by twochickswithasidehustle | Jun 11, 2025 | Uncategorized
Job Summary:
The Billing & Posting Resolution Provider position is responsible for acting as a liaison for hospitals and clinics using TruBridge’s complete business office services. They work closely with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician and clinic bills. They pursue collection of all claims until payment is made by insurance companies; and perform other work associated with the billing process.
Essential Functions:
In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
- Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
- Secures needed medical documentation required or requested by third party insurances.
- Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
- Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
- Responsible for consistently meeting production and quality assurance standards.
- Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
- Updates job knowledge by participating in company offered education opportunities.
- Protects customer information by keeping all information confidential.
- Processes miscellaneous paperwork.
- Ability to work with high profile customers with difficult processes.
- May regularly be asked to help with team projects.
- Ensure all claims are submitted daily with a goal of zero errors.
- Timely follow up on insurance claim status.
- Reading and interpreting an EOB (Explanation of Benefits).
- Respond to inquiries by insurance companies.
- Denial Management.
- Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
- Review late charge reports and file corrected claims or write off charges as per client policy.
- Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy.
- Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.
Minimum Requirements:
Education/Experience/Certification Requirements
- 3 years of recent Critical Access or Acute Care facility billing or 3 years of physician billing experience.
- Medicare Billing Experience Required.
- Computer skills.
- Experience in CPT and ICD-10 coding.
- Familiarity with medical terminology.
- Ability to communicate with various insurance payers.
- Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
- Responsible use of confidential information.
- Strong written and verbal skills.
- Ability to multi-task.
Why join our team?
- Work remotely with a work/life balance approach
- Robust benefits offering, including 401(k)
- Generous time off allotments
- 10 paid holidays annually
- Employer-paid short term disability and life insurance
- Paid Parental Leave
by twochickswithasidehustle | Jun 11, 2025 | Uncategorized
About Us
Cast AI is the leading Application Performance Automation (APA) platform, enabling customers to cut cloud costs, improve performance, and boost productivity – automatically.
Built originally for Kubernetes, Cast AI goes beyond cost and observability by delivering real-time, autonomous optimization across any cloud environment. The platform continuously analyzes workloads, rightsizes resources, and rebalances clusters without manual intervention, ensuring applications run faster, more reliably, and more efficiently.
Headquartered in Miami, Florida, Cast AI has employees in more than 32 countries worldwide and supports some of the world’s most innovative teams running their applications on all major cloud, hybrid, and on-premises environments. Over 2,100 companies already rely on Cast – from BMW and Akamai to Hugging Face and NielsenIQ.
What’s next? Backed by our $108M Series C, we’re doubling down on making APA the new standard for DevOps and MLOps, and everything in between.
Core values that hold us all together:
PRACTICE CUSTOMER OBSESSION. Focus on the customer journey and work backwards. Strive to deliver customer value and continuously solve customer problems. Listen to customer feedback, act, and iterate to improve customer experience.
LEAD. Take ownership and lead through action. Think and act on behalf of the entire company to build long-term value across team boundaries.
DEVELOP AND HIRE THE BEST. Strive to raise the performance bar by continuously investing in yourself, the team and by hiring the best possible candidates for every position. Drive towards personal development and professional growth, and mentor others to raise the collective bar.
EXPECT AND ADVOCATE CHANGE. Strive to innovate and accept the inevitable change that comes with innovation. Constantly welcome new ideas and opinions. Share insights responsibly with unwavering openness, honesty, and respect. Once a path is chosen, be ready to disagree and commit to a direction.
Role overview
We’re a hyper-growth SaaS company seeking a detail-obsessed, proactive Billing Associate to ensure our global invoicing engine runs smoothly. You’ll partner with Finance, Sales, Customer Success, and Legal teams to manage customer invoicing, subscription changes, contract billing terms, and revenue reporting—delivering accurate, timely billing and an exceptional customer experience.
- Invoice processing: prepare and issue accurate invoices based on customer contracts and usage data
- Marketplace billing: assist with billing and reconciliation for sales through third-party marketplaces (e.g AWS, Azure, GCP) ensuring compliance with each platform’s invoicing requirements
- Customer’s contract data: Maintain and update billing records for new contracts, upgrades, downgrades, and renewals
- Inquiry resolution: resolve billing inquiries from Sales, TAMs, and customers within SLA targets
- Month-end close: assist with billing cut-off, revenue reconciliations, and reporting
- Collections: support outreach to customers for overdue accounts and follow up on payments
- Ad-hoc administration: handle tasks such as customer account setup, vendor form processing, and audit support
- Process improvements: contribute to testing and implementations of process automations
Requirements
- Based on the US East Coast
- Able to collaborate effectively across EU and US time zones
- 2–3 years of experience in billing, accounts receivable, or order management – SaaS experience a plus
- Familiarity with billing systems and marketplaces is preferred
- Advanced Excel / Google Sheets skills (vLookups, Pivot tables)
- Meticulous attention to detail and a strong customer-first mindset
- Experience with SaaS metrics (ARR, MRR)
- Exposure to CRM systems like Salesforce
- Familiarity with revenue recognition principles
What’s in it for you?
