Revenue Cycle Management Coordinator

Pathways is seeking a dynamic Revenue Cycle Management (RCM) Coordinator to join our team. The ideal candidate will be familiar with Electronic Health Records (HER) and MS Office Suite to include Excel.

Qualifications:

High School Diploma and preferably, some college (preferably in business or accounting)
Medical Insurance experience preferred
Ability to multi-task in a fast paced environment in an organized manner with attention to detail and a high level of accuracy
Familiarity with electronic health records systems (EHR) and MS Office Suite to include Excel.

Job Duties:

Data entry of any notes for billing.
Responsible for follow up on Authorizations and billing issues.
Process required paperwork per various payer requirements.
Creating and mailing invoices and HCFAs.
Data entry of claims into electronic billing system and submitting electronic files within timely filing deadlines.
Filing Authorizations and Service Agreements or other forms.
Working with RCM team to reconcile issues.
Responsible for remediation of front end claim rejections.
Responsible for remaining current on all payer requirements.
Maintain procedural manuals, cross training and coverage of the team’s work.
Provide exceptional Customer Service.
Any other duties as assigned.

Perks of Working Full-Time at Pathways:

401 K Plan, Medical, Dental, Vision plans
Paid Vacation days that increase with tenure after the first year!
Separate Paid Sick leave that rolls over each year
Paid Holidays
Opportunities for advancement in our national company! As we grow, you grow with us!
Employee Assistance Program
Perks @ Pathways (student loan refinancing, pet insurance, Verizon wireless discount, movie, hotel, concert and sporting event discounts)

Compensation: $22.00 per hour

APPLY HERE

Online Chat Advisor

Adtalem Global Education is a national leader in post-secondary education and leading provider of professional talent to the healthcare industry. Adtalem educates and empowers students with the knowledge and skills to become leaders in their communities and make a lasting impact on public health, well-being and beyond. Through equitable access to education, environments that nurture student success, and a focus on expanding and diversifying the talent pipeline in healthcare, Adtalem is building a brighter future for communities and the world.

Adtalem was named one of America’s Most Responsible Companies in 2021 and 2023 by Newsweek and Statista, and one of America’s Best Employers for Diversity in 2021 and 2022 by Forbes and Statista. Adtalem’s family of institutions has more than 300,000 alumni and 10,000 employees. Adtalem is the parent organization of American University of the Caribbean School of Medicine, Chamberlain University, Ross University School of Medicine, Ross University School of Veterinary Medicine and Walden University.

Visit Adtalem.com for more information, and follow on Twitter and LinkedIn.

Job Description
Opportunity at a Glance
The primary purpose of this position is to service online chat generated requests from prospective students, current students, and handle any general chat questions regarding admissions, student services, student finance, academics, or registrar services, based on the information available in the institution’s catalog. Route chats that require additional expertise to the appropriate resource in a prompt and efficient manner. Support MyCompass self- service enrollment to Day 1. This position is currently based on service excellence for Admission staff across multiple institutions, Online and Onsite. The intent is to grow and service all client partners that solicit the organizations customized services.

Responsibilities

Online chat advisor handles chat conversations with prospective students, answering front line admissions questions, providing pertinent and responsive feedback while representing all client partners’ unique brands and business needs.
Handles any general chat inquiries regardless of modality online or onsite to provide specific answers or provide appropriate routing to correct department personnel throughout the university (including but not limited to My Compass chats, service, academic advising, technical support, etc.).
Routes detailed chat inquiries to appropriate department personnel with special consideration for student finance questions to ensure best in class student service.
Handles chat conversations with continuing students, answering specific student questions regarding registration, academics, classes, university catalog material, and providing pertinent and responsive feedback.
Dispositioning inquires in Salesforce. Generating and documenting qualified inquiries and reassign to appropriate recipients.
Complies with all policies and standards.
Qualifications
Bachelor’s Degree Preferred
1 year of admissions and/or student services experience.
Familiarity with institutional catalogs.
Subject matter expert in front line admissions policies.
Ability to multitask several online chats at the same time with good typing and grammatical skills.
Ability to communicate in a concise and friendly manner.
Additional Information
In support of the pay transparency laws enacted across the country, the expected salary range for this position is between $14.17 and $23.29. Actual pay will be adjusted based on job-related factors permitted by law, such as experience and training; geographic location; licensure and certifications; market factors; departmental budgets; and responsibility. Our Talent Acquisition Team will be happy to answer any questions you may have, and we look forward to learning more about your salary requirements. The position qualifies for the below benefits.

