Claims Examiner

Date:  Oct 26, 2023

Location:  

Remote, Remote, US

Requisition ID:  5276

Description: 

Are you ready to take your next big career step with a respected BPO services company? Join us at Firstsource Transaction Services! We are a leading Business Process Management company, providing customer-centric business process services. With a diverse array of resources, we can tap into our talent pools to ensure client proximity, deep market and domain expertise, and superior communication; called our ‘Right-shore’ delivery model. We leverage this model to serve organizations in the Banking, Financial Services and Insurance, Healthcare, Telecommunications & Media verticals. Our brand’s promise is – Business Process. Simplified.

Due to our continued growth, Firstsource is looking for Provider Data Specialist

Responsible for performing manual provider demographic and contract linkage loads and maintenance based on work requests for physician groups, while ensuring we synchronize multiple systems platforms. 

Qualifications – External

Responsibilities:

  • Processing and data entry for routine types of physician and contract linkage transactions such as:
    • Load new physician demographics and contract linkage using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.)
    • Perform physician demographics and contract linkage data using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.)
    • Responsible for ensuring all data elements necessary to complete the request are provided and responds to the submitter with a detailed outline if additional information is needed
    • Use desk-top macros whenever possible to ensure data loading accuracy and efficiency
    • Send large requests capable of being automated as defined by management to the AST
  • Provide excellent customer service to customers (physician, health plans, affiliates, delegates, insured, and all associated business partners) by:
    • Quickly and accurately identifying and assessing customer needs and taking appropriate action steps to satisfy those needs
    • Solve problems systematically using sound business judgment and following through on commitments using an automated approach whenever possible
    • Respond to customers in a polite and professional manner
    • Complete assigned work within established TAT and Quality metrics while remaining within downtime parameters to ensure customer satisfaction
    • Establish successful working relationship with business partners
  • Ability to resolve quality validation issues concerning any quality process
  • Consistently meet established service, productivity, and quality standards
  • Special projects as required

Qualifications:

Pre-Requisites

  • High school diploma or equivalent
  • Basic knowledge of the health care industry and managed care preferred
  • Working knowledge of systems platforms preferred
  • Excellent telephone/customer service skills required
  • PC skills (Power Point, Word, Excel, Access, Lotus Notes, Intranet) preferred
  • Data entry experience preferred
  • Strong customer service orientation required
  • Excellent attendance
  • Ability to work independently

Critical Success Factors

  • Strong communication skills
  • Attention to detail
  • Quality focused
  • Decision making skills
  • Organizational skills
  • Problem solving
  • Team player
  • Self starter who needs minimal direction

We are an Equal Opportunity Employer.  All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

Data Processing Analyst (Startups and Funding Cycles)

NATIONAL CAPITAL REGION /

SUPPORTNINJA CAREERS – DATA ENTRY/DATA PROCESSING ANALYSTS /

PROJECT BASED

/ REMOTE

APPLY FOR THIS JOB

We’re obsessed with growth. From enabling companies to flourish, to helping careers bloom.

SupportNinja was founded in 2015 to help companies solve for scale and connect them with a wider world of talent. Our vision is to show the world a better way to grow by developing the best people, implementing the latest technology, and challenging the status quo. 

What does a day in the life as a Data Processing Analyst look like?

  • Execute fast, accurate transaction processing including data parsing, data entry, and data enrichment
  • Closely follow process workflows, and support the implementation of projects as directed by leadership
  • Collaborate closely with team leader or manager regarding issues or concerns with daily tasks and activities
  • Enrich data through research, and generate reports and analytics as needed
  • Consistently perform with high accuracy and attention to detail
  • Review tasks of junior members for completion and quality of work

What are the required qualifications for a Data Processing Analyst?

  • Minimum of 1 year of experience as a data processing analyst or similar role
  • Familiarity with Startups and the Funding cycles.
  • Average written and verbal communication skills
  • Proficient in Microsoft Excel and Google Sheets
  • Experienced with any CRM platforms
  • Willing to work on a project-based setup

Ninja Perks and Benefits

●     Competitive compensation

●     Adherence to government-mandated benefits

●     Retirement Savings Program with Company Matching

●     Life Insurance

●     HMO on day 1

●     Paid time off, birthday leave

●     Bonus and incentive plans

●     Opportunities for skills training and personal and professional development

●     Employee Referral Program

Experience infinite fun so you can have infinite growth. Discover A Better Way to Grow! Are you ready?

Disclaimer:

The duties and responsibilities listed above describe the post as it is in general terms and are not definitive. The post holder is expected to accept any reasonable alterations that may from time to time be necessary.

SupportNinja is proud to be an Equal Employment Opportunity employer and we do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, veteran status, disability, or other applicable legally protected characteristics under federal, state, or local law.

Live Stream Moderator – US English


The Social Element:

Hello! We are a leading global independent full service social media agency, founded 21 years ago. Our 260+ team members look after some of the world’s largest brands (Visa, Nissan, Dr Pepper). We pride ourselves on our ability to build strong relationships with our clients enabling us to be the voice of their brand on Social.

