by twochickswithasidehustle | Feb 18, 2025 | Uncategorized
Description
American Specialty Health Incorporated is seeking a Credentials Examiner I to join our Practitioner Contract Administration team. This position will expedite credentials verification of practitioners in the credentialing or recredentialing process according to department standards, accreditation standards, regulatory requirements, and health plan expectations.
Remote Worker Considerations:
Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Responsibilities
- Responsible to obtain information to credential new applicants and recredential participating practitioners according to department standards.
- Obtain required documentation by mail, fax, or phone and update practitioner files.
- Communicate with practitioners by mail, fax, or phone to answer questions and obtain information in a timely manner.
- Respond to provider inquiries within 48 hours of receipt via phone and/or email communication.
- Communicate with management any barriers for further support.
- Must successfully close a combined minimum number of 200 Rehabilitative files and 150 Specialty Credentialing files as set by department manager and subject to change based on business need.
- Must successfully close a minimum number of 200 Re-Credentialing files as set by department manager and subject to change based on business need.
- Ensure terminations and resignation requests are sent by set timeline established by department manager and can be subject to change based on business need.
- Enter data and perform research functions in Promis/PCT/SharePoint/ASHCore to complete each portion of the credentialing process within predetermined timelines.
- Must complete regulatory trainings within the timeframe provided by department manager.
- Perform all duties necessary in handling the credentialing and recredentialing process within predetermined timelines and state regulatory standards.
- Quality Assurance measures should maintain accuracy rate of no less than 99%.
- Abide by departmental work from home expectations.
- Abide by Attendance & Punctuality policy and department expectation.
Qualifications
- High School diploma required.
- Typing speed must be between 45-50 wpm.
- Proficient in MS Office, including experience with Excel.
Core Competencies
- Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
- Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
- Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
- Ability to effectively organize, prioritize, multi-task and manage time.
- Demonstrated accuracy and productivity in a changing environment with constant interruptions.
- Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
- Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time.
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.
Environmental Conditions
Work-from-home (WFH) environment.
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.
ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.
by twochickswithasidehustle | Feb 6, 2025 | Uncategorized
Everlight Solar is seeking a skilled Data Analyst who will design and maintain functional programs and applications, producing fully functional software applications according to requirements. As a Data Analyst, you play a key role in serving our clients and team members. This will be a full-time, work-from-home “remote” position.
Must own a Mac computer and be fluent with the Apple ecosystem of software (iOS, macOS, iWork, etc.)
Everlight Solar is a rapidly growing company and the leader of solar energy in the Midwest. We offer a unique experience that fosters individual growth and rewards performance. Our culture at Everlight is extremely important to us. The work environment is fast-paced and dynamic. We value teamwork, quality, innovation, and customer success. Our ideal candidate is self-motivated, detail-oriented, has excellent problem-solving abilities, is passionate about delivering results on-time, exceeding expectations, and ensuring success for our teams.
Responsibilities:
Work with large amounts of data to draw meaningful conclusions
Develop and implement data collection systems and other strategies that optimize statistical efficiency and data quality
Provide regular reporting and analysis to team
Develop and maintain dashboards and reports to track key metrics and performance indicators
Collaborate with cross-functional teams to identify areas for improvement and to develop solutions to enhance business operations
Provide training and support to team members on data analysis techniques and tools
Requirements:
Minimum two years of experience with DOMO
MajorDOMO Certification Required
3+ years experience in data analysis, reporting, business intelligence or financial analysis and a Bachelor’s Degree in Business, Statistics, Mathematics, Analytics, Computer Sciences or related field or equivalent experience
2 years experience in providing people analytics reporting to organizations
Demonstrated experience using SQL, and DOMO
Experience with sensitive and confidential people data in a global environment
Analyze, evaluate, improve, and document processes and workflows. Identify and take advantage of opportunities for process automation and simplification.
Proven ability to design and implement new processes and facilitate user adoption.
Strong understanding of Salesforce.com best practices and functionality
Strong data management abilities
A documented history of successfully driving projects to completion
A demonstrated ability to understand and articulate complex requirements
Excellent project management skills and a positive attitude
Must demonstrate exceptional verbal and written communication skills
Must demonstrate ability to communicate effectively at all levels of the organization
Benefits:
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
PTO
Sick and Safe Time
Paid Holidays Off
Salary: $65,000-$100,000/ year
Everlight Solar is proudly an Equal Opportunity Employer. We value diversity of all types and are excited to work with talented individuals from a wide range of backgrounds. Everlight is committed to inclusion and we invite people of any race, creed, color, national origin, ancestry, marital status, sexual orientation, gender identity or expression, disability, nationality or sex, age groups (18+), and levels of education to apply. Authorized to work in the US and background check required.
by twochickswithasidehustle | Feb 6, 2025 | Uncategorized
Summary
The Billing Coordinator II is responsible for researching and billing exception agreement in his/her assigned districts. Audit and research each billing exception agreement. Work salesforce cases. Research and process revenue rejections and vehicle changes (VCNs). End of month close consist of working accruals, submitting Journal Entry template for processing, researching district variances. Excellent communication skills needed in order to interface with operating locations and internal departments.
