by twochickswithasidehustle | Jun 22, 2024 | Uncategorized
The System Support Analyst I position focuses on testing system updates and enhancements to RCM operations systems, maintaining utility files including all dictionary updates and translation tables, testing all new or existing interfaces, supporting sub-committees, and partnering with RCM operations on process improvement needs, enrollment forms, special projects and any other tasks that may arise.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Complete testing on basic update and enhancement requests of the billing system prior to the changes being completed in the live environment.
- Testing of basic projects for the billing system, charge capture systems or any other products utilized by the RCM Operation teams.
- Maintaining and updating all dictionaries in the billing system.
- Support sub-committees with all process improvement or special project needs.
- Partnering with RCM Operations on process improvement or special project needs.
- Assisting with special projects and other duties as assigned.
- Maintaining professionalism with the strictest confidentiality at all times.
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Must display a positive “teamwork” attitude and strong interpersonal skills
- Knowledge of organizations policies, procedures, and systems
- Basic knowledge of insurance processing, guidelines, laws, and EOBs
- Knowledge of Medicare, Medicaid, Workers Compensation rules and guidelines
- At least an intermediate level in MS Word and MS Excel
- Excellent verbal and written communication
- Willingness and ability to follow direction and/or company policy as directed by management
- Must have multi-tasking capabilities
- Ability to maintain confidentiality
- Good problem-solving skills
- Ability to read, write and speak English
EDUCATION/TRAINING/EXPERIENCE:
- High School graduate or equivalent. Associate degree in business administration or related area preferred.
- Must have 2-4 years of healthcare experience
PHYSICAL REQUIREMENTS:
- Requires prolonged sitting, some bending, stooping, and stretching
- Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator, and other office equipment
- Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
- Requires lifting papers and boxes weighing up to 35 pounds occasionally
- Requires dexterity to type at least 50 wpm.
WORKING CONDITIONS (environment and safety):
- Work performed in office environment
- Involves frequent contact with professional staff and managed care organizations
- Work may be stressful at times
- Interaction with others is frequent and often disruptive
disclaimer: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
by twochickswithasidehustle | Jun 22, 2024 | Uncategorized
US Anesthesia Partners is seeking a Coding QA Specialist to join our team, remotely. The Coding QA Specialist- Anesthesia will support our QA process and Coder and Provider education. Responsibilities include the reviewing of professional coding accuracy and quality and educational feedback to coders and providers. Provide Clinical Documentation review and provider education to support correct coding and regulatory compliance. The position requires anesthesia, surgical coding and regulatory knowledge, analytical skills as well as the ability to work independently while meeting required due dates. Preferred skills: excellent presentations skills, creating and delivering curriculum in an interactive educational platform experience ie LMS.
Job Highlights
CODER EDUCATION
- Conduct Coder QA and Education as part of identified remediation
- Collaborate with Management on development of individual or group performance improvement plans related to billing compliance or coding issues
- Develop or review internal workflow or pathway directives that impact coding and charge capture including system edits
- Conduct coder Pre-production QA and education
SUPPORT PROVIDER EDUCATION
- Documentation review and prepare for educator feedback sessions
- Documentation template improvements
- Assist in Review for coding and regulatory updates
TRAINING & CURRICULUM Development and delivery of coding educational materials and training for use both internal and external to the department, including physicians live and remote methods.
- Maintain operational workflow pathways and assist coding leads as needed
- Maintain Coding resources shared library
Other Duties
- Utilizes knowledge of revenue cycle and analyzes coding data to assist with QA selection process
- Assists in reviews of Coding related edits and claim denials
- Creates tracking and trending reports associated to the initiatives.
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Assist in supporting teams with analysis and review of documentation for new business
- Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors, and the
- Ensure compliance with all State, Federal, professional regulations as well as department rules, policies, and procedural
- Adherence to Safety
- Adherence to HIPAA
- Maintain specialty certification CEU’s, coding updates and all regulatory or payer guidance
- Ability to communicate professionally with all levels of management
- Excellent written and oral communication skills are necessary to produce and deliver quality training
- Excellent technical writing skills for development, implementation, and maintenance of documentation
EDUCATION/TRAINING/EXPERIENCE:
- National coding certification (AHIMA, AAPC)
- Compliance auditing and Specialty Coding Education experience
- Clinical certification or experience preferred
- National Certification and Minimum of five years’ Experience in physician coding, Anesthesia/Pain Management, Surgery and E/M, ICD-10, with experience in Academic settings
- Proficient in MS Office Excel, Word and Power Point
- Experience in Revenue Cycle and Claim processing
- Experience in Physician Billing Compliance preferred
- Demonstrated superior presentation skills
- Experience managing multiple simultaneous clients or projects with a high level of attention to detail
National position, Remote, future travel may be required (10%).
