Provider Relations Specialist

Starting pay: $44,558 – $48,130 base

States we employ in: AL, AZ, CO, FL, GA, IL, IN, KY, MO, NC, OH, SC, TN, TX, VA, WI, WV. In order for your candidacy to be considered, you must have established residency in one of these states or being willing to relocate.


Who We Are

At Christian Care Ministry we believe that Christians can, and should, share in one another’s burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief.

The Team

Everyone at Christian Care Ministry agrees to our Statement of Faith which outlines our core beliefs. Although we aren’t perfect people, we are serving our perfect God to the best of our ability.

The Role

The Provider Relations Specialist makes sound determinations on the ability to share in medical bills based on Medi-Share Guidelines, researches diagnoses and treatment plans on bills to ensure accuracy and eligibility, and/or requests information from providers or members to make sound determinations. 


Essential Job Duties & Responsibilities

  • Investigate and determine eligibility of Needs Reservations according to Medi-Share program guidelines
  • Accurately and efficiently complete all necessary steps to approve or disposition a needs reservation
  • Review the members’ application (Online Medical Questionnaire) and Needs Reservation to make decisions regarding pre-existing condition and whether the need qualifies for sharing
  • Facilitate inquiries from providers regarding reimbursement rates
  • Negotiate on-going and single case agreements
  • Develop trust with members and providers to ensure long-term relationships
  • Contribute to the exercise and expression of the Ministry’s Christian beliefs
  • All other duties as assigned

Essential Skills & Abilities

  • Ability to diagnose complex problems and issues with data not easily understood
  • Ability to access and research complex medical procedures and terminology
  • Agility to move between several different computer software systems in order to gather information, research and complete processing of needs reservations.
  • Communicate verbally and in writing with other departments as necessary to gather proper information to make bill determinations for needs reservations
  • Ability to read large amounts of data in short periods of time and translate that information to make sound decisions on members’ medical bills
  • Ability to read and interpret electronic documents such as procedure manuals, medical records, medical bills, legal documents and insurance documents.
  • Ability to apply common sense understanding to carry out instruction furnished in written, oral or diagram form. Ability to deal with problems involving several variables in standardized situations.

Core Competencies/Demonstrable Behaviors

  • Manages complexity—Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.
  • Decision quality—Makes good and timely decisions that keep the organization moving forward.
  • Plans and alignsPlanning and prioritizing work to meet commitments aligned with organizational goals.
  • Ensures accountability—Holds self-accountable to meet commitments.
  • Optimizes work processesKnowing the most effective and efficient processes to get things done, with a focus on continuous improvement.
  • Instills trust—Gains the confidence and trust of others through honesty, integrity, and authenticity.

Education and/or Experience

  • High School diploma or GED with 1-3 years customer service, including basic knowledge of medical terminology required.
  • Medical coder or previous processing experience or knowledge of ICD10 and CPT codes preferred.

Incentives & Benefits

We work hard to serve our members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.

Employees are eligible to receive annual incentive pay based on individual and organizational performance.

Some of our benefits include, but are not limited to:

  • Generous paid time off (PTO), paid holidays, and paid volunteer days
  • 401(k)
  • Healthcare
  • Dental/Vision plans
  • Life & Disability plans
  • Accident, Critical Illness, & Hospital plans
  • Professional development
  • Weekly chapel service and prayer times
  • Onsite & Virtual fitness classes
  • Employee Wellness Rewards & Programs
  • Employee Assistance Programs

APPLY HERE

Freelance Writer, Well-being

Our goal is to help Americans find convenient and affordable healthcare. We offer solutions for consumers, employers, health plans, and anyone else who shares our desire to provide affordable prescriptions to all Americans.
We’re committed to growing and empowering a more inclusive community within our company and industry. That’s why we hire and cultivate diverse teams of the best and brightest from all backgrounds, experiences, and perspectives. We believe that true innovation happens when everyone has a seat at the table and the tools, resources, and opportunities to excel.
With that said, research shows that women and other underrepresented groups apply only if they meet 100% of the criteria. GoodRx is committed to leveling the playing field, and we encourage women, people of color, those in the LGBTQ+ communities, and Veterans to apply for positions even if they don’t necessarily check every box outlined in the job description. Please still get in touch – we’d love to connect and see if you could be good for the role!
GoodRx is seeking freelance writers to contribute content across a number of health and well-being areas in conjunction with our Editorial team. We’re looking for writers who are passionate about objective research, crafting content that brings health topics to life through engaging storytelling, and helping readers understand their health and healthcare options. You will use your journalism and research expertise to write short and long-form articles that are insightful, empowering, and grounded in scientific evidence. 
As a well-being freelance writer, you will be joining forces with a team of health editors to develop health and well-being editorial content. Topic areas include, but are not limited to, mental health, nutrition, and disease prevention.
Most articles are about 800 to 1,200 words, with pay set at $500 per piece. The number and kind of pieces may vary according to your availability, expertise, and interest. We will initially work on a trial basis and then discuss regular contributions.
We require writers to adhere closely to our style and sourcing guidelines, as well as to use empathetic and inclusive language. Experience writing consumer-facing health content is a must.
We are open to remote locations.

