. (20%)
Job Overview:The Quality Analyst (QA) is responsible for quality standards and quality evaluation processes for Customer Care crew members assisting West Marine, West Marine Pro, and internal customers. The QA will develop quality standards for inbound and outbound phone, email, live chat, SMS, and social media contacts to assess associate demeanor, technical accuracy, customer service performance, and conformity to company policies and procedures. This individual will assist in developing, creating, and implementing contact center quality processes and procedures, as well as working with others in the operations department on training and process changes to improve the overall customer experience. Additional Responsibilities:
- Assist the Customer Care operations team with workforce management data maintenance:
- Updating workforce data, including:
- Generating and updating crew member schedules.
- Handling time-off and schedule trade requests.
- Updating crew member availability and schedule tour patterns.
- Routine reporting maintenance (e.g., weekly crew member schedule variation report updates).
- Document and log associate performance and activity data.
- Assist with intraday workforce adjustment to meet service level and payroll targets.
Qualifications:
- 2-3 years of contact center experience.
- Excellent verbal, written, and interpersonal communication skills to be able to effectively communicate with distributed teams.
- Outstanding customer service skills and dedication to providing an exceptional customer experience.
- Must be self-motivated, a self-starter, and have strong time management skills.
- Attention to detail and an aptitude for digging in on large amounts of data.
- Exceptional listening and analytical skills.
- Must be able to effectively deal with people at all levels inside and outside of the company.
- Ability to multitask and successfully operate in a remote environment with limited structure.
- Must adapt well to change and successfully set and adjust priorities as needed.
- Must be proficient with Microsoft Office or equivalent tools.
APPLY HERE
by twochickswithasidehustle | Oct 8, 2021 | Uncategorized
Aledade is looking for a temporary Data Entry Clerk to work 25-40 hours a week for three (3) months. In this position, you will be assisting with downloading patient information and reports from internal systems to upload to various payer portals, reformatting reports and saving to PDF files, and entering data into spreadsheets for tracking. This is a fully remote/telecommuting position (must be based in US), and flexibility in hours of operation can be offered
Required Qualifications:
- Previous experience in data entry or other related fields.
- Comfortable with Windows computer systems.
- Excellent knowledge of word processing tools and spreadsheets (Microsoft Word, Excel, Google Sheets, etc.)
- Experience with PDFs, converting images to PDF, and relabeling documents.
- Ability to work independently, and a self-motivated attitude.
- Excellent typing skills.
- High School Diploma or equivalent.
Preferred Qualifications
- Minimum 1-year Healthcare experience.
- General knowledge of medical terminology.
- Excellent oral and written communication skills.
- General technical skills.
- Strong organizational skills.
APPLY HERE
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