by twochickswithasidehustle | Jul 13, 2021 | Uncategorized
Positions in this function are assigned to provider groups who submit rosters and covers all demographic and contractual elements. Data Loading Analysts (DLAs) are responsible for various loading activities related to the provider network database (NDB). DLAs make informed decisions to deliver quality results and are responsible for properly maintaining the provider data housed in our core systems to allow for proper claim payment and member directory information. Positions in this function are assigned to provider groups who submit rosters and covers all demographic and contractual elements. Data Loading Analysts (DLAs) are responsible for various loading activities related to the provider network database (NDB). DLAs make informed decisions to deliver quality results and are responsible for properly maintaining the provider data housed in our core systems to allow for proper claim payment and member directory information.
Primary Responsibilities:
- Receive data from multiple inbound sources (e.g., rosters, spreadsheets, email, Phycon, etc.)
- Interpret, organize, and collect data to enter into the system
- Utilize multiple database systems and tools to enter and/or research provider data in NDB
- Contact internal or external data submitter to verify/clarify information and/or data to be entered, when required
- Uses pertinent data and facts to identify and solve a range of problems within area of expertise
- Investigates and analyzes non-standard requests and problems, with some assistance from others
- Review system results to determine whether keyed data is correct, or updates are necessary
- Maintain current knowledge of business strategies, rules, and procedures (e.g., attend training)
- Demonstrate an understanding of and apply business strategies, rules, and procedures as appropriate (e.g., determine whether to reject or accept data prior to entry)
- Participate in applicable ad hoc projects, as assigned
- Consistently meet target production, quality, and time utilization metrics
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 above
- 1+ year or more internal or external customer response / customer service experience
- 6+ months computer experience utilizing Microsoft Office (including Excel, Outlook, Word…) and computer navigation skills
- Data entry experience
- You will be asked to perform this role in an office setting or other company location
- If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas, In addition, employees must comply with any state and local masking orders.
Preferred Qualifications:
- Demonstrated understanding of relevant platforms (e.g., FACETS, NMDB, NDB, COSMOS, Emptoris, Diamond, PPO-One, NICE, PULSE)
- Demonstrated understanding of relevant system applications (e.g., PhyCon, SmartPricer, Navigator, DLI, Emptoris,SharePoint, Knowledge Central, Rate Manager, Echosign, DocuSign,ePUF)
- Demonstrated understanding of internal processes and procedures for loading, maintaining, and/or resolving contracts or claims
- Undergraduate Degree
Soft Skills:
- Ability to prioritize and organize own work to meet deadlines
- Demonstrated ability to communicate effectively (clear and concise notes, and written communication)
- Ability to work under pressure and maintain quality of detailed work while meeting deadlines
APPLY HERE
by twochickswithasidehustle | Jul 10, 2021 | Uncategorized
The Bill Review Associate reviews bills by following state, federal guidelines and fee schedules. Researches and applies other rules and edits to obtain enhanced savings for our clients. Interact with providers and Claim Professionals as necessary to deliver accurate and efficient bill processing. Communicate and provide timely responses to emails and phone calls from Internal and External customers.
GENERAL DUTIES & RESPONSIBILITIES:
- Learns or remains current on billing protocols and regulations, federal and state regulations, and internal procedures that affect processing.
- Provides subject matter expertise on billing and coding guidelines and regulations as required by the department.
- Identifies trending opportunities related to policies and procedures to ensure efficiency and accuracy in bill processing.
- Reviews & researches and initiates the resolution of billing errors.
- Researches state agencies for upcoming changes in laws and fee schedules.
- Provides guidance to Management regarding changes in laws and fee schedules.
- Communicates with Sales to solve pricing issues and payment discrepancies.
- Works daily billing file spreadsheet.
- Responds to inquiries from internal departments regarding billing.
- When unable to resolve the problem in a reasonable amount of time, escalates to the appropriate resource. Follows up on escalated issues with coaching and mentoring to learn the appropriate solution and expand overall knowledge.
- Meets the standards of the job, such as quality standards and adherence to schedule.
