by twochickswithasidehustle | Feb 28, 2024 | Uncategorized
Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and faith-based organizations, serving more than 1,300 higher education institutions, 11,500 K-12 schools, 3,500 churches, and millions of individual students, families, and supporters across the globe. Our culture of service enables us to form long-lasting and trusted partnerships, while our focus on creativity and innovative solutions empowers our customer communities to thrive.
As a Nelnet company, the perks at NBS go beyond our benefits package. You’re part of a community, invested in you as an individual and united by our mission to create opportunities for people where they live, learn and work.
The Software QA Specialist oversees the quality of products produced by the Software Development Team. This position focuses on process improvements that result in high quality production operation of software products. In addition, the Software QA Specialist monitors for and reports on quality issues and is responsible for ensuring the team’s processes change to avoid repeated issues.
JOB RESPONSIBILITIES:
- Work effectively to define testable user stories that includes test cases and acceptance criteria.
- Review School Site customer websites to ensure they are performing optimally. For more info about School Site: https://schoolsite.factsmgt.com .
- Monitor software logs, metrics and performance data for issues or opportunities to improve software quality.
- Triage, validate, and track bugs or issues that are reported to the team.
- Leads “after action” reviews to ensure the team is learning from issues and improving their QA practices.
- Ensure the product meets UX design standards and accessibility guidelines.
- Identify opportunities to improve efficiency and effectiveness in automated tests.
- Conduct manual and exploratory testing to validate quality.
Salary Range: $65,000 – $75,000
EDUCATION:
- Bachelor’s degree or equivalent experience.
EXPERIENCE:
Experience with NBS products or similar position at another company.
COMPETENCIES – SKILLS/KNOWLEDGE/ABILITIES:
- Ability to handle multiple priorities and work under pressure.
- Ability to learn to read and understand programming languages.
- Ability to learn database querying skills (e.g., SQL or MongoDB).
- Understanding of business requirements and how they relate to technical requirements.
by twochickswithasidehustle | Feb 28, 2024 | Uncategorized
Nelnet is a diversified and innovative company committed to enriching lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable energy solutions, and K-12 and higher education expert. For over 40 years, Nelnet has been serving its customers, associates, and communities.
The perks of working at Nelnet go beyond our benefits package. When you join the Nelnet team, you’re part of a community invested in the success of each individual. That support comes through in our work, as we are united by our mission of creating opportunities for people where they live, learn, and work.
Manages, directs, and plans complex project(s) consisting of one or more project teams. Responsible for coordinating, scheduling, and assigning project tasks, managing backlogs, team building and leadership, and developing and maintaining positive working relationships with clients in functional areas outside of IT as well as external customers. Applies project development methodologies and reporting techniques to indicate project status.
JOB RESPONSIBILITIES:
- Manages and directs one or more project teams to meet project objectives.
- Reviews, evaluates, and formulates project plans, schedules, and budgets.
- Oversees requirements solicitation and definition for the projects.
- Manages staff and budget resources required to meet changing corporate needs.
- Understanding, and persuades others when appropriate.
- Identifies and negotiates schedules, milestones, and resources required to meet project objectives.
- Leads problem resolution and decision making through facilitation and troubleshooting.
- Organizes and guides project operations through the use of industry-accepted methodologies.
- Evaluates progress and reports progress in terms of quality and performance metrics common to IT projects.
- Works with client departments to coordinate systems testing, installation, training, and support.
EDUCATION:
- Bachelor’s degree in Information Science or related field and/or equivalent combination of education and experience.
- PMI certification preferred.
- 2 or more experience with Agile methodologies.
EXPERIENCE:
Experience in leading teams of developers, analysts, architects and engineers preferably in a matrix organization. Expert level experience working with data in Excel, and MS Project.
COMPETENCIES – SKILLS/KNOWLEDGE/ABILITIES:
- Ability to manage projects from inception to successful post-implementation.
- Demonstrated competency in developing effective solutions to successfully resolve diverse and complex business problems.
- Strong analytical, communication, technical teamwork, and interpersonal skills.
- Must be proficient in SharePoint and preferably experience with TFS, MS CRM, Access, or other database utilities and other Microsoft technologies.
- Works with Assigned project lead to ensure client deliverables and timelines being adhered to.
- Status of Pipeline and Active Projects (estimate due dates, Customer follow-up).
