by twochickswithasidehustle | Apr 10, 2024 | Uncategorized
Join us for an exciting career with the leading provider of supplemental benefits!
Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
The Claims Processor is responsible for processing dental claims received from providers and health plan members in accordance with policies, procedures, and guidelines as outlined in Avesis contractual agreements. Claims are processed using Avesis systems and on-line reference resources that specify the details and scope of benefits. The processors productive output is guided by performance objectives that specify the volume of claims to be processed on an hourly basis. The Claims Processor must be able to meet accuracy, quality, and productivity standards as determined by Avesis.
This position will focus on skill development as you will be part of a high-performing team. You will be responsible for helping the company to meet our contractional agreements across multiple plans to ensure our members are taken care of. A successful candidate will be able to communicate, retain information and stay on top of multiple changes, and multi-task while meeting the required self-metrics and team metrics.
Essential Job Functions:
Understand Avesis’ contracts and performance requirements, claims processing workflow and payment process.
Review claim data for accuracy and process claims in a timely matter according to turn around times set for that plan.
Thorough knowledge of diagnostic and procedural coding for dental claims.
Testing, reprocessing, or review of claims in new or existing systems to ensure accurate processing.
Ability to work all dental plans that Avesis has contracts with
Working new day/previously paid/ denied claims as needed to correct a claim that was processed inaccurately due to processor or system error.
Ability to Multitask-processors may be asked to move across multiple Lines of Business to assist as the business needs.
Skilled use of Avesis systems and applications for claims adjudication and research of provider, member, and utilization management data.
Apply policies and procedures to confirm that claims meet the criteria for payment as indicated in contractual guidelines.
Attendance in team meetings related to claims processing reviews and updates for company policies and procedures, audit findings, and other related communications.
Ability to meet or exceed quality, accuracy, and production standards as determined by Avesis.
Respond to inquiries from customer service team about claims in a 48hr time period
Other duties as assigned
Requirements:
High School Diploma or GED (required), Associates degree in a related field is preferred
Dental experience required
Knowledge of Medicare, Medicaid, and Commercial insurance preferred
HCPCS, CPT, ICD 10 coding
Strong skills using Microsoft applications (Adobe, Word, Excel, Etc.) and other windows-based tools
Ability to read, write, and communicate at a professional level
Ability to manage multiple tasks
Ability to prioritize work
Ability to work mandatory overtime as needed
Effective time management and organizational skills
Experience within insurance or healthcare organizations preferred
Excellent listening, communication (verbal and written
Must live in the State of California
FLSA Status: Hourly/Non-Exempt
Salary Range Hourly Rate: $12.51 – $19.59
How to stay safe:
Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.
Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.com.
We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to [email protected].
To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avesis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.
We Offer
Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
A great 401(k) with company match.
Tuition assistance, paid parental leave and backup family care.
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
Employee Resource Groups that advocate for inclusion and diversity in all that we do.
Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.
Equal Employment Opportunity
At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!
by twochickswithasidehustle | Apr 9, 2024 | Uncategorized
Connexus Credit Union – Who We Are:
Serving members across all 50 states, Connexus Credit Union is a member-focused cooperative that is proud to return profits to member-owners through high yields for checking accounts and deposit products, as well as competitive rates for personal, home, and auto loans. From its early beginnings on through the years, Connexus has remained a strong, growing, and secure financial institution that remains committed to serving the financial needs of our member-owners across the country.
Connexus offers an Amazing Benefits package:
25 days of paid time off and 7 paid holidays
16 hours of paid Volunteer Time Off
401K Retirement with up to 6% employer match
Excellent Health, Dental, Vision insurance, including multiple plan options
Health Savings Account with generous employer contributions
Employer paid Life insurance, Short-Term and Long-Term Disability
Tuition Reimbursement from $4,000 – $7,000 per calendar year
Robust Learning and Development program that includes an annual professional development stipend
Connexus has a Values-Based Culture:
Our Values of Integrity, Respect, Transparency, Wellbeing and Synergy aren’t just words on a page; our values dictate the actions of the organization and everyone within it. We demonstrate our values in every personal interaction, phone call, and email ‐ every day.
