Reimbursement Review Services Associate -Remote

Job Description

About Conduent

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them.

You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Job Description

Job Track Description:

  • Performs tasks based on established procedures.
  • Uses data organizing and coordination skills to perform business support or technical work.
  • Requires vocational training, certifications, licensures, or equivalent experience.

General Profile

  • Has a developed proficiency of analytical or operational processes.
  • Completes atypical assignments.
  • Works within established procedures and practices.
  • May establish the appropriate approach for new assignments.
  • Acts as a resource for colleagues.
  • Completes work with limited supervision.

Functional Knowledge

  • Has developed skills in a range of processes, procedures, and systems.

Business Expertise

  • Understanding of how best teams integrate and work together to achieve company goals.

Impact

  • Impacts a team, by example, through the quality service and information provided
  • Uses discretion to change work procedures and practices.

Leadership

  • May provide guidance and support to junior team members.

Problem Solving

  • Provides solutions to atypical problems based on existing precedents or procedures.

Interpersonal Skills

  • Exchanges information and ideas effectively.

Responsibility Statements

  • Conducts medical and pharmacy benefit insurance verifications and investigations for commercial and government payers.
  • Interprets patient insurance, prescription, and other health-related documentation.
  • Researches available alternative funding options to reduce patient’s financial responsibility.
  • Applies prescription drug benefit management techniques.
  • Examines records to transcribe medical codes.
  • Validates licensed practitioners.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

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Data Operations Coordinator (Part Time)

The EVS Auditor role is to enter data from various source documents into the computer system for eligibility verification of dependents covered on health plan of UnifyHR clients.

Major Responsibilities

  • With an extremely high rate of accuracy, efficiently enter data points from “personal” documents, such as birth certificates, marriage certificates, and federal tax returns. 
  • Communicate with Manager if there are system discrepancies or as other issues arise
  • Read and interpret documents
  • Navigate through multiple computer applications with speed and accuracy.
  • Accept and implement coaching and feedback in order to achieve individual and team performance goals
  • Share best practices with team

Training Included

  • Internal UnifyHR portal training for specific role and responsibilities
  • Annual Data and Information Security Training
  • Ongoing personal improvement and team training as needed

Core Job Objectives

  • Delivery of accurate output based on operational requirements 
  • Meet or exceed expected productivity and quality outcomes

Required Skills & Key Competencies

  • Strong computer skills including Microsoft Office
  • High School diploma or equivalent (GED) required
  • Minimum 2 years of either data entry experience or employer benefit knowledge required
  • Attention to detail
  • Communication skills – verbal and written
  • Planning and organizing
  • Confidentiality
  • Ability to work under pressure
  • Flexible work schedule
  • Ability to type 35 wpm minimum

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Part Time Social Media Coordinator

Khoros is seeking a Part Time Social Media Coordinator to add to our growing professional services team. Ideal candidates embrace a fast-paced work environment and are interested in supporting customers from a wide range of industries. A working understanding of social media and major networks is preferred, as is a sense of curiosity and a “can-do” attitude. The successful candidate will be an organized, thoughtful communicator, with an interest in learning more about social media.

The Khoros engagement platform comprises Online Community, Social Media Management and Messaging products for social customer service, social support and social media marketing teams to listen, respond and act on customer conversations – creating deep relationships and fostering brand loyalty and advocacy.

The best Fortune 1000 companies in the world trust Khoros to help them build closer, more personalized and trusted relationships with their customers. Some of our clients: HP, Samsung, and LiveNation (to name a few). We are a Vista Equity Partners portfolio company, growing fast and adding new products to our platform organically and inorganically.

Responsibilities

  • Monitor and manage customers’ brands across major social networks and actively mine social conversations for relevant information and opportunities to engage.
  • Manage high levels of inbound conversations, proactively identifying efficiencies.
  • Manage paid and organic content publishing across major social networks via the Khoros platform.
  • Work with strategists, analysts and customer teams to plan, forecast, and report for social media marketing and care programs.
  • Collect and analyze information from multiple data sources, ensuring data is reliable, using technical expertise and tools to uncover insights, statistics and trends.
  • Responsible for downloading raw data reports that chart customer KPIs and provide insight and analysis as to what the numbers mean for the customer’s daily operations as well as long-term strategy.

Qualifications

  • Bachelor’s degree in progress or completed
  • 1-3 years in the social media space or equivalent combination of experience, education, and training
  • Demonstrate passion for social and an eagerness to learn and share new trends in the social and digital marketing space.
  • Some weekend/evening coverage will be required.