Adtalem offers a robust suite of benefits including:

Health, dental, vision, life and disability insurance
401k Retirement Program + 6% employer match
15 Days of Paid Vacation Days each Calendar Year
12 Paid Holidays + 2 floating holidays

APPLY HERE

Data Catalog Curator

HealthVerity

HealthVerity is currently able to employ individuals residing in the following states: AZ, CA, CT, DC, DE, FL, GA, IL, IN, MA, MD, MI, MN, MO, NC, NH, NJ, NV, NY, OH, OK, PA, RI, SC, TN, TX, UT, VA, VT, WA, WI.

How you will help

As the Data Catalog Curator, you will have the dual role of lead/hands-on contributor in HealthVerity’s Data Governance and Data Catalog implementation. Your experience in building out an Enterprise Data Catalog will be used in designing process, communications and engagement programs across the entire company. Your experience in building out internal collaboration will be used to create a network of data stewards and owners to represent the data assets within the organization.

What you will do

Continuously research emerging trends and industry best practices in data governance to be able to improve the consistent use of reliable data

Gather requirements, design deliverables and test strategies during the Data Catalog implementation

Build out a collaborative network of data specialists and data stewards across the organization

Drive adoption of Data Catalog as premier source for all data information within HealthVerity

Represent Data Governance to all levels of the organization from senior leadership to hands-on contributors

You are

An expert in at least one Data Catalog Platform (Alation, Atlan, Colibra, Informatica, etc.)

Passionate about data organization and data governance

A mentor to new data stewards across the organization

A driver in change that will lead to measurable gains in data quality and data understanding

A data geek with enviable SQL skills and a passionate sense of ownership

A self-starter who enjoys working in a small, rapidly changing, fast paced environment

Confident enough to course correct a process or team when required

Methodical, executing through several approaches to determine the best fit

Energized by learning even if outside the scope of day-to-day responsibilities

Comfortable working on several different tasks throughout your workday

Desired skills and experience

5+ years’ experience in the rollout, administration and operation of at least one Data Catalog Platform

10+ years’ experience in a data industry, preferably healthcare, in either a consulting or analytic based environment

Proficient in analyzing large data assets with a working knowledge of SQL, Python or Spark – sufficient to lead governance processes and documentation

Bonus: Familiarity with healthcare data, data types and data patterns (Medical Claims, Pharmacy, Health Records, etc.)

Bonus: BS degree in math, statistics, or similar

Base salary for the role is commensurate with experience and can range between $90,000 – 140,000 + annual bonus opportunity.

About HealthVerity

At HealthVerity we are actively solving some of the greatest challenges in healthcare through innovative technology and data solutions. Our customers and partners including pharmaceutical manufacturers, payers and government organizations look to HealthVerity to partner on their most complicated use cases, leveraging our transformative technologies and real-world data infrastructure. The HealthVerity IPGE platform, based on the foundational elements of Identity, Privacy, Governance and Exchange, enables the discovery of RWD across the broadest healthcare data ecosystem, the building of more complete and accurate patient journeys and the ability to power best-in-class analytics and applications with flexibility and ease. To learn more about the HealthVerity IPGE platform, visit www.healthverity.com.

Why you’ll love working here

We are making a difference Our technology is at the forefront of some of the biggest healthcare challenges in the world.

We are one team Our people define our culture and always will. We take time out to celebrate each other at the end of every week through company-wide shout outs, and acknowledge the value that each of us adds towards our greater mission. Come share all you have to offer.