About the Role:
The Training Specialist & Facilitator will play a vital role in ensuring Connexus Credit Union employees receive top-notch training, while helping Connexus employees develop the required skills and knowledge to perform their responsibilities effectively and excel in their roles. They will collaborate with various teams to develop and deliver effective training programs, by designing training materials, facilitating instructor-led training sessions, and incorporating engaging activities to enhance the learning experience. The Training Specialist & Facilitator will provide ongoing support and guidance to Subject Matter Experts, while staying updated on industry trends and regulations to ensure our training initiatives are aligned with best practices.
Responsibilities:
Coordinate, prepare and conduct training, generally for specific department needs (i.e Collections, Lending, Member Services, and Member Contact Call Center) directly with department leaders.
Collaborate with Development & Design to provide synergy with training of employees.
Deliver new employee, sales & service technique, and product & service training.
Design, update, and coordinate written or online resource materials.
Participate in the roll out of new products and service to assist in coordinating and conducting employee training.
Maintain calendar of department employee training events; track outstanding employees and work with department leaders.
Research and recommend training course to ensure employees receive the most updated department training needs.
Position Requirements:
This position is remote.
Bachelors Degree in Communications, Human Resources or Training & Development or commensurate experience is Required.
1+ year of working experience with delivery platform skills, program facilitation, and coaching program development is Required.
Expertise in Microsoft Word, PowerPoint, and Excel, along with other presentation/training and development related programs is Required.
Connexus Credit Union’s Recent Recognitions:
2024 Best Credit Union – NerdWallet
2024 Best Credit Union – Bankrate
2023 Best-In-Class Employer – Gallagher
2023 Best Credit Union – Kiplinger
Fourth Largest Credit Union in Wisconsin (by asset size)
Equal Opportunity Employer/Disabled/Veterans/41 CFR 60–1.4, 41 CFR 60-1.35
by twochickswithasidehustle | Apr 8, 2024 | Uncategorized
Study typeFocus GroupStudy formatOnlineCompensation$150 Participants have their choice of PayPal, Amazon ecard, or check. Payment is issued withing 24-48 hours after the interview.Session length120 minutesDescription
We’re looking for feedback on products and services that you use to care for your household pets. How do you keep your best friend happy and healthy? This is a 2 hour Zoom interview with spots available on Monday, April 15th or Tuesday, April 16th. The available start times each day are 9am pdt, 10am mdt, 11pm cdt, and 12pm edt. This is a really fun and interesting study! If you are interested please fill out the short screening form and I will call you asap if you qualify so we can pick which day works best for you. Best, LizDevice requirements
Device type: Computer with webcam.
You cannot use a tablet or a smartphone.Additional screening
The researcher may follow up via message, email, or phone to confirm if you’re a fit for the study. Be sure to answer!
by twochickswithasidehustle | Apr 5, 2024 | Uncategorized
Description
From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.
Job Title: Data Entry Specialist
POSITION SUMMARY:
Under the general supervision of the Supervisor and Manager, the Data Entry Specialist provides exemplary service to multiple clients including product manufacturers, physician, patients, and internal customers. Contributes to the profitability of CareMetx by ensuring personal productivity and efficient use of material resources.
PRIMARY DUTIES AND RESPONSIBILITIES:
- Maintains effective systems to support the timely release of accurate information to diverse clients.
- Responsible for the intake of all programs specific correspondence including mail, inbound faxed documents.
- Logs information into appropriate database and triages all program specific mail to the appropriate reimbursement case advocate, reimbursement specialist and/or management team.
- Responsible for payer research and territory assignment management.
- May assist with inbound call volume as received.
- Distributes reports daily disseminating information to appropriate distribution vendors reimbursement case advocate, reimbursement specialist and/or management team.