- Team of highly skilled professionals to work with and learn from
- Impact and visibility. Our organization is flat, getting in touch with CEO or CTO is a common practice here
- Flexible working hours. We deliver instead of sitting in the office 8 to 5
- Skin in the game. Every employee gets a share of the company
- 10% time to focus on self-improvement or personal projects.
by twochickswithasidehustle | Jun 10, 2025 | Uncategorized
Description
Become a part of our caring community and help us put health first
The E-Referral Specialist is an integral part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. The role is responsible for data collection and documentation, compliance, and consistent follow up on the initial referral process and decision.
Essential Functions:
- Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications.
- Monitor email continuously for request to pull referrals from all applicable referral systems. Perform timely follow-up and manage all related communication.
- Quickly scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.)
- Assists, as needed, with authorizations to ensure all are submitted in a timely manner.
- Monitors status of all referrals received, follow up with each throughout process, reports on status weekly.
- Communicate with branch, sales, leadership via email and/or phone for status updates and referral decisions as required.
- Daily manage and update ERST log with all referrals and ROCs decisions.
- Maintain acceptable productivity level, as determined by work assignment and departmental standards.
- Comply with and adhere to all regulatory compliance areas, policies and procedures and company best practices.
- Performs other related duties as assigned.
Use your skills to make an impact
Required Experience/Skills:
- High School Diploma or its equivalent; Associates degree preferred
- Healthcare insurance verification experience preferred
- Minimum 1 year customer service or other healthcare related experience; preference working in a home health environment
- Good knowledge of the issues related to the delivery of home health services preferred
- Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred
- Demonstrate ability to type 40 wpm
- Ability to comprehend and apply principles of basic math while analyzing data and generating reports
- Good logical thinking and decision making skills
- Able to work well under pressure and adhere to strict timelines
- Possess excellent customer service skills; ability to communicate professionally and effectively with all levels of management
- Strong attention to detail with ability to multi-task and work with multiple screens/systems.
- Good time management skills and are able to work in a fast-paced environment
- Strong adaptability to change
- Must read, write and speak fluent English
- Must have good and regular attendance
- Approximate percent of time required to travel: 0%
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:
- Health benefits effective day 1
- Paid time off, holidays, and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours
1
Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$39,000 – $49,400 per year
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
by twochickswithasidehustle | Jun 10, 2025 | Uncategorized
Job Description
Overview
BroadPath is seeking a Medicaid Claims Processor to join our remote team. The ideal candidate will have strong experience in Medicaid claims processing and be proficient in using QNXT systems. This position is essential for ensuring accurate and timely adjudication of health insurance claims while maintaining compliance with policy guidelines and CMS regulations. The Medicaid Claims Processor will also resolve discrepancies, identify issues, and maintain accurate documentation to support the claims process.
Responsibilities
- Accurately process Medicaid insurance claims, ensuring all data is correctly entered and verified
- Review and adjudicate claims based on policy guidelines, regulations, and best practices
- Use the QNXT system to manage claims, perform data entry, and ensure records are updated in real time
- Adhere to all CMS guidelines and ensure regulatory compliance
- Identify, troubleshoot, and resolve discrepancies or issues within claims to ensure smooth processing
- Maintain detailed and accurate records, documentation, and reports to track claim status and outcomes
- Communicate effectively with internal teams and external partners to clarify claim-related questions or resolve issues
- Stay current on industry standards, policy updates, and changes in healthcare insurance regulations
- Assist in process improvement initiatives to enhance claims accuracy and efficiency
- Perform additional duties as assigned in support of the broader claims processing team
Qualifications
- 1 year of experience in Medicaid claims processing
- Proficiency in using QNXT systems for claims management and data entry
- Strong attention to detail and analytical skills, ensuring accuracy in claims adjudication and issue resolution
- Excellent organizational skills, with the ability to manage multiple claims and meet strict deadlines
- Effective verbal and written communication skills for collaborating with team members and external stakeholders
- Ability to work independently in a remote environment while maintaining high productivity and focus
- High school diploma or equivalent required
Diversity Statement
At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
by twochickswithasidehustle | Jun 10, 2025 | Uncategorized
The Cash Applications Clerk is responsible for posting incoming bank wires, ACH and check payments to reservations, general ledger accounts, and credit card invoices. Communicates with contacts from several banking institutions and other outside vendors. Performs daily bank reconciliations and duties related to month end closing. Works in conjunction with multiple teams within the company.Essential Functions:
- Post and research bank wires and ACH payments received daily on bank reports (Bank of America, JP Morgan Chase, and ANZ).
