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.
by twochickswithasidehustle | Jun 5, 2024 | Uncategorized
Posting Details
Job Details
Description
Performs duties associated with our address change service process. Creates various reports, monitors, and facilitates vendor and company communication in a manner which contributes to our clients’ satisfaction.
PRINCIPAL RESPONSIBILITIES AND DUTIES:
- Creates weekly reports to monitor address and new account number changes.
- Initiates account changes associated with the new post office box.
- Contacts vendors to request that addresses are updated to the appropriate post office box via phone call, fax, or email.
- Creates status and summary reports for account representatives and clients.
- Works overtime as needed.
- Performs other duties as assigned.
SKILLS AND ABILITIES REQUIRED:
- Demonstrated analytical skills.
- Ability to create and manipulate existing reports using various databases and Excel spreadsheets.
- Good organizational and follow through skills.
- Ability to work independently and adhere to established timelines within the department.
- Excellent oral and written communication skills.
- Proficient with Microsoft Access, Excel, PowerPoint, and databases.
MINIMUM LEVEL OF PREPARATION AND TRAINING NORMALLY REQUIRED:
- High school diploma or equivalent required.
- 6 months of customer service or call center experience.
- Transaction processing experience.
APPLICATION PROCESS:
You can directly apply through Cass’s website at https://www.cassinfo.com/careers. Please apply directly to this position via the “Apply” button. You will be required to create an account and provide your resume, contact information and other pertinent employment information. This process typically takes 20 minutes or less. Should we find that you meet the minimum requirement of the position, a member of our recruiting team will be in touch to start the interview process.
ABOUT OUR COMPANY:
Cass Information Systems, Inc. is a leading provider of integrated information and payment management solutions. Cass enables enterprises to achieve visibility, control and efficiency in their supply chains, communications networks, facilities and other operations. Disbursing over $90 billion annually on behalf of clients, and with total assets in excess of $2.5 billion, Cass is uniquely supported by Cass Commercial Bank. Founded in 1906 and a wholly owned subsidiary, Cass Commercial Bank provides sophisticated financial exchange services to the parent organization and its clients. Cass is part of the Russell 2000®. More information is available at www.cassinfo.com.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor 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 contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
by twochickswithasidehustle | Jun 5, 2024 | Uncategorized
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by twochickswithasidehustle | Jun 4, 2024 | Uncategorized
Welcome to Ovation Healthcare!
At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.
Summary:
The Payment Poster Specialist is responsible to ensure that all aspects of manual and electronic payments are accurately applied and reconciled within a timely manner.
Essential Functions
- Payment posting manual/Electronic (ERA’s) patient and insurance payments, adjustments, and/or denials
- Locate remittances & payments in various portals
- Ability to read and interpret EOB’s
- Transfer copay/coinsurance and deductible balances to patient responsibility
- Review of patient account balances as needed to determine posting accuracy
- Perform payment and bank reconciliations
- Daily cash reconciliation and reporting
- Research and resolve unapplied accounts
- Cross train/assist/cover for other team members and/or with other projects as needed
- Identify and report on trends/issues
- Prepare, reconcile and complete the local bank deposits for mail patient/insurance/accounting payments & other hospital/clinic departments (does not apply to home-based candidates)
- Maintain/reconcile petty cash funds, process point of service patient payments (does not apply to home-based candidates)
- Post monthly agency payment reports
- Other duties as assigned
Required Skills and Experience
- Must adapt and demonstrate the ability to work independently in a quiet, dedicated workspace from home in a fast-paced, changing and goal-oriented environment.
- Must be detail oriented, organized, a strong multi-tasker, resourceful and possess the ability to apply critical thinking skills to make good and independent decisions.
- Candidate must exhibit excellent time management organizational skills
- Ability to analyze and evaluate different payment situations
- Ability to prioritize the workload and meet deadlines
- Must be a team player
- Basic to intermediate Excel skills
- Ten Key Touch (preferred)
Qualifications
- Minimum of 3-5 years (preferred) prior direct experience in healthcare setting
- High School Diploma or equivalent
- Home-Based (remote) position requires a reliable high speed internet connection
by twochickswithasidehustle | Jun 4, 2024 | Uncategorized
RemoteOperations /Full Time /Remote
Business Wire, a Berkshire Hathaway company, is the global market leader in press release distribution and regulatory disclosure. We are on a mission to redefine how organizations connect with their audiences – and that’s just the beginning!
Organizations, large and small, depend on us to accurately publicize market-moving news and multimedia, and generate social engagements that develop interactions with their target audiences.
The primary responsibility of a Business Wire Newsroom Editor is to accurately and efficiently prepare
and transmit news releases over Business Wire’s circuits. A Newsroom Editor will also work as a team member performing any and all functions necessary for the successful operation of Newsroom Operations as determined by departmental management.
Available shift
1) Sunday to Thursday 9:30 PM CST to 6 AM CST
This is an overnight shift. All candidates must be in either a Central or Eastern time zone.
What You will Do
Standard duties for all Newsroom Editors may include any or all of the following (other duties may be assigned by departmental management):
Format, edit and proofread press releases on a computer quickly and accurately
Code each release based on a client’s request for distribution, suggest additional or alternative circuits that may be beneficial to the client and talk to them about conflicting distribution instructions
Contact clients regarding any problems that could lead to errors (grammar or punctuation mistakes, typos, missing contact information, etc.)
Assess the authenticity of press release orders and escalate potentially problematic content appropriately
Display good judgment in helping to resolve issues
Monitor incoming orders and ensure that all are accounted for and handled in a timely fashion
Monitor online to ensure successful transmission of content
Assist other Newsroom teams with overflow of orders as necessary
Perform opening/closing or other shift-change duties as necessary
Maintain up-to-date knowledge of Business Wire products, services, procedures and policies
Assist with incoming phone calls, including fielding client questions regarding distribution options, and answering other general questions
Help guide clients through the process of submitting orders to Business Wire, including how to use the Business Wire website
Provide membership information and set up new accounts when the situation is approved and appropriate
Collaborate with sales and other departments as necessary
Communicate all technical issues to the Service Desk or Web Support teams in a timely and detailed fashion
Authorize credit card payments when necessary
Run and submit the daily distribution report to the billing department by set deadline
Maintain a log of daily activity
What You Will Need
Bachelor’s degree
Excellent communication and customer service skills
Ability to work effectively with a variety of people in a team environment
Ability to multitask, prioritize workflow, and follow projects through to completion under tight deadlines
Strong attention to detail
Ability to exercise good judgment
Basic technical skills and computer literacy, including proficiency in standard business applications (i.e., MS Word and Excel; Web, etc.)
Must demonstrate reliability through good attendance and punctuality
Courteous and professional phone manner
Professional demeanor
Must be flexible with schedule, as needed
The hourly rate range for this position is $19/hour to $23/hour. Offered salary will be determined by several factors, including but not limited to: applicant’s education, experience, knowledge, skills and abilities, as well as internal equity and alignment with geographic market data. Business Wire reserves the right to modify this salary range at any time.
Business Wire’s total rewards include:
Ability to work remotely
Excellent health benefits that begin on your first day of employment
$100 monthly fitness allotment, a tuition reimbursement program, and enhanced mental health resources
401(k) plan with generous company match, and annual profit sharing contribution (subject to company performance)
PTO, Floating Holidays, Wellness Day Off, Birthday Day Off, and more!
A pre-employment background check will be required after the acceptance of an offer. Business Wire is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. Pursuant to the San Francisco Fair Chance Ordinance and other similar state laws and local ordinances, and its internal policy, Business Wire will also consider for employment qualified applicants with arrest and conviction records.
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