by twochickswithasidehustle | May 8, 2023 | Uncategorized
Remote
Position Summary:
The Revenue Cycle Claims Specialist will be responsible for building and maintaining collaborative and productive relationships within the organization relating to Revenue Cycle Management, managing revenue cycle projects, driving performance in operations related to reimbursement and providing direction and oversight of processes impacting cash collections.
Job Responsibilities:
Serves as a source of knowledge for the designated revenue cycle function
Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function.
Responsible for developing appropriate workflows and tracking for the designated revenue cycle function.
Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
Works closely with various vendor operations teams (Prior authorization, Claims and Appeals) to oversee operations activity that directly impacts the revenue cycle to accurately process actions in a timely manner for optimal reimbursement.
Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
Leads weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities.
By continually reviewing and monitoring billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions.
Coordinates with Management to ensure thorough understanding of trends/issues affecting revenue cycle performance.
Develops goals and metrics to link department and revenue cycle initiatives with the organization’s strategy.
Develops, manages and monitors successful completion of implementation and project plans.
Acts as an educator on performance improvement requirements in operations and methodologies to related teams and departments.
Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall company success.
Qualifications:
At least 3 years of experience in medical billing and Insurance collections
At least 3 years of experience with Prior Authorization requirements, payer utilization management policies and Appeals
Knowledge of CPT/HCPCS. ICD-10, modifier selection and UB revenue codes
Bachelor’s Degree
Healthcare related field of study or equivalent experience.
Required Knowledge, Skills and Abilities:
Proficiency with medical billing systems, Microsoft Excel, medical terminology and basic procedure coding knowledge.
Knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
Strong communication (verbal and written), organizational, problem solving and team player skills.
Ability to navigate across multiple customer demands and balance competing priorities successfully.
Ability to analyze, identify and articulate identified trends and report trends succinctly in a clear and concise manner.
Ability to solve problems using critical thinking skills.
Maintains confidentiality of sensitive information.
Analytical skills required.
Ability to think critically and identify the impact across the revenue cycle with a solution oriented approach.
Ability to develop, implement and produce analysis and reports
Pay Range: The pay range for this role is $25-$30/hr. Actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
LI-REMOTE
The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
Colorado
$76,000—$114,000 USD
APPLY HERE
by twochickswithasidehustle | May 8, 2023 | Uncategorized
Remote
Position Summary:
The Clinical Data Specialist/Coder – Pre Claims is responsible for the accurate and timely work to effect filing of Insurance claims. Qualified individual will demonstrate clinical claims detailed knowledge, coding and delivering resolutions to missing/ incomplete order data. This person will identify invalid clinical values to help drive clean claims and revenue pull through on all products and services.
This position will support the Revenue Cycle function and report to the Front End Manager of Revenue Cycle.
Essential Duties and Responsibilities:
- Identify order and reimbursement deficiencies – both clinical and code related
- Investigate and correct, where appropriate, deficient clinical claim information
-Identify and escalate missing, and sometimes invalid, clinical order data for timely contact resolution with supporting cross functional teams
- Partner with multiple internal cross-functional teams and successfully manage multiple product projects simultaneously.
-Research claim and account information using various systems and portals internal and external
-Stay current with relevant medical billing regulations, rules and guidelines
-Complete position responsibilities within the appropriate time frame while adhering to quality standards
-Ability to interact with various insurances/ third party payors accurately and timely to ensure that authorizations are obtained and necessary documents are available for claim support based on internal and external policies and regulations
- Participate in clinical data management activities including leading clinical data initiatives, analysis and optimization of our clinical data capture workflows
- Translate data into meaningful information and knowledge that supports decision making or determining action that drives performance improvement and quality
- Identifies and uses internal and external sources of information for benchmarking and comparative performance, which includes networking with clinical communities, researching literature and agencies, and staying current on new indicators and other requirements
-Act as SME for multiple purposes where coding and clinical operations data is relevant
- Support and comply with the company’s policies and procedures.
-Maintains strictest confidentiality, and adheres to all HIPAA guidelines/regulations
- Regular and reliable attendance.
- Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day.
-Perform analytical and special projects, prepare ad hoc reports/data queries as may be assigned/requested, working with leadership
Qualifications:
Minimum Qualifications:
- Bachelor degree in relevant field is preferred
- 3+ years professional coding experience with current certification including International Classification of Diseases (ICD-10) and Coding Procedure Terminology (CPT) and HCPCS coding.
- Authorization to work in the United States without sponsorship.
- Certified coder designation/ certification by NHA, AHIMA or AAPC
- Superior organization skills, detail oriented, and ability to be persistent and follow through
- Problem-solving, ability to adapt, flexibility in approaches to accomplishing tasks, and ability to independently arrive at creative solutions to problems
- Excellent communication skills, both verbal and written, particularly the ability to convey technical information in an accessible and understandable manner
- Ability to work both independently and in collaboration with individuals from various disciplines
Preferred Qualifications:
- 5+ years of experience coding in the medical/healthcare billing area- Lab a plus
- Any years of experience in the revenue cycle function to include third party payer experience.