Essential Functions
Research and Release billing exceptions for assigned districts daily
Understand and research mileage variances and exceptions
Backup other Billing Coordinators in the event another Billing Coordinator is out of the office
Communicate with field operations either via email or phone
Research any discrepancies or previous billings to ensure accuracy
Additional Responsibilities
Performs other duties as assigned.
Skills and Abilities
Computer literate with general knowledge of software to include Microsoft Office Suite
Strong verbal and written communication skills
Ability to work with minimum supervision
Highly thorough and dependable
Detailed oriented with excellent follow-up practices
Ability to work a flexible schedule for month-end close- (1st, 2nd and 3rd workday)
Demonstrates customer service skills
Ability to prioritize, structure and schedule tasks to maximize effort and meet deadlines
Ability to efficiently work in a remote environment
Qualifications
H.S. diploma/GED required
Job Category: Credit & Collections
Compensation Information :
The compensation offered to a candidate may be influenced by a variety of factors, including the candidate’s relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc.
Compensation ranges for the position are below:
Pay Type :
Hourly
Minimum Pay Range:
20.00
Maximum Pay Range:
22.00
The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type.
Benefits Information:
For all Full-time positions only : Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan.
Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace.
by twochickswithasidehustle | Feb 6, 2025 | Uncategorized
Boldly innovating to create trusted solutions that detect, predict, and prevent disease.
Discover your power to innovate while making a difference in patients’ lives. iRhythm is advancing cardiac care…Join Us Now!
At iRhythm, we are dedicated, self-motivated, and driven to do the right thing for our patients, clinicians, and coworkers. Our leadership is focused and committed to iRhythm’s employees and the mission of the company. We are better together, embrace change and help one another. We are Thinking Bigger and Moving Faster.
About This Role
iRhythm is a leading digital healthcare company focused on the way cardiac arrhythmias are clinically diagnosed by combining our wearable biosensing technology with powerful cloud-based data analytics and machine- learning capabilities. Our goal is to be the leading provider of first-line ambulatory ECG monitoring for patients at risk for arrhythmias. iRhythm’s continuous ambulatory monitoring has already put over 1 million patients and their doctors on a shorter path to what they both need – answers.
About this role:
The Customer Care Technical Support Supervisor is responsible for providing high quality and efficient customer service to iRhythm’s customers (accounts) and patients throughout the United States. The position is responsible for the daily management of a team of Technical Support Engineers, leading the team to meet (and exceed) service level and quality objectives. Responsibilities include hiring and retaining talented people, setting daily schedules, SLA, quality and attendance adherence and reporting. This position will also spend significant effort organizationally motivating, recognizing and rewarding, coaching and training members of the team. They will act as an escalation point for internal leaders when required. Additionally, the position is responsible for assisting the Director of Customer Care Operations with employee development, quality, process efficiency and enhancing workplace environment.
Job Requirements:
Oversee a team of 7-15 Technical Support Engineers who are servicing requests from accounts, patients and internal business partners for technical issues and providing daily monitoring and technical resolutions to system integrations.
Provide daily direction through coaching, one-on-ones and quality feedback to ensure the highest quality of technical support for the Customer Care department
Provide continual evaluation of processes and procedures. Responsible for suggesting methods to streamline operations through improved processes and additional technology
Act as a point of escalation for technical issues involving the Customer Care team
Provide daily, weekly and monthly metrics on all activity performed by the Technical Support Engineering team.
Consistently partner with other Engineering teams within iRhythm to ensure constant alignment and continued support
Respond to and resolve employee relations issues expressed by team members by working with employee, Director, Customer Care Operations and HR to understand, resolve and document issues
Work as a member / leader of special or ongoing projects that are important to Customer Care and process improvement
About you:
5+ years of experience in a high-volume call center environment with at least 2 years in a leadership position
Strong proficiency with tools commonly used in a call center environment including customer relationship management, workforce management, reporting and telephony-based systems
Strong analytic skills with the ability to identify trends and present information in a succinct and actionable manner
Extensive technical problem-solving experience with web-based and IOS platforms
Effective communicator with a talent for providing constructive feedback to team members
Demonstrated leadership capabilities, successfully guiding teams through periods of rapid growth.
Skilled at multitasking and prioritizing tasks in fast-paced, real-time environments.
Exceptionally collaborative, flexible and adaptive when engaging with customers and various teams within iRhythm
Bachelor’s degree or relevant experience in healthcare field preferred
What’s In It For You
This is a regular full-time position with competitive compensation package, excellent benefits including medical, dental, and vision insurances (all of which start on your first day), health savings account employer contributions (when enrolled in high deductible medical plan), cafeteria plan pre-taxed benefits (FSA, dependent care FSA, commute reimbursement accounts), travel reimbursement for medical care, noncontributory basic life insurance & short/ long term disability. Additionally, we offer:
emotional health support for you and your loved ones
legal / financial / identity theft/ pet and child referral assistance
paid parental leave, paid holidays, travel assistance for personal trips and PTO!
iRhythm also provides additional benefits including 401(k) (with company match), an Employee Stock Purchase Plan, pet insurance discount, unlimited amount of Linked In Learning classes and so much more!
