by twochickswithasidehustle | May 14, 2024 | Uncategorized
Description
American Specialty Health Incorporated is seeking a focused Claims Examiner to work in a production environment. This position is responsible for the accurate review, input, and adjudication of claims in accordance with regulations, ASH standards and contractual obligations of the organization. Claims is an integral department of American Specialty Health’s offerings to empower people to live longer and healthier lives. We are responsible for tracking the receipt of claims, adjudication, and payment of claims. Due to the nature of the business and always evolving rules and guidelines, Claims is a fun and fast-paced team that enjoys working side by side, developing new ideas for efficiency, and prioritizes a strong focus on exceeding regulatory and contractual standards. Our driving mission is to offer world-class customer service (and expedited reimbursement) to healthcare providers on behalf of our members. Claims offers a career path progression that begins upon hire and allows development-focused staff to achieve two promotions in just one year. We succeed as a team and we prioritize professional development, considering ourselves an operational springboard to spring talented and driven employees toward their future goals.
Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Remote Worker Considerations:
Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment.
Responsibilities
- Processes claims accurately and efficiently.
- Reviews all incoming claims to verify necessary information.
- Determines that correct member and provider records are chosen and utilized to process claims.
- Enters claims data and information into the computerized Claims Processing System.
- Maintains all required documentation of claims processed and claims on hand.
- Adjudicates claims in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
- Maintains production standards; for direct data entry claims this includes processing an average of 31 claims per hour, with an accuracy rate of 98.5% over each pay period.
- Verifies data of scanned paper claims at stated standards.
- Provides backup for other examiners within the department.
- Promotes a spirit of cooperation and understanding among all personnel.
- Attends organizational meetings as required.
- Adheres to organizational policies and procedures.
- Maintains confidentiality of all claim files, claims reports, and claims related issues.
Qualifications
- High school diploma required.
- 6 months data entry experience with 10 key and word processing; minimum 10,000 keystrokes per hour required.
- Experience processing medical claims and knowledge of medical billing terminology and coding strongly preferred.
- Proficient in MS Office.
Core Competencies
- Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
- Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
- Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
- Ability to effectively organize, prioritize, multi-task and manage time.
- Ability to work and maintain production in a work-from-home (WFH) environment
- Demonstrated ability to show self-discipline to meet production goals.
- Demonstrated accuracy and productivity in a changing environment.
- Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions, and to utilize constructive criticism to improve.
- Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time.
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.
Environmental Conditions
Work-from-home (WFH) environment.
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.
ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.
#LI-Remote #Claims #Examiner #Data #Dataentry #Hirring
by twochickswithasidehustle | May 13, 2024 | Uncategorized
DESCRIPTION
As a Part-Time Social Media Associate, you’ll be responsible for assisting in the execution of our editorial vision which involves: The ability to read an article and quickly write up a caption that will drive traffic, identify which articles are performing well in real-time (through Google Analytics) and strategizing the best place to post those articles. The Social Media Associate will stay in constant contact with the editorial team to post trending articles as soon as they are written. Additionally, this role includes reporting social performance data to management and researching and databasing influencer pages.
What You’ll Do
Distribute content from Minute Media brands to our network of social media sites
Maintain constant communication between Social Media Associates and the FanSided Editorial Team to distribute trending articles as soon as they are written
Use Google Analytics and Facebook insights to report data to management
Research and database league specific and hyperlocal sports influencers
Proactively search and distribute posts across the FanSided network
Create engaging creatives for social media distribution
Where You’ll Be:
We follow a remote-first approach to give you more options!
This position has an expected range of $15.00 – $16.00 per hour. Actual pay will be determined based on skills, experience, and location. This is a part-time position and will be 18-20 hours per week and is expected to work nights and weekends.
REQUIREMENTS
What You Have
Passion for and intermediate knowledge of all major professional sports
Able to closely follow direction and style
Attention to detail, ability to meet deadlines, and capability of multitasking at a fast pace
Well organized and proactive team player
Advantages/Nice to Haves
1-2 years of sports social media experience (i.e., posting on a sports fan page)
Ability to quickly produce clean and interesting captions on a variety of trending/viral topics
Capacity to say more about a trending topic than what has already been said
Not sure that you’re 100% qualified but are up for the challenge? We want you to apply!
Minute Media is committed to creating a diverse and inclusive work environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Minute Media participates in E-Verify.
Check the URL and email address of any correspondence with Minute Media. If it is not from @minutemedia.com, treat it as fraudulent. To learn how to protect yourself from recruitment fraud click here.
About the team
FanSided, a brand of Minute Media, is one of the fastest growing networks of fandom-focused sports, entertainment and lifestyle sites on the internet. FanSided consists of a thriving collection of more than 300 communities dedicated to bringing together fans to share their common passions. For more information, check out https://fansided.com/
by twochickswithasidehustle | May 10, 2024 | Uncategorized
A top company is looking for an entry-level Recruiting Administrator in PST or MST timezones.
This position is part of the Requisition Posting Team within Talent Acquisition. Examine job requisitions, applying expertise in writing and proofreading, including grammar, spelling, and punctuation before posting jobs. Ensure that all verbiage within the job requisition is evaluated for federal acquisition regulations, adherence to company guidelines, appropriate branding, template selection, and overall accuracy prior to publication. Observe and participate in meetings with talent acquisition and hiring teams to maintain an understanding of current business demands This role will be mostly remote, only having to go into the office up to 4x a year. If you have experience with ATS or HRIS, customer service, and experience with government compliance regulations for FLSA, OFCCP, EEO, and industry standards please apply! Please Note: Candidates MUST reside in PST or MST timezones to be considered.
salary: $23.69 – $23.7 per hour
shift: First
work hours: 8 AM – 5 PM
education: Bachelors
Responsibilities
-Review incoming job requisitions in ATS (Workday) and ensure reqs are compliant and completed within SLA
-Use Checklist and Exceptions list to review reqs and post based on federal, state and firm policies
-Align reqs to the correct POCs (Recruiter, Recruiting Coordinator and Onboarding Specialist)
-Check our general mailbox to ensure questions have been answered
-Ensure previous outstanding work is completed on time
SkillsOffice SupportWorkdayMS Office
QualificationsYears of experience: 1 yearExperience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you’re looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].
