by twochickswithasidehustle | Oct 11, 2023 | Uncategorized
Description
American Specialty Health Incorporated is seeking a focused Claims Examiner to work in a production environment. This position is responsible for the accurate review, input, and adjudication of claims in accordance with regulations, ASH standards and contractual obligations of the organization. Claims is an integral department of American Specialty Health’s offerings to empower people to live longer and healthier lives. We are responsible for tracking the receipt of claims, adjudication, and payment of claims. Due to the nature of the business and always evolving rules and guidelines, Claims is a fun and fast-paced team that enjoys working side by side, developing new ideas for efficiency, and prioritizes a strong focus on exceeding regulatory and contractual standards. Our driving mission is to offer world-class customer service (and expedited reimbursement) to healthcare providers on behalf of our members. Claims offers a career path progression that begins upon hire and allows development-focused staff to achieve two promotions in just one year. We succeed as a team and we prioritize professional development, considering ourselves an operational springboard to spring talented and driven employees toward their future goals.
Remote Worker Considerations:
Candidates who are selected for this position will be trained remotely and must be able to work from home 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
Processes claims accurately and efficiently.
Reviews all incoming claims to verify necessary information.
Determines that correct member and provider records are chosen and utilized to process claims.
Enters claims data and information into the computerized Claims Processing System.
Maintains all required documentation of claims processed and claims on hand.
Adjudicates claims in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
Maintains production standards; for direct data entry claims this includes processing an average of 31 claims per hour, with an accuracy rate of 98.5% over each pay period.
Verifies data of scanned paper claims at stated standards.
Provides backup for other examiners within the department.
Promotes a spirit of cooperation and understanding among all personnel.
Attends organizational meetings as required.
Adheres to organizational policies and procedures.
Maintains confidentiality of all claim files, claims reports, and claims related issues.
Qualifications
High school diploma required.
6 months data entry experience with 10 key and word processing; minimum 10,000 keystrokes per hour required.
Experience processing medical claims and knowledge of medical billing terminology and coding strongly preferred.
Proficient in MS Office.
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.
Ability to work and maintain production in a work-from-home (WFH) environment
Demonstrated ability to show self-discipline to meet production goals.
Demonstrated accuracy and productivity in a changing environment.
Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions, and to utilize constructive criticism to improve.
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) office setting.
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
by twochickswithasidehustle | Oct 11, 2023 | Uncategorized
Description
American Specialty Health Incorporated is seeking a Quality Review Analyst to join our department. This position will perform audit and quality review processes in accordance with Claims Department Policy & Procedures.
Hourly Salary Range
American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $14.70 to $17.00 Hourly Wage Range.
Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home 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 and10 Mbps upload speed).
Responsibilities
Coordinates and conducts quality review of claims processing.
Conducts random quality review daily.
Conducts Contract Approval audits including Client Summaries and Fee Schedules.
Prepares and presents feedback on deficiencies identified in accuracy, timeliness, or quality to Claims Supervisor.
Identifies unique issues and problems within assigned areas of responsibility. Researches and formulates solutions in conjunction with Claims Supervisor.
Analyze and validate claim audits, health plan and state specific reporting.
Processes claims requiring special handling.
Reviews and releases aged claims on daily Pend Report.
Performs audit on new staff to ensure 100% accuracy.
Maintains confidentiality of all claims files, audit reports, and related claims data.
Develops and maintains reporting guidelines and specifications.
Prepare standardized weekly and monthly KPI reports.
Prepares applicable reports necessary to complete the KPI Reports.
Prepares and distributes daily reports to leadership, including but not limited to no-line items, pended claims, and 10-day TAT.
Qualifications
High School Diploma required.
Achieved progression to Level II Claims Examiner for internal Claims candidates, or minimum 2 years of experience performing claims processing or analyst/research duties.
Must be able to type 10,000 keystrokes per hour, either alpha-numeric or numeric with 95% accuracy or higher.
