by twochickswithasidehustle | May 14, 2023 | Uncategorized
Remote, Nationwide – Seeking Billing Specialist
Everybody Has A Role To Play In Transforming Healthcare
As a Billing Specialist, you play a vital role in Billing Operations, verifying insurance coverage of payers, identifying account classification, process billing exceptions, and more. At Vituity we know the impact you can have.
Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.
Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
- Identifies the correct Financial Class and enters in billing system.
- Posts extracts and correct validation errors in system.
- Identify trends and communicates to leadership team.
- Reviews incoming documentation to identify correct payer to accounts.
- Researches eligibility to ensure correct insurance coverage of payer.
- Ensures payer mapping (crosswalk) is set-up correctly.
- Identifies contract matrix discrepancies and/or gaps and communicates accordingly.
- Analyzes decision log errors related to the daily census.
- Identifies trends with incoming data and communicate to leadership team.
- Analyzes pre-submission errors to identify root cause and recommends a solution.
- Processes denials related to eligibility to identify correct payer or payer request.
- Processes electronic rejections, identifies root cause, and recommends/makes appropriate updates to accounts.
- Processes returned mail, write-off accounts, and daily exception reports.
- Processes Laserfiche folders (duplicate, pending review, etc.) to ensure documentation is processing timely.
- Identifies Work in Process (WIP) and creates exception reports for management.
- Processes activity codes for Account Classification or account suspended issues.
- Retrieves missing documentation for payer accounts from various applications and/or site portal.
- Prints, sorts, and files miscellaneous billing related documentation.
- Completes daily log via manual entry into billing system.
- Time tracking for manual sites.
- Trains fellow team member as requested or needed.
Required Experience and Competencies
- High school diploma or GED required.
- One or more years of experience in billing operations required.
- Prior experience working in the healthcare industry preferred.
- Knowledge of payer Financial Classifications for billing.
- Knowledge of account exception processes in billing operations.
- Ability to read and interpret Explanation of Benefits (EOB) from various payers.
- Ability to communicate trends to leadership team clearly.
- Ability to problem solve challenges that may not be previously outlined in a payer manual.
- Ability to communicate effectively in writing and verbally.
- Ability to analyze, interpret, and create various billing related reports.
- Knowledge of and ability to apply basic math concepts.
- Ability to complete duties with attention to detail and high degree of accuracy.
- Ability to prioritize workflow and work autonomously.
- Basic understanding of Microsoft Office applications (Word, Excel, and Outlook).
- Ability to comply with RCM billing policies and procedures.
The Community
Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.
- Monthly wellness events and programs such as yoga, HIIT classes, and more
- Trainings to help support and advance your professional growth
- Team building activities such as happy hours and holiday celebrations
- Flexible work hours
- Opportunities to attend Diversity, Equity and Inclusion (DEI) events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
Benefits & Beyond*
Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.
- Superior health plan options
- Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
- Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
- Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical
- Student Loan Repayment Program
- Professional and Career Development Program
- EAP, travel assistance and identify theft included
- Wellness program
- Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more
- Purpose-driven culture focused on improving the lives of our patients, communities, and employees.
Hourly rate for this role is $16.50 per hour.
We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.
Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.
APPLY HERE
by twochickswithasidehustle | May 14, 2023 | Uncategorized
Format Services, LLC is looking for an experienced quality control associate / digital court reporter / legal transcriptionist with experience in legal deposition transcripts. You will be part of a new team working to deliver high-quality outputs that meet industry, jurisdiction, and customer-specific standards. This role will be a part of a growing business maturing into a well run, organized team. This role reports to the General Manager of Format Services, LLC.
Responsibilities:
- Perform quality control of previous transcripts – proof bylines and exhibit placement and wording based on customer requirements and style guidelines
- Incorporate templates into the supplied body of a transcript, including over sheets, appearances, indices, certificates, and errata
- Regularly provide feedback on processes and templates to help improve workflows
- Ensure outputs meet industry + jurisdiction standards and customer-specific expectations
- Openly receive feedback from customer’s Quality Control teams and implement improvements to templates and processes based upon it
- Help create iterations of templates for full package legal deposition transcripts
- Represent the team values of service, ownership, and personal growth
Requirements:
- 2+ years of experience as a legal transcription quality control specialist, legal transcriptionist, digital reporter, Certified Electronic Transcriber (CET), or related role
- Quality control, proofreading and/or editor experience preferred
- Proficient in Microsoft Word
- Self-starter able to work independently and manage your own time and workload
- Ability to follow detailed, nuanced instructions related to industry standards and customer-specific requirements
- Ability to incorporate templates into the supplied body of transcript
- Templates that may apply:
- Cover Sheet
- Appearances
- Indexes
- Certificates
- Errata
- Knowledge of industry specific guidelines related to completing a full package legal deposition transcript.
APPLY HERE
by twochickswithasidehustle | May 14, 2023 | Uncategorized
Job Introduction
Quality Analysts (Medical) supporting the Veterans Evaluation Services (VES) administered by Maximus, make an impact everyday by reviewing Medical Disability Examination (“MDE”) reports and Disability Benefits Questionnaires (“DBQs”) generated by medical providers on Veterans evaluated on behalf of the Department of Veterans Affairs (the “VA”). The QA works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA. To prepare you for this role, the VES provides paid, comprehensive training which ensures all new employees provide the highest levels of knowledge and professionalism.