We are learners Every team member is continually learning, no matter if we’ve been in a role for one year or much longer. We are committed to learning and implementing what is best for our clients, partners, and each other.

Benefits & Perks

Compensation: competitive base salary & annual bonus opportunity (for non-commissioned roles)

Benefits: comprehensive benefits with coverage on Day 1, medical, dental, vision, 401k, stock options

Flexible location: our HQ is in Philadelphia with 50% of the team distributed across 25+ states

Generous PTO: Take time off as needed, targeted at 4 weeks per year, including vacation, personal and sick time, plus paid maternity and paternity leave.

Comprehensive and individualized onboarding: mentorship program, departmental talks, and a library of resources are available beginning day 1 for each new team member to minimize the stress of starting a new job

Professional development: biweekly 1:1s, hands-on leadership that is goal-and growth-oriented for each team member, and an annual budget to support professional development pursuits

HealthVerity is currently able to employ individuals residing in the following states: AZ, CA, CT, DC, DE, FL, GA, IL, IN, MA, MD, MI, MN, MO, NC, NH, NJ, NV, NY, OH, OK, PA, RI, SC, TN, TX, UT, VA, VT, WA, WI.

HealthVerity is an equal opportunity employer devoted to inclusion in the workplace. We believe incorporating different ideas, perspectives and backgrounds make us stronger and encourages an environment where ageism, racism, sexism, ableism, homophobia, transphobia or any other form of discrimination are not tolerated. All qualified job applicants will be given consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or on the basis of disability. At HealthVerity, we’re working towards an innovative and connected future for healthcare data and believe the future is better together. We can only do that if everyone has a seat at the table. Read our Equity Inclusion and Diversity Statement.

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected]

Remote opportunities are not available in all areas and require team members to work from a fixed location due to tax and labor law implications – specific questions about remote positions can be discussed during the interview process with your recruiter.

APPLY HERE

HR Data Entry Specialist

Pathways Health and Community Support

Looking to do meaningful work helping others in the community as a HR Data Entry Specialist?

Pathways one of the largest national providers of accessible, outcome-based behavioral and mental health services, is in search of a compassionate, caring, growth-minded Employee Relations Specialist.

For your passion and dedication as an HR Data Entry Specialist, we offer paid training, career advancement opportunities, medical/dental/vision, PTO, paid holidays, and much, much more (read below)! We realize that your growth is paramount to our continued reputation of quality and service excellence, so we are ready to invest in YOU from day one!

About Your Role:

The HR Data Entry Specialist position is the primary Human Resources (HR) point of contact for all administrative tasks related to electronic employment records within the ADP Software System and Career Plug. Serves as the primary point of contact or subject matter expert for HRIS projects involving the development, implementation, and testing of systems modifications. Acts as a key administrative contributor, work and guidance to other team members is critical to goal achievement and team success. This position accepts ownership for provision of data and information support to Human Resources, Shared Services and Operational leadership. Ensures policy and regulatory compliance by providing reliable, accurate and timely employee data. Customers include employees, shared services teams, Operations partners and external partners. This is a remote opportunity, but must reside in the specified time zone.

  • Supervises the Administrative function for a regional Human Resources hub including HRIS administration, background checks, personnel files, onboarding paperwork and other HR admin responsibilities
  • Verifies completion and confirms proper approvals to process employee transactions such as new hires, performance reviews, transfers, terminations, exceptions to pay, promotions, demotions, status changes, retroactive calculations and payment authorizations/requests. Reviews input to ensure entries are correct and comply with policy. Troubleshoot and researches and resolves all issues related to employee pay.
  • Partners with HR Director, HR Administrative Manager and other HR leaders to identify system improvements and enhancements; recommends and implement solutions
  • Generates new and maintains existing employee records in Human Resources systems. Verifies records accuracy and reviews documentation to assure proper policy application and regulatory compliance related to maintenance of employee records.
  • Verifies completion and confirms proper approvals to process employee transactions such as new hires, performance reviews, transfers, terminations, exceptions to pay, promotions, demotions, status changes, retroactive calculations and payment authorizations/requests. Reviews input to ensure entries are correct and comply with policy. Troubleshoot and researches and resolves all issues related to employee pay.
  • Manages the Change Report Process for team. Audits data input into Human Resources systems, investigates and researches errors, and follows through with appropriate corrections to assure data accuracy
  • Programs custom functions and documentation such as automated queries, filters, macros and reports
  • Responsible for full supervisory functions including hiring, training, developing, coaching and mentoring, performance management and employee transition
  • Performs all functions according to established policies, procedures, regulatory, contractual and accreditation requirements such as background checks.
  • Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
  • Maintains professional and technical knowledge by attending ADP and CareerPlug educational workshops and other job related development opportunities
  • Perform other duties as assigned.

