by twochickswithasidehustle | Nov 22, 2023 | Uncategorized
Job Type
Part-time
Description
Soleo Health is seeking a Part-time Reimbursement Specialist to work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
Competitive Wages
No Weekends or Holidays!
Flexible schedules
Great company culture
401(k) with a match
Referral Bonus
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
Complementary Telehealth Plan
HSA & FSA (including dependent care) options
Paid Time Off
The Position:
The Reimbursement Specialist will effectively perform the billing and collection activities necessary to facilitate the payment for the services provided. Responsibilities include:
Responsible for the preparation of accurate medical and pharmacy claims for home infusion therapy services to various payers (e.g. commercial Rx Card Payers, Government Payers, Employer/ Institutional Payers, and Medical).
Creates and submits secondary medical claims in a timely manner
Monitors billing requirements pursuant to contracts with third party payers or government programs.
Reviews payments/EOBs applied to invoice to ensure that correct payment has been received
Addresses payer and electronic transmission rejections
Researches claim denials and follows-up with payer for resolution
Monitors payer correspondence and provides requested information, as appropriate.
Makes routine collection calls on outstanding claims.
Research refund requests received by payers and prepare refund according to findings.
Documents notes in a clear and concise fashion in Company software system.
Identifies issues/trends and escalates to Manager when assistance is needed.
Provides exceptional Customer service to internal and external customers.
Ensures compliance with federal, state, and local governments, third party contracts, and company policies.
Schedule:
Monday-Friday 8:00am – 2:30pm
Part-time
Remote
Requirements
Knowledge of home infusion therapy billing practices, preferred
Knowledge of HCPC coding and medical terminology
Excellent math and writing skills
Experience providing customer service to internal and external customers
CPR+ systems experience preferred
Excel and Outlook experience required
High School Diploma or GED required
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo’s Core Values:
Improve patients’ lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Salary Description
$20-$24
by twochickswithasidehustle | Nov 22, 2023 | Uncategorized
ummary of Position:
The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This ROIS has the opportunity to work remotely. The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medical records, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
RHIT certification, preferred
2+ years of medical record experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
by twochickswithasidehustle | Nov 22, 2023 | Uncategorized
Job Description
RECORDS CLERK – MANAGED RESOURCES
Part Time & Full Time Available | Remote | Short Term Project: 3+ months
Job Overview/Purpose
A highly motivated Records Clerk that will support our company’s Professional Audit and Coding Department, providing both internal and client facing support.
Founded in 1994 Managed Resources (MRI) in Long Beach California, MRI partners with clients nationwide to help them solve complex revenue cycle and compliance challenges. In our over 25 years of operations, MRI has had the pleasure of working with many of the most prestigious healthcare organizations and medical groups in the county that span from the Hawaiian Islands to the East Coast.
Please read the below description and apply if you meet the requirements and would like to hear more about this opportunity with Managed Resources.
DESCRIPTION
Complete the following functions in accordance with Managed Resources policies:
Assist with requesting, tracking, receiving, and organizing medical records.
Request and receive medical records using various platforms as requested by the clients (i.e. telephone, secure fax, secure email, mail, upload/download Cloud Storage sites, etc.).
Assist with organizing and tracking billing information.
Assist with prepping and uploading billing information into an Audit software program.
Assist with running, saving and organizing reports from an Audit software program.
Communicate regularly with Project Manager on project status and deadlines.
Data entry tasks for client deliverables.
Track assigned and completed work as instructed by the Project Manager.
Maintain and ensure HIPAA compliance throughout the entire cycle.
Other duties as assigned.
QUALIFICATIONS?
Ideal candidate will possess the following:
High school diploma required.
Experience in the Health Care industry preferred.
Medical records experience preferred.
Currently enrolled in a coder training program or received their Apprentice coding credential (CPC-A) preferred.
Creative thinker who enjoys working in a team environment
An innovative, positive, and self-directed attitude – interested in “figuring out” solutions
Time management, prioritization, and task management skills
Strong oral, writing, and proofreading skills
Meet deadlines, quality, and production standards established through monthly audits
High Attention to detail
Flexible and adaptable to shifting priorities
Proficiency in MS PowerPoint, Word, Excel and Outlook.
Proficiency in Cloud based Storage sites.
BENEFITS
Benefits may include:
Fully remote work environment
Flexible schedule
Monthly phone/internet reimbursement
Access to our CEU’s
by twochickswithasidehustle | Nov 22, 2023 | Uncategorized
Overjet is on a mission to improve oral health for all.
Our cutting-edge artificial intelligence technology encodes dentist-level training and analysis into scalable software tools. Today, our flagship products are used by some of the country’s largest insurance companies, dental support organizations, and dental practices to enable the best patient care.
We’re building an ambitious team of data scientists, software engineers, clinicians, and business thinkers and doers.
Overjet is backed by an amazing consortium of Venture Capital including General Catalyst, Insight Partners, Crosslink Capital and the E14 Fund. The company has raised nearly $80 million in capital to accelerate talent acquisition and product development driven by strong demand for Overjet’s dental AI.
The Role
Our Customer Success Team is looking for an engaging, detail-oriented, and process-driven Implementation Specialist who will be responsible for onboarding and training our dental offices on the Overjet Platform. The ideal candidate has experience working in a dental practice as a hygienist or dental assistant.
Responsibilities
Guide customers through setting up and using the Overjet software.
Plan and execute comprehensive training programs across all Overjet offices, adapting to both in-person and virtual environments to maximize product adoption and integration.