- Performs other related duties as assigned
EDUCATIONAL REQUIREMENTS:
- A high school diploma or GED is required for this role.
GENERAL KNOWLEDGE, SKILLS & ABILITIES:
- Knowledge of Billing rules and regulations and federal and state regulations.
- Excellent customer service skills that build high levels of customer satisfaction.
- Effective verbal and written communication skills.
- Computer navigation and operation skills.
- Detail-oriented with good organizational skills.
- Ability to manage multiple tasks.
- Ability to work both independently and in a team environment.
- Ability to maintain confidentiality
Bill Review Associate I
Entry level role. Applies basic skills with moderate level of proficiency. Generally performs basic billing review/resolution processing and handles inquiries by following standard scripts and procedures. Works under close supervision without latitude for independent judgment. Consults with senior peers and team leads on non-complex issues to learn through experience. Typically authorized to make decisions regarding items under $500 without receiving approval from a team lead or supervisor. Typically requires one or more year’s customer service experience. One or more years of financial services experience and prior bill review experience is preferable.
EEO Employer
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by twochickswithasidehustle | Jul 10, 2021 | Uncategorized
The Cash Applications Associate will research, validate and process requested adjustments to payments applied abiding by the policies and procedures set by management.
GENERAL DUTIES & RESPONSIBILITIES:
- Use the Imaging system to view and research all incoming receipts by receipt number, patient name and various other search criteria.
- Contact carriers, adjustors and/or collectors via email, phone or fax to obtain all required information in order to apply all receipts in full.
- Review, research, validate, and post in Oracle a minimum number of error free receipts per day abiding by the policies and procedures as set by Cash Application management in accordance with approved Oracle posting options.
- Apply receipt to invoice line level.
- Apply receipt as a receipt write off when payment is for Optimal Care or miscellaneous items such as penalty and interest or legal fees.
- Convert receipt to a refund if required by carrier, collector or management.
- Convert receipt to a claim for further investigation and assignment to the appropriate AR manager by Cash Application Specialist.
- Research, consolidate and correct any misapplied funds located during the research process for applying new receipt in full abiding by the policies and procedures set by Cash Application management.
- Research, process, and document any refunds that are discovered during day to day activities abiding by the policies and procedures as set by Cash Application management.
- Review, reach, and gather all information required for completing posting of EDI/ACH carrier payments files in Oracle insuring that all documentation has been achieved appropriately according to the policies and procedures outlined by Cash Application management.
- Review, research, and assign a minimum number of error free trade management claims per day to the appropriate AR manager abiding by the policies and procedures as set forth by Cash Application management.
- Research, validate, and process a minimum number of error free misapplied fund request and/or refund request per day to ensure a 48 hour turnaround time and maintain error free accuracy while maintaining records and reporting to support all processed request as set by Cash Application management.
- Assist Cash Application Processor, AR Collectors and managers with research assistance, problem resolution and provide data on various research requests related to new receipts, misapplied funds and refund requests.
- Perform special projects as assigned by management.
- Develop and update policies and reports as assigned by management.
- Provide continued on the job training and monitoring to ensure that Cash Application and Accounts Receivable policies and procedures are followed.
EDUCATIONAL REQUIREMENTS:
High School Diploma or equivalent required; Associate’s Degree of higher preferred.
GENERAL KNOWLEDGE, SKILLS & ABILITIES:
- Expert skills in Microsoft Excel and Word.
- Intermediate skills with Microsoft Access.
- Basic skills with Microsoft Windows Based Applications.
- Effective communication skills, both verbal and written.
- Critical thinking and problem solving abilities.
- Strong organizational skills.
- Multi-tasking ability while meeting strict deadlines in fast paced environment.
Cash Applications Associate I
Entry level role. Basic skills with moderate level of proficiency. Has general understanding of the accounts receivable. Works under close to moderate supervision with to ensure accuracy. Consults with senior peers on processes or errors to learn through experience. Typically requires up to one (1) year of working in Cash Applications or equivalent experience. Must process a minimum of 10 error free misapplied fund request and/or refund request per day.
