by twochickswithasidehustle | Jun 25, 2023 | Uncategorized
Interwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare—with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives. We are on a mission to help people and we know the work we do changes their lives. If there is a better way, we will create it. So, if our mission speaks to you, join us!
Clinical Documentation reviewer will assist risk adjustment manager in data collection, and reporting of relevant data to support the chart review accurate coding program. The position will collaborate with risk adjustment team for education and improvement plans to ensure optimal documentation and program effectiveness while adhering to the IWH corporate compliance programs and following regulatory requirements.
The work you will do:
- Evaluate chart review performance and provide analysis to assist physicians and/or staff in improving and supporting coding and documentation best practices.
- Assist with Practice Support of Chart Review Process and Education
- Identify areas of improvement that will be used to plan provider education and create action plans for practices to address deficiencies.
- Prepare documents to present to practices or for follow-ups such as chart note examples, provider documentation trends, provider educational materials or coding guidelines
- Develop provider educational materials and tools to support providers in improving coding accuracy and specific documentation to capture patient severity of illness (presentations, webinars, audit trends, flyers, and coding tip sheets, etc.)
- Provide coding education to physicians, advanced practitioners, staff as needed
- Ensure compliance with all applicable federal, state and/or county laws and regulations related to coding and documentation guidelines for risk adjustment.
- Promotes transparency and collaborates with project team members to ensure effective coordination
The skills and qualifications you need:
- Certified Professional Coder (CPC).
- Certified Risk Adjustment Coder (CRC) Preferred.
- Bachelor’s degree in related field of study preferred.
- 3+ years of experience with Risk Adjustment HCC coding or abstraction.
- 2+ years of ICD-10 Coding, Chart Review Auditing.
- Comprehensive understanding of HCC coding rules & regulations.
- Excel, Word, PowerPoint. Must be proficient with Excel functions to develop data trends (pivot tables, graphs, etc).
Our mission is to reinvent healthcare to help patients live their best lives, and we proudly live our mission-driven values:
– We care deeply about the people we serve.
– We are better when we work together.
– Humility is a source of our strength.
– We bring joy to our work.
We are committed to diversity, equity, and inclusion throughout our recruiting practices. Everyone is welcome and included. We value our differences and learn from each other. Our team members come in all shapes, colors, and sizes. No matter how you identify your lifestyle, creed, or fandom, we value everyone’s unique journey.
Oh, and one more thing … a recent study shows that men apply for a job or promotion when they meet only 60% of the qualifications, but women and other marginalized groups apply only if they meet 100% of them. So, if you think you’d be a great fit, but don’t necessarily meet every single requirement on one of our job openings, please still apply. We’d love to consider your application!
APPLY HERE
by twochickswithasidehustle | Jun 25, 2023 | Uncategorized
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Administrative Assistant II- REMOTE
Job Description SummaryProvides administrative support to managers and work groups. Works independently and handles a wide variety of office duties and special projects.
(SUPPORT LEVEL: TLA5)
Job Description
- Answers the telephone and screens incoming calls and communications.
- Personally answers questions and communications (written and/or electronic) within scope of assigned responsibility and departmental/company guidelines.
- Forwards other more complex questions or correspondence, along with appropriate documentation, to manager or other appropriate staff member.
- Independently handles a wide variety of general office procedures and administrative duties such as setting-up and maintaining filing systems, composing and proofreading documents, collecting and compiling data, and coordinating the flow of reports, invoices, or records.
- Maintains schedules and coordinates meeting with multiple staff members.
- Uses word-processing, spreadsheet software, or graphics software to create detailed presentations or confidential documents.
- May maintain, manipulate or utilize a moderately complex computerized database and/or spreadsheet to record and compile data.
- Coordinates or independently completes special projects according to managers general instructions.
- May assist manager or other staff members with more complex and detailed projects
- Composes, prepares and signs routine, non-technical correspondence in own or supervisors name.
- Performs other general office duties as assigned.
Responsibilities
- 4+ years of administrative assistant experience.
- Ability to type an average of 40 WPM.
- Ability to multi task and meet deadlines.
- Ability to understand and follow instructions, policies and procedures.
- Demonstrated history of reliability and punctuality.
- Demonstrated proficiency with Microsoft Office Product Suite (Word, Excel, PowerPoint). Ability to quickly learn and use new software applications as needed.
- Maintain a positive attitude with excellent interpersonal skills.
- Maintain sensitive and confidential information.
- Must be flexible and adaptable to change.
- Organized with strong attention to detail.
- Strong verbal and written communication skills, both in person and on the telephone.
Work Experience
Work Experience – Required:Administrative Support
Work Experience – Preferred:
Education
Education – Required:GED, High School
Education – Preferred:Bachelors
Certifications
Certifications – Required:
Certifications – Preferred:Potential pay for this position ranges from $20.36 – $30.53 based on experience and skills. Pay range may vary by 8% depending on applicant location.
APPLY HERE
by twochickswithasidehustle | Jun 25, 2023 | Uncategorized
Our crypto wallet is used by millions of people to access apps and financial services. As a Social Media & Community Associate, you will be responsible for managing our Twitter and Reddit communities to help grow Phantom. Join us on our mission to make the digital economy safe and easy to use for everyone.
