Membership Accounting Specialist

by | Apr 24, 2023 | Uncategorized

Moda Health

Description

Let’s do great things, together

Founded in Oregon in 1955, ODS, now Moda, is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

Moda Health is seeking a Membership Accounting Specialist.

This position is responsible for timely, accurate data entry and maintenance of Medical and Dental member eligibility, member and billing reconciliation, customer service to assigned groups or accounts, and generation of ID cards for all Moda Health and BHS lines of business including; Individual, Medicare, Medicaid, (CCO and DCO) and Employer Group customers of all sizes (ASO and Fully insured) COBRA and TPA accounts.

This is a Remote PST position. We are only offering this position to candidates living in or willing to relocate to AK, AZ, ID, OR, TX, or WA.

Benefits:

  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • FSA
  • Employee Assistance Program
  • PTO and Company Paid Holidays

Required Skills, Experience & Education:

  • High school diploma or equivalent.
  • Previous experience and/or knowledge of Facets preferred.
  • A minimum of 3 years’ experience preferred in fast paced business, data entry, customer service, enrollment, billing and reconciliation environment.
  • Computer proficiency with Microsoft Office applications particularly Excel and Word.
  • Ten key proficiency of 135 kpm on a computer numeric keypad/calculator preferred.
  • Typing proficiency of 25 wpm preferred.
  • Strong analytical, problem solving, decision making, organizational and detail oriented skills.
  • Strong verbal, written and interpersonal communication skills.
  • Ability to be courteous, patient and communicate with Moda Health and BHS members, Moda Health and BHS employees and Employer Groups in a positive and productive manner.
  • Maintain confidentiality and project a professional business image.

Primary Functions:

  • Responsible for eligibility and enrollment procedures daily via paper enrollment, electronic file, web based transactions, email enrollments, and sending welcome packet to our new members for all Moda and BHS products and lines of business.
  • Ensure the accuracy and timeliness of entering enrollments within the department, Employer Groups, State and Federal standards depending on Product and Line of Business.
  • Responsible for following delinquency policy and procedures to ensure both compliance and timely receipt of administrative fees and premiums.
  • Ensures all member, premium and administrative fees are reconciled on a monthly basis to the penny.
  • Maintains confidentiality of all information related to members, employer groups, employees and as appropriate, other information.
  • Highly motivated and able to take initiative, demonstrated ability to identify and solve problems.
  • Responds to all internal and external customer inquiries regarding enrollments, ID cards and attends customer meetings as requested by Sales and Account Services.
  • Responsible to log and track enrollment applications in excel and give monthly reports to the Supervisor and the groups that shows a running balance on total enrollments received; enrollments entered into our system; voids and pending.
  • Accurately enter COB, COBRA and Pre-Existing for timely and accurate claims adjudication as well as sending out required COBRA notifications.
  • Requests and verifies the issuance and accuracy of member ID cards.
  • Keeping track of supplies and ordering when necessary.
  • Process Return Mail.
  • Adhere to and enforces group contract, State and Federal guidelines regarding eligibility standards and requirements.
  • Performs other duties and projects as assigned.
  • Be a supportive and collaborative teammate.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

Pay Range $19.00 None to $19.79 None

APPLY HERE

Data Entry Processor

by | Apr 24, 2023 | Uncategorized

Allina Health

Job Summary:

Enter clinical and other data, create reports, and assist with department administrative needs. Transcribe, decipher, and code alphanumeric data from source documents and verify data for accuracy and completeness.

Key Position Details:

Remote

Flexible 40 Hour Work Week M-F

Job Description:

Principle Responsibilities

  • Enter and manage data
    • Enter clinical data, customer data, department data, charges, billing codes, mailings, etc.
    • Verify and validate data for accuracy.
    • Review source documents for completion and accuracy.
    • Take action to correct source document errors.
    • Transcribe data.
  • Create reports.
    • Utilize database to generate reports.
  • Assist with administrative needs of department.
    • Scan documents.
    • File documents.
    • Other duties as assigned.

Job Requirements

  • Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description, and High school diploma or GED preferred
  • 0 to 2 years in data entry and computer experience preferred and
  • 0 to 2 years in medical terminology preferred

Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently

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Data Entry

by | Apr 24, 2023 | Uncategorized

DreamBox Learning

About the Role:

DreamBox Learning is seeking a contractor to work with cross-functional team on a critical project. In this role you will assist with data validation and data entry. This will be a 6 week contract.

What You’ll Be Doing:

  • Daily internet research, report generation & review
  • Working closely with Product Management, Analysts and more on daily responsibilities

About You:

  • Expertise with Excel & Internet Research
  • Excellent written and verbal communication skills
  • Proven ability to collaborate cross-functionally and drive results
  • Strong adaptability and capacity to work in fast-paced environments
  • Must be legally authorized to work in the United States

Location: Open to candidates in U.S.