- Maintains and promotes a positive and professional working relationship with associates and management.
- Complies with all appropriate program policies and procedures.
- Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action.
- Typically receives little instruction on day-to-day work, general instructions on new assignments.
- Perform related duties as assigned.
Requirements
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
Previous 1+ years of professional work experience in a customer service or healthcare environment.
MINIMUM SKILLS, KNOWLEDGE, AND ABILITY REQUIREMENTS:
- Ability to communicate effectively both orally and in writing.
- Strong computer application skills.
- Strong interpersonal skills, team player.
- Strong organizational and time management skills.
- Strong attention to detail.
- Adaptable and flexible to new situations.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to sit.
- The employee must occasionally lift and/or move up to 10 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Schedule
- Must be flexible on schedule and hours
- Overtime may be required from time to time
- Must be willing to work weekends if required to meet company demands
CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.
At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.
by twochickswithasidehustle | Apr 5, 2024 | Uncategorized
Connexus Credit Union – Who We Are:
Serving members across all 50 states, Connexus Credit Union is a member-focused cooperative that is proud to return profits to member-owners through high yields for checking accounts and deposit products, as well as competitive rates for personal, home, and auto loans. From its early beginnings on through the years, Connexus has remained a strong, growing, and secure financial institution that remains committed to serving the financial needs of our member-owners across the country.
Connexus offers an Amazing Benefits package:
- 20 days of paid time off and 7 paid holidays
- 16 hours of paid Volunteer Time Off
- 401K Retirement with up to 6% employer match
- Excellent Health, Dental, Vision insurance, including multiple plan options
- Health Savings Account with generous employer contributions
- Employer paid Life insurance, Short-Term and Long-Term Disability
- Tuition Reimbursement from $4,000 – $7,000 per calendar year
- Robust Learning and Development program that includes an annual professional development stipend
Connexus has a Values-Based Culture:
Our Values of Integrity, Respect, Transparency, Wellbeing and Synergy aren’t just words on a page; our values dictate the actions of the organization and everyone within it. We demonstrate our values in every personal interaction, phone call, and email ‐ every day.
Position Responsibilities:
- Receives and analyzes dispute, identity theft, credit bureau and fraud claims from members and employees and determines appropriate resolutions.
- Works in a dynamic, highly collaborative, fast-paced environment, where member experience and fraud prevention are the goal.
- Monitoring fraud software program (Verafin) for compliance with fraud reporting, which includes filing Suspicious Activity Reports (SAR).
- Supports the monitoring and tracking of fraud issues across all channels of credit union; prepares reports for management based on this tracking.
- Investigate Identity Theft Red Flag reports and document findings.
- Works with the Fraud Analyst to processes and prepare case files to and from governmental agencies and any fraud cases we elect to pursue.
- Communicate with members affected by fraud incidents, providing support, information, and guidance in the resolution process.
- Collaborate with other Connexus departments, other financial institutions, law enforcement authorities or members when researching and resolving suspicious activity, under the direction of the Fraud Analyst, Director BSA & Fraud.
Position Requirements:
- This position is remote.
- 1+ years of experience in a financial institution is Required.
- Self-motivated individual that is detail oriented and can accurately complete work within required time frames under minimum supervision driven by a sense of urgency.
- Possesses proficient skills to open, create, and modify various documents using the Microsoft Suite (e.g. documents, spreadsheets, email, etc) and enter/retrieve information using various applications/systems.
- Excellent verbal and written communication skills to effectively communicate with all levels of bank and external customers.
- Must possess the ability to gather and analyze information skillfully and document those findings in a clear and concise report.
- Must maintain confidentiality of all information received and distributed.
Connexus Credit Union’s Recent Recognitions:
- 2024 Best Credit Union – NerdWallet
- 2024 Best Credit Union – Bankrate
- 2023 Best-In-Class Employer – Gallagher
- 2023 Best Credit Union – Kiplinger
- Fourth Largest Credit Union in Wisconsin (by asset size)
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