Pay offered to a successful candidate will be based on several factors including the candidate’s education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
Applications accepted on ongoing basis until filled.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.
by twochickswithasidehustle | May 10, 2024 | Uncategorized
Job details
Posted:May 03, 2024Salary:Up to $15 per hourLocation:AlbuquerqueJob type:ContractDiscipline:Information TechnologyReference:226857_1714763227Work Location:Remote
Job description
Our client is seeking a Patient Identity Expert to join a growing team! This is an entry level opportunity to learn and grow in the Health Information Management space. As the Patient Identity Expert you will research and change data within a hospital information system or an ancillary application during an MPI Data Reconciliation Project.
About the company: Provides MPI (Master Patient Index) Clean-up Services, helping hospitals avoid having duplicate records of patients within their EMR, which surprisingly happens fairly regularly.
Work Environment: REMOTE (can sit out of any state, except CA) – equipment provided
Job Title: Patient Identity Expert
Job Summary:
- Collects designated information from hospital applications that affect merge planning and downstream tasks.
- Performs merges of duplicate medical record numbers in designated applications, following a standard procedure.
- Completes demographic updates to patient records as needed during the electronic merge processing.
- Creates spreadsheets for medical record or radiology jacket retrieval purposes. Maintains accuracy of 97% or higher on Merge Planning QA. Maintains accuracy of 95% or higher on Electronic Verification QA.
Additional Job Details:
- This data entry type role requires all work to be completed online while meeting quality and productivity standards. This role requires detailed oriented and efficient team members.
- While hours can be semi-flexible, it is required that you attend meetings and training during the standard business hours (8am-5pm MST) and we request that new employees work during normal business hours to ensure team members are available to answer questions.
- This is a remote position. You are working with limited communication to other team members and need to feel comfortable reaching out with questions and concerns to your project leadership team.
- In this role, you move between projects frequently with different project roles. You must be able to quickly pick up on new rules and new processes frequently.
Starting Pay: $15/hr
Training Hours: M-F 8AM-5PM MST
Qualifications:
- Data entry skills with excellent attention to detail.
- Strong communication and critical thinking skills.
- Ability to be a self-starter.
- Strong computer skills.
- High school diploma or GED equivalent required.
by twochickswithasidehustle | May 10, 2024 | Uncategorized
At The Standard, you’ll join a team focused on putting our customers first.
Our continued success is driven by a high-performance culture. We’re looking for people who are collaborative, accountable, creative, agile and are driven by a passion for doing what’s right – across the company and in our local communities.
We offer a caring culture where you can make a real difference, every day.
Ready to reach your highest potential? Let’s work together.
Functional Job Summary:
Secure and analyze claim information to make and approve disability decisions and/or payments on disability and/or state disability insurance claims; develop and apply appropriate claim and disability management strategies to ensure prompt and accurate payment and management of lower complexity and/or lower liability claims; provide responsive and empathetic customer service to claimants, policyowners, and others.
Principal Duties & Responsibilities:
45% – Investigate, secure and analyze information pertaining to claimants’ medical condition, occupational demands, insured status and other policy provisions to accurately determine eligibility for and entitlement to disability benefits for lower risk disability claims; identify file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes and service expectations. Make and communicate disability decisions for new, continuing and maintenance claims. Issue correct benefits.
30% – Develop and execute claim and disability management strategies for each claim to appropriately contain claim liability and provide responsive and empathetic customer service. Ensure that each claimant’s ongoing and changing medical condition, applicable policy limitations and provisions, applicable statutory requirements, ability to return to work and deductible income are investigated, applied and pursued, and used to reach timely and appropriate claim resolution; and so that claims are managed to the correct payment duration.
20% – Provide accurate and appropriate claim information to claimants, policyholders and other interested parties; resolve issues through effective oral and written communication. Analyze, research and respond to questions and issues, involving the appropriate people within, or outside the department or company.
5% – Ensure the company’s financial liability is accurately established by identifying all applicable deductible income and maintaining accurate claim payment and system data.
Other duties as assigned.
Knowledge, Skills, and Abilities:
Attention to detail and accuracy.
Express ideas clearly in written and verbal form.
Prioritize tasks to meet multiple and changing deadlines.
Job Specifications:
Preferred education: Associate degree
Required experience: Two years of demonstrated progressively responsible experience in disability benefits administration or the equivalent combination of education and/or relevant experience.
Location:
Employees in this role are fully remote and are responsible for maintaining their office setup at home to include private, professional, and safe working conditions.
Travel Requirements:
Occasional travel (such as conferences or team building) may be required.
Physical Requirements: n/a
Please note – the salary range for this role is listed below. In addition to salary, our package includes incentive plan participation and comprehensive benefits including medical, dental, vision and retirement benefits, as well as an initial PTO accrual of 164 hours per year. Employees also receive 11 paid holidays and 2 wellness days per year.
Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on various factors, including individual and organizational performance.
Salary Range:
20.07 – 27.88
Positions will be posted for at least 5 days from original posting date.
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