by twochickswithasidehustle | Jun 10, 2024 | Uncategorized
Employment Type:
Full time
Shift:
Day Shift
Description:
POSITION PURPOSE
Work Remote Position
(Pay Range: $18. 4663-$27.6994)
Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) for an assigned Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials). Serves as part of the Payment Resolution team at an assigned PBS location responsible for ensuring payments are received on denied accounts, determining root causes for discrepancies, minimizing inappropriate payment delays and variances from expected reimbursement, and resolving or escalating issues to the Supervisor Payment Resolution for resolution. This position reports directly to the Supervisor Payment Resolution.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Performs daily activities as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the Supervisor Payment Resolution.
Processes payments as appropriate in accordance with contracts and policies to ensure all potential liabilities are paid in a timely and accurate fashion.
Resolves claims, conducts formal account reviews, identifies lost charge recovery, analyzes and documents delays and payment variances.
Identifies routine issues and either resolves or escalates to the Supervisor Payment Resolution for resolution.
Maintains knowledge of state/federal laws as they relate to contracts and the appeals process.
Investigates and addresses overpayment and underpayment accounts with the objective of appropriately optimizing reimbursement for services rendered. Ensures that claims are paid/settled in the timeliest manner possible:
Coordinates follow-up activities with Utilization Review/Case Management/Coding/Nurse Liaison to provide required clinical support, as well as to ensure timely follow-up and action for account appeals.
Works with Patient Access and other necessary parties to resolve account authorization issues.
Applies knowledge of specific payer payment rules, managed care contracts, reimbursement schedules, eligible provider information and other available data and resources in order to research payment delays and variances, make corrections, and take appropriate corrective action to ensure timely claim resolution.
Proactively follows up on payment delays and variances by contacting patients and third-party payers, and supplying additional data, as required.
Composes adjustment and appeal letters to resolve payment rejections and/or denials.
Updates and refiles timely, accurate claims.
Reports and maintains data on types of claims denied and root cause of denials. Collaborates with management and team to make recommendations for improvements.
Requests write offs, transfers, allowances, and reversals.
Makes recommendations regarding complexity of claim resolution and the appropriateness of transferring account to collection vendor(s) or other resources for follow-up.
Documents all actions and encounters in the patient accounting system using standard codes.
Maintains working knowledge of payer contracts and payer payment rules.
May observe Joint Operating Committee meetings with payers on current issues.
Responds to patient and third-party payer inquiries, complaints or issues regarding patient billing and collections, or refers problem to an appropriate resource for resolution.
Communicates with physicians and office staff and appropriate hospital departments as required to research and resolve discrepancies, e.g., request copies of medical records, obtain demographic, clinical, financial, and insurance information.
Prepares, maintains, and submits special reports as directed by the supervisor to document billing, follow-up services and payment variance services, outcomes and trends, e.g., number and types of claims and dollars rejected/denied, billing errors, payer processing errors, potential versus actual recoveries, claims edited, number of claims unprocessed, etc.
Cross trains in various functions to assist in the streamlined delivery of department services.
Interprets data, draws conclusions, and reviews findings with supervisor for further review.
Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
Other duties as needed and assigned by the supervisor.
Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
MINIMUM QUALIFICATIONS
High school diploma or Associate’s degree in Accounting or Business Administration or related field, and a minimum of two (2) years’ of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
Excellent written and verbal communication skills and organizational abilities.
Strong interpersonal skills in interacting with internal and external customers.
Strong accuracy, attention to detail and time management skills.
Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Completion of regulatory/mandatory certifications and skills validation competencies preferred.
Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards.
Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
by twochickswithasidehustle | Jun 7, 2024 | Uncategorized
Company Description
It all started with an idea at Block in 2013. Initially built to take the pain out of peer-to-peer payments, Cash App has gone from a simple product with a single purpose to a dynamic ecosystem, developing unique financial products, including Afterpay/Clearpay, to provide a better way to send, spend, invest, borrow and save to our 47 million monthly active customers. We want to redefine the world’s relationship with money to make it more relatable, instantly available, and universally accessible.
Today, Cash App has thousands of employees working globally across office and remote locations, with a culture geared toward innovation, collaboration and impact. We’ve been a distributed team since day one, and many of our roles can be done remotely from the countries where Cash App operates. No matter the location, we tailor our experience to ensure our employees are creative, productive, and happy.
Check out our locations, benefits, and more at cash.app/careers.
Job Description
Our HR Business Partners (HRBP) support specific teams, working with management and employees on people-related issues: talent management, employee relations, coaching, compensation, conflict and performance management, organizational development and more. HRBPs are instrumental in initiating and driving HR programs within specific functions.
We’re looking for a Global HRBP to guide people and programs within our Cash Marketing and Commerce Customer Operations team. You will work with business leaders and employees to provide hands-on support, insight, and advice concerning employee relations, performance management, coaching, compensation, conflict management, organizational development, training and more. You’re comfortable speaking up and driving programs forward despite any unexpected roadblocks.
You will:
Provide comprehensive support to employees operating within the Australia, UK, and US markets.