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Eligibility Specialist / Data Entry REMOTE

Our team is passionate, driven, collaborative, intellectually curious, and excited about the opportunity to transform our  healthcare system. We’re inspired by caregivers and seek to create a platform that recognizes, utilizes and supports the vital role they play.  We strive to  continuously learn, explore, experiment and achieve results. We are here to improve the quality of life for caregivers and care recipients, allowing them to focus on the important things (like going to the mall with their grandkids)

The ideal teammate would be…

A proactive individual eager to learn about healthcare operations at a fast-paced, dynamic startup. This will involve remote administrative support for multiple, cross-functional teams within Business Operations, and comprehensive coordination of key processes that are foundational to the growth of the company. In this capacity, this individual will need to marry critical thinking and analytic skills to execute on assigned tasks with rigor, efficiency, and quality. 

The ideal teammate would be able to:

  • Process and upload referrals accurately and efficiently utilizing all available resources to ensure all eligible referrals are put in outreach.
  • Determine insurance eligibility through the use of various platforms
  • Execute on data entry with close attention to detail and accuracy in support of internal reporting and workflow platforms
  • Remain organized while working with several projects simultaneously
  • Follow established workflows while continually striving to find ways to optimize and gain efficiencies
  • Understand the needs and opportunities across our internal and external stakeholders

Would you describe yourself as someone who has:

  • Advanced Excel Skills including VLOOKUP’s, PIVOT Tables, IF/THEN (required)
  • Knowledge of revenue cycle and insurance plans (preferred)
  • A strong proficiency in computer software navigation
  • Strong problem solving skills; able to identify problems and escalate when appropriate
  • A fundamental knowledge of GSuite
  • Strong organizational skills, including the ability to prioritize and work several complex projects simultaneously
  • A demonstrated ability to work effectively as a member of an interdisciplinary team, displaying good judgment and decision-making skills
  • Passion about healthcare and affecting change in the current healthcare environment
  • Comfortable in a dynamic and always evolving start-up environment

In addition to amazing teammates, we also offer:

  • Health, dental, and vision insurance with a choice of many different plans/costs partially subsidized by us
  • Paid vacation
  • Paid Sick/personal days
  • ~10 paid holidays
  • One time reimbursement to set up your home office
  • Monthly reimbursement for internet or other home office expenses
  • Monthly gym reimbursement to be used for gyms, home equipment, online classes, etc
  • Basic Life & AD&D, Short-term and Long-term Disability Benefits paid fully by us
  • Voluntary benefits such as Pet, Home and Auto, Legal Insurance plus more
  • Pre-tax Flex Spending/Dependent Care/Transit accounts
  • 401k

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Virtual Bookkeeper

Compensation

$40,000, plus perks and benefits.

Location

Virtual, US-based

Who we are

We are a boutique CPA firm that works virtually with small business owners all over the US to prepare tax returns, streamline bookkeeping systems, and provide general tax/bookkeeping consulting. As our client list has continued to grow, it’s necessary to build a team that will support the continued growth of our firm and our creative small business owner clientele.

We are seeking a bookkeeping professional to work with our firm full time. This is a great opportunity for those looking to make a real impact at a small firm. We offer unique benefits, like a flexible schedule and the ability to work from home 100% of the time.

Responsibilities

  • Reconcile accounts and provide clients with P&L report, balance sheet, and insight on the financial health of their business
  • Manage cash accounts and maintain a reliable cash flow projection process
  • Perform monthly and year-end close procedures
  • Meet all deadlines regarding bookkeeping projects
  • Clearly communicate directly (virtually via email, phone, or video chat) with clients, Partners, and team leader on a daily basis
  • All other duties as assigned

Requirements

  • Bachelor’s degree – Accounting focus preferred
  • Two or more years of experience with small business bookkeeping
  • Strong accounting software and Excel skills
  • Must be organized, meticulous, and detail-oriented
  • Ability to work increased hours from the last week of January – Tax Day
  • Ability to build a client relationship beyond the numbers. Our clients love us because we take the time to learn about them and we care about the success of their business.
  • Ability to break down complex accounting topics into easy to understand information and examples

Preferred

  • Certified Public Accountant
  • Enrolled Agent
  • QuickBooks ProAdvisor
  • Xero Advisor Certified

Expectations

  • Foster an environment of open, honest, and timely communication
  • Comfortable working in a remote and paperless environment
  • Strong problem-solving skills
  • QuickBooks experience required
  • WaveApps and Xero experience preferred
  • Ability to observe and understand business processes, ensuring complete and accurate documentation
  • An ability to work independently and as a member of a team

Team Member Benefits

  • Flexible schedule
  • Summer hours. We work extended hours during tax season so that we can enjoy extra days off during the summer.
  • Home office stipend to cover home office expenses
  • Professional development stipend to learn a new accounting skill or to fulfill your CPE requirements
  • Paid holidays and paid time off
  • View a more comprehensive list of our benefits here.

APPLY HERE