by twochickswithasidehustle | Jun 20, 2025 | Uncategorized
Description
American Specialty Health, Inc. is seeking a Fitness Reimbursement Examiner to join our Fitness Reimbursement department. The primary purpose of this position is to enter data from fitness and exercise center billing reports into the Reimbursement Processing System. This position is responsible for the accurate review, input and adjudication of reimbursement requests in accordance with regulations, ASH standards and contractual obligations of the organization.
Responsibilities
- Processes reimbursement requests accurately and efficiently.
- Reviews all incoming reimbursement requests to verify necessary information.
- Enters reimbursement requests and information into a computerized request Processing System.
- Maintains all required documentation of reimbursement requests processed and reimbursement requests on hand.
- Adjudicates reimbursement requests in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
- Maintains minimum production standard, 98.5%.
- 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 files, reimbursement request reports, and reimbursement request related issues.
Qualifications
- High school diploma required.
- 10 key and word processing; minimum 10,000 key strokes per hour required with 95% accuracy.
- Data Entry Experience.
- Proficient in MS Office.
- Ability to recognize unique and/or problem situations and brings to attention of Supervisor.
- Demonstrated ability to meet department performance standards and quality improvement processes.
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 | Jun 20, 2025 | Uncategorized
Join Our Team at Peachtree Orthopedics and Help Others “Get Better”
At Peachtree Orthopedics, we’re on a mission to make a difference in healthcare, and we’re looking for dedicated individuals to join our team. With nine convenient offices across Greater Atlanta, we’re committed to providing top-notch care and your skills and passion can make a real impact. We’re not the largest practice in Atlanta, but we take pride in delivering dedicated and compassionate care to everyone who walks through our doors. If you’re ready to be part of a team that values your contribution and offers room for growth, consider joining us in our mission to help others “Get Better.”
Our Culture
Peachtree Orthopedics has a rich history of 70 years in business and has earned recognition as a Top Workplace by the Atlanta Journal Constitution for 6 consecutive years. We take pride in our family-oriented, dedicated, passionate, and hardworking culture. When you join our team, you become a part of a community that values excellence in healthcare while working in a supportive and nurturing environment.
Why Choose Peachtree Orthopedics?
At Peachtree Orthopedics, we offer more than a job; we offer an opportunity to be part of something extraordinary:
- Limitless Growth: Propel your career with abundant professional development opportunities within our dynamic organization.
- Empathetic Culture: Immerse yourself in a supportive, lively work culture that values your well-being and celebrates your contributions.
- Dedication to Excellence: Join a team of like-minded individuals who share your commitment to delivering top-notch care to our cherished patients.
Your Impactful Role
The Credentialing Clerk is responsible for assisting with filing/maintaining the files of physicians, allied health professionals, data entry into credentialing software Credential My Doc, and other key clerical functions of the Credentialing Department. The credentialing clerk will be assisting with attestations for Council for Affordable Quality Healthcare (CAQH) Universal Data Base and creating files for providers, answering requests for any documents needed with proper discretion as well as filing any documents received.
- Communicating with external and internal customers of completing requests for practice verifications on required excel spreadsheets for providers and practice locations such as Paradigm, Corvel, Coventry or all other insurance plans.
- Printing and faxing documents upon request as needed.
- Assisting with restructuring the Credentialing files of providers at the Credentialing Manager’s discretion.
- The credentialing clerk will be assisting with attestations for CAQH Universal Data Base and creating files for providers, answering requests for any documents needed with proper discretion as well as filing any documents received.
Qualifications
- High School Degree or College Degree preferred
- Knowledge of MS Word, MS Excel, Outlook, Anodyne Analytics, and Athena software.
- Certified Professional Coder (CPC) preferred
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; reach with hands and arms; and to talk or hear. The employee is occasionally required to stand, walk; and stoop, kneel, crouch, or crawl. These duties could require the ability to lift files, open file cabinets and bend or stand as necessary. The employee must occasionally lift and/or move up to 30 pounds. The employee will operate a keyboard, calculator, telephone, copy machine, computer and other office equipment as necessary. Specific vision abilities required by this job include close vision.
It is necessary to view and type on computer screens for long periods of time and to work in an environment which can be very stressful.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Must be able to deal with aggressive, hostile and sometimes irrational behavior of patients and family members and have the ability to respond to all patients in a calm and professional manner.
Peachtree Orthopedics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees..
by twochickswithasidehustle | Jun 20, 2025 | Uncategorized
Job Details
Description
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Receives claims, confirms policy coverage and acknowledgment of the claim
- Determines validity and compensability of the claim
- Establishes reserves and authorizes payments within reserving authority limits
- Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision
- Communicates claim status with the customer, claimant and client
- Adheres to client and carrier guidelines and participates in claims review as needed
- Assists other claims professionals with more complex or problematic claims as necessary
- Requires regular and consistent attendance
- Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
- Additional projects and duties as assigned
KNOWLEDGE & SKILLS:
- Excellent written and verbal communication skills
- Ability to learn rapidly to develop knowledge and understanding of claims practice
- Ability to identify, analyze and solve problems
- Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
- Strong interpersonal, time management and organizational skills
- Ability to meet or exceed performance competencies
- Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
- Bachelor’s degree or a combination of education and related experience
- Minimum of 1 year of industry experience and claims management preferred
- State Certification as an Experienced Examiner
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $51,807 – $83,551
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
by twochickswithasidehustle | Jun 19, 2025 | Uncategorized
Description:
*100% Remote*
Industry leading business communications & digital transformation organization seeking a talented Project Manager.