Advanced experience with MS Word, Excel and Access.
Knowledge of managed care operations, accreditation guidelines and state requirements.
Strong analytical and problem-solving skills.
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 race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local 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 | Oct 11, 2023 | Uncategorized
ezCater is the most trusted provider of corporate food solutions and is purpose-built for business. ezCater’s corporate food platform and flexible, scalable food solutions allow organizations to centralize and track their food spend, and fulfill everything from daily employee meals to client meetings and company all-hands. ezCater backs this up with business-grade, best-in-class, customer service and an unmatched nationwide footprint. We’re backed by top investors including Insight, Iconiq, Lightspeed, GIC, SoftBank, and Quadrille.
ezCater menus are the beating heart of our marketplace. At the intersection of both sides of our platform, ezCater menus simultaneously guide our customers to place the perfect order and help our partners grow their catering businesses. Whether customers are looking for BBQ sandwiches for their team building seminar, vegan Korean noodles for their department outing, or a festive holiday meal for their office party, our carefully curated menus provide both the attention to detail and the streamlined experience that lead customers to say, time and time again, that we really do make their lives easier.
Simply put, the ezCater Menu Team is responsible for transcribing & reviewing all of the great menus on our site. We’re a group of tech-obsessed foodies who move fast & also know how to beautifully define kimchi & tahini on the fly. We’re driven & dedicated to bringing ezCater menus to the next level of excellence (and also love a good debate about the spiciest hot sauce while we’re doing it).
It’s the job of our Menu Specialists to create and review menus for all of our new restaurant partners while balancing speed, efficiency, and quality. We support a wide variety of partners – from mom & pop indies to national enterprise chains – and ensure that they all have accurate, functional, and appealing menus.
As a Menu Specialist, you will:
Transcribe: You’ll work with websites, third party platforms, spreadsheets, and documents to compile, process, and transcribe items, prices, dietary information, and more in our homegrown tool.
Review & revise: You’ll review menus and revise for quality aligned with our internal style standards.
Meet high performance standards: Your key performance indicators will be based on the quantity and quality of the work you do transcribing and modifying menus.
Collaborate: Solution-oriented feedback is our bread and butter. We’ll need your help with improving our processes and our tools.
Advocate: We’ll expect you to be an internal advocate and champion for our amazing restaurant partners, and to seek out opportunities to create unparalleled experiences for them.
Make an Impact: You’ll make an immediate impact on our company goals – you’ll be an essential part of the success of thousands of restaurant partners and help drive customer satisfaction.
To succeed as an Menu Specialist, you need to be:
Devoted to details: Our quality standard is the highest in the business.
A skilled wordsmith: You can easily type 75+ WPM while maintaining a high level of quality and accuracy.
A big-picture thinker: Our team innovates as a group, and we’ll expect you to meet us two steps ahead.
Hungry for change: If something isn’t working, we fix it. And then we fix it again.
A circus-level juggler: You’re comfortable with a high-volume list of varied tasks and prioritizing them feels like second nature to you.
Tech-knowledgeable: You have experience with technical services and platforms and are eager to learn more (Zendesk proficiency is a huge plus!).
Adaptable & Inquisitive: You’re a natural problem solver – constant change is your fuel and you thrive in ambiguous situations.
Driven towards excellence: We’ll expect you to consistently meet or exceed expectations on quantity & quality performance objectives.
A team player: You’ll work with teams across our department and will need to build relationships with internal stakeholders to ensure success for all parties.
Please include a cover letter, but throw everything that is ‘best practice’ about writing cover letters out the window, and please write as explicitly as possible what resonates with you about this job.
The national cash compensation range for this role is $45,000-$53,000*
*Please note: Final offer amounts are determined by multiple factors, including prior experience, expertise and region & may vary from the amount above. This range does not represent additional compensation benefits (such as equity, 401K or medical, dental or vision insurance).
ezCater does not sponsor applicants for work visas or legal permanent residence.