Length of contract: 6 weeks

Compensation and Benefits:

The expected contract rate for this position is $20.47 27.29 USD per hour based on several factors, including experience and geography. Benefits for this role are not directly provided through DreamBox Learning.

#BI-Remote #LI-Remote

About Us:

DreamBox Learning, the leading K-12 education technology provider, is radically transforming the way the world learns. As the only dual-discipline solution rated STRONG by Johns Hopkins’ EvidenceforESSA.org in both math and reading, DreamBox provides schools with high-quality adaptive learning solutions independently proven to accelerate student growth. Built by educators for educators, DreamBox empowers teachers and district administrators with robust data analytics and content-specific professional development solutions to complement instruction. DreamBox supports over 400,000 educators and approximately 6 million students in all 50 states, the District of Columbia, Puerto Rico, and throughout the United Kingdom, Australia, Canada, and Mexico.

At DreamBox, we believe diversity is an essential strength. That’s why we’re committed to providing an inclusive culture, an equitable work environment, and creating the most effective educational products that celebrate the diversity in students, families, communities, and the world. We know that talent exists everywhere, but opportunity does not. Therefore, we are a proud equal opportunity and affirmative action employer, but we don’t make these commitments simply because they’re required by law. We hold ourselves to a higher standard and make these commitments so that everyone at DreamBox can bring their full selves to our important mission. Our identities matter, and in order to create a more just, equitable world, we know it begins with DreamBox being an inclusive workplace that serves as a model for that change.

APPLY HERE

sr spec space & presentation apparel & accessories(remote or hybrid)

by | Apr 22, 2023 | Uncategorized

sr spec space & presentation apparel & accessories(remote or hybrid)

apply now save joblocation: 1000 nicollet mall, minneapolis, minnesota, united states, 55403-2542;job id: R0000279371
job family: Merchandising Presentation
schedule: Full time

About us:
Target is an iconic brand, a Fortune 50 company and one of America’s leading retailers.Working at Target means the opportunity to help all families discover the joy of everyday life. Caring for our communities is woven into who we are, and we invest in the places we collectively live, work and play. We prioritize relationships, fuel and develop talent by creating growth opportunities, and succeed as one Target team. At our core, our purpose is ingrained in who we are, what we value, and how we work. It’s how we care, grow, and win together.
Target Merchandising is evolving at an incredible pace. We are constantly reimagining how this $100 billion retailer offers the innovative, guest-inspiring items that Target is known and loved for. Our goal is to deliver exceptional value, quality and style to elevate Target as the premier retailer in a competitive global marketplace. Through intelligent and progressive business strategies that make the most of Target’s resources and partnerships worldwide, Merchandising works across product categories to create a localized shopping experience online and in our 1900 stores. Are you a creative problem solver who loves to see your work translate into real results? Can you collaborate effectively, execute a plan efficiently and positively influence how Target chooses and presents the right product in the right place at the right price? If so, you will have success on one of our dynamic teams.
A role with Space & Presentation means you’re on a mission to create better store space and experiences for our guest while maximizing sales. We are responsible for ensuring the right item is on the right shelf in the right store. On the Space side, we do this by using analytics to determine the appropriate footage for each assortment for every store (“adjacency”). Each store’s assortment is assigned to a planogram (POG) which is developed in Presentation to ensure the localized assortment meets presentation objectives and is associated to the correct location in a store. We believe that making increasingly better space allocation and presentation decisions will increase sales, improve guest satisfaction and reduce out-of-stocks. Here, you’ll partner with and manage cross-functional project teams in Merchandising, Store Design, Marketing, Store Operations and Non-Retail Procurement from strategy to execution to achieve an inspiring and convenient in-store guest experience.

As a Senior Specialist, Space & Presentation in Apparel and Accessories you will establish a strong partnership with our global team to support the entire Space & Presentation process from beginning to end. You play an elevated role with the cross-functional team and our global partners in identifying process gaps and building strategic solutions to standardize and drive efficiency. You will own the annual adjacency execution calendar and drive adjacency strategy documentation including intaking, creating and managing adjacency portfolios. You will gain expertise in our adjacencysystems in order to best support our global team and urgent Just-In-Time adjacency execution .  You will assist in large adjacency projects through adjacency proofing and project management work to ensure that our adjacencies are accurate and on-time. You will have the opportunity to develop in to Special Projects work in order to drive innovation and speed to market. You will champion diversity, equity and inclusion with your team and broader Target thru weekly/monthly events and speakers. We’ll support you along the way with robust onboarding, as well as personal and career development, to help you grow as a strong Space and Presentation Sr. Specialist. Core responsibilities are described within this job description. Job duties may change at any time due to business needs.

About you:
• Four-year degree or equivalent experience
• Strong verbal and written communication skills
• Organizational skills and ability to manage multiple shifting priorities in a dynamic environment
• Strong interpersonal and problem-solving skills
• Ability to work independently and efficiently
• Microsoft Office Knowledge (Word and Excel)

APPLY HERE