Remote Medical Records Clerk

by | Nov 29, 2023 | Uncategorized

Position Type

Full time

Requisition ID

28747

Level of Education

Years of Experience

About Exela

Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune® 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela’s software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. – Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner.

Health & Wellness

We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental income protection including short term insurance coverage is available. We also offer a 401(k)-retirement savings plan to assist eligible employees in saving for their retirement. Participants are provided access to financial wellness resources and retirement planning services.

Military Hiring:

Exela seeks job applicants from all walks of life and backgrounds including, but not limited to, those who are transitioning military members, veterans, reservists, National Guard members, military spouses and their family members. Individuals will be considered no matter their military rank or specialty.

Title: Medical Records Clerk

Work Location: Home Office

Classification: Full-Time, Hourly

FLSA Status: Non-exempt

Summary of Responsibilities: This position reviews medical record documentation to determine if the medical record is ready for coding. LexiCode is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is $15.00-$20.00 an hour. Specific compensation for the role will vary within this range based on factors such as experience, credential, demonstration of skill and knowledge, or geographic location.

Job Description
Essential Functions and Responsibilities

· Review medical record documentation to determine if the medical record is ready for coding.

· Ability to understand and apply different forms and rules depending on the record type.

· Communicate the status of the account.

Key Skills

· Detail oriented, particularly with reading comprehension.

· Familiarity with the medical terminology with the ability to understand medical documentation.

· Communication skills; both written and verbal.

· Knowledge of computer equipment.

· Must be able to sit for long periods of time.

· Work under moderate supervision.

Required Experience: The employee must have 1 or more years of related experience.

Educational Requirements: High School Diploma or GED.

Working Conditions: Job may require various in-office conditions included but not limited to: sitting and performing job at varying work stations; utilizing various computers and programs; complying with internal client policy and procedures.

APPLY HERE!!!

QA Associate

by | Nov 29, 2023 | Uncategorized

We are looking for a QA Associate who will be responsible for reviewing and managing I9s for our caregiver population. We hire in high volume, remotely, and must ensure compliance for each and every one of these new hires. This individual will be primarily responsible for daily review of newly-submitted I9s and will be accountable for ensuring we are free of errors and meeting all expectations as dictated by the USCIS.

Responsibilities:

Use our ATS to manage a daily steady influx of submitted I9s, reviewing candidates’ section 1 for accuracy. When errors exist, returning documents to candidates for redo and providing seamless customer support to ensure we receive an accurate version in time for hire.
Executing daily QAs of I9 Section 2, completed by associates, to identify and immediately flag any errors for correction
Utilize I9 expertise to provide timely and clear coaching to associates if and when an error occurs, contributing to a reduction of repeat errors moving forward
In addition to supporting our weekly direct hires, support with I9 QA for implementations of other agencies onto our platform and the caregivers who transfer over with the agencies
Provide and maintain diligent notes and a tracking system to ensure we are make few to no errors and immediately catching and keeping record of any errors when they do arise
Manage and oversee the timely submission and resolution of E-Verify cases, as well as I-9s submitted with receipts, ensuring compliance with established regulations.
Staying up to date on the latest guidelines around employer I9 expectations, ensuring we are constantly in compliance
Depending upon volume at any given time, flex into other ad hoc support needed for the hiring team (examples: phone screening, virtual orientations, document collection, etc)
Proactively adapt workflows as we test and explore new paths to hiring
About you:

This person has a strong background in handling I9 completion and/or other HR-related tasks. You have expertise around recognizing acceptable documentation and best practices for both section 1 and section 2 completion. You are extremely attentive to detail and highly organized – you are rigorous in your approach and have a track record proving such.

To succeed in the role, you’ll need:

Comfortable and proactive with providing effective feedback
A problem-solver and go-getter who holds self and others to a high standard
Flexible and able to adapt in a fast-paced and frequently changing work environment – willing and able to wear many hats!
Qualifications and experience:

Education and/or Experience: High school diploma, and 3+ years in an HR-related position
Minimum of 2 years directly handling I9s with expertise on this subject
Experience conducting quality assurance and maintaining records for I9s and/or other sensitive employment documentation
Knowledge of USCIS regulations and best practices
Experience with Google suite (Sheets, Doc, Slides, email, and Calendar)
Strong interpersonal skills and ability to communicate clearly and effectively
Proven ability to manage a high volume of records and ensure accuracy
Able to identify problems and quickly determine effective solutions
Comfortable with technology and able to learn new tools and systems
Our range reflects the hiring range for this position. We use national average to determine pay as we are a remote first company. Individual pay is based on a number of factors including qualifications, skills, experience, education, and training.

Base pay is just a part of our total rewards program. Honor offers equity and 401K with up to a 4% match. We provide medical, dental and vision coverage including zero cost plans for employees. Short Term Disability, Long Term Disability and Life Insurance are fully employer paid with a voluntary additional Life Insurance option. We offer a generous time off program, mental health benefits, wellness program, and discount program.

Hourly Hiring Range
$22.75—$25.25 USD
What’s next?

Honor is remote friendly! We’re hiring across the U.S., with an entirely virtual interview and onboarding process. Most of our positions are remote/work from home and do not require permanent relocation. As conditions allow, we have office space for in-person collaboration in our San Francisco Bay Area, CA and Austin, TX hubs. If you’re looking for a great job that offers you the opportunity to work from home, we’d love to talk to you.

APPLY HERE!!!

Billing Specialist (Legal)

by | Nov 29, 2023 | Uncategorized

Description
Position at Berkeley Research Group, LLC
Job Summary:

BRG is seeking a full-time, highly experienced Billing Specialist for its Corporate Billing Department. Current professional service or legal billing experience is required. The Billing Specialist will be responsible for all aspects of full-charge client billing.

