by twochickswithasidehustle | Sep 8, 2023 | Uncategorized
Job Description
Symetra has an exciting opportunity to join our team as a Sr. Enrollment Coordinator!
About the role
In this role, you will deliver high quality enrollment experiences, in partnership with the Enrollment Strategy Manager, for our broker partners and clients. You will handle configuration and EDI timelines for Symetra’s Enrollment Platform, while coordinating across the Benefits division to drive successful Voluntary enrollments.
What you will do
Timeline Management for Client Enrollments:
Leverage the Symetra Enrollment Platform to build and run the timeline of activities required to ensure a successful enrollment technology deployment
Configure and test each case build according to defined specifications from the broker, client, and carriers
Ensure all key project milestones are met
Assist the team with developing best practices and process improvement to create efficiencies in the enrollment process
Re-Enrollment Strategy:
Act as liaison for Regional Account Managers and serve as a single point of contact to support case re-enrollments
Maintain enrollments by uploading census files for new hires, EDI setup, loading in-force coverage information for reservice accounts, and running reports for internal and external account management
Support the renewal process by adding new product lines, changing enrollment file output configuration and other activities at renewal
Perform user acceptance testing
Support:
Establish and manage assigned cases to ensure all API and EDI files are tested and functioning as expected in production
Troubleshoot, perform root cause analysis, and resolve any transactional errors and/or case-level impacts
Participation Results Reporting:
Support the development of Voluntary participation reporting which will enable the organization to have better awareness of the success of various enrollment capabilities and methodologies
Why Work at Symetra
Here’s what some of our employees have to say about why they work at Symetra:
“At Symetra, you will find an environment where leaders, peers, and subordinates all work together. A place that values all your skills, whether academic, personal, or functional.” Alex A. – Corporate Records Manager
“We’re big enough to make an impact on the country, but small enough to care and know who you are and what you’re contributing to the organization. All new ideas are welcome!” Stephanie F. – VP Customer Service & Operations
What we offer you
Benefits and Perks
We don’t take a “one-size-fits-all” approach when it comes to our employees. Our programs are designed to make your life better both at work and at home.
Flexible full-time or hybrid telecommuting arrangements
Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6%
Paid time away including vacation and sick time, flex days and ten paid holidays
Give back to your community and double your impact through our company matching
Want more details? Check out our Symetra Benefits Overview
Compensation
Salary Range: $73,200 – $122,000 plus eligibility for annual bonus program
Your experience and skills
Bachelor’s degree or equivalent work experience required
5+ years of progressively responsible work experience in group/voluntary benefits preferably through two of the following: benefits administration experience, enrollment firm or insurance carrier
Demonstrated experience as a Selerix case builder required
Extensive knowledge of insurance industry and market practices
Proven track record of influencing others and working with a diverse group of stakeholders
Excel Proficiency
Benefits Administration System Experience
Advanced knowledge of database structure and theory
Change management skills
Strong analytical, decision making, and problem-solving skills
Works well in a metrics-driven environment, with an emphasis on efficiency and individual production
Proficiency managing projects involving multiple collaborators
Self-starter with excellent organizational and time management skills
Fast learner with a focus on quality
Some occasional travel required
We empower inclusion
At Symetra, we aspire to be the most inclusive insurance company in the country. We’re building a place where every employee feels valued, respected, and has opportunities to contribute.
Inclusion is about recognizing our assumptions, considering multiple perspective, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company. We invite you to learn more about our efforts here.
Creating a world where more people have access to financial freedom
Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we’re guided by the principles of Value, Transparency and Sustainability. This means we provide products and services people need at a competitive price, we communicate clearly and openly so people understand what they’re buying, and we design products—and operate our company—to stand the test of time. We’re committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI). Join our team and help us create a world where more people have access to financial freedom.
For more information about our careers visit: https://symetra.eightfold.ai/careers
Work Authorization
Employer work visa sponsorship and support are not provided for this role. Applicants must be currently authorized to work in the United States at hire and must maintain authorization to work in the United States throughout their employment with our company.
LI-NW1
LI-Remote
by twochickswithasidehustle | Sep 8, 2023 | Uncategorized
Job Type
Full-time
Description
Soleo Health is seeking a Billing Specialist to work Remotely (USA). Join us in Simplifying Complex Care! Specialty Pharmacy or Infusion experience required.
Soleo Health Perks:
Competitive Wages
401(k) with a match
Referral Bonus
No Weekends or Holidays!
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) options
Paid Time Off
Education Assistant Program
Great Company Culture!
The Position:
The Billing Specialist will primarily be responsible for insurance and self-pay billing, excluding Medicare. This role is also responsible for submitting electronic and paper claims. Follows up with clearing house vendors on accepted and working rejections. Responsibilities include:
Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer/ Institutional Payers).
Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules.
Creates and submits secondary electronic pharmacy and medical claims in a timely manner.
Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing.
Monitors billing requirements pursuant to contracts with third party payers or government programs.
Answer insurance/billing questions from branch staff and help educate.
Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims.
Perform routine revenue review of claims billed within the current month.
Answering incoming calls and triage if necessary.
Create claim batches and process them via electronic submission.
Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections, and resubmit.
Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers.
Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues.
Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc.
Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely
Effectively utilize time and resources to meet performance goals.
Provides exceptional Customer service to internal and external customers.
Ensures compliance with federal, state, and local governments, third party contracts, and company policies.
Clearly communicate any billing related issues to all appropriate parties including: Intake, collections, RBL, and manager.
Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information.
Maintain current knowledge of departmental and organizational policies.
Schedule:
Monday-Friday, 8:30a-5p
Requirements
3+ years’ experience in medical billing
Home infusion or specialty pharmacy experience required
Knowledge of HCPC coding and medical terminology
Experience providing customer service to internal and external customers
Must be dependable. Excellent phone and email communication skills
Working knowledge of ICD10, CPT, NCCI; must be familiar with modifier application and standard billing regulations
The ideal candidate will have experience with infusion and specialty pharmacy billing
High School Diploma or equivalent
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.
Keywords: Billing rep, medical billing, coding, reimbursement specialist
Salary Description
$21 – $24 per hour
by twochickswithasidehustle | Sep 8, 2023 | Uncategorized
Job Type
Full-time
Description
Triad Financial Services is a leading provider of financial services and solutions, serving clients worldwide. We are seeking a highly motivated and skilled Underwriting Support candidate to join our growing team. This is a great opportunity to learn about the exciting world of mortgage financing. If you enjoy working in a fast paced environment, this position might be for you! This is a Monday through Friday, 8:30am to 5pm position. Triad Financial Services offers health insurance benefits, a 401K program, the opportunity to earn up to 15 days off within your first year, 7 paid holidays, a tuition reimbursement program, opportunity for advancement and so much more.
Essential Duties and Responsibilities:
Review information submitted for pending conditions list – clear conditions and update customer/dealer/broker w/ new approval letter.
The accurate and timely encoding of information from applications into the Encompass database of essential data pertinent to the processing of a loan application in order to make it ready for credit decision by Triad Underwriters.
Contact the dealer/broker/customer for any missing information needed to input the application in a timely manner
Pulling and reviewing credit for each applicant and communicating issues to underwriters timely and effectively.
Basic knowledge of each department and providing telephone support to the client base in order to accurately address any and all queries they may have prior to the submission of a loan application.
Promptly provide adequate loan application status updates, as required, to the client base via telephone and/or email.
The expedient resolution of issues raised by the client base during the initial stages of the loan application process, as permitted by the Processor’s scope of responsibility and authority.
Responsible for the timely distribution of pertinent physical documents to the client base. This includes but is not limited to, the mailing of ECOA notices, loan decline letters, and property appraisals.
Serving as a liaison between the client base and Underwriters whenever required.
Perform related duties as assigned by supervisor
Requirements
Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers
Excellent computer proficiency (MS Office – Word, Excel and Outlook)
Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
High school diploma or GED required
Salary Description
$20.55 To $22.00 / Hour
by twochickswithasidehustle | Sep 8, 2023 | Uncategorized
Extraordinary Care. Extraordinary Careers.