Offer thought partnership regarding organizational and people-related strategy and execution.
Provide HR expertise in feedback, performance management, employee relations and coaching, and organizational design.
Collaborate with HR team to advocate for and accelerate a culture in which people feel engaged and inspired to deliver top business results.
Develop people strategies and design approaches for diagnosing and enhancing organizational effectiveness and employee satisfaction.
Lead core HR processes, such as performance calibrations, compensation cycles and promotions.
Analyze and interpret different types of employee reports (eg, compensation, job levels, and attrition) to guide decision-making and provide proactive solutions to client groups.
Partner with business leaders globally to develop and implement HR policies and practices to support the strategic growth of the business
Work with relevant partner teams to work on value-added programs in areas of performance management, promotions, career development, mobility, training and more.
Qualifications
You have:
A minimum of 4+ years experience in an HR Business Partner role and a minimum of 6+ years of relevant experience.
Knowledge of International and US HR programs, including applicable country and federal employment laws and regulations.
A history of partner alignment to build and improve company culture and increase employee engagement.
Relevant experience building and improving company culture and increasing employee engagement, and expertise in performance management.
Effective coaching, active listening, and facilitation skills and ability to influence colleagues at all levels.
Experience supporting business leaders on company-wide people projects.
Additional Information
Block takes a market-based approach to pay, and pay may vary depending on your location. U.S. locations are categorized into one of four zones based on a cost of labor index for that geographic area. The successful candidate’s starting pay will be determined based on job-related skills, experience, qualifications, work location, and market conditions. These ranges may be modified in the future.
Zone A: USD $111,700 – USD $167,500
Zone B: USD $103,800 – USD $155,800
Zone C: USD $98,200 – USD $147,400
Zone D: USD $89,400 – USD $134,000
To find a location’s zone designation, please refer to this resource. If a location of interest is not listed, please speak with a recruiter for additional information.
Full-time employee benefits include the following:
Healthcare coverage (Medical, Vision and Dental insurance)
Health Savings Account and Flexible Spending Account
Retirement Plans including company match
Employee Stock Purchase Program
Wellness programs, including access to mental health, 1:1 financial planners, and a monthly wellness allowance
Paid parental and caregiving leave
Paid time off (including 12 paid holidays)
Paid sick leave (1 hour per 26 hours worked (max 80 hours per calendar year to the extent legally permissible) for non-exempt employees and covered by our Flexible Time Off policy for exempt employees)
Learning and Development resources
Paid Life insurance, AD&D, and disability benefits
These benefits are further detailed in Block’s policies. This role is also eligible to participate in Block’s equity plan subject to the terms of the applicable plans and policies, and may be eligible for a sign-on bonus. Sales roles may be eligible to participate in a commission plan subject to the terms of the applicable plans and policies. Pay and benefits are subject to change at any time, consistent with the terms of any applicable compensation or benefit plans.
US and Canada EEOC Statement
We’re working to build a more inclusive economy where our customers have equal access to opportunity, and we strive to live by these same values in building our workplace. Block is a proud equal opportunity employer. We work hard to evaluate all employees and job applicants consistently, without regard to race, color, religion, gender, national origin, age, disability, pregnancy, gender expression or identity, sexual orientation, citizenship, or any other legally protected class.
We believe in being fair, and are committed to an inclusive interview experience, including providing reasonable accommodations to disabled applicants throughout the recruitment process. We encourage applicants to share any needed accommodations with their recruiter, who will treat these requests as confidentially as possible. Want to learn more about what we’re doing to build a workplace that is fair and square? Check out our I+D page.
Additionally, we consider qualified applicants with criminal histories for employment on our team, and always assess candidates on an individualized basis.
Block, Inc. (NYSE: SQ) is a global technology company with a focus on financial services. Made up of Square, Cash App, Spiral, TIDAL, and TBD, we build tools to help more people access the economy. Square helps sellers run and grow their businesses with its integrated ecosystem of commerce solutions, business software, and banking services. With Cash App, anyone can easily send, spend, or invest their money in stocks or Bitcoin. Spiral (formerly Square Crypto) builds and funds free, open-source Bitcoin projects. Artists use TIDAL to help them succeed as entrepreneurs and connect more deeply with fans. TBD is building an open developer platform to make it easier to access Bitcoin and other blockchain technologies without having to go through an institution.
While there is no specific deadline to apply for this role, on average, U.S. open roles are posted for 70 days before being filled by a successful candidate.
by twochickswithasidehustle | Jun 6, 2024 | Uncategorized
by twochickswithasidehustle | Jun 5, 2024 | Uncategorized
Location: Remote
Company Overview:
National Veterinary Associates is one of the largest and most respected communities of veterinary hospitals in the world, operating nearly 1,000 hospitals in North America, including in all 50 states, and caring for 8,000,000+ animals annually. NVA is backed by JAB Holding, a leading private equity firm. Each person who joins NVA is motivated by our mission to provide excellent, accessible care to improve the lives of animals and the people who love them. NVA has been extremely successful over its 25+ year history and we’re very excited about our next chapter as we work toward our shared vision of revolutionizing the pet care experience to provide more fulfilling lives for pets, their companions, and our team.