- Tracking estimates to actuals and contract profitability reporting.
Pay range for this role is $75,000-$120,000 annually depending on experience.
Our benefits package includes medical, dental, vision, HSA and FSA, generous earned time off, 401K/student loan repayment, life insurance & AD&D insurance, employee assistance program, employee stock purchase program, tuition reimbursement, performance-based incentive pay, short- and long-term disability, and a robust wellness program. Click here to learn more about our benefits: LINK.
Nelnet is an Equal Opportunity Employer, complies with Executive Order 11246, and takes affirmative action to ensure that qualified applicants are employed, and that employees are treated during employment, without regard to race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance.
by twochickswithasidehustle | Feb 28, 2024 | Uncategorized
What are important things that YOU need to know about this role?
This position is full-time, permanent remote
Hours: flexible. Monday through Friday day hours CST
Organization, attention to detail and accuracy are keys to success in this role
What will YOU be doing for us? Ensure accurate and timely payment of claims to providers. Utilize research and knowledge of coverage and benefits to ensure resolution to more difficult claim payment issues.
What will YOU be working on every day?
Submit accurate and timely payments to providers, keeping within contractual service level agreements for each market. Develop and maintain controls over the proprietary processed data and systems set up through developing and implementing auditing procedures, and identifying potential claim audit exposures.
Interpret and understand coverage and benefit limitations by having a comprehensive understanding of benefits and state requirements for multiple markets.
Assure that claims are paid within the expected time frames by monitoring inventory control and working with team members and appropriate resources in other areas to resolve issues related to claims entry.
Identify trends and suggest and develop efficiencies in the review of edit reports and other documentation by reviewing procedures and making appropriate suggestions and adjustments to procedures.
Resolve complex claim payment inquiries by analyzing patient activity and related documentation (including enrollment, claims, and authorizations) and determine appropriate action to be taken.
Resolve complex client issues that may require research, analysis and working with management.
Complete requests for claims review and/or reprocess within internal guideline turnaround times.
Additional Responsibilities:
Develop and maintain client and provider relationships by interacting directly with the client and providing necessary feedback and communications as needed.
Provide training and guidance to team members on market specific issues by providing feedback to management on claims and provider issues, and updating client business rules and check run procedures as needed.
Partner with Reimbursements team in completing all other tasks as necessary to ensure accurate and timely check runs and internal turnaround times.
PHO only- Post received checks to the appropriate claims. Reconciling posted amount to amount received
PHO only- Prepare and submit billing date to insurance companies
PHO only – Participate in monthly meetings with client
What qualifications do YOU need to have to be GOOD candidate?
Required Level of Education, Licenses, and/or Certificates
High school diploma or equivalent
Required Level of Experience
2 years of prior job related experience (Dental Assistant, Dental/Medical Office Manager, Dental/Medical front office, or health/dental insurance, including managed care operations, accounts receivable and or billing)
Required Knowledge, Skills, and Abilities
Knowledge of health or dental procedures coding and terminology.
Basic knowledge of Microsoft software (Outlook, Excel and Word).
Exceptional written and verbal communication skills.
Competencies
Fostering Innovation: The ability to develop, sponsor, or support the introduction of new and improved method, products, procedures, or technologies.
Critical Thinking: The ability to analyze/evaluate information as presented, utilize past experience to make decisions that are logical and reasonable and demonstrate sound judgment.
Initiative: Identifying what needs to be done and doing it before being asked or before the situation requires it.
Results Orientation: The ability to focus on the desired result of one’s own or one’s unit’s work, setting challenging goals, focusing effort on the goals, and meeting or exceeding them.
Detail Oriented: Ensuring that one’s own and/or others’ work and information are complete, timely and accurate; carefully preparing for meetings and presentations; following up with others to ensure that agreements and commitments have been fulfilled.
Time Management: The ability to manage several competing tasks at once effectively while still meeting deadlines.
What qualifications do YOU need to have to be GREAT candidate?
Preferred Level of Education, License, and/or Certificates
Bachelor’s Degree in a related field
Preferred Level of Experience
Knowledge of vision claim processing
Preferred Knowledge, Skills, and Abilities
None
PHO Only: Knowledge of Enterprise Systems
Medical Claims
EDI Claim Submission
The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.
