by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
Job Description
Membership Eligibility Processor I, II, or III, DOE
Work from home within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia’s dedicated team of Member Eligibility Processors are living our mission to make health care easier and lives better. As a member of the Membership team, our Membership Eligibility Processors establish and maintains accurate subscriber and member level eligibility through processing of new applications, member additions and deletions, policy revisions, demographic changes, renewal changes and any other maintenance affecting eligibility – all in service of making our members’ health journeys easier.
Do you have a passion for serving others and learning new things? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
The Membership Eligibility Processor I would have a high school diploma or GED and six months data entry experience with demonstrated ability to meet or exceed accuracy and production standards.
The Membership Eligibility Processor II would have a high school diploma or GED and one year of experience as a Membership Eligibility Processor I with demonstrated ability to meet or exceed accuracy and production standards or an equivalent combination of education and job-related work experience.
Skills and Attributes:
- 40 wpm keying.
- 10-key by touch.
- Must be detail-oriented and self-motivated.
- Must be dependable and maintain attendance at or above departmental standards.
- Must be able to exercise judgment, initiative and discretion in confidential, mature and sensitive manner.
- Must be able to establish effective working relationships with staff and customers.
- Ability to understand mathematical calculations and concepts.
- Ability to organize and prioritize work.
- PC experience required, experience with Word, Excel, and Outlook or similar software.
- Ability to communicate effectively.
- Medical Terminology for WSHIP health questionnaire processors required.
What You Will Do at Cambia:
- Review, enter, and maintain changes on individual, small, large, trust or specialized group enrollment applications. Review and apply eligibility rules by calculating appropriate waiting period credit, eligibility data, effective date and enter benefits, name, social security number, address, family members and primary care physician information with network coding, which is consistent with contract.
- Perform all eligibility tasks accurately and timely to meet MTM requirements, ensuring we’re complying with MTM standards, as well as Consortium standards as they relate to group membership activities.
- Identify and prioritize work in order to meet deadlines including state requirements for timeliness.
- Incorporate and apply changes made to Membership Accounting, Underwriting and State and Federal policies and procedures to ensure current requirements are met.
- Responsible for meeting established departmental performance expectations.
- Handle responses to inquiries to meet BlueCross and BlueShield Association (BCBSA) standards and corporate goals.
- Provide customer service to internal customers and may place and track outgoing calls to external customers including groups, agents and subscribers to obtain information necessary for enrollment, while maintaining member confidentiality in all aspects of eligibility and billing processes.
- Assist less experienced staff with questions and/or difficult issues or accounts as needed.
- Maintain manuals to ensure policies and procedures are current.
- Attend and participate in training and staff meetings.
The starting hourly wage for the Membership Eligibility Processor I role is $17.20 – $24.60/hour, depending on candidate’s geographic location and experience.
The starting hourly wage for the Membership Eligibility Processor II role is $17.20 – $26.60/hour, depending on candidate’s geographic location and experience.
The starting hourly wage for the Membership Eligibility Processor III role is $17.20 – $28.60/hour, depending on candidate’s geographic location and experience.
The annual incentive payment target for this position is 5%.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we’re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
Job Description
Data Entry Operator
Contract
Location: Remote within EST
Must Haves:
- Data entry experience (10,000+ keystrokes/hour)
- MS Office experience (Word, Excel)
- Familiarity with photocopier, fax machine, binding machine)
Preferred:
Job Summary/Description: a higher education institution is looking for assistance with a project for the campus radio station. Responsibilities will include, but are not limited to:
- Performs high-volume data entry (average: 10,000+ keystrokes per hour).
- Performs basic management of electronic files (i.e., print, copy, transfer and delete).
- Accesses information from a computer and/or maintains a computer database.
- Enters data for envelopes, labels, form letters and correspondence.
- Formats and produce documents.
- Works with numbers (i.e., add, subtract, multiply and divide).