Act as the primary consultant and resource for internal and external stakeholders during the Overjet onboarding process, significantly influencing customer acceptance and utilization.
Initiate in-depth discussions with customers to gather valuable feedback, identifying opportunities for product and service enhancements.
Collaborate with internal teams to effectively manage and streamline the entire training process, ensuring consistency and quality.
Use your knowledge of dental practices to help dentists and their teams get the most out of Overjet.
Ensure customers achieve proficiency in using the Overjet platform within the first 30 days of onboarding.
Qualifications
Bachelor’s degree or significant relevant experience.
5+ years of experience in training roles in SaaS, dental, or related fields.
Experience working in a dental practice as a hygienist or dental assistant.
Proven ability in implementing processes and building new procedures in fast-growing. environments, reflecting strong organizational skills.
Exceptional communication and interpersonal skills, essential for effective training and team collaboration.
A strong enthusiasm for learning about artificial intelligence, insurance, dentistry, and technology,
Willingness to travel 10-15% as needed.
Why Overjet?
Competitive Compensation and Equity
Fully Remote Working Policy for US Based Employees
401k plans with a matching program
Medical, Dental and Vision coverage: 99% employee premium covered, 75% dependent premium covered
Life and AD+D Insurance
8 weeks Paid Parental Leave
Optional HSA with Employer contribution
Flexible Time Off and company paid holidays
Annual Learning and Development Stipend
Work from Home Stipend
Overjet’s Values
Excellence: We set ambitious goals and strive for excellence.
Velocity: We focus, act with urgency, and deliver results.
Ownership: We take ownership, dive deep and solve problems.
Win-win: We play to win, setting ourselves and our customers up for success.
Growth: We stay curious, seek feedback, and continuously learn and grow.
Company Recognition
2023 — #29 on Linkedin’s Top Startups 2023: The 50 U.S. companies on the rise
2023 — Fast Company World Changing Ideas for Overjet’s FDA-cleared dental AI
2023 — Fast Company World Most Innovative Companies
2023 — Fast Company Top 10 Healthcare Companies in the World
2022 AI-50 Forbes
2022 22 Start-ups to Watch in 2022 – Built in Boston
2021 AI 100 Ranking, showcasing the 100 most promising private artificial intelligence companies in the world – CB Insights
2021 Digital Health 150, highlighting the 150 most promising private digital health companies in the world – CB Insights
2020 & 2019 Digital Health 150 – CB Insights
by twochickswithasidehustle | Nov 22, 2023 | Uncategorized
Overjet is on a mission to improve oral health for all.
Our cutting-edge artificial intelligence technology encodes dentist-level training and analysis into scalable software tools. Today, our flagship products are used by some of the country’s largest insurance companies, dental support organizations, and dental practices to enable the best patient care.
We’re building an ambitious team of data scientists, software engineers, clinicians, and business thinkers and doers.
Overjet is backed by an amazing consortium of Venture Capital including General Catalyst, Insight Partners, Crosslink Capital and the E14 Fund. The company has raised nearly $80 million in capital to accelerate talent acquisition and product development driven by strong demand for Overjet’s dental AI.
The Role
Complementing our dental AI review services, Overjet provides licensed dental claims review for insurers through our nationwide network of dental consultants. These highly trained consultants review insurance claims based on medical necessity and eligibility, process claim appeals, and confer with providers.
As a Contract Dental Insurance Specialist, you will be responsible for providing support to this growing dental consultant team. This role is responsible for daily claim queue monitoring, and work distribution while meeting all compliance requirements and claim turnaround time expectations.
This position requires proficiency in G-suite (Gmail, Google Meet, Google Drive, etc.) as well as Slack.
Responsibilities
Provide administrative support needed for the day-to-day operations of the dental consultant team
Monitor the claim queues, analyze and resolve any issues
Maintain the dental consultant schedules, while ensuring claim turnaround times meet or exceed client expectations
Provide support in proper maintenance of regulatory and compliance requirements
Qualifications
5+ years of claims experience preferably in dental insurance or equivalent relevant experience in a dental office
Knowledge of dental services, terminology, and corresponding American Dental Association codes
Ability to work in a fast-paced environment
Ability to multitask and use effective time management
Outstanding interpersonal skills
Outstanding oral and written communication skills. Proficient in Excel, Google Docs, and creating presentations and reports
Ability to work collaboratively across multiple departments internally, and with external payers/partners and business stakeholders
Pay and Benefits
The hourly rate for this role will be between $20-$30/hour.
Possibility of extension beyond the initial contract.
Work from the comfort of your own home.
Overjet’s Values
Excellence: We set ambitious goals and strive for excellence.
Velocity: We focus, act with urgency, and deliver results.
Ownership: We take ownership, dive deep and solve problems.
Win-win: We play to win, setting ourselves and our customers up for success.
Growth: We stay curious, seek feedback, and continuously learn and grow.
Company Recognition
2023 — #29 on Linkedin’s Top Startups 2023: The 50 U.S. companies on the rise
2023 — Fast Company World Changing Ideas for Overjet’s FDA-cleared dental AI
2023 — Fast Company World Most Innovative Companies
2023 — Fast Company Top 10 Healthcare Companies in the World
2022 AI-50 Forbes
2022 22 Start-ups to Watch in 2022 – Built in Boston
2021 AI 100 Ranking, showcasing the 100 most promising private artificial intelligence companies in the world – CB Insights
2021 Digital Health 150, highlighting the 150 most promising private digital health companies in the world – CB Insights
2020 & 2019 Digital Health 150 – CB Insights
Recent Comments