Position Overview:
Data mapping of inventory items to support the Inventory Accounting team. This role is essential to helping ensure pricing for the sites is accurate after each quarterly inventory count. This position requires extensive knowledge of the inventory veterinary hospitals utilize for operations. You will spend time collaborating with individuals across the company, in hospitals and with vendors. A team player, with an enthusiastic attitude and strong work ethic. Must be self-motivated and capable of managing their workload and prioritizing tasks as assigned.
Principal Responsibilities:
• Match inventory items from a site to a invoice database to provide accurate pricing information.
• Communicate with hospitals, team, and vendors to answer questions that arise.
• Attend meetings that pertain to the mapping project.
• Assist the Inventory Accounting team with other tasks that may arise.
Skills & Qualifications:
• Proficient in Microsoft Excel as well as the ability to learn new technologies and applications.
• Virtual work tools such as Zoom and Microsoft Teams.
• Extensive knowledge of veterinary supplies.
• Positive and professional communicator.
• Ability to connect with staff (at all levels) to build credibility, trust and respect while working to accomplish goals.
• Strong attention to detail and time management.
• Exceptional planning, organization, and time management skills; able to set priorities, manage details and accurately follow through to meet all deadlines.
• Ability to prioritize multiple tasks, meet deadlines, manage competing demands, and change course of action quickly in a fast-paced environment.
The compensation range is between $25-30/hour and is eligible for benefits.
#LI-REMOTE
National Veterinary Associates is a leading global pet care organization united in the love of animals and the people who love them.
NVA, a community of approximately 1,400 premier locations consisting primarily of general practice veterinary hospitals in addition to equine hospitals and pet resorts, and Ethos Veterinary Health, which consists of 145 world-class specialty and emergency hospitals, are rooted in a culture of compassion and innovation.
NVA and Ethos Veterinary Health’s innovative, collaborative approach underpins a shared commitment to delivering exceptional veterinary care. For more information, visit www.nva.com.
NVA offers a comprehensive benefits program including medical, dental, vision, a 401k with employer match, and paid time off (including sick time) for all eligible employees. The team can provide more information about compensation and benefits for your specific location during the process. For positions based in Colorado, NVA provides eligible employees with paid sick and safe leave and public health emergency leave in accordance with the requirements of Colorado’s Healthy Families and Workplaces Act.
NVA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Pursuant to the San Francisco Fair Chance Ordinance, Los Angeles Fair Chance Initiative for Hiring Ordinance, and any other state or local hiring regulations, we will consider for employment any qualified applicant, including those with arrest and conviction records, in a manner consistent with the applicable regulation.
by twochickswithasidehustle | Jun 5, 2024 | Uncategorized
escription
American Specialty Health Incorporated is seeking a Clinical Review Support Specialist to join our Contracts department. This position will support medical necessity review determinations of services requested by Physical Therapy practitioners through provider communication, education, and clinical coordination.
Salary Range
American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $48,000 to $60,000 Full-Time Annual Salary Range.
Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) 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).
Responsibilities
- Support of medical necessity review determinations.
- Perform outreach calls to practitioners and clinical practices for network and non-network therapy practitioners.
- Determine and obtain appropriate clinical assessment for submitted diagnosis codes.
- Clarify provider requests, providing education on ASH’s submission process, forms, and available resources.
- Facilitate clinical review through coordination and distribution of reviews among Clinical Quality Evaluators.
- Collaborate with senior management and various departments regarding clinical program, policies, and protocol development and implementation.
- Participate in Clinical Quality Administration and Clinical Quality Evaluation workgroups.
- Promote a productive Team environment.
- Participate in clinical article review activities as assigned.
- Provide interdepartmental Support to Medical Necessity Administration department as necessary for performance of assigned tasks.
- Work independently, receiving minimal guidance and supervision.
Qualifications
- Professional degree as Physical Therapy Assistant from accredited college or university required. Additional post-graduate degree in same or related field a plus.
- A current, unrestricted license to practice in their health care specialty. Employees must maintain a current, unrestricted license to practice and must be in good standing with all judicial and governing bodies (Required).
- Minimum of 5 years of clinical experience. Specific experience with care coordination or leadership preferred.
- Understanding of therapy evidence-based guidelines and best practices required.
- Working knowledge of managed therapy services is a plus.
- Advanced training or certification in any specialty areas of Physical Therapy, health care or quality management, case management, performance improvement, data analysis, and quality initiatives also preferred.
- Ability to communicate evidence-based criteria and approved guidelines. Ability to independently resolve problems or issues related to ASH processes using good judgment or to escalate problems or issues to supervisor(s) as appropriate.
- Use of computer systems in business application including, but not limited to: Outlook, MS Word, IHIS, ASHCore.
- Ability and willingness to serve as a resource for practitioners to educate them how to operate within ASH programs and systems most effectively and efficiently.
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.
- Demonstrated accuracy and productivity in a changing environment with constant interruptions.
- Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
- Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time, able to travel by automobile and air.??
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in oral 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.
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