by twochickswithasidehustle | Jun 24, 2024 | Uncategorized
Job Family:General Coding
Travel Required:None
Clearance Required:None
What You Will Do:
The Data Entry Operator II enters data from source documents into computer using data entry devices such as keyboards or optical scanners. Verifies accuracy of source documents and input data. May require interpretation or validation of data prior to entering. May prepare reports from input data. Trains new personnel on department’s equipment and suggest new methods, procedures, software, etc. May assist other data entry personnel. Performs other duties as assigned. This position is 100% remote.
What You Will Need:
- High School Diploma or GED Equivalent
- 2-3 years prior relevant experience
What Would Be Nice To Have:
#Indeedsponsored
#LI-Remote
The annual salary range for this position is $37,600.00-$56,400.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
by twochickswithasidehustle | Jun 24, 2024 | Uncategorized
Company Description
WTW is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, WTW has 40,000 employees serving more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at wtwco.com.
Job Description
As a Benefit Advisor, you will have the rewarding opportunity to speak with Medicare eligible participants across the country to assist them in selecting insurance plans that meet their needs. You will spend approximately 70% of your day in phone conversations with participants exercising patience and knowledge with caring explanations to enroll them in healthcare insurance products.
This is a full-time temporary role that runs until the end of each year. We do ask our highest performers to stay on after the enrollment season to perform additional seasonal roles based on business needs which may lead to additional opportunities for advancement within Willis Towers Watson.
Note: Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. Although this role is open for remote work, you must be a current resident of Arizona, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Mississippi, Nebraska, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, West Virginia, Wisconsin, or Wyoming to be considered for this role.
Key Responsibilities:
- Use a consultative approach to listen and assess the retirees insurance needs and appropriate eligibility
- Conduct eligibility and needs analysis to determine suitable plan
- Effectively and empathetically communicate the costs and benefits of multiple insurance plans over the phone
- Make plan recommendations based on participants individual needs and assist the participant with the decision-making process
- Work through scheduled and inbound calls with patience and an emphasis on service, not call volume
- Work as a team player in a diverse, professional call center environment
Qualifications
Adhere to all legal regulations
The Requirements
You are excited to learn new things, have strong computer skills, and are self-motivated to always improve. You have patience and the ability to listen and recognize the needs of participants, even when they are unable to clearly articulate what is important to them. You are able to change your communication style based on the region of the call, the client, and the medical needs of the caller. You overcome objections with knowledge, patience, and understanding, and enjoy meeting new people by phone!
Training Requirements
You will attend a virtual two week training class and then perform a week of nesting with your new team.
Skill Requirements
- Active Life and Health Insurance license is required
- After your first day complete required certifications to represent local and national insurance carriers
- Experience using Microsoft Office with a strong ability to juggle multiple open computer windows to answer questions while on the phone
- Ability to learn new proprietary computer systems
- Experience in a sales consulting environment preferred
- Ability to work autonomously in a self-paced, self-motivated team environment
- Ability to communicate professionally and courteously
- Ability to read, analyze, and interpret insurance documents, detailed correspondence, procedure manuals, insurance applications, polices, and contracts
- Life/Health Insurance certification a plus
- High School Diploma or GED required, College classes a plus
- Mandatory Overtime may be required
- Other duties as assigned
Willis Towers Watson operates in a highly regulated environment; you will be required to complete an extensive background check in order to be licensed as a Benefit Advisor.
Work from home requirements: Equipment provided!
- All applicants will be required to have a separate confidential and distraction free workspace so you can focus on delivering excellent customer service to our participants
- The applicant will secure and be responsible for paying their own internet expenses to include a minimum upload speed 5 MB/s, preferred upload speed 25 MB/s and a minimum download speed 25 MB/s, preferred download speed 50 MB/s
- Wired Ethernet connection that meets upload and download speed requirements as noted above
- You will be required to have a personal smart phone or other device able to authenticate to a Virtual Private Network (available via application download).
- Applicants will be required to work during their assigned shift time which does include specified lunch and break times
- Hardware and software requirements and additional guidelines provided during the interview selection process
Additional Information
Our Environment:
Willis Towers Watson maintains a diverse working environment of dedicated associates, in an open call center layout. We utilize the latest in technology, and top of the line computer and telephony systems. We reward our associates with competitive hourly rates, monthly bonuses, team competitions, and raffles. We have a variety of shifts available. Each year we invite top performing seasonal associates to join our team on a year round basis, or invite them back for the following season.
by twochickswithasidehustle | Jun 22, 2024 | Uncategorized
The System Support Analyst I position focuses on testing system updates and enhancements to RCM operations systems, maintaining utility files including all dictionary updates and translation tables, testing all new or existing interfaces, supporting sub-committees, and partnering with RCM operations on process improvement needs, enrollment forms, special projects and any other tasks that may arise.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Complete testing on basic update and enhancement requests of the billing system prior to the changes being completed in the live environment.
- Testing of basic projects for the billing system, charge capture systems or any other products utilized by the RCM Operation teams.
- Maintaining and updating all dictionaries in the billing system.
- Support sub-committees with all process improvement or special project needs.
- Partnering with RCM Operations on process improvement or special project needs.
- Assisting with special projects and other duties as assigned.
- Maintaining professionalism with the strictest confidentiality at all times.