APPLY HERE
by twochickswithasidehustle | Jul 10, 2021 | Uncategorized
Thycotic and Centrify, both leaders in privileged access management, are now merging to create the most extensive platform in the identity security market, bringing together complementary product capabilities, best-in-class technology, and unmatched expertise to better enable, and protect the modern, hybrid enterprise. ThycoticCentrify will benefit from a shared commitment to innovation, strengthening of clients’ cyber defense, and to assemble leading cybersecurity talent.
Privileged access management, one of the fastest-growing areas in cybersecurity today, is expected to double from $2.2B to $5.4B by 2025 according to KuppingerCole. Organizations struggle to keep up with the complexity of protecting the ever-growing number of privileged accounts created by the business requirements to move more infrastructure and services into the cloud. This cloud-centric business transformation has created more opportunities for cyber-attackers and driven a greater need for better control and compliance around these types of accounts. Backed by the financial strength of TPG Capital, the combined company brings together complementary product capabilities, best-in-class technology, and unmatched expertise to better enable and protect the modern, hybrid enterprise in an environment defined by ever-increasing, identity-based cyber-attacks.
Position Summary
We are seeking an experienced, personable and service-oriented Executive Assistant to join our ThycoticCentrify team. This role will report directly into the SVP, Engineering and will provide daily support. Individuals applying for this position must be self-starters, action driven, flexible, thrive in a fast-paced environment, excel at managing multiple priorities, and are successful in communicating with all levels within the organization.
This is a remote based position.
Key Responsibilities
- Responsible for a broad variety of administrative tasks including managing an active calendar of appointments; planning and scheduling meetings, appointments and conferences; completing expense reports; and arranging travel plans, itineraries, and agendas
- Provide administrative support to other executives as needed
- Coordinate travel and guest arrangements if requested
- Manage regular preparation of relevant management reports, including monthly, quarterly and year-end reports
- Facilitate internal communications (e.g., distribute information and schedule presentations)
- Resolve any problems with travel or accommodations by communicating with all relevant parties
- Perform other duties as assigned
Skills and Requirements
- Minimum of 4 – 6 years’ experience as either an Executive or Administrative Assistant
- Ability to interact with other C-level executives, board members, employees and customers
- Handle sensitive and confidential information in strict confidence and demonstrate professional discretion at all times
- Ability to work in a fast-paced environment with multiple projects and deadlines; experience working for a late-stage start-up company or technology company is a plus
- Strong verbal and written communication skills
Why Work at ThycoticCentrify?
We’re passionate problem-solvers doing our part to make the world a safer place. We invest in people who are smart, self-motivated and collaborative.
What we offer in return is meaningful work, a culture of innovation and great career progression!
We take care of our employees. We offer competitive salaries and excellent benefits, including top-notch medical, dental, and vision insurance, as well as 401K, comprehensive life, short-term and long-term disability insurance, an employee assistance program and generous time off, are just some of the many benefits we offer.
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by twochickswithasidehustle | Jul 10, 2021 | Uncategorized
Description
We are looking for a Technical Support Engineer to assist our customers with technical problems when using ipdata’s services. Your responsibilities would include resolving customer queries, recommending solutions and guiding users through features and functionalities. To be successful in this role, you should be an excellent communicator and have a background in software development.
Responsibilities
- Respond to customer queries in a timely and accurate way, via email or chat
- Identify customer needs and help customers use specific features
- Analyze and escalate product bugs (as reported by users)
- Create issues on Github with information about technical issues and useful discussions with customers
- Monitor customer complaints on social media and reach out to provide assistance
- Share feature requests and effective workarounds with customers
- Inform customers about new features and functionalities
- Follow up with customers to ensure their technical issues are resolved
- Gather customer feedback and share with our Product, Sales and Marketing teams
Requirements
- BSc in Computer Science or software development experience
- Excellent communication and problem-solving skills
- Prior experience working with APIs i.e. making HTTP requests in any language
- Familiarity with Postman or curl is a plus though not required as both can be easily learnt
Benefits
- Work From Home
- Training & Development
APPLY HERE
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