FLSA Status: Exempt
LI-WB-1
LI-Remote
Actual compensation may vary depending on job-related factors including knowledge, skills, experience, and work location.
Estimated Pay Range
$58,300 – $84,900 USD
by twochickswithasidehustle | Feb 6, 2025 | Uncategorized
Remote Position – USA
About US
CDK Global is a leading provider of cloud-based software to dealerships and Original Equipment Manufacturers (“OEMs”) across automotive and related industries. The Company’s cloud-based, software as a service (“SaaS”) platform enables dealerships to manage their end-to-end business operations including the acquisition, sale, financing, insuring, repair, and maintenance of vehicles. By automating and streamlining critical workflows, the integrated platform of modern solutions enables dealers to sell and service more vehicles by creating simple and convenient experiences for customers and improves their financial and operational performance. Visit www.cdkglobal.com
At CDK Global, we are focused on connections that allow us to deliver world-class software, support, and data insights. Our values define who we are and how we show up for each other, our customers, and our communities. Our values: Stay Curious, Own It, Be Open, Create Possibilities
Job Summary
The Workforce Analyst is a motivated, team-oriented professional who collaborates closely with Sr. Workflow Analysts, support team leaders, and employees to align resources across channels, monitor multi-channel workload flow, and respond to changing business patterns. The goal is to position CDK to deliver an effortless customer support experience.
The primary responsibilities include supporting Workforce Optimization (WFO) by administrating junior intra-day scheduling tasks in Verint WFM and QM, processing time-off and coaching module requests, and balancing resources to meet Support KPIs. This role is empowered to make informed decisions that enhance operational efficiency and align with business objectives.
Responsibilities
Monitor and manage queue alerts in Five9 Supervisor Plus, ensuring Service Level performance targets are met.
Recognize and respond to spikes in volume, adjusting resources and skilling as needed.
Monitor inbound call queues, chats and aging cases prioritizing staffing appropriately .
Collaborate with Sr. Workforce Analysts and managers to address resource adjustments for fluctuating volume.
Develop proactive plans to address observed patterns in workload, recommending innovative adjustments.
Monitor workload elements, including volume, AHT, and shrinkage, to ensure alignment with the plan.
Identify and address real-time agent compliance issues, escalating as necessary.
Update schedules and WFM system plans in real time to adapt to business needs.
Review daily forecast vs. actual workload trends and report outages as needed.
Maintain strong relationships with operational supervisors and leaders to identify improvement opportunities.
Develop and maintain schedules on a smaller scale, calibrating with Sr Workforce Analysts and performing gap analysis weekly
Qualifications
Proficiency in Microsoft Office and basic data analysis for workforce planning.
Strong written and verbal communication skills, with the ability to negotiate effectively.
Proven ability to solve problems, analyze situations, and make sound recommendations.
Self-motivated with the ability to achieve goals with minimal supervision.
Focused on process improvement to enhance team and company efficiency.
Detail-oriented with a commitment to accuracy and excellence.
Thrives in a fast-paced, team-oriented environment and manages stress effectively.
Demonstrates a strong desire to learn and a proactive approach to responsibilities.
Preferred Qualifications
1+ year of Workforce Management experience, including time-off management and scheduling.
Experience with Verint, Five9, or similar WFM/WFO tools.
Familiarity with Quality Management, speech/text analytics, and performance management.
Automotive dealership experience is a plus.
Basic understanding of telecommunication technologies (ACD, IVR).
High school diploma or GED required.
Salary Range: $54,000 – $68,000
CDK Global is committed to fair and equitable compensation practices. Compensation packages are based on several factors, including but not limited to skills, experience, certifications, and work location. The total compensation package for this position may also include annual performance bonus, benefits and/or other applicable incentive compensation plans.We offer Medical, dental, and vision benefits in addition to:
Paid Time Off (PTO)
401K Matching Program
Tuition Reimbursement
At CDK, we believe inclusion and diversity are essential in inspiring meaningful connections to our people, customers and communities. We are open, curious and encourage different views, so that everyone can be their best selves and make an impact.
CDK is an Equal Opportunity Employer committed to creating an inclusive workforce where everyone is valued. Qualified applicants will receive consideration for employment without regard to race, color, creed, ancestry, national origin, gender, sexual orientation, gender identity, gender expression, marital status, creed or religion, age, disability (including pregnancy), results of genetic testing, service in the military, veteran status or any other category protected by law.
Applicants for employment in the US must be authorized to work in the US. CDK may offer employer visa sponsorship to applicants.
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