Education and Experience Requirements
Essential Job Functions:
- Review MDE requests for consistency with the DBQ
- Review MDE reports and DBQs for completeness and typographical and grammatical correctness
- Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA
- Verify that any special requests or necessary second reviews have been completed, consistent with the VA’s preferences
- Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report
- Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken
- Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider’s training or expertise, or has presented a problem/issue with the assigned medical provider
- Consistently achieve production goals
Knowledge/Skills/Abilities:
- Intermediate knowledge of medical terminology
- Skillful in written and oral communication
- Excellent analytical skills and detail-oriented
- Excellent multi-tasking skills
- Must have organizational and prioritization skills
- Proficient in the use of Microsoft Office Products
Minimum Qualifications:
- Associates degree required; Bachelor’s degree preferred
- Two (2) years Quality experience may substitute for educational requirement
- Experience in Healthcare-Quality preferred
Home Office Requirements:
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
- Preferred Windows or Mac (no Chromebook) that is no more than 5 years old
- OS for Windows – Windows 10 or newer
- OS for Mac – Big Sur (11.0.1+); Catalina (10.15); MacOS (up to 12.5) or newer
- Connectivity to the interview via either Wi-Fi or Category 6 or 6 ethernet patch cable to the home router
- USB plug and play wired headset with a microphone and noise suppression
- A second monitor is highly recommended
- Private work area and adequate power source
The training schedule will be 8am-5pm Central Time, Monday- Friday, for 3 months. It is preferred no time is missed during this training period.
APPLY HERE
by twochickswithasidehustle | May 12, 2023 | Uncategorized
Are you looking to accelerate your career without having to hide your authentic self – a place where you can be you? A career that’s making a bigger impact on the world? At OneDigital, we are on a mission to help people do their best work and live their best lives. From the services we offer to the way we show up for each other each day, we are fueling dreams, achieving big goals, and embracing each other’s truest selves.
We understand that pursuing a new job is a big deal. Maybe you’re afraid you won’t fit in. Well, here’s the good news. For us, the days of “fit in to get in” are over and being different is not a barrier to getting ahead. Greatness comes in all shapes, sizes, colors, and experience levels. If you are looking for a people-first culture that is wired for growth, driven to serve, and totally committed to having your back, give us a shot. Your best life awaits.
Our Newest Opportunity:
Job Summary:
As a Data Connection Administrator at OneDigital, you will provide administrative support for technology customers.
Duties:
- Initial Case Intake and Vetting
- Online Access;
- Product Validation;
- Integration Notification;
- Sorting discrepancies reports;
- Maintain documentation per workflows, procedures, and protocols;
- Process carriers that require US processing of eligibility maintenance tasks. This includes but is not limited to entering information into the carrier website, completing carrier spreadsheets, emailing/faxing the document to the carrier or processing the transaction over the phone with the carrier contact.
- Follow up with the carrier to obtain status updates.
- Reviewing data for deficiencies or errors, reporting any incompatibilities;
- Ensure the protection and security of a consumer’s personal, confidential and identifiable information in a professional and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA);
- Meet or exceed department goals as defined;
- Complete other duties and projects as assigned.
Required Skills:
- Driven, self-motivated, enthusiastic and with a “can do” attitude
- Must be self-motivated and disciplined;
- Ability to remain calm and clear-minded in a role that directly impacts both revenue and client satisfaction
- Excellent communication and interpersonal skills
- Ability to manage multiple assignments at one time
- A high level of accuracy and attention to detail is required.
Required Experience:
- Current life and health insurance license, preferred;
- Minimum 2 years’ work experience in a broker agency, benefit administration firm, carrier or TPA, preferred.
APPLY HERE
by twochickswithasidehustle | May 12, 2023 | Uncategorized
Overview
Work ShiftFirst (Days) (United States of America)
Sentara Patient Accounting is hiring a full time, day shift position, Charge Capture Specialist. This is a Remote status position.
Responsible for complete, compliant, and timely daily charge capture of chargeable medication administration, bedside services and other lines of service as assigned. This position is responsible for ensuring all appropriate billing charges are being captured, documented, charged, and reimbursed for the assigned department.
As necessary, queries and/or submits request to the physician for additional information or clarification of procedures. Assures charging practices fall within established compliance guidelines. Performs other related duties as requested by Revenue Integrity management.
This role requires an understanding of medical terminology, CPT/HCPCS guidelines and Medicare regulatory guidelines.
One of the following certifications required: CPC, COC, CCA, or CCS.
Sentara Health offers employees comprehensive health care and retirement
benefits designed with you in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical. dental, and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount bonus payment if established system and employee eligibility criteria is met.
For applicants within Washington State, the following hiring range will be applied:
$21.41- $29.57 per hour.
Remote Candidates must have residency in one of the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington State, West Virginia, Wyoming
Indeed
Job SummaryResponsible for complete, compliant, and timely daily charge capture of chargeable medication administration, bedside services and other lines of service as assigned. This position is responsible for ensuring all appropriate billing charges are being captured, documented, charged, and reimbursed for the assigned department. As necessary, queries and/or submits request to the physician for additional information or clarification of procedures. Assures charging practices fall within established compliance guidelines. Performs other related duties as requested by Revenue Integrity management. This role requires an understanding of medical terminology, CPT/HCPCS guidelines and Medicare regulatory guidelines.
One of the following certifications required: CPC, COC, CCA, or CCS.
Qualifications:HS – High School Grad or Equivalent (Required)Certified Coding Specialist (CCS) – Other/National, Certified Professional Coder (CPC) – Other/NationalCharge Capture Auditing
SkillsCommunication, Judgment and Decision Making, Microsoft Office
APPLY HERE
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