With the nation’s largest home infusion provider, there is no limit to the growth of your career.
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.
As a proud recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is supporting and building a workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.
Job Description Summary:
Hiring Range From: $17+
Responsible for processing patient reimbursements. Must be familiar with MS Outlook and have experience with computer systems. Prior experience working within healthcare industry a plus.
Responsible for the timely, accurate submission of invoices to responsible payer, of any type, for all services and products provided. Evaluates payments received and application to the patient account.
Follows-up with responsible parties to ensure the receipt of timely, accurate payments. Assists with Billing and Collection Training and completes “second level” appeals to payers.
Job Description:
Job Responsibilities:
Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers payments belonging to other offices within 48 hours of receipt.
Follows up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.
Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.
Supervisory Responsibilities: i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.
No
Basic Education and/or Experience Requirements:
High School Diploma or equivalent.
0 – 6 months previous Infusion Reimbursement or Intake/Admissions experience
Basic Qualifications & Interests:
Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.
Due to some state pay transparency laws, below is the minimum pay for the position:
Salary to be determined by the applicant’s education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Minimum pay is $15.96+
Benefits:
-401k
-Dental Insurance
-Disability Insurance
-Health Insurance
-Life Insurance
-Paid Time off
-Vision Insurance
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
Posted: Sep 07, 2023
by twochickswithasidehustle | Sep 8, 2023 | Uncategorized
remote type
Remote
locations
Atlanta, Georgia, USA
time type
Full time
posted on
Posted Yesterday
job requisition id
R0044670
Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services. Our worldwide team helps over 3 million companies, more than 1,300 financial institutions and over 600 million cardholders grow with confidence and achieve amazing results. We are driven by our passion for success and we are proud to deliver best-in-class payment technology and software solutions. Join our dynamic team and make your mark on the payments technology landscape of tomorrow.
Paying $15.30hr
Mon-Fri Schedule Day Shifts ONLY
Summary of This Role
Responsible for research and resolution of customer charge backs. Requires detailed transaction research, analytical skills, and documentation of actions taken including phone calls to merchants, cardholders, and others as appropriate. Applies bank and card industry regulations and practices in resolving disputes. May also compile aggregate statistics on charge backs for use by the company in identifying patterns and improving overall customer service.
What Part Will You Play?
Develops and applies the basic skills appropriate to research, process, and resolve chargeback/reversal requests for 3 or more dispute reason codes specific to 1 of the supported card brands, by utilizing established processes in a multi-client/system environment and adhering to association regulations. Gathers and analyzes cardholder and/or merchant account transactions to determine if the disputed transactions are covered under federal regulations, organizes supporting information, and applies appropriate credit/debit adjustments to accounts based on the final result of arbitration.
Works basic assignments from work queues as directed. Assists with the segmentation of pending requests from various work queues into the appropriate work flow based on request type and complexity.
Begins to develop an intermediate knowledge, pertaining to a single card brand (i.e. Visa/MasterCard/Discover/Amex), and federal regulations governing credit card chargebacks and reversals through training, online research of regulations, and adhering to department processes and procedures.
What Are We Looking For in This Role?
Minimum Qualifications
High School Diploma or Equivalent
Preferred Qualifications
0-2 years related work experience handling dispute resolutions throughout the association lifecycle.
What Are Our Desired Skills and Capabilities?
Skills / Knowledge – Acquires and applies job skills and learns company policies and procedures to complete assigned routine tasks.
Job Complexity – Works on assignments that are routine to semi-routine in nature, requiring limited decision outside of stated processes, but recognizes the need for occasional deviation from accepted practice. Has little or no role in the decision-making.
Supervision – Normally receives detailed instructions and follows established procedures on all work, requires instructions on all assignments. Works under close supervision.
Skills / Knowledge – Working knowledge of association and card industry regulations
The position listed in this requisition is ineligible for the referral bonus award program
LI-Remote
Global Payments Inc. is an equal opportunity employer.
Global Payments provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex (including pregnancy), national origin, ancestry, age, marital status, sexual orientation, gender identity or expression, disability, veteran status, genetic information or any other basis protected by law. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.
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