Skills & Qualifications

  • Exceptional written English and communication skills
  • Experience writing for a general consumer audience
  • Experience following a company style guide 
  • General understanding of SEO Experience interviewing healthcare experts is a plus
  • Meticulous attention to detail 
  • Ability to work independently and on deadline
  • Ability to interpret research studies and simplify complex health and research concepts
  • A passion for making an impact in real people’s lives with meaningful content and information

Requirements

  • Proven track record of publishing high-quality health content online
  • Experience covering primary research articles on science/health/medicine
  • Authorship in an online consumer-facing publication

Please include the following with your application

  • Resume or CV
  • A short cover letter outlining your interest and experience writing about health/wellness
  • A link to your portfolio and/or four writing samples that you think best relate to our scope of work
  • An estimate of how many articles you can produce each month and your turnaround time per draft

APPLY HERE

Processing Support Associate

States we employ in: AL, AZ, CO, FL, GA, IL, IN, KY, MO, NC, OH, SC, TN, TX, VA, WI, WV. In order for your candidacy to be considered, you must have established residency in one of these states or being willing to relocate.

Hourly Pay Rate: $17.00


Who We Are

At Christian Care Ministry we believe that Christians can, and should, share in one another’s burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief.

The Team

Everyone at Christian Care Ministry agrees to our Statement of Faith which outlines our core beliefs. Although we aren’t perfect people, we are serving our perfect God to the best of our ability.

The Role

The Processing Support Associate performs document analysis on medical bills, medical records, prescriptions, and related documents and through data entry prepares them to be processed electronically by Medical Bill Analysts. The Processing Support Associate is responsible for accuracy, efficiency and retrieval of data related to medical bills.


Essential Job Duties & Responsibilities

  • Analyze incoming documents to determine what category they fall under and what workflow they will be routed to
  • Perform data entry of medical bills, prescriptions, medical records, and other document types
  • Communicate with other departments as needed regarding missing information needed to process medical bills
  • Review discrepancies in data received, and perform data verification routines
  • Interact with other staff on matters affecting data and publications flow and make recommendations for improvement or enhancement to job processes to ensure standards in data entry, collection, and retrieval
  • Perform other support duties to processing such as re-pricing, provider maintenance, 3rd party, and all other support roles as assigned
  • Perform daily mail duties such as sorting, scanning, and indexing documents into the document management system. 
  • Contribute to the exercise and expression of the Ministry’s Christian beliefs
  • All other duties as assigned

Essential Skills & Abilities

  • Strong computer skills – ability to access and research complex medical procedures and terminology
  • Reading comprehension – ability to read large amounts of data in short periods of time and translate that information to determine document type
  • Language Skills – Ability to read and interpret electronic documents such as procedure manuals, medical records, medical bills, legal documents and insurance documents.
  • Reasoning Ability – Ability to apply common sense understanding to carry out instruction furnished in written, oral or diagram form.
  • Problem Solving – Ability to deal with problems involving several variables in standardized situations.
  • Ability to work effectively and independently without supervision

Core Competencies/Demonstrable Behaviors

  • Decision quality—Makes good and timely decisions that keep the organization moving forward.
  • Plans and aligns—Planning and prioritizing work to meet commitments aligned with organizational goals.
  • Ensures accountability—Holds self accountable to meet commitments.
  • Instills trust—Gains the confidence and trust of others through honesty, integrity, and authenticity.
  • Situational adaptability—Adapting approach and demeanor in real time to match the shifting demands of different situations.

Education and/or Experience

  • High school diploma or GED required
  • Medical coder or previous processing experience or knowledge of ICD10 and CPT codes preferred
  • Minimum 30 WPM typing speed required

Incentives & Benefits

We work hard to serve our members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.