This is a full-time, permanent opportunity, offering a competitive salary and comprehensive benefits package. Qualified applicants must be willing and able to work on a w2 basis.
Rate: $100,000k – $120,000k/year
Responsibilities:
- The Project Manager (PM) is responsible for successful deployments of software and SIP solutions for the full Project Life Cycle.
- Success is defined as completing a project that meets the assigned profitability target, is delivered on time and is signed off on by the customer.
- As the primary liaison between the company and the customer the PM collaborates with sales, deployment services and the customer.
- This includes confirming customer requirements, developing the project plan, assigning responsibilities (internal and customer), setting timelines, managing risks or issues, appropriately accounting for any changes in scope, and generally ensuring the successful delivery of the project.
- Understand customer requirements and objectives
- Collaborate with relevant stakeholders to develop the project plan
- Coordinate internal and customer resources required for successful delivery
- Schedule and manage meetings as required to complete the project
- Manage changes to the project scope, project schedule, and project costs as necessary
- Timely meet each project milestone, identify risk or issues and escalate as necessary
- Track and report to relevant stakeholders on overall project status
Experience Requirements:
- Minimum 3 years of project management work experience
- Proven experience in software project management roles
- Working knowledge of project management software
- Adept at analyzing requirements to ensure projects objectives are met
- Ability to collaborate with others in the spirit of teamwork
- Excellent written and verbal communication skills
- Possess the management skills required to direct the work of others
- Solid organizational skills including attention to detail and ability to multi-task
- Prior consulting experience, technical or business lead on projects, and/or previous leadership roles would be beneficial
- Experience leading projects relating to Unified Communications, Contact Center, Call Center, IVR, UCaaS, CCaaS (preferred)
- Project Management Professional (PMP) or equivalent (preferred)
Education Requirements:
- Bachelors Degree required
Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range.
W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state/locality.
Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact [email protected].
About Eliassen Group:
Eliassen Group is a leading strategic consulting company for human-powered solutions. For over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen provides a local community presence, balanced with international reach. Eliassen Group strives to positively impact the lives of their employees, clients, consultants, and the communities in which they operate.
Eliassen Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
Don’t miss out on our referral program! If we hire a candidate that you refer us to then you can be eligible for a $1,000 referral check!
by twochickswithasidehustle | Jun 18, 2025 | Uncategorized
Job Description
ASSOCIATE PRODUCT MANAGER
American Eagle Outfitters, Inc. seeks an Associate Product Manager who will partner with our team of
product managers to deliver incremental value to elevate our digital and in store customer experiences.
This is a fully remote position, and the employee can work from anywhere in the United States. Duties
include: (i) working collaboratively with internal stakeholders and other product managers to inform
priorities and to deliver value incrementally; (ii) dive into internal systems to understand problems,
propose solutions, gain alignment, manage dependencies, and successfully rollout solutions; (iii) use
internal and third party data to help prioritize opportunities to drive growth; (iv) manage queues for new
requests, balance fixes vs. features; clear reporting on delivery timelines, and measured value; (v)
manage a development team’s backlog- write clear stories, prioritize, and manage a roadmap; and (vi)
participate in daily standups to ensure key priorities are being delivered.
This is a fully remote position, and the employee can work from anywhere in the United States.
Must have a bachelor’s degree (or foreign equivalent degree) in Computer Science, Information
Technology, or a directly related field plus three (3) years of experience in a related position.
Experience must include three (3) years as a Business Systems Analyst.
Experience must also include one (1) year of experience in a related Product Management position.
Must also have one (1) year of experience: (i) leading product development through an agile framework;
(ii) working with cross-functional teams; (iii) collaborating with stakeholders; and (iv) developing detailed
product requirements; synthesizing business needs, defining success metrics, and managing projects
from conception to completion.
Experience can be concurrent.
This is a fully remote position, and the employee can work from anywhere in the United States
Apply at https://aeo.jobs with cover letter, resumé and salary requirements.
PAY/BENEFITS INFORMATION:
- Actual starting pay is determined by various factors, including but not limited to relevant experience and location.
- Subject to eligibility requirements, associates may receive health care benefits (including medical, vision, and dental); wellness benefits; 401(k) retirement benefits; life and disability insurance; employee stock purchase program; paid time off; paid sick leave; and parental leave and benefits.
- Paid Time Off, paid sick leave, and holiday pay vary by job level and type, job location, employment classification (part-time or full-time / exempt or non-exempt), and years of service. For additional information, please click here.
- AEO may also provide discretionary bonuses and other incentives at its discretion.
#LI-DNI
Job Info
- Job Identification14348
- Job CategoryTechnology
- Posting Date06/17/2025, 08:52 AM
- Locations 19 Hot Metal
- Job ScheduleFull time
- Anticipated Pay Range for All Posted Locations$142,135
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