The Billing Specialist reports directly to the Billing Manager and is responsible for providing outstanding service to the Firm’s personnel, clients, and subcontractors. Qualified candidate must be very flexible, highly committed to exceptional quality and accuracy, high level customer service, teamwork, and supporting Firm and department goals in a dynamic, fast-paced environment.

Duties will include but are not limited to:

Daily, heavy Client contract review and matter set up upon case activation.
Generating client invoices for routine, electronic, and complex billing arrangements.
Follow through, tracking, and reporting of multiple assignments and progress.
Data entry, editing, customizing, and processing of Client invoices in accordance with contracts terms.
WIP Analysis, tracking, and reporting.
Assist as needed in guiding and supporting other billing staff once trained and qualified.
Required Qualifications:

5+ years of full-charge billing experience in professional services or law firm required.
Strong skillsets of 10 key, Word, Excel, and Outlook.
Exceptional organizational skills, follow-up skills, and very high attention to detail.
Excellent written and oral communication skills.
Ability to work well in a dynamic, fast-paced environment and meet deadlines.
Ability to juggle/manage multiple tasks/projects and competing requirements, often under strict deadlines.
Actively participate in a team environment.
Committed to high quality customer service (internal and external).
Consistent attendance and reliability.
E-billing experience (including E-Billing HUB) highly preferred.
International multi-currency billing preferred
Elite 3E experience preferred.
Bachelor’s degree preferred.
Bankruptcy experience preferred.
Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.
Salary Range: $27- $37 per hour.

LI-AW1

LI-REMOTE

About BRG

Berkeley Research Group, LLC (BRG) is a global consulting firm that helps leading organizations advance in three key areas: disputes and investigations, corporate finance, and strategy and operations. Headquartered in California with over 40 offices around the world, we are an integrated group of experts, industry leaders, academics, data scientists, and professionals working beyond borders and disciplines. BRG strives to build and nurture a culture where inclusiveness is instinctive, not an initiative. We celebrate and value the diversity of our professionals and are dedicated to maintaining a truly inclusive work environment where all individuals feel respected and valued. We harness our collective expertise to deliver the inspired insights and practical strategies our clients need to stay ahead of what’s next.

Berkeley Research Group is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

APPLY HERE!!!

Director, Specialty Clinical Solutions- REMOTE

by | Nov 29, 2023 | Uncategorized

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title
Director, Specialty Clinical Solutions- REMOTE
Job Description Summary

Responsible for support and development of Medical Pharmacy program strategy as part of the Medical Pharmacy Business Development team. Responsible for managing current Medical Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all clinical pharmacy programs involving Medical Specialty medications and additional clinical programs as needed. Expected to assume leadership of projects as assigned by VP, Medical Pharmacy Strategy.
Job Description

Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of usable, client collateral materials with marketing, and onsite client presentations
Leads evaluation and identification opportunities for improved management of Medical benefit drugs through clinical research and analytics that improve medical cost savings and provide clinical quality initiatives
Manages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization, Post Service Claim Edits, Site of Service and any additional programs.
Develops new opportunities and expands programs for existing clients.
Works with analytics team to provide business rules and develop new drug to market cost impact analyses for health plan clients
Manages Medical Pharmacy development needs for potential new clients.
Identifies and develops opportunities for improved process efficiencies for Medical Pharmacy programs.
Identifies enhanced reporting methodologies for Medical Pharmacy Programs.
Supports development and production of Medical Pharmacy Trend Report, owning specific sections as delegated
Supports development, production and monitoring of Specialty Pharmacy Pipeline Report.
Communicates and collaborates effectively with all internal stakeholders
Provides Medical Pharmacy expertise within the organization to other business units and within Magellan Rx
Develops potential opportunities and all research and materials for presentations at National pharmacy/healthcare industry meetings, white papers and published papers.
Develops appropriate submissions for program presentations at National meetings and for publication acceptance.
Responsibilities

7+ years of pharmacy, managed care and pharmaceutical industry experience.

At least 1-2 years’ Health Plan Pharmacy experience with knowledge of Medical Pharmacy benefit management strategies.

Strong interpersonal, consultation, organizational, tracking and follow-up skills.

Pharmacy, Managed Care, Pharmaceutical Industry experience.
Ability to research, obtain, coordinate, and integrate feedback and directions from diverse operational groups and organizations into a written product.
Excellent verbal and written communication skills.
Knowledge of legislative/oversight bodies (e.g., URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQA-National Committee for Quality Assurance, and ERISA-Employee Retirement Income Security Act of 1974).
Requires an in depth understanding of the pharmacy industry including drugs paid for on the medical benefit and pharmacy benefit.
Generates high confidence in project output and production.
Independent worker requiring little oversight, self motivated.
Strong communication and presentation skills.
Experience and thorough understanding of Microsoft Office products, and other relevant software systems and applications.
Data review and interpretation skills required.
Must possess RPh or PharmD license in good standing.
Health Plan experience managing drugs on both Pharmacy and Medical benefit.
Work Experience

Work Experience – Required:

Managed Healthcare, Pharmacy
Work Experience – Preferred:

Education

Education – Required:

Bachelors – Pharmacy
Education – Preferred:

PharmD – Pharmacy
Certifications

Certifications – Required:

RPH – Registered Pharmacist – Pharmacy – Pharmacy
Certifications – Preferred:

PharmD – Doctor Of Pharmacy, State Licensure – Pharmacy – Pharmacy

APPLY HERE!!!