- Thorough understanding of professional coding, documentation, medical billing processes.
- Deep familiarity with payer/insurance Medical policy, Prior Auth, claims, appeals and reimbursement processes.
- Knowledge and familiarization with Medicare billing regulations and reimbursement methodologies for Laboratory
Pay Range: The pay range for this role is $30.00-$38.00. Actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
LI-REMOTE
The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
Colorado
$64,800—$97,200 USD
APPLY HERE
by twochickswithasidehustle | May 8, 2023 | Uncategorized
REMOTE, UNITED STATES /
OPERATIONS – SHARED SERVICES /
CONTRACT
/ REMOTE
APPLY FOR THIS JOB
At Zotec Partners, our People make it happen.
Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – those across the country who make up our diverse Zotec family and help make this company a best place to work.
Over 20 years ago, we started Zotec with a clear vision, to partner with physicians to simplify the business of healthcare. Today we are more than 1,000 employees strong and we continue to use our incredible talent and energy to bring that vision to life. We are a team of Innovators, Collaborators and Doers.
Zotec Partners, a leading high-tech healthcare company providing complete physician revenue cycle management through innovative solutions, is looking for a Central Ops Processor who embodies our core culture of: passion, persistence, people, predictability and perspective.
As a Central Ops Processor, you will be responsible for matching paper insurance claim forms and appeals with necessary documentation, generating Collection files, as well as special projects as assigned.
What will you bring to Zotec:
- 1+ years’ experience in an office environment, preferably a medical billing environment
- Familiarity with medical billing processes
- Proficient in Microsoft Windows and email
- Able to communicate effectively through emails and correspondence
- High school diploma or equivalent
At Zotec, you will enjoy a network of highly experienced professionals in an environment where you can operate with autonomy yet have the resources and backing of other professionals in a similar role. Entrepreneurial and enterprising is the spirit of our team. If you are an original thinker and opportunity seeker, if you’d like to use your strong business savvy in a new way, we’d like to talk to you! Apply Now!
APPLY HERE
by twochickswithasidehustle | May 8, 2023 | Uncategorized
About the team & opportunity
What’s so great about working on Calendly’s Customer Experience team?
We provide a high touch experience to each customer and enable them to maximize our product so that they can gain valuable time back into their day.
A day in the life of a Community Manager at Calendly
Our Customer Success Programs team prides ourselves on driving customer retention and value by continuously building and iterating on self-serve success programs that help customers achieve their intended success with Calendly. We’re looking for a Community Manager to help us build our community program to support our users’ needs, company goals, and help us scale our service as we continue to grow. The ideal candidate has helped build and scale a community program at a high-growth company, is operationally minded to lead our community platform and program, and is passionate about creating personal connections with and between our community members.
If you’re an experienced community builder that is excited at the opportunity to build a new community program from the ground up, then we’d love to talk to you!
On a typical day, you will be working on:
Build and deliver the community strategy, roadmap, and success metrics.
Moderate, listen and engage regularly with our community members, providing them with any support and resources they need.
Constantly gather and prioritize feedback from the community and bring those insights to the appropriate internal teams, including bringing community ideas and product requests into our product feedback and roadmap process.
Find opportunities to strengthen our relationships with power users of our community.
Work with the Support, Marketing, and Product teams on our community content, moderation, and recognition strategy and execution.
Work cross functionally with marketing to integrate our community programming into our overall GTM motion and establish community as a key channel for all Calendly teams to connect with and learn from our most engaged customers.
Define, measure, analyze, update and track community performance metrics, providing timely, regular reporting throughout the company.
Manage all internal and external community documentation, guidelines, code of conduct, and processes.
What do we need from you?
7+ years in Community Management with experience building and scaling community programs
A strong internal and external communicator and writer
A passion for customer advocacy and see the opportunity in infusing it throughout all teams in an organization
A love for connecting directly with passionate and vocal community members. Must be experienced in building those relationships and comfortable having hard conversations when needed
Experience collaborating and navigating cross departmental functions including Support, Customer Success, Marketing, and Product
Ability to manage and incrementally improve a community experience through understanding technical platform capabilities and developing a release schedule and roadmap
A strategic problem solver with the ability to keep multiple initiatives organized and an eagerness to take on any task when needed
Expertise working with various online community platforms and tools
Experience working at a high-growth company with flexibility to adapt when priorities change
Authorized to work lawfully in the United States of America as Calendly does not engage in immigration sponsorship at this time
Our Hiring Process:
Typically, individuals will participate in the following interview process. