by twochickswithasidehustle | Oct 4, 2023 | Uncategorized
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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The Enrollment Representative position will be supporting multiple health plans. Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates transfer of non-electronic eligibility data.
• Responds, researches, and resolves eligibility and/or billing related issues involving member specific information;
•Works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes.(*)
• Monitors daily status reports assessing output for developing trends potentially impacting service levels. (*)
• Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters. (*)
• Validates benefit plan enrollment information for assigned clients for accuracy and completeness; coordinates the distribution of membership ID cards and partnering with appropriate internal/external support areas involving any requests for ID card customization. (*)
• Completes screen coding and data entry requirements related to the systems processes impacting the generation and release of member-specific and plan sponsor products (e.g., ID cards, change applications, audit lists, in-force lists, HIPAA certificates and various reports). (*)
• Completes data entry requirements for finalizing new enrollment information as well as for changes and/or
terminations. (*)
• When necessary, reviews and corrects transaction errors impacting eligibility interfaces and prepares eligibility/enrollment information for imaging. (*)
• Interprets and translates client benefits and supporting account structure against internal systems/applications (i.e.,GEBAR, AAS, and CCI). (*)
• Determines and communicates standard service charges to internal/external customers related to paper eligibility activities; May include negotiating and communicating charges pertaining to non-standard services.
• Partners with other team functions to coordinate the release of eligibility and benefit plan information; reproduces group bills if requested by clients
Required Qualifications
• Attention to detail and accuracy.
• Problem solving skills.
• Strong organization skills.
• Understands the impact of work to other teams and downstream support areas.
• Ability to analyze and research data to make appropriate corrections as necessary.
• Strong verbal and written communication skills.
• Workplace flexibility – ability to adapt to change
Preferred Qualifications
• Knowledge of Health Care and/or MCO’s.
• Knowledge of Enrollment.
• Knowledge Medicaid and/or Medicare.
• Knowledge and comfortability with learning different systems and using Excel (VLOOKUP)
Education
High School Diploma
Pay Range
The typical pay range for this role is:
$17.00 – $27.90
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
by twochickswithasidehustle | Oct 4, 2023 | Uncategorized
Job description
Are you an experienced writer with a love of literature and the desire to work from home? We are looking for skilled, passionate writers to contribute to our literature study guide company and our mission to help learners of all ages get more out of the texts they read! Whether you’re a teacher or post-grad student looking for a steady stream of income or an experienced freelance writer ready for reliable and enjoyable assignments, writing literature study guides with SuperSummary could be your dream job.
What we provide for you:
- Prompt weekly payments – Transparent, competitive rates for each assignment
- Performance incentives – Exceed our expectations and timelines to earn a bonus on each assignment
- Tiered rates – Writers who write reliably and well earn higher rates
- Consistent and reliable work on the subject matter you love most and know best
- Fully remote/flexible work schedule – As a freelancer, you work the hours you want from anywhere on the globe
- The ability to indicate assignment preference – Choose the texts you most want to write about from our extensive queue
- A dedicated content team to provide training, support, and editorial feedback – Our coaching helps you grow as a writer
- Regular opportunities to contribute to Content Team projects and company-wide initiatives – Build new skills or flex your existing ones through creative initiatives
- Opportunities for growth – We provide a clear advancement path for those looking to grow along with our company
What you provide for us:
- A commitment to write 2 (or more!) study guides per month
- A commitment to complete a paid trial assignment during the interview process
- A passionate specialization in a genre of literature, be that classic or popular fiction, YA/MG literature, nonfiction, poetry, plays, or anything in between
About us:
SuperSummary is a fast-growing literature study guide company that helps students, teachers, and everyday readers understand a variety of fiction, nonfiction, and poetry texts. Our study guides are authoritative and comprehensive, written by seasoned teachers, professors, and advanced-degree holders with years of experience in their fields—including the humanities, social sciences, and natural sciences. As a fully remote team, we’re able to harness creative talent from across the world in order to create study guides that exceed readers’ expectations.
About you:
Our ideal candidate is a highly skilled writer with a passion for reading and the ability to analyze and summarize literature. A minimum of a Bachelor’s degree in English or a related field is necessary for every SuperSummary study guide writer, and advanced degrees in the humanities or teaching experience are a huge plus. Our writers bring an analytical lens and approachable style to each study guide they write, utilizing their specialized training or interests to write about titles ranging from classic and popular fiction to YA/MG literature, nonfiction, poetry, and plays. We’re looking to develop long-term relationships with writers who want to contribute to our growing team while maintaining a flexible schedule.
About the study guides:
- Our study guides are 5,000-25,000 words, depending on the length and complexity of the text at hand.
- Study guides include a balanced combination of summary and analysis, including chapter summaries and analyses, themes, symbols, character development, and more.
- Fiction books we’ve covered include Exhalation (Ted Chiang), Deacon King Kong (James McBride), and Beloved (Toni Morrison).
- Nonfiction books we’ve covered include The Death and Life of the Great Lakes (Dan Egan), The Ballot or the Bullet (Malcolm X), and Helter Skelter (Vincent Bugliosi, Curt Gentry).
- Middle Grade/Young Adult books we’ve covered include The Inquisitor’s Tale (Adam Gidwitz), Brown Girl Dreaming (Jacqueline Woodson), and Front Desk (Kelly Lang).
- Poetry we’ve covered includes “Ozymandias” (Percy Bysshe Shelley), “We Real Cool” (Gwendolyn Brooks), and “An American Sunrise” (Joy Harjo).
- Plays we’ve covered include Antigone (Sophocles), A Raisin in the Sun (Lorraine Hansberry), and Amadeus (Peter Shaffer).
Job requirements
We want to hear from you if you have:
- Excellent writing skills
- Experience working with deadlines
- Experience with literary analysis and/or academic writing
- Advanced degrees in the humanities, social sciences, or natural sciences
- Teaching or tutoring experience is a huge plus!
SuperSummary supports workplace diversity and does not discriminate on the basis of age, race, national origin, religion, gender identity or expression, sexual orientation, pregnancy, physical or mental disability, or any other protected class
by twochickswithasidehustle | Oct 4, 2023 | Uncategorized
About the Team
At GOAT Group, our Fraud team is essential in maintaining trust between our buyers and sellers. Tasked with everything from auditing purchases to verifying credit card information, you will be part of a group dedicated to protecting our customers as well as the integrity of our platforms. In this vital role, you will use best-in-class technology alongside our own proprietary analytical models to ensure superior fraud prevention.
In this role you will:
- Review all orders on a daily basis in a timely manner to identify valid and fraudulent transactions while adhering to department and company service level agreements
- Maintain or exceed review volume expectations with minimal errors or complaints.
- Review and analyze various notifications and escalations to identify fraudulent transactions
- Provide timely and accurate response to emails and/or voicemails to ensure that customers are getting the best service especially when being asked for verification, etc.
- Analyze fraud transactions and chargebacks to identify, summarize, communicate and report fraud trends
- Manage and maintain fraud strategy by identifying, creating and reviewing fraud rules and processes.
- Conduct periodic review of rule performance and adjust as needed to ensure maximum efficiency and effectiveness.
- Work closely with other members of the team by handling questions and escalations and continuously improving internal processes
- Mentor fraud agents to improve and sustain performance
- Maintain effective working relationships across internal and external teams as necessary.
- Manage law enforcement requests and maintain working relationships with third-party fraud solution providers, merchant fraud teams and issuing banks.
- Maintain a positive attitude and be willing to adjust daily responsibilities to meet the needs of the business.
- Manage the queue volumes with little to no supervision
- Must be able to work weekends and non-traditional shifts
We are looking for:
- 3+ years of experience in e-commerce fraud and payments environment
- 2+ years experience in fraud data analytics, ideally in e-commerce or at a startup
- SQL experience required
- Working knowledge of Customer Service and valuing the customer experience
- Strong attention to detail with consistent accuracy
- The ability to follow stringent processes and regulations
- Must have the ability to meet critical deadlines in a fast paced environment
- Excellent communication skills, both verbal and written
- Self-starter and comfortable taking initiative while quickly grasping concepts, processes and ideas
- Must be highly organized
- Ability to think analytically and make accurate decisions
- Must be able to work within a team environment and must be a team player
- Strong proficiency working with web browsers and web based tools
The hiring range for this position is below, plus benefits (401K, paid time off, dental, medical, vision, disability, life insurance options). To determine starting pay within the hiring range, we carefully consider a variety of factors, including primary work location, role/level, a candidate’s skills, experience, market demands, and internal parity. You may reach out to a recruiter for additional information.
Hiring Range:
$57,100—$71,400 USD
by twochickswithasidehustle | Oct 4, 2023 | Uncategorized
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
This position is full-time, Monday – Friday. Employees are required to work an 8 hour shift between the business hours of 6:00am – 5:00pm MST. It may be necessary, given the business need, to work occasional overtime or weekends.
We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Responsible for achieving KPI’s / Metrics set by Management
- Investigates / resolves denied and short paid transactions in a timely and effective manner
- Manages work queue to insure all accounts are worked, timely and appropriately in monthly cycle
- Follows the department Policy and Procedures set by Management
- Identifies key challenges driving AR, escalates to Management for resolution at a global level
- Ability to maneuver through various billing systems and understand workflow
- Communicates with Business Partners, providing excellent customer service in order to reconcile outstanding account balances using approved collection techniques
- Works to resolve account balances of an assigned portfolio of accounts
- Required actions taken may include (but not limited to) write-offs, appeals, transfers, review of EOBs and other carrier correspondence, litigation and self-pay referrals
- Works with Collections Manager / Supervisor of other member of the Management Team on special projects as needed
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED (or higher)
- 1+ years of experience in accounts receivable, provider billing, or insurance collections in the healthcare industry
- 1+ year of experience in AR in collections
- Experience with Microsoft Office including Excel (ability to sort, filter)
- Ability to work full-time, Monday – Friday between 6:00am – 5:00pm MST including the flexibility to work occasional overtime given the business need
Preferred Qualifications:
- Previous experience with AllScripts Practice Management
- Previous experience with multiple Electronic Medical Records
- Experience with Insurance Specializations
- Multiple Specialty Experience
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.00 – $31.44 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives..
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
by twochickswithasidehustle | Oct 4, 2023 | Uncategorized
Function: Print Solutions
Address: 735 Tollgate Rd.
City / State: Elgin, IL US
Date Posted: September 30, 2023
Type: Full-time
Permanent / Contract: Regular
Job Number: 1268621
Description
The world of working and learning has changed. This is your opportunity to be a part of a brand transformation and growth strategy within the retail industry. Staples is helping our customers and community discover innovative products, services, and inspiration that unlock what’s possible, while empowering you to unlock your potential. Our people are the heart of our success and there has never been a better time to join us as we lead the way in a new era of working and learning.
The Order Processor is part of the COA team. The Order Processor Role will primarily focus on processing orders that are pre-configured, or “clean,” and routing them to the appropriate production facility. This subset of orders should require very limited knowledge of digital print. You will field, asses, and direct all inbound calls to the COA desk. You will need to utilize all available Staples order systems, as well as understand how & who to contact at each Production Facility, to allow them to effectively answer inbound inquiries from Partners/Customers. You will work directly with the Retail store teams on orders routed to the Production Facilities. You will also be responsible for all post-production administrative responsibilities.
Get great perks.
- Hourly Rate starting at $16 hour based on experience
- Generous amount of paid time
- Flexible work arrangements, including remote and flexible hours
- 401(k) plan with a company match, full benefits plan and options, and associate resource groups
- Associate store discount and more perks (discounts on mobile plans, movie tickets, etc.
Customer Service:
- Excellent phone and communication skills
- Primary team fielding inbound calls
- Monitor COA email queue, and distribute to appropriate team member
- Ability to utilize multiple order entry and tracking systems simultaneously
- Ability to handle multiple priorities; shift between job functions i.e.: data entry, handling customer inquiries, etc.
- Answer phones, monitor emails, respond to store inquiries, and/or accept and transfer correspondence to appropriate parties; Follow up with Partners/Customers over inquiries, order change requests, etc.
- Complete all post-production administrative functions. Tracking info, Procure, etc., Complete/Close. This must be done no later than 6:00 am the day after an order is completed
- Guide and educate Store Associates and Sales Team members on order entry guidelines, and specifically where to find the appropriate assistance/training
Job Ticketing & Routing:
- Make minor edits to Solution Builder job tickets
- Ensure all due dates, shipping details, and special instructions have been reviewed and clearly noted
- Utilize Order Routing Matrix to determine appropriate Production Facility
- Print tickets to appropriate Production Facility
- Name files to standard naming convention, and save to server
- Enter transfer orders into Nowdocs as necessary
Qualifications
Essential skills and experience:
- 2-4 years’ experience in a Customer Service or Office Administration Role
- Demonstrated ability in a position that required solid negotiation and relationship building skills
- Ability to read & interpret instructions, identify problems/missing information and address them proactively
- Computer Skills: Microsoft Office, Acrobat
Preferred Experience:
- 1+ years’ experience in a Digital Copy & Print or Manufacturing environment
Want to learn more about Staples Stores? Visit StaplesConnect.com for information and to learn about our career opportunities.
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