What You’ll Get from Us:
You’ll get a terrifically compelling opportunity, in an environment of radical transparency, open access to all the data, and collaborative colleagues at every level of our organization. You’ll also get sane working hours and great flexibility around work/life balance.
Have people in your life – of any age – who always, often, or sometimes need your help? We make room for that. Have a bad thing or a good thing happen to you? We make room for that, too.
Oh, and you’ll get all this: Market salary, stock options that you’ll help make worth a lot, the usual holidays, all-you-can-eat vacation, 401K with ezCater match, health/dental/FSA, long-term disability insurance, remote-hybrid work from our awesome Boston or Denver offices OR your home OR a mixture of both home and office (you choose!), a tremendous amount of responsibility and autonomy, wicked awesome co-workers, cupcakes (and many more goodies) when you’re in one of our offices, and knowing that you helped get this rocket ship to the moon.
ezCater is an equal opportunity employer. We embrace humans of every background, appearance, race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, and disability status. At the same time, we do not employ jerks, even brilliant ones.
by twochickswithasidehustle | Oct 11, 2023 | Uncategorized
Description
Your Role
The Payroll Seasonal associate is responsible for supporting the Payroll Ops team with day-to-day activities.
Why You Belong Here
At Victoria’s Secret & Co, we acknowledge your value. We recognize that every associate has something unique to add to our brand and business. We strive to recruit, retain, and advance diverse talent that reflects the customers we serve and the communities where we live and work. We foster a culture where everyone belongs because we know our business thrives most when we look for, listen to, and amplify diversity, equity, and inclusion.
We place the customer at the heart of everything we do. We dream big, embrace curiosity and creativity while always learning from our mistakes. We lead with integrity, trust, and respect to achieve the best outcomes as one team.
Your Impact
Specific responsibilities include, but are not limited to:
Administrative tasks such as opening and sorting mail, filing, digitizing paper documents, etc.
Process garnishment requests and validate calculations to ensure processed accurately in compliance with Law.
Analyze, research, and update associate banking information in HCM/Oracle Cloud.
Collaborate with Payroll teams, internal partners, and external partners.
Operate within HCM/Oracle Cloud and Kronos Workforce Dimensions to input, extract and maintain data integrity.
Provide exceptional customer service by conducting timely research and analysis on all customer inquiries (i.e. Legal and Audit).
Execute accounting principles in compliance with internal SOX, Anti-Corruption and Operational Controls for (1) payment accuracy (2) audit for completion and (3) approval through the delegations of authority.
Offer support to others as needed for routine work, ad-hoc requests, projects and other departmental initiatives
Click here for benefit details related to this position.
Minimum Salary : $22.70
Maximum Salary : $29.82
VS&Co provides an estimated range of compensation for this role as shown. Your actual compensation will be determined by a number of relevant factors, including but not limited to your specific skills, experience, & geographic location.
Qualifications
Your Experience
High attention to detail, executes for results, analytical and curious mindset
Technical mindset to influence system and process changes to build efficiencies into work
Strong written and verbal communication skills
Ability to execute tasks thoroughly, accurately and timely
Effectively manage multiple, competing priorities in a fast-paced environment across various systems
Conducts all work in an ethical, honest, professional and confidential manner
Self-motivated, self-starting and a creative thinker
Works well in a team environment as well as the ability to work independently
Continuous improvement / process improvement focus
Additional Experience
Strong PC skills is required. Proficient in use of Microsoft Office applications including Outlook, Excel, Teams and Word.
Degree in Business, Accounting, Finance, or comparative degree or equivalent work experience is preferred.
Experience in payroll processing including processing payments, garnishments, accounting, accounts payable or finance is a plus.
Previous experience with Oracle HCM or Kronos Workforce Dimensions is plus.