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Must display a positive “teamwork” attitude and strong interpersonal skills
- Knowledge of organizations policies, procedures, and systems
- Basic knowledge of insurance processing, guidelines, laws, and EOBs
- Knowledge of Medicare, Medicaid, Workers Compensation rules and guidelines
- At least an intermediate level in MS Word and MS Excel
- Excellent verbal and written communication
- Willingness and ability to follow direction and/or company policy as directed by management
- Must have multi-tasking capabilities
- Ability to maintain confidentiality
- Good problem-solving skills
- Ability to read, write and speak English
EDUCATION/TRAINING/EXPERIENCE:
- High School graduate or equivalent. Associate degree in business administration or related area preferred.
- Must have 2-4 years of healthcare experience
PHYSICAL REQUIREMENTS:
- Requires prolonged sitting, some bending, stooping, and stretching
- Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator, and other office equipment
- Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
- Requires lifting papers and boxes weighing up to 35 pounds occasionally
- Requires dexterity to type at least 50 wpm.
WORKING CONDITIONS (environment and safety):
- Work performed in office environment
- Involves frequent contact with professional staff and managed care organizations
- Work may be stressful at times
- Interaction with others is frequent and often disruptive
disclaimer: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
by twochickswithasidehustle | Jun 22, 2024 | Uncategorized
US Anesthesia Partners is seeking a Coding QA Specialist to join our team, remotely. The Coding QA Specialist- Anesthesia will support our QA process and Coder and Provider education. Responsibilities include the reviewing of professional coding accuracy and quality and educational feedback to coders and providers. Provide Clinical Documentation review and provider education to support correct coding and regulatory compliance. The position requires anesthesia, surgical coding and regulatory knowledge, analytical skills as well as the ability to work independently while meeting required due dates. Preferred skills: excellent presentations skills, creating and delivering curriculum in an interactive educational platform experience ie LMS.
Job Highlights
CODER EDUCATION
- Conduct Coder QA and Education as part of identified remediation
- Collaborate with Management on development of individual or group performance improvement plans related to billing compliance or coding issues
- Develop or review internal workflow or pathway directives that impact coding and charge capture including system edits
- Conduct coder Pre-production QA and education
SUPPORT PROVIDER EDUCATION
- Documentation review and prepare for educator feedback sessions
- Documentation template improvements
- Assist in Review for coding and regulatory updates
TRAINING & CURRICULUM Development and delivery of coding educational materials and training for use both internal and external to the department, including physicians live and remote methods.
- Maintain operational workflow pathways and assist coding leads as needed
- Maintain Coding resources shared library
Other Duties
- Utilizes knowledge of revenue cycle and analyzes coding data to assist with QA selection process
- Assists in reviews of Coding related edits and claim denials
- Creates tracking and trending reports associated to the initiatives.
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Assist in supporting teams with analysis and review of documentation for new business
- Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors, and the
- Ensure compliance with all State, Federal, professional regulations as well as department rules, policies, and procedural
- Adherence to Safety
- Adherence to HIPAA
- Maintain specialty certification CEU’s, coding updates and all regulatory or payer guidance
- Ability to communicate professionally with all levels of management
- Excellent written and oral communication skills are necessary to produce and deliver quality training
- Excellent technical writing skills for development, implementation, and maintenance of documentation
EDUCATION/TRAINING/EXPERIENCE:
- National coding certification (AHIMA, AAPC)
- Compliance auditing and Specialty Coding Education experience
- Clinical certification or experience preferred
- National Certification and Minimum of five years’ Experience in physician coding, Anesthesia/Pain Management, Surgery and E/M, ICD-10, with experience in Academic settings
- Proficient in MS Office Excel, Word and Power Point
- Experience in Revenue Cycle and Claim processing
- Experience in Physician Billing Compliance preferred
- Demonstrated superior presentation skills
- Experience managing multiple simultaneous clients or projects with a high level of attention to detail
National position, Remote, future travel may be required (10%).
by twochickswithasidehustle | Jun 22, 2024 | Uncategorized
Customer Service team member whose primary responsibility will be processing payments from patients and surgeon offices, making package adjustments to all package accounts, sending out monthly invoices to all surgeon/facility directed accounts. Other responsibilities may include, but are not limited to:
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Processing patient demographics, registering patients in USAP’s billing system
- Processing custom edits to ensure proper billing to either patient or surgeon
- Partnering with other RCM departments to ensure appropriate billing for split cosmetic/insurance cases
- Researching accounts to ensure credit balances are processed appropriately
- Partnering with surgeon’s offices and facilities to help resolve any billing or patient issues.
- Work ETM view posting cosmetic adjustments.
REPORTING TO THIS POSITION: This position will not be responsible for any direct reports
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Customer Service experience (call center, health care front office, etc.)
- Professional communication skills, both verbal and written
- RCM experience preferred, health care experience preferred
EDUCATION/TRAINING/EXPERIENCE:
- High School diploma
- Healthcare/RCM experience preferred
- High volume phone call experience preferred
- Anesthesia knowledge is a bonus
PHYSICAL REQUIREMENTS:
- Ability to sit at a desk and computer for a full 8 hour shift, continuous data entry
- Ability to answer inbound phone calls and make outbound phone calls
WORKING CONDITIONS (environment and safety):
- Work performed in office environment (currently remote environment)
- Involves frequent contact with professional staff and managed care organizations
- Work may be stressful at times
- Interaction with others is frequent and often disruptive
disclaimer: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
Recent Comments