- Detects and correct errors.
- Uses word processing, spreadsheet, database or other software on a computer
The staffing industry has seen an increase in people falsely representing themselves as recruiters to gather personal information from job seekers. For your safety, do not provide sensitive data to anyone you have not spoken with thoroughly, never provide banking information during the application process and always double check the email address of the recruiter to ensure it’s from @planet-pro.com – and not a domain with an alternative extension like .net, .org or .jobs. Candidate safety is a top priority at Planet Professional.
Planet Professional and The Planet Group of Companies are equal opportunity employers. It is our practice not to discriminate against any employee or applicant based on any criteria, condition or basis protected by laws or regulations in the locations where we do business. All qualified applicants are encouraged to apply. We celebrate diversity and are committed to providing an environment of mutual respect. We believe that diversity, equity and inclusion enable us to better meet our mission and values while serving our clients across the globe. If you have a disability or handicap and would like us to accommodate you in any reasonable way, please inform your recruiter, or contact us, so that we can discuss the appropriate alternatives available.
by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
Job Description
Data Entry Operator
Contract
Location: Remote within EST
Must Haves:
Data entry experience (10,000+ keystrokes/hour)
MS Office experience (Word, Excel)
Familiarity with photocopier, fax machine, binding machine)
Preferred:
Salesforce experience
Job Summary/Description: a higher education institution is looking for assistance with a project for the campus radio station. Responsibilities will include, but are not limited to:
Performs high-volume data entry (average: 10,000+ keystrokes per hour).
Performs basic management of electronic files (i.e., print, copy, transfer and delete).
Accesses information from a computer and/or maintains a computer database.
Enters data for envelopes, labels, form letters and correspondence.
Formats and produce documents.
Works with numbers (i.e., add, subtract, multiply and divide).
Detects and correct errors.
Uses word processing, spreadsheet, database or other software on a computer
by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
Job Description
Claims Production Professional
Remote Within WA, OR, ID, UT Candidates outside these states will not be considered.
Claims Production Professional Starting Pay range is $17.40-19.25, depending on experience and location. Human Resources will reach out and provide specific information.
Training will last approximately 12 weeks. 100% attendance during training is required.
Primary Job Purpose:
Provide basic data entry, claims processing and coordination of benefits by investigating and applying contract benefits to submitted claims while meeting department standards for quantity, accuracy, timeliness, and dependability. Provides responsive customer service to members, providers and other business partners.
Responsibilities:
Adapt to daily changes in workload/responsibilities based upon department/division goals and priorities
Adapt to regular system, procedural and contract changes as they affect your daily processing
Analyze and investigate claims for processing in a timely and accurate manner
Apply benefits to claims by following all necessary warning messages and edits to ensure accurate claim completion
Consistently adhere to all department established performance expectations for quality and production
Follow all established department rules for behavior, attendance, appearance, and timekeeping
Identify and report any irregularities or problems in claims processing to the appropriate area
Maintain access to and utilize all references, documents, policies, and procedures to ensure correct application of contract benefits
Maintain confidentiality in all aspects of claims processing, including correspondence and contacts
Provide clear audit trails on claims processed so others can easily complete work in case of absence
Provide excellent customer service to customers, providers, members, and member representatives
Review and reprocess previously adjudicated claims
Successfully complete basic claims training and any departmental audit process
Other duties as assigned
Minimum Requirements:
Computer experience needed including working knowledge of Microsoft Office software, such as MS Word, Outlook, and Excel, or other comparable programs
Basic math skills
Keyboarding skills
Strong attention to detail
Excellent interpersonal skills
Communicate effectively orally and in writing
Work independently as well as a member of a team
Ability to work under pressure and meet deadlines
Meet dependability, timeliness, attendance, quantity, and quality standards as established by department
Provide excellent customer service when communicating with external and internal customers
Normally to be proficient in the competencies listed above:
Claims Production Professional I would have a high school diploma or equivalent and 1 year office experience, preferably in health insurance claims or in a medical office setting, or equivalent combination of education and experience.