Does the Following Apply to You?

  • Associate’s Degree or equivalent education and/or experience in human resources, accounting, or payroll
  • Previous experience in roles where data accuracy and access were key responsibilities
  • Exceptional Customer Service skills
  • Ability to create and cultivate working relationships of all levels
  • Strong computer skills with Microsoft Office suite (Excel, Word, Outlook) and prior experience with databases
  • Strong analytical, problem solving, critical thinking, and organizational skills to evaluate options and implement solutions
  • Supervisory and management skills

Language Skills

  • Ability to read, analyze, and interpret complex documents. Ability to communicate effectively verbally and in writing with wide groups of directors. Ability to make effective presentations.

Reasoning Ability

  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to exercise independent judgment for HRIS related decisions.

Leadership Skills

  • Interpersonal skills and ability to interact and work with staff at all levels. Drive and ability to handle multiple tasks in a fast-paced environment

Perks of Working Full-Time With Pathways:

  • 401 K Plan, Medical, Dental, Vision plans
  • Paid Vacation days that increase with tenure after the first year!
  • Separate Paid Sick leave that rolls over each year
  • Paid Holidays
  • Opportunities for advancement in our national company! As we grow, you grow with us!
  • Employee Assistance Program
  • Perks @ Pathways (student loan refinancing, pet insurance, Verizon wireless discount, movie, hotel, concert and sporting event discounts)

APPLY HERE

Data Entry Specialist

CareMetx

From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.

POSITION SUMMARY:

Under the general supervision of the Supervisor and Manager, the Data Entry Specialist provides exemplary service to multiple clients including product manufacturers, physician, patients, and internal customers. Contributes to the profitability of CareMetx by ensuring personal productivity and efficient use of material resources.

PRIMARY DUTIES AND RESPONSIBILITIES:

  1. Maintains effective systems to support the timely release of accurate information to diverse clients.
  2. Responsible for the intake of all programs specific correspondence including mail, inbound faxed documents.
  3. Logs information into appropriate database and triages all program specific mail to the appropriate reimbursement case advocate, reimbursement specialist and/or management team.
  4. Responsible for payer research and territory assignment management.
  5. May assist with inbound call volume as received.
  6. Distributes reports daily disseminating information to appropriate distribution vendors reimbursement case advocate, reimbursement specialist and/or management team.
  7. Maintains and promotes a positive and professional working relationship with associates and management.
  8. Complies with all appropriate program policies and procedures.
  9. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action.
  10. Typically receives little instruction on day-to-day work, general instructions on new assignments.
  11. Perform related duties as assigned.

Requirements

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

  • Previous 1+ years of professional work experience in a customer service or healthcare environment.

MINIMUM SKILLS, KNOWLEDGE, AND ABILITY REQUIREMENTS:

  • Ability to communicate effectively both orally and in writing.
  • Strong computer application skills.
  • Strong interpersonal skills, team player.
  • Strong organizational and time management skills.
  • Strong attention to detail.
  • Adaptable and flexible to new situations.

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.
  • The employee must occasionally lift and/or move up to 10 pounds.

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.

Schedule

  • Must be flexible on schedule and hours
  • Overtime may be required from time to time
  • Must be willing to work weekends if required to meet company demands

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.

APPLY HERE