by twochickswithasidehustle | Jun 3, 2024 | Uncategorized
Join PharmaCentra, LLC as a Full Time Customer Experience Quality Assessor and play a crucial role in shaping our customer service excellence. This fully remote position allows you to showcase your problem-solving skills while ensuring top-notch customer experiences. As a key player in maintaining our customer-centric culture, you’ll enjoy a dynamic work-from-home environment where your integrity and attention to detail will be highly valued.
Exciting challenges await you in this role, along with competitive pay. Don’t miss this opportunity to make a real difference in customer satisfaction at PharmaCentra, LLC. You will receive great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Competitive Salary, Paid Time Off, Short-term Disability, Long-term Disability, DailyPay, Performance Incentives, 401(k) Safe Harbor Match, and company-provided equipment. Apply now and be part of a team that’s committed to delivering exceptional customer service!
WHAT WOULD YOU DO AS A CUSTOMER EXPERIENCE QUALITY ASSESSOR?
As a Quality Assessor at PharmaCentra, LLC, you will play a pivotal role in evaluating pre-recorded calls to uphold call compliance standards and enhance the quality of customer service interactions. With training on multiple client programs, you’ll seamlessly transition between different programs daily, showcasing your versatility and adaptability. This role provides a unique chance to contribute to the development and implementation of a continuous improvement process focused on legal compliance, customer service excellence, and contact interaction quality.
Join us in this rewarding position where you can make a meaningful impact on our operations and customer satisfaction levels.
WOULD YOU BE A GREAT CUSTOMER EXPERIENCE QUALITY ASSESSOR?
To excel as a Quality Assessor at PharmaCentra, LLC, candidates must possess strong customer service skills to ensure a positive customer experience. Attention to detail, along with exceptional listening skills, is crucial for evaluating calls accurately. Additionally, proficiency in writing with a focus on grammar and punctuation is essential for providing clear and concise feedback on quality assessments. Successful candidates will demonstrate the ability to multitask effectively, adapt to various client programs, and maintain a high level of accuracy and consistency in their evaluations.
If you are passionate about enhancing customer service quality and have the necessary software aptitude, this role may be the perfect fit for you.
Knowledge and skills required for the position are:
- Customer Service
- Attentive Listening
- Writing – Grammar & Punctuation
WILL YOU JOIN OUR TEAM?
If you believe that this position matches your requirements, applying for it is a breeze. Best of luck!
Offer of employment is conditioned upon passing a background check.
by twochickswithasidehustle | Jun 2, 2024 | Uncategorized
ACCOUNTS RECEIVABLE SPECIALIST – DENIALS
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives!
Labcorp is seeking an Accounts Receivable Specialist to join our team in our Revenue Cycle Management Division! This Accounts Receivable Specialist is responsible for overseeing billing processes to ensure collection of Account Balances. Review and research of denied claims for accurate resolution and document all activity taken on the account. Bill appropriate responsible parties that will lead to payment received.
RESPONSIBILITIES
- Follow approved SOP’s to update and provide necessary information to resolved denied claims
- Continuous evaluation of current policies and SOP’s and give recommendations for process improvements
- Handle sensitive information in a confidential manner
- Reading and understanding of explanation of benefits or correspondence
- Document all activity made to a claim
- Communicate via telephone with a physician, insurance company and patients
- Utilize tools to verify eligibility, claim status and/or to obtain better billing information
-
KNOWLEDGE|SKILLS|ABILITIES
- Must meet weekly and monthly production goals
- Ability to work and learn in a fast environment
- Excellent organizational skills
- Strong communication skills
- Alpha-Numeric Data Entry proficiency
- Basic knowledge of Microsoft Office
- 10 key experience preferred
REQUIREMENTS
- High School Diploma or equivalent
- REMOTE WORK:
- Must have high level Internet speed (50 mbps) connectivity
- Dedicated work from home space
- Ability to manage time and tasks independently while maintaining productivity
Why should I become an Accounts Receivable Specialist at Labcorp?
- Generous paid time off!
- Medical, Vision and Dental Insurance Options!
- Flexible Spending Accounts!
- 401k and Employee Stock Purchase plans!
- No Charge Lab Testing!
- Fitness Reimbursement Program!
- And many more incentives!
Pay Range: $15 – $17.25/hr or State/Local minimum wage, if higher.
Application window open through 6/02/24
The shift for this position will be Monday-Friday 8-5 PM ET some flexibility
Benefits: All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Regular, full-time or part-time employees working 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(K), ESPP, Paid time off (PTO) or Flexible time off (FTO), Commissions, and Company bonus where applicable. For more detailed information, please click here.