We believe that brand growth, trust and loyalty is driven through Genuine Human Connection and that social media presents the best opportunity for brands to engage emotionally with their audience.

The Opportunity 🎮

Our Social Media Moderators protect our clients’ brands and make sure their reputation is kept safe at all times; they are key in providing a positive social experience for all users, while being aware of any potential issues on the social media platforms.

As a Live stream Moderator, you are responsible for keeping the chat clean, moderating behaviour and enforcing the rules of the stream with the aim to ensure the chat is friendly and civil. This means moderating the chat for insults, offensive language, inappropriate content and spam. In this type of work, you’ll be monitoring incoming social feeds in real time!

What You’ll Do 📅

  • Moderating live comments in accordance with The Social Element guidelines and client-specific guidelines.
  • Carrying out moderation and training accordingly to the times scheduled in the project schedule
  • Offering support to other moderators who need assistance as well as mentoring new moderators and supporting them
  • Complete shift reports using templates provided according to individual project requirements

Currently we are looking for people who would like to work with The Social Element on an ad hoc project basis. We have many live events throughout the year where we need talented professionals to come onboard and support us – we would love to starting building a relationship with you!

Working Hours 🕑

This is temporary and occasional work. Ideally, we are looking for candidates who have flexibility to work across weekdays, evenings and weekends to cover all project hours. Working times may change and the amount of hours you will be required to work may increase or decrease depending on the needs of the projects.

Child Protection

At The Social Element, we place the protection of children at the heart of everything we do. We believe everyone has a responsibility to promote the welfare and safety of all children, regardless of their age, disability, gender identity, race, religion, sex, or sexual orientation. All candidates will have to agree to a criminal background check and provide details for 2 professional referees at the point of accepting an offer of work.

Requirements

💬 Excellent US English level: As you’ll be reviewing comments in US English having outstanding written communication skills and the ability to read between the lines is a must.

📝 Ability and feeling comfortable working in fast-paced environments with the ability to multitask and navigate a fast-moving live chat.

🧑‍🤝‍🧑 Background experience: either in moderation, and/or community management, or a gamer & live stream enthusiast.

📱Social Media knowledge: Experience in using either Twitch, Discord, Facebook, Twitter, Instagram, in particularly live streaming platforms e.g. Twitch, TikTok, YouTube, Vimeo, etc.

📈 Ability to be assertive and decisive when making judgement calls.

✨ A self-motivated social media expert who is comfortable working remotely.

🎮If you have any personal or professional experience in gaming, live streaming and any type of moderation, we’d love to hear from you!! ❤️

IT Policy 💻

We operate a BYOD (Bring Your Own Device) Policy which means to carry out this work, your PC will need to meet the following requirements:

  • Operating system Windows 10 64bits or higher / MAC OS X version 12 (Monterey) or higher. We do not support Windows 8 or older / MacOS Big Sur or older.
  • i5 8th generation or faster 64-bit (x64) processor
  • At least 8GB RAM (16GB recommended)
  • Internet speed is 20Mbps download / 1Mbps upload (50Mbps download / 5Mbps upload is recommended)
  • 40 GB available HDD (SSD recommended)
  • A Webcam and headset
  • Android or iOS device for 2FA

Please Note: It is essential to have all IT requirements to qualify for the process and IT policy.

The Social Element values

Work according to the company values

Do it Well 💪

Be One Team 🧑‍🤝‍🧑

Do the Right Thing ✔️

Keep Pioneering 💡

Make Them Smile 😃

Our Diversity, Equality & Inclusion Commitment

We are proud to be an Equal Opportunity employer. Our hiring process is fair, transparent and based on merit, skill and experience related to the role. We welcome applications from diverse and under-represented groups regardless of their background.

We value having divergent thinkers who bring various experiences and viewpoints to the table at The Social Element. We strongly encourage members of underrepresented groups to apply.

We are also able to make reasonable adjustments throughout the full recruitment process so we invite you to identify any additional support that you may require to ensure you are supported throughout the full process.

We know the confidence gap and imposter syndrome can get in the way of meeting spectacular candidates, so even if you feel you don’t fulfil all the requirements, we encourage you to still apply — we’d love to hear from you! 🙂

How To Apply 🖊️

Simply upload your resume and answer the application questions. You can either share a covering letter (or a link to your cover letter video if you prefer). *Make sure to include the following details in your cover letter/video.💙

  • Your gaming and live stream experience
  • Availability to work
  • Why you are interested in this type of work

Continuing Care Coordinator

Why Charlie Health?
Young people across the country need our help. The sad reality is that a mental health crisis has taken hold of our most vulnerable population—leading to record levels of depression, anxiety, substance abuse, and self-harm. From Manhattan to Montana, this reality is compounded by issues of access, both geographic and financial. The mental health landscape is systemically broken, and our young people are suffering as a result.

Charlie Health has set out on a mission to reimagine how high acuity care is delivered to young people and families in crisis. Our initial offering is a virtual intensive outpatient program, which places peers with similar mental health experiences and goals into customized virtual groups. Our team of masters-level clinicians lead groups multiple times per week to deliver a higher level of care.