Previous experience in a customer service center environment is a plus.
by twochickswithasidehustle | Oct 11, 2023 | Uncategorized
Job Details
Level
Entry
Remote Type
Fully Remote
Position Type
Full Time
Education Level
High School
Salary Range
$26.12 Hourly
Travel Percentage
None
Job Category
Admin – Clerical
Description
Life at Amplify
As a growing, tech-focused credit union, Amplify Credit Union delivers value to our members through our products and impact to our community through our profits. That unique intersection is one reason we’ve been named a Top Workplace for four years in a row by the Austin American-Statesman. We’re also proud to say that we’re the only full-service financial institution that doesn’t have deposit fees of any kind. We’re looking for teammates who are inspired by our mission and ready to grow their careers. As they do, our employees can expect Amplify to uphold our commitments to culture, community, inclusion, and more.
About This Role:
The Retail Operations Specialist is responsible for providing regular oversight of all the operational functions performed by Retail in order to decrease errors, improve efficiency, and ensure compliance with all Retail procedures. The Specialist acts as a resolution resource for Retail team members as well as a Retail liaison for the Credit Union. This position requires the ability to communicate sensitive information to senior levels of management in both written and verbal form.
Job Description:
Effectively participate in initiatives within the Credit Union that impact Retail team members to ensure successful transitions and completion of all aspects of the project
Perform various Quality Control and Risk mitigation efforts across Retail by completing branch certifications, monitoring operational opportunities, researching/reporting branch cash outages, ensuring Retail complies with current Regulations and is aware of Regulation changes, etc.
With a solid working knowledge of Credit Union procedures, products and services, acts as a resource for Retail staff; provides recommendations/insight for various transactions and provides exceptional member service by responding to inquiries in a timely manner
Must be able to operate independently, make sound decisions, and exercise good judgment during interactions with members and teammates
Champion organizational culture both internally and externally; consistently demonstrate Amplify’s service standards and promote same amongst teammates
We believe these underlying skills are the most essential part of the job:
Astute. Your keen eye allows you to uncover inefficiencies while taking all things into consideration.
Problem Solver. You have the ability to quickly analyze an issue and provide a solution that keeps our retail operation moving. If there’s ever a cash outage, you’ll get to the bottom of it.
Informative. You’re an expert communicator and a resource for information. Your ability to articulate that information keeps our retail staff informed and our customers satisfied.
Professionalism. You remain cool, calm, and collected, even in the most stressful situations. Having a clear line of thinking allows us to make the best decisions for our customers.
Integrity. You have an innate capacity to do the right thing, even when no one is looking.
Required Qualifications:
High School diploma or General Education Degree (GED) and 1+ years of financial industry and/or credit union branch operations experience required.
Willingness to work a flexible schedule of Monday – Friday, 8:30 – 5:30 pm CST plus occasional weekends.
Proficient with Microsoft Office products.
Nice to Have, But Not Required:
Prior experience with a 10-key calculator.
Experience with Fiserv DNA banking platform is helpful.
Must have or quickly obtain working knowledge of Credit Union’s products & services, policies, standard operating procedures, and State and Federal regulations.
Benefits & Other Information
What We Offer
To build a better bank, you must build a better team. We want your time at Amplify to be a jumping-off point for personal and professional success. This means offering growth opportunities – including paid volunteer hours and development programs – that will engage you with the community and help you advance your career:
Customized volunteer opportunities with our signature partners (Saint Louise House, Caritas of Austin, and the American Red Cross).
Additional paid time off for volunteer-related activities.
Undergraduate and graduate tuition benefits for eligible full-time and part-time team members.
Pay & Benefits
The salary for this position is $54,337.50. It also entails the benefits available to all Amplify employees, including a 401(k) with a company match of 100% on the first 5% you contribute.
Location
Amplify is headquartered in Austin, Texas, and accommodations can be provided for this position at our headquarters office. Alternatively, this position is eligible to work fully remote from the following states: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, and Wisconsin.
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