by twochickswithasidehustle | Jun 22, 2024 | Uncategorized
Customer Service team member whose primary responsibility will be processing payments from patients and surgeon offices, making package adjustments to all package accounts, sending out monthly invoices to all surgeon/facility directed accounts. Other responsibilities may include, but are not limited to:
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Processing patient demographics, registering patients in USAP’s billing system
- Processing custom edits to ensure proper billing to either patient or surgeon
- Partnering with other RCM departments to ensure appropriate billing for split cosmetic/insurance cases
- Researching accounts to ensure credit balances are processed appropriately
- Partnering with surgeon’s offices and facilities to help resolve any billing or patient issues.
- Work ETM view posting cosmetic adjustments.
REPORTING TO THIS POSITION: This position will not be responsible for any direct reports
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Customer Service experience (call center, health care front office, etc.)
- Professional communication skills, both verbal and written
- RCM experience preferred, health care experience preferred
EDUCATION/TRAINING/EXPERIENCE:
- High School diploma
- Healthcare/RCM experience preferred
- High volume phone call experience preferred
- Anesthesia knowledge is a bonus
PHYSICAL REQUIREMENTS:
- Ability to sit at a desk and computer for a full 8 hour shift, continuous data entry
- Ability to answer inbound phone calls and make outbound phone calls
WORKING CONDITIONS (environment and safety):
- Work performed in office environment (currently remote environment)
- Involves frequent contact with professional staff and managed care organizations
- Work may be stressful at times
- Interaction with others is frequent and often disruptive
disclaimer: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
by twochickswithasidehustle | Jun 22, 2024 | Uncategorized
Trustmark’s mission is to improve wellbeing – for everyone. It is a mission grounded in a belief in equality and born from our caring culture. It is a culture we can only realize by building trust. Trust established by ensuring associates feel respected, valued and heard. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture of diversity and inclusion where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves. At Trustmark, we have a commitment to welcoming people, no matter their background, identity or experience, to a workplace where they feel safe being their whole, authentic selves. A workplace made up of diverse, empowered individuals that allows ideas to thrive and enables us to bring the best to our colleagues, clients and communities.As a Case Underwriter, you will develop partnership with Sales to maximize our ability to sell new/maintain existing business. Follows established underwriting guidelines within authority limit. Provides timely and accurate turnaround of proposal offers, re-enrollment offers, and underwriting decisions. Learns/seek education on our Administrative, Enrollment, Broker, and Enrollment Company capabilities and processes.
*For candidates based in IL/WI (within travel distance), this will be a hybrid role and the ideal candidate will be required to work on-site at our office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.*
Key Accountabilities:
- Reviews enrollment and participation trends in an assigned territory and make recommendations to optimize our opportunity for sales and minimize risk. Provides monthly updates on sold case successes and failures as it relates to access and participation for Guarantee Issue cases.
- Provides timely and accurate turnaround of proposal offers, re-enrollment offers, and underwriting decisions for an assigned region.
- Continually asks questions to grow and better understand our products and procedures. Advances/grows the relationship with the Regional Sales Directors and Sales Implementation Managers. Works to gain their confidence in decisions.
- Understand non-standard broker arrangements and enrollment company strengths and weaknesses within your assigned territory. Have the ability to identify elements of a successful enrollment and make suggestions that create value/enhance access to employees. Continually stay current with our Enrollment System capabilities
- Work with reinsurer on cases that require facultative review.
- Other duties as needed/assigned.
Education and Experience:
- High School diploma or equivalent
- 3-5 years Case Underwriting experience.
- Excellent organization skills, adept at handling multiple tasks simultaneously, committed to follow through and completing assignments in a timely and professional manner.
- Interpersonal effectiveness with proven ability to establish/maintain mutually respectful relationships with mangers, peers, support staff, agents/brokers and customers; handles conflict, resolve complex issues, and the ability to negotiate effectively.
- Working knowledge of PCs, Microsoft Word, Excel, and PowerPoint software.
- Math computation and analytical skills.
Preferred:
- 3-5 years of experience with Worksite Underwriting of UL, CI, DI and Accident
- Bachelor’s degree preferred
- Working knowledge of voluntary product administration and enrollment practices.
Brand: Trustmark Benefits
Come join a team at Trustmark that will not only utilize your current skills but will enhance them as well. Trustmark benefits include health/dental/vision, life insurance, FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health and wellness initiatives. We also offer a Wellness program that enables employees to participate in health initiatives to reduce their insurance premiums.
For the fourth consecutive year we were selected as a Top Workplace by the Chicago Tribune. The award is based exclusively on Trustmark associate responses to an anonymous survey. The survey measured 15 key drivers of engaged cultures that are critical to the success of an organization.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.
by twochickswithasidehustle | Jun 21, 2024 | Uncategorized
Telecommuter
Direct Response (CDO) – Direct Response /
Full Time – Union /
Remote
APPLY FOR THIS JOB
Planned Parenthood is the nation’s leading provider and advocate of high-quality, affordable sexual and reproductive health care for all people, as well as the nation’s largest provider of sex education. With more than 600 health centers across the country, Planned Parenthood organizations serve all patients with care and compassion, with respect, and without judgment, striving to create equitable access to health care. Through health centers, programs in schools and communities, and online resources, Planned Parenthood is a trusted source of reliable education and information that allows people to make informed health decisions. We do all this because we care passionately about helping people lead healthier lives.
Planned Parenthood Federation of America (PPFA) is a 501(c)(3) charitable organization that supports the independently incorporated Planned Parenthood affiliates operating health centers across the U.S. Planned Parenthood Action Fund is an independent, nonpartisan, not-for-profit membership organization formed as the advocacy and political arm of Planned Parenthood Federation of America. The Action Fund engages in educational, advocacy, and electoral activity, including grassroots organizing, legislative advocacy, and voter education.
Planned Parenthood Federation of America (PPFA) and Planned Parenthood Action Fund (PPAF)seek an efficient and detail-oriented Contributions Processor. This job reports to the Associate Director of Development Operations in the Development Department of PPFA. The Revenue Operations team is responsible for the timely receipt and entry of all donations into the donor database raised by the different divisions within the Development Department, and for ensuring the donation information is communicated accurately to the Finance Department.
Purpose:
As part of the Revenue Operations team in Planned Parenthood Federation of America’s Development Division and reporting to the Associate Director of Development Operations, the Contributions Processor will be responsible for entering donations into the donor database that are received for PPFA, PPAF, PAC, and PP Votes in a timely and efficient manner following defined standard. This individual will also assist the Manager of Third Party and Wire Transfer Contributions with batching, identification, and customer service associated with wire transfer donations and filling in as backup as needed.
Delivery:
● Enter donor and gift data quickly and accurately according to the specifications from relevant departments. Confirm eligibility for PAC donations according to specified requirements.
● Assist with batching, upload, identification, and donor service associated with wire transfer donations.
● Consult with appropriate development and finance staff to ensure that contributions are entered correctly.
● Use specified standards to enter pledges, pledge payments, stock gifts, matching gifts, workplace giving transactions and other non-typical transactions accurately.
● Update and flag donor records when notified of address changes and solicitation preferences.
● Other duties as assigned.
Engagement:
● Collaborates with the larger Revenue Operations team to ensure entry timelines and revenue requirements are met.
● Internally, works with staff in Development, Finance, other departments, and affiliates, to ensure our work products are on time and meet performance goals.
● Externally, has regular contact with giving entities and donors to confirm and validate incoming information.
● During peak processing times such as calendar year end and fiscal year end, as well as during election or news cycles, may be called upon to work extra hours
Knowledge, Skills, and Abilities (KSAs):
● Job duties require close attention to detail, and in-depth familiarity with PPFA gift processing procedures and guidelines for which training will be provided.
● Excellent interpersonal skills including problem resolution/negotiation skills.
● Strong troubleshooting skills are required. Computer literacy including Excel, Word, Google products, and database applications. Salesforce experience is preferred but not mandatory.
● Basic office skills including an aptitude for data entry and a tolerance for repetitive tasks. Ability to multi-task effectively and manage many projects simultaneously, while still meeting deadlines.
● Recognizes the value of diversity and maintains relationships with staff and external audiences that respect individual dignity.
● High School Diploma with 1 – 2 years of experience required.
Travel: None
$55,000 – $60,000 a year
Total offer package to include generous vacation + sick leave + paid holidays, individual/family provided medical, dental and vision benefits effective day 1, life insurance, short/long term disability, paid family leave and 401k. We also offer voluntary opt-in for Flexible Spending Account (FSA) and Transportation/Commuter accounts.
We value a truly diverse workforce and a culture of inclusivity and belonging. Our goal is to attract qualified candidates and encourage applications from all individuals without regard to race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, or any other characteristic protected by applicable law. We’re committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation.
PPFA participates in the E-Verify program and is an Equal Opportunity Employer.
#LI-SY1
*PDN-HR
Roles that are denoted as NYC, DC, or both will work a hybrid schedule, requiring 2-3 days per week in the office unless the role is denoted as onsite, which requires working onsite full time or 5 days per week.
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