Labcorp is proud to be an Equal Opportunity Employer:
As an EOE/AA employer, Labcorp strives for diversity and inclusion in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications of the individual and do not discriminate based upon race, religion, color, national origin, gender (including pregnancy or other medical conditions/needs), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. We encourage all to apply.
For more information about how we collect and store your personal data, please see our Privacy Statement.
by twochickswithasidehustle | May 31, 2024 | Uncategorized
PMO Data Reporting Analyst
Work from home within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia’s dedicated team of PMO Data Reporting Analyst are living our mission to make health care easier and lives better. As a member of the PMO team, our PMO Data Reporting Analysts will be responsible for analyzing financial forecast trends, project delivery confidence, and turning Excel spreadsheets into consumable reports. The ideal candidate will have experience working with cross-functional teams, including Ops, Finance, and DTS, to ensure data consistency and promote a common language across the organization. The Data Analyst will also be responsible for identifying opportunities to improve our data management and reporting processes – all in service of creating an economically sustainable health care system.
Do you have a passion for being curious and learning new things? Do you thrive when driving analytic innovation and best practices? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
- Data Reporting Analyst would have a bachelor’s degree in mathematics, actuarial science, statistics, computer science or related field and 3 years of related experience or equivalent combination of education and experience.
Skills and Attributes:
- Knowledge of data acquisition tools such as SQL, OLAP, Toad, and Talend
- Knowledge of data visualization and reporting tools such as Power BI, Smartsheet, Tableau, SSRS, PowerPivot (Excel)
- Required: Advanced/expert Excel experience
- Experience supporting (or working with) project delivery or project management organizations
- Experience with any of the following software: Smartsheet, Clarity, Workday
- Background or experience in finance or finance-supporting roles
What You Will Do at Cambia:
- Provides analytical support to the Program Management Office by mining data, conducting analysis, and interpreting results related to business needs.
- Develops methodologies and approaches to new tasks and projects through design and development of analytical models and reports.
- Develops knowledge of health plan operations, health plan data sources and structures, and cost containment strategies.
- Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.
- Identifies needed reporting, assembles or directs the assembly of reports and distributes such information.
- Performs acceptance testing of new reports, programs and models.
- Documents business requirements and methods used to generate work output.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we’re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
The expected hiring range for a PMO Data Reporting Analyst is $68,000 – $92,000 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $64,000 – $104,000. #LI-remote
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we’re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
by twochickswithasidehustle | May 31, 2024 | Uncategorized
Membership Eligibility Processor I, II, or III, DOE
Work from home within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia’s dedicated team of Member Eligibility Processors are living our mission to make health care easier and lives better. As a member of the Membership team, our Membership Eligibility Processors establish and maintains accurate subscriber and member level eligibility through processing of new applications, member additions and deletions, policy revisions, demographic changes, renewal changes and any other maintenance affecting eligibility – all in service of making our members’ health journeys easier.
Do you have a passion for serving others and learning new things? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
The Membership Eligibility Processor I would have a high school diploma or GED and six months data entry experience with demonstrated ability to meet or exceed accuracy and production standards.
The Membership Eligibility Processor II would have a high school diploma or GED and one year of experience as a Membership Eligibility Processor I with demonstrated ability to meet or exceed accuracy and production standards or an equivalent combination of education and job-related work experience.
Skills and Attributes:
40 wpm keying.
10-key by touch.
Must be detail-oriented and self-motivated.
Must be dependable and maintain attendance at or above departmental standards.
Must be able to exercise judgment, initiative and discretion in confidential, mature and sensitive manner.
Must be able to establish effective working relationships with staff and customers.
Ability to understand mathematical calculations and concepts.
Ability to organize and prioritize work.
PC experience required, experience with Word, Excel, and Outlook or similar software.
Ability to communicate effectively.
Medical Terminology for WSHIP health questionnaire processors required.
What You Will Do at Cambia:
Review, enter, and maintain changes on individual, small, large, trust or specialized group enrollment applications. Review and apply eligibility rules by calculating appropriate waiting period credit, eligibility data, effective date and enter benefits, name, social security number, address, family members and primary care physician information with network coding, which is consistent with contract.
Perform all eligibility tasks accurately and timely to meet MTM requirements, ensuring we’re complying with MTM standards, as well as Consortium standards as they relate to group membership activities.
Identify and prioritize work in order to meet deadlines including state requirements for timeliness.
Incorporate and apply changes made to Membership Accounting, Underwriting and State and Federal policies and procedures to ensure current requirements are met.
Responsible for meeting established departmental performance expectations.