Compensation Range:
$39,115.00 – $58,672.00
Compensation Midpoint:
$48,894.00
by twochickswithasidehustle | Feb 28, 2024 | Uncategorized
Brightree is a wholly owned subsidiary of ResMed (NYSE: RMD, ASX: RMD).
When you work at Brightree, it’s more than just a job. You’ll be part of a team that’s driving innovation and leading the way in cloud-based patient management software.
The technology allows us to provide the tools for better outcomes but at our heart, we’re really about people. We strive to positively impact our customers’ businesses and the lives of patients every single day.
Job purpose: Brightree by ResMed is a technology company. But Brightree is, at its heart, about people. We develop innovative, end-to-end technology solutions and services for people facing everyday challenges in the post-acute care industry. Brightree helps streamline processes, improve efficiency, and increase profitability. For over fifteen years, organizations big and small have put their trust in us— for our wide-ranging solutions, our leadership, and our unmatched customer service. Going to work each day and creating new ways to positively impact our customers’ businesses and the lives of patients is just what we do. Because Brightree is, after all, about people. Brightree’s Revenue Cycle Management team, located in Paddock Lake, WI, is always thinking, creating and challenging ourselves to better serve our patients and customers.
This position reports to the RCM Adjustment and Refund Team Lead and is responsible for the quality and achievement of revenue adjustment goals. We are looking for someone who is highly motivated,
passionate about customer service, with the ability to follow policies and procedures as directed by Medicare, Medicaid and private insurances. Our Quality Review Specialist will work together with
internal and external customers on the phone, via software applications and via email. If you are seeking a rewarding position in the rapidly expanding healthcare and technology solutions space our Quality
Review Specialist position in the RCM Adjustments Department is for you!
Key accountabilities and decision ownership:
Performs quality review and edits to assure adjustments, rebills and refunds are completed accurately and according to the procedures established
Makes procedure recommendations and updates procedure documents for optimal performance
Communicates and works with cross-functional departments to identify potential risks and solutions for performance improvement
Identifies potential deficiencies in processes via analysis and trends
Provides education and assists in implementation of procedure changes
Identifies training needs and reports to Team Lead
Assures SLA’s and quality of work thresholds are maintained
Drives change through collaboration, influence, and partnerships
Manages workload to complete assignments in a timely fashion
Skills, experience, technical/professional qualifications: Must have:
High school education required, Associate’s or Bachelor’s Degree a plus
Two years accounts receivable experience
Effective communication skills with strong oral, written and persuasive abilities to work with people at all levels in the organization, as well as for documenting notes in client systems
Exceptional organizational skills with a high-level of attention to detail and the ability to multitask within multiple client databases
Demonstrated ability to work independently and complete tasks in a timely manner
Strong computer proficiency with Microsoft Office and Databases Preferred:
Passionate about customer service
Excellent problem-solving skills focused on identifying and implementing solutions for internal and external customers
Strong ethics with a high-level of personal and professional integrity
Results driven self-starter who is highly motivated and able to troubleshoot challenges on the fly
Proven track record of working towards and exceeding metrics
Highly Preferred:
Background In DME
Brightree Software Experience
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.
Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills.
At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: $16.00 – 20.00 – 24.00 USD Hourly
For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills.
Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.
by twochickswithasidehustle | Feb 28, 2024 | Uncategorized
To learn about the Reader/Evaluator position review the summary and requirements below. To apply, please click on this link: https://www.appone.com/MainInfoReq.asp?R_ID=5939911
Readers/Evaluators score student responses to English language arts, mathematics, science, and other test items. They are hired on a temporary, project-by-project basis. Most work occurs from March to June. All positions are remote/work from home.
Job Requirements:
- Proof of a bachelor’s degree (any field) from an accredited college or university or an equivalent foreign degree verified by an educational equivalency agency recognized by the National Association of Credential Evaluation Services.
- An operating system that meets Measurement Incorporated’s technical requirements: Check here. If your system does not meet our technical requirements, please do not apply.
- Live in one of these 29 states: AL, AR, DE, FL, GA, IA, ID, IN, KS, KY, LA, MI, MO, MS, MT, NE, NC, NH, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, and WV.
- DO NOT apply to this Reader/Evaluator position via Paycor. Your application will not be viewed or processed. You must apply using the link above.
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