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.
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.
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