- Research and post incoming check payments for booking reservations in Mapper/Qterm and non-booking general ledger accounts in Oracle.
- Responsible for the Daily Cash Balancing Reconciliation process for USD & Multi-Currency
- Process invoices for incoming bank wires/ACH payments for credit card settlements. Apply chargeback exceptions to the correct booking or invoice number. This process also includes the daily credit card fee reconciliation process.
- Reconcile and prepare general ledger accounts in Blackline on a monthly basis, including FunShip Pay, Check By Phone, Money Gram, onboard/reservations receivables, and several bank accounts.
- Scan checks through Cash-Pro Online via Bank of America. Audit Cash Pro batch to the corresponding booking reservation batch in Qterm/Mapper or Oracle.
- Download and distribute Previous/Current Day Detail bank reports from Bank of America, JPMorgan Chase, and ANZ Bank to several departments within the company.
- Post and research incoming funds received via Western Union Quick Collect, Money Gram, Bank Wire and ACH payments to booking reservations and for onboard guests.
- Manage the monthly Oracle journal entries and open items.
- Process email transfer requests from provided G/L accounts to clear reservation balances.
Qualifications:
- Associates degree required
- 2+ years experience in accounts receivable
Knowledge, Skills, and Abilities:
- Proficiency in Microsoft Office (Excel, Word, Power point)
- Requires excellent organizational and computer skills.
- Must have excellent interpersonal and communication skills.
- Ability to manage time effectively, set priorities and meet deadlines.
- Must have the ability to multi-task and display a sense of urgency.
- Ability to learn quickly and work in a fast-paced environment.
Physical Demands: Must be able to remain in a stationary position at a desk and/or computer for extended periods of time.
Travel: No or very little travel likely
Work Conditions:Work primarily in a climate-controlled environment with minimal safety/health hazard potential.
This position is classified as “remote.” As a remote role, it allows employees to work full-time from their home. It may also require regular travel to Carnival headquarters in Miami, FL for in-office collaboration. Sourcing of candidates is primarily done in Carnival’s remote hubs of Orlando, Tampa, Atlanta, Houston, and Dallas. If the search is extended past those areas, candidates must be located in one of the following U.S. states: FL, GA, TX and NC
Offers to selected candidates will be made on a fair and equitable basis, taking into account specific job-related skills and experience.
At Carnival, your total rewards package is much more than your base salary. All non-sales roles participate in an annual cash bonus program, while sales roles have an incentive plan. Director and above roles may also be eligible to participate in Carnival’s discretionary equity incentive plan. Plus, Carnival provides comprehensive and innovative benefits to meet your needs, including:
- Health Benefits:
- Cost-effective medical, dental and vision plans
- Employee Assistance Program and other mental health resources
- Additional programs include company paid term life insurance and disability coverage
- Financial Benefits:
- 401(k) plan that includes a company match
- Employee Stock Purchase plan
- Paid Time Off
- Holidays – All full-time and part-time with benefits employees receive days off for 8 company-wide holidays, plus 2 additional floating holidays to be taken at the employee’s discretion.
- Vacation Time – All full-time employees at the manager and below level start with 14 days/year; director and above level start with 19 days/year. Part-time with benefits employees receive time off based on the number of hours they work, with a minimum of 84 hours/year. All employees gain additional vacation time with further tenure.
- Sick Time – All full-time employees receive 80 hours of sick time each year. Part-time with benefits employees receive time off based on the number of hours they work, with a minimum of 60 hours each year.
- Other Benefits
- Complementary stand-by cruises, employee discounts on confirmed cruises, plus special rates for family and friends
- Personal and professional learning and development resources including tuition reimbursement
#LI-Remote
#LI-SR1
About Us
At Carnival Cruise Line, our mission is to consistently deliver safe, fun, and memorable vacations at a great value. As the world’s most popular cruise line, we offer a variety of unique experiences across our fleet, ensuring that every voyage is filled with excitement and discovery. From world-class entertainment and dining to exploring stunning destinations, we create lasting memories for our guests while maintaining a dedication to the places we visit and the lives we touch.
Join us and embark on a career that offers not only the chance to grow professionally but also the opportunity to be part of a global community that makes a difference.
In addition to other duties/functions, this position requires full commitment and support for promoting ethical and compliant culture. More specifically, this position requires integrity, honesty, and respectful treatment of others, as well as a willingness to speak up when they see misconduct or have concerns.
Carnival Corporation & plc and Carnival Cruise Line is an equal employment opportunity/affirmative action employer. In this regard, it does not discriminate against any qualified individual on the basis of sex, race, color, national origin, religion, sexual orientation, age, marital status, mental, physical or sensory disability, or any other classification protected by applicable local, state, federal, and/or international law.
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