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.
by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
OUR MISSION AND PERFORMANCE EXPECTATIONS
At Sevita, we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children, and their families across the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for our employees.
Director of Data Analytics
As part of the Data Analytics leadership, the Director of Data Analytics has the responsibility to develop and execute our reporting and analytics roadmap in partnership with business leaders as an important part of our commitment to serve others. The Director is responsible for leading through change and fostering additional technical capabilities to support an enterprise-wide mindset both within and outside the team.
This role is 100% remote and can be performed from anywhere in the US.
- Builds and maintains strong partnerships with critical business stakeholders in both corporate and the field to provide actionable insights to encourage & drive data-driven decision making and business management.
- Takes an enterprise-wide mindset to continuously identify opportunities for improvement with data across all functional areas and define the success metrics. Partner with these areas to ensure alignment and no duplication of effort, then mentor to improve capabilities within the function. Some examples may include: granular automated financial reporting, compliance support.
- Identifies baseline metrics for the design and development of accurate dashboards, reports, presentations used to educate, inform, and influence business decisions, thought leadership and support strategic objectives of the organization.
- Working alongside functional leadership, will champion a culture of standardization, continuous improvement and accountability as it relates to data reporting and analytics.
- Builds a foundation of analytical capabilities throughout the organization , researches best practices, trends and performs deep research and statistical analysis on long range strategic questions .
- This role will be expected to be equal parts player and coach. Will have to balance mentoring developing analysts and being willing to roll up their sleeves and individually contribute.
- Manages assigned personnel. Completes performance evaluations, orientation, and training. Makes decisions on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves employee problems within position responsibilities.Qualifications:
- Bachelor’s degree in finance, economics, statistics or related field
- 7+ years of relevant experience, connecting the dots and generating meaningful insights for decision making
- Excellent communicator and an ability to translate strategic objectives into high-quality service delivery
- A team player who excels in a collaborative environment
- Ability to effectively manage multiple competing prioritiesWhy Join Us?
- Paid Time Off, Holiday Pay, and Health Benefits
- Career development and advancement opportunities
- Work with some of the best co-workers you could ask for and see your impact on the lives of those individuals we serve
- Since our funding comes from Federal and State payers, we offer stability and secure work opportunitiesWe have meaningful work for you – come join our team – Apply Today!
Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. With Corporate operations located in the Boston Seaport, Lawrence, Massachusetts and Edina, Minnesota, today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve.
Equal Opportunity Employer, including disability/vets
The Mentor Network is pleased to be an equal employment employer Women/Minorities/Veterans/Individuals with Disabilities
by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
Our client, a leading health insurer, is seeking a detail oriented Data Entry Clerk to support health plan audits.
Remote, based in US
M-F 8am-4:30pm CST
$22-27/hr DOE
4 month W2 Contract
Responsible for development and delivery of special Health Plan report requests for auditing purposes that are in addition to the standard reporting requirements.
Work with customers to troubleshoot and resolve any errors or discrepancies identified when reviewing distributed reports.
Prepares member notification mailings for specialist terminations using mass mailing processes.
Supports the Delegation Oversight Department through the management and interpretation of data, project management, process improvement activities and group facilitation.
Assists management team with file/audit log preparation for health plan audits.
Maintains tracking logs and creating Service Now tickets for health plan reporting new templates.
Assists in maintaining letter templates and communication changes with LCR/LMS team members.
Uses, protects, and discloses our patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Develop and maintain specific reporting departmental job aides for team member cross training related to the department responsibilities.
Performs additional duties as assigned.
Qualifications:
High School Diploma or higher
1+ years of healthcare/insurance admin experience
Skilled with Microsoft Office (Excel, Outlook, word)
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.
LI-RB1
by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
Everlight Solar is seeking a skilled, data-minded individual to be an assistant to our Solar Project Manager. Our project managers and assistants oversee and coordinate the entire process for company projects, assisting customers, team members, and contractors, ensuring that each project is completed in a timely manner with high-quality results. This will be a full-time, work-from-home “remote” position.
Must own a Mac computer and be fluent with the Apple ecosystem of software (iOS, macOS, iWork, etc.)
Everlight Solar is a rapidly growing company and the leader of solar energy in the Midwest. We offer a unique experience that fosters individual growth and rewards performance. Our culture at Everlight is extremely important to us. The work environment is fast-paced and dynamic. We value teamwork, quality, innovation, and customer success. Our ideal candidate is self-motivated, detail-oriented, has excellent problem-solving abilities, is passionate about delivering results on-time, exceeding expectations, and ensuring success for our teams.
Responsibilities:
- Validates expectations with customers before, during, and after project completion.
- Exceeds customer expectations on a regular basis while performing excellent customer service.
- Successfully manages multiple projects through all phases.
- Ability to work independently under pressure, to organize and prioritize workloads, and to keep several projects progressing to completion with little or no direction.
- Ability to weigh options, foresee consequences, and employ good judgment.
- Serves as a liaison between field technicians, department management, government bodies, and customers.
- Use independent judgment to handle and troubleshoot all inquiries, questions, and complaints.
- Proactively completes projects on time.
- Reviews and oversees completed plans and project documentation for accuracy.
- Monitors equipment production to ensure product integrity.
- Consistently meets the overall project deadlines in a timely manner.
- Builds trust and confidence with contractors and the Project Management Team.
- Assists with managing multiple subcontractors across multiple states.
- Recruits and develops business relationships with new subcontractors.
- Drives sales and profitability through effective and efficient project execution.
- Understands principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
Requirements:
- Excellent organizational and time management skills.
- Excellent communication and interpersonal skills; both written and verbal.
- Extraordinary commitment to the highest level of customer service.
- Ability to work well with customers in verbal and in written communication.
- Remains calm when dealing with an upset or angry customer and listens to their concerns/questions.
- Positive, outgoing, energetic team player that enjoys working in a collaborative team environment.
- Must own a Mac computer and be fluent with the Apple ecosystem of software (iOS, macOS, iWork, etc.)
- Proven ability to function in all phases of the project development, from sales proposals and design, through project completion and closeout.
- Knowledge/Proficiency in Microsoft Office programs.
- Knowledge /Proficiency in Salesforce.
- Demonstrated sense of urgency and ownership in all assignments.
- Ability to collaborate closely with other team members on a wide variety of projects.
- Prepares timely and accurate paperwork.
- Participates in marketing activities and business development efforts.
- Experience with Solar.
Benefits:
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- PTO
- Sick and Safe Time
- Paid Holidays Off
Salary: $30,000-$40,000/ year
Everlight Solar is proudly an Equal Opportunity Employer. We value diversity of all types and are excited to work with talented individuals from a wide range of backgrounds. Everlight is committed to inclusion and we invite people of any race, creed, color, national origin, ancestry, marital status, sexual orientation, gender identity or expression, disability, nationality or sex, age groups (18+), and levels of education to apply. Authorized to work in the US and background check required.
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