Employees are eligible to receive annual incentive pay based on individual and organizational performance.

Some of our benefits include, but are not limited to:

  • Generous paid time off (PTO), paid holidays, and paid volunteer days
  • 401(k)
  • Healthcare
  • Dental/Vision plans
  • Life & Disability plans
  • Accident, Critical Illness, & Hospital plans
  • Professional development
  • Weekly chapel service and prayer times
  • Onsite & Virtual fitness classes
  • Employee Wellness Rewards & Programs
  • Employee Assistance Programs

APPLY HERE

Quality Assurance Associate I

Job Description

Fulltime REMOTE Position

Must have HS Diploma/GED

Must be at least 18 years old

Starting pay- $15hr

Are you looking to advance with Conduent? We are currently seeking to expand the Quality Department to support the USAC account.

Conduent staff members understand the vision, mission, and guiding principles, as well as the quality policies, objectives, and critical processes of the EBBP Program and the strategic and systematic approach that is necessary to achieve them. We achieve excellence by encouraging a quality culture with set standards, well defined goals and clear channels of communication. It is the combined responsibility of all EBBP Program personnel to practice and uphold the program’s quality goals.

This list describes the Quality goals for the EBBP Program.

  • To provide excellent and timely customer service to both internal and external customers through diligent adherence to our contractual obligations
  • To continually seek ways to improve the processes and practices that are required to meet project commitments
  • To provide accurate reporting on a regular and timely basis as requested
  • To provide transparent and professional avenues of communication with everyone we do business with

Quality Analyst Criteria

  • Flexible- able to work ANY shift 9am- 9pm(We support ALL SHIFTS) days off WILL VARY based on the monthly QA schedule of deliverables/ will be required to cover other QA teams
  • Attendance- Pattern of positive attendance in the last 30 days-No pattern of Absences or Tardies. Must be dependable and able to support team at any time(Attendance report will be requested from Supervisor for any applicant)
  • 3 month average Pass Rate must be above 85%
  • Professional attitude -dress- positive attitude -Team driven
  • No corrective action Written or above in the last 90 days(includes Policy Violations)
  • Proficient with Excel spreadsheets and workbooks(able to create and maintain)
  • Excellent Verbal and Written skills- (Tested real time in interview)
  • Efficient Time Management skills- accountability for time-sensitive projects/weekly reports

Quality Analyst Responsibilities

  • Must be able to accurately Audit/Complete/Correct Manual Reviews with 100% accuracy- Content- Grammar-Spelling -Format
  • Perform Daily call monitoring up to 30 per day(per Monthly Schedule)
  • Perform Training Lab Call Monitoring/Side by Sides and Manual Review Audits( per class schedule)
  • Complete Daily Manual Review Audits(up to 250wkly depending on Monthly schedule)
  • Conduct Supervisor Calibrations and provide Feedback
  • Conduct Weekly Team Lead Quality meetings for reporting and coaching feedback
  • Provide Weekly/ Monthly Reporting to Client on Calls Reviewed-Contact Form Accuracy Rate- Manual Reviews/ Inbox accuracy
  • Assist with call volume or Manual review volume as needed
  • Able to create and implement processes based on the QASP and SOPs for Quality

We offer:

  • Medical, dental and vision Insurance
  • Paid time-off
  • The opportunity to contribute to a 401(k)
  • Paid training

APPLY HERE

Transcription Specialist – Remote

Position Description/Overview: 

Press Ganey currently has an exciting opportunity for multiple Transcription Specialist roles. This is a remote position. This role supports the Survey Data Collection Department. 

The Bi-Lingual Transcription Specialist is responsible for typing written comments from surveys into a database program. The individual will be responsible for maintaining an acceptable rate of speed and accuracy when typing comments and meet commenting performance standards.   

Duties & Responsibilities:  

  • Read questionnaires to determine type of comment. 
  • Inputs written comments from surveys into software according to established guidelines. 
  • Maintain acceptable comment processing performance standards. 
  • Maintain acceptable accuracy according to established guidelines (99.5%) 
  • Maintain acceptable speed according to established guidelines (55 words per minute). 
  • Performs other duties as may be appropriately required. 

Qualifications:  

  • Previous typing or data entry computer skills required.  
  • Typing speed of 55 words per minute is required.  
  • Must be able to read and interpret typed and/or handwritten text. 
  • Must be able to work independently.  
  • The candidate must have high attention to detail.             

Minimum Education:

  High school graduate or equivalent required 

APPLY HERE