Our goal is to help young people and families heal together. Through a combination of exceptional medical and psychological care, engaged community partnerships, and best-in-class technology, we provide an unparalleled approach to recovery support that serves individual needs in an integrated way. Join us in our mission to ensure that every young person—regardless of location or socioeconomic status—can get the care that they deserve.

About the Role
Continuing Care Coordinators help manage client-related communication and coordination with referral sources, such as hospitals, outpatient practices, schools, and governmental organizations. Specifically, they are responsible for some or all of the following: providing treatment updates to referring providers and planning discharge for clients in our care.

  1. Treatment updates to referring providers

For clients receiving care at Charlie Health, Continuing Care Coordinators may be responsible for providing consistent, high-quality treatment updates to referral sources. They may also help answer questions about their referred clients. A key aspect of this role is building trusting relationships with referral sources – Continuing Care Coordinators are expected to communicate professionally and collaboratively to deliver a seamless, supportive experience.

  1. Discharge planning

For clients completing treatment at Charlie Health, Continuing Care Coordinators may be responsible for developing a discharge plan. The discharge plan is Charlie Health’s opportunity to set the client and family up for success post-program. Continuing Care Coordinators ensure that each plan is comprehensive and clinically appropriate. Key activities include identifying appropriate aftercare resources and engaging with clients to facilitate a smooth transition.

Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing live-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to impact thousands of lives in a meaningful way.

Responsibilities
Ensure a supportive, positive experience for clients and referral sources / external providers
Work directly with clients, families, and referral sources to understand their needs and preferences
Make accurate and timely referrals to aftercare resources for clients discharging from Charlie Health
Use and maintain a nationwide provider database to identify appropriate referral options
Make referrals using external provider’s preferred communication channels
Follow-up with clients and/or external providers to verify placement
Communicates with referral providers about new referrals and ensures that the facility/provider has all necessary information to consider a referral; assists with ensuring that all receiving providers have all necessary clinical materials and information.
Documents case management contacts in progress notes, communicates with therapists/case managers and treatment team about contact and updates on the status of discharge planning
Collaborate closely with internal stakeholders at Charlie Health (e.g., clinical team, admissions team) as needed to fulfill job responsibilities
Work closely with the Clinical Outreach and Partnerships teams to build a deep understanding of referral sources and the services they provide
Adhere to stated policies and procedures and achieve performance metrics goals
Requirements
Bachelor’s degree in health sciences, communications, psychology, social work, or related field
Minimum of 2 years of relevant work experience (e.g., experience in healthcare, preferably in customer / patient-facing roles such as case management, discharge planning, referral relations, admissions, or outreach)
Strong interpersonal, relationship-building and listening skills
Metrics- and results-oriented mindset, with experience working against concrete targets
Excellent written and verbal communication skills
Extreme organization and attention to detail
Work authorized in the United States and native or bilingual English proficiency
Ability to thrive in a fast-paced environment and learn quickly
Proficient in Salesforce and Google Suite/MS Office
Benefits
Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Additional Information

The expected base pay for this role will be between $55,000 and $65,000 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits.

So—what do you think?
If you’ve made it this far, well, we’re excited to meet you too. Just one more thing that we want you to remember: we pride ourselves on our meritocratic, performance-driven culture. There are lives on the line, and we have young people to save. There’s no room for complacency. Your scope of responsibility and opportunity to make a difference will be uncapped at Charlie Health, but we need your commitment that you will work tirelessly for our patients, parents, and partners. At the end of day, our team is committed to helping you succeed at Charlie Health because when you succeed, our patients succeed, and we get one step closer to solving the mental health crisis. We’re hopeful that this role will give you the experience to go and do whatever you want in life but the fulfillment to make you never want to leave our team. We look forward to solving the mental health crisis, together.

Please do not call our public clinical admissions line in regards to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

Part-Time Accounting Specialist

Double River is a quantitatively driven investment company. We operate throughout the global markets in search of alpha. We also want to improve our world, and make impact/humanitarian investments in developing countries, helping local communities.

Our team covers multiple disciplines from Computer Science and Mathematics to Econometrics and Statistics, with backgrounds ranging from years in the industry to current students. We work remote, cover multiple time zones, and love what we do. The Double River culture is all about trust, being curious, and working together.

We are looking for an entry-level accounting professional to help with a variety of tasks, including:

  • Quickbooks Online management
  • Finance-related data entry
  • Monthly reconciliations, closing entries, and reviews
  • Financial reporting and business forecasting
  • Other reporting and analysis as business needs and individual skill dictate

This is a part time position, averaging 15-20 hours/week. Nearly all projects can be completed remotely. Pay $18-24/hr DOE.

Qualifications:

  • Independent self-starter; able to work without oversight
  • Detail-oriented
  • Can-do attitude
  • Comfortable with QuickBooks & Excel (Preferred Quickbooks Online ProAdvisor Certification)