This role is fully remote; however, we’re only open to candidates based in US time zones. Currently, Phantom cannot support employees from the following countries and continents: Russia, Pakistan, Ukraine, Asia, Oceania, and Africa.
Responsibilities
- Serve as the day-to-day moderator of Phantom’s social media channels
- Engage and respond to all inbounds and proactively interact with the community to increase positive engagement
- Plan and execute high-quality content, activities, and campaigns to increase engagement
- Develop relationships with builders, community managers, and external stakeholders from other projects to facilitate co
- Use analytics and reporting to discover insights and drive social and community strategy
- Collect feedback to identify and capture marketing opportunities, areas of improvement, and additional services or features
- Collaborate with the Support and Product teams on what should be communicated
Qualifications
- 2+ years of experience in community management
- Strong understanding of the crypto industry and ecosystem including NFTs, dapps, marketplaces, and games
- Ability to work independently and manage multiple projects simultaneously
- Strong analytical skills and ability to track and report on metrics
If you are passionate about cryptocurrency and have experience in social media and community management, we encourage you to apply for this exciting opportunity to join our growing team!
Why Work with Us
Opportunity
We are a team of experienced builders with a ton of traction in a big and growing market – our users are so passionate they were hacking their way into our private beta. Only months after launching we’ve acquired millions of users, and are adding hundreds of thousands every week. We are by far the leading wallet on Solana, and plan to expand to other chains soon.
On top of that, there has never been a better time to work in crypto and on wallets in particular.
- Wallets play a pivotal role: Wallets are responsible for on-boarding new users into crypto, and can make or break the user experience.
- We are moving to a multi-chain world: New blockchains and scaling solutions are coming online and gaining traction, but are lacking decent wallets and bridges.
- DeFi & NFTs are exploding : Interest in DeFi and NFTs has exploded, yet they are still an after-thought in existing wallets.
Benefits
- Competitive salary and equity.
- Comprehensive insurance (medical/dental/vision) — 100% covered.
- Stipend for your ideal remote / WFH set-up: laptop, headphones, and any other work gear you may need.
- Flexible hours and a long-standing, supportive remote environment.
- Monthly co-working space and mobile phone expense.
- Unlimited vacation: Take time when you need it (and we really mean it).
- 401(k) retirement plan (although we are not matching at this time)
- Wellness benefit
- Daily lunch benefit
The target base salary for this role will range between $70,000 to $110,000 with the addition of equity and benefits. This is determined by a few factors including your skillset, prior relevant experience, quality of interviews and market factors (such as location) at the point in time of offer.
APPLY HERE
by twochickswithasidehustle | Jun 24, 2023 | Uncategorized
Description
American Specialty Health Incorporated is looking for an experienced and proficient Reconciliation Representative. This position reconciles resolves, and researches claims, including complex claims, for payment.
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).
You are invited to learn more about American Specialty Health’s events on our events page.
Responsibilities
- Reconciles, resolves, and researches ASO payments to ASH.
- System reconciles ASO claims payment from Health Plan Payors.
- Makes calls to Health Plans to check status of payment or underpayment. Make courtesy calls to Providers as needed
- Makes calls and researches overpayment requests from health plan recovery services.
- Documents follow-up in Reconciliation System or Communication Log.
- Prepares letters of explanation to Health Plans and prepares spreadsheet documentation of payments/overpayments/underpayments.
- Completes check requests for reimbursements of overpayments to Health Plans.
- Maintains confidentiality of all claims documents, records, and claims related issues.
- Promotes a spirit of cooperation and understanding among all personnel.
- Recognizes unique and/or problem situations within area of assigned responsibility. Researches and makes recommendations to Supervisor.
Qualifications
- High School diploma required.
- 2 to 3 years with claims processing, computer, typing, 10 key and telephone skills preferred.
- 1-2 years experience as a Reconciliation Representative preferred.
- Knowledge of Microsoft Word and Excel helpful.
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 oral 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.
APPLY HERE
by twochickswithasidehustle | Jun 24, 2023 | Uncategorized
Description
American Specialty Health Incorporated is seeking a Verification Examiner to complete verification of practitioner credentials 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 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
- Performs verification and updates PROMIS according to standards and health plan expectations.
- Verifies with the appropriate agencies that the applicant has a current and valid license.
- Checks with the appropriate agencies to determine whether the applicant has had any sanctions against his/her license.
- Determines whether the applicant has had any Medicare or Medicaid sanctions using the latest Cumulative Sanctions Report released by the Department of Health and Human Services.
- Obtains verification of current Professional Liability Insurance and malpractice claim history for each applicant.
- Verifies education through State licensing agencies or appropriate schools, colleges, or universities.
- Communicates with practitioners by mail, fax, or phone to answer questions and obtain information.
- Verifies whether an applicant has full or limited/partial clinical privileges by contacting the facility.
- Maintains confidentiality of all practitioner data, and related issues.
- Completes assigned work within predetermined timelines.
- Enters data in PROMIS to complete each portion of the credentialing process within predetermined timelines.
- Provides teamwork and assistance to all department staff, including participating in special projects and related credentialing assignments.
Qualifications
- High School diploma required.
- Industry experience preferred.
- One year computer experience including word processing and spreadsheet applications.
- 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.
- 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.
APPLY HERE
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