Handle responses to inquiries to meet BlueCross and BlueShield Association (BCBSA) standards and corporate goals.
Provide customer service to internal customers and may place and track outgoing calls to external customers including groups, agents and subscribers to obtain information necessary for enrollment, while maintaining member confidentiality in all aspects of eligibility and billing processes.
Assist less experienced staff with questions and/or difficult issues or accounts as needed.
Maintain manuals to ensure policies and procedures are current.
Attend and participate in training and staff meetings.
The starting hourly wage for the Membership Eligibility Processor I role is $17.20 – $24.60/hour, depending on candidate’s geographic location and experience.
The starting hourly wage for the Membership Eligibility Processor II role is $17.20 – $26.60/hour, depending on candidate’s geographic location and experience.
The starting hourly wage for the Membership Eligibility Processor III role is $17.20 – $28.60/hour, depending on candidate’s geographic location and experience.
The annual incentive payment target for this position is 5%.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we’re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
Work alongside diverse teams building cutting-edge solutions to transform health care.
Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
Grow your career with a company committed to helping you succeed.
Give back to your community by participating in Cambia-supported outreach programs.
Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
by twochickswithasidehustle | May 31, 2024 | Uncategorized
About Misfits Market:
Misfits Market is a mission-driven, high-growth startup dedicated to reducing food waste and making shopping for sustainable, high-quality groceries easier and more affordable. We deliver organic produce, high-quality meats and seafood, plant-based proteins, dairy, bakery, wine, and other grocery items to nearly every zip code in 48 states at up to 30 percent off traditional grocery store prices. In 2022, Misfits Market acquired sustainable e-grocer Imperfect Foods and now leverages its in-house transportation network to deliver directly to consumers with one of the most carbon-efficient grocery delivery models on the market. By tackling inefficiencies in the food system, our passionate and motivated team of problem solvers helps save an average of 500,000 pounds of food per week from waste or lesser outcomes, with an all-time savings of 190+ million pounds of food.
About the Role:
The Assistant Inventory Planner is on the Planning & Analytics Merchandising team. They will be responsible for managing all distributor vendors (forecasts, and PO placement) as well as overseeing the entire end to end PO tracking process for the inventory planning team . They will also support the team by running ad hoc reports and data entry tasks as needed. This position reports to the Director of Inventory Planning, Grocery.
Responsibilities:
Forecasting at the item and fulfillment center level quantities needed within assigned distributor vendors to meet sales plans, minimize shrink risk, and hit planned inventory level targets.
Purchase Order management. This includes creating Purchase Orders, verifying all information on purchase orders is accurate, sending purchase orders to vendors, and tracking all purchase orders until they deliver to our fulfillment centers. They will own updating the PO tracker for the entire team, following up directly with vendors and Operations teams, recapping status of POs and escalating vendor issues as needed to Inventory Planners and Category Managers.
Assist finance with resolving all PO and invoice discrepancies. Coordinate with receivers to verify arrivals. Work with vendors to resolve any quality or quantity issues. Escalate to Inventory Planner / Category Managers as needed to ensure timely resolution.
Demonstrate logical analytical abilities, creative problem-solving skills, and financially sound judgment to deliver conclusions and recommendations to the Director of Inventory Planning and cross-functional teams.
Consistently meeting quarterly metrics including sales and inventory plans based on on-time deliveries and in-stock rate.
Provide weekly and monthly reporting on forecast accuracy, sku count, shrink and in stock rate root cause.
Support the weekly catalog process by ensuring that all POs planned to be sold are on time and have appointments at the FCs.
Serve as point of contact for the Operations team for PO exceptions.
Support the inventory planner team with data entry projects as needed.
Skills and Qualifications:
1-3 years experience in Merchandise Planning and Purchase Order Management.
Experience with quickly solving issues and working in a fast-paced environment.
Ability to manage multiple priorities and pivot as needed.
Proficient with Excel, Word, Google Sheets/Docs, and ERP systems
Excellent interpersonal skills
Bachelor’s degree
About You:
You’re highly energetic and friendly attitude, ready to learn
You’re extremely organized with strong attention to detail
You’re able to prioritize and meet deadlines
You’re comfortable with ambiguity
You love the opportunity to meet challenges and take preventative action for solutions
You work well in a highly active team in a collaborative environment
You’re passionate about our mission to eliminate food waste and create a better food system for all
Details of Position & Benefits:
Annual Salary range: $65k-$75k
Full-time exempt position
100 % Remote Work
Salary and employee stock options commensurate with experience
Unlimited PTO
Multiple health, dental, and vision plan options
Life Insurance
401K plan
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