LI-remote
Work Environment:
Duties are performed in a high-volume, fast-paced office environment
Repetitive keying movements
Sitting for extended periods of time processing and investigating claims
Travel to other locations, as job requires
Work primarily performed in office environment.
May be required to work overtime.
May be required to work outside normal hours.
The base hourly range for Claims Production Professional is $17.40-19.25/hour.
The bonus target for this position is 5%.
At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we’re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
Work alongside diverse teams building cutting-edge solutions to transform health care.
Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
Grow your career with a company committed to helping you succeed.
Give back to your community by participating in Cambia-supported outreach programs.
Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
Remote, Nationwide – Seeking Office Assistant
Everybody Has A Role To Play In Transforming Healthcare
If you want to be part of changing healthcare to better serve patients, you are in the right place. With Vituity you will join a team of individuals dedicated to our culture of caring and work to develop and implement innovative solutions, while tackling some of the healthcare industry’s most challenging situations from the inside.
Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.
Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
- Verifies and ensures documents for accuracy (i.e., refund checks, compares account notes/documentation, letters, addresses, etc.).
- Identifies any documents/files/accounts that may have an error/oversight/printing issues during processing.
- Notes in patient accounts all action; mailing or faxing and if fax confirmation received.
- Completes data entry and documentation in patient accounts and/or billing system(s).
- Provides documentation for accounts when requested or required.
- Processes, sorts, and routes incoming data.
- Performs other office support tasks, including but not limited to: data entry, correspondence, filing, printing, and faxing.
- Maintains a high level of customer service for our external and internal customers.
Required Experience and Competencies
- High School Diploma or GED equivalent required.
- 1 year of on the job working experience required.
- Must be able to type a minimum speed of 40 words per minute or 7,000 data entry keystrokes per hour required.
- Experience in an office setting, preferably in an administrative or clerical role preferred.
- Experience with billing insurance claims preferred.
- Ability to perform detail-oriented tasks with attention to accuracy.
- Skilled in effective and appropriate verbal and written communication, including spelling, grammar, and punctuation.
- Ability to read and comprehend simple instructions, short correspondence, and memos.
- Ability to write simple correspondence.
- Ability to provide excellent customer service and demonstrate strong interpersonal skills.
- Organizational skills, ability to prioritize, and comfortable working independently.
- Skilled in basic computer programs and ability to operate general office equipment.
- Knowledge of billing systems.
- Ability to navigate multiple computer applications/systems.
- Ability to use 10-key by touch.
- Ability to establish and maintain effective working relationships and work in a team environment.
- Ability to correctly add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Ability to apply common sense understanding to carry out instructions furnished in written, verbal, or diagram form.
- Ability to deal with problems involving several concrete variables in standardized situations.
- Ability to prioritize workflow and meet performance and/or volume expectations.
- Ability to take accountability and responsibility with all assigned daily tasks.
- Ability to comply with Vituity – RCM policies and procedures.
- Ability to identify and problem solve challenges that may not be outlined in a manual or know when to seek assistance.
- Ability to perform tasks as directed by supervisor or manager.
The Community
Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.
- Monthly wellness events and programs such as yoga, HIIT classes, and more
- Trainings to help support and advance your professional growth
- Team building activities such as virtual scavenger hunts and holiday celebrations
- Flexible work hours
- Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
Benefits & Beyond*
Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.
- Superior health plan options
- Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
- Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
- Outstanding Paid Time Off: Up to four weeks’ vacation, Paid holidays, Sabbatical
- Student Loan Repayment Program
- Professional and Career Development Program
- EAP, travel assistance and identify theft included
- Wellness program
- Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
- Purpose-driven culture focused on improving the lives of our patients, communities, and employees.
Hourly rate for this role is $15.00 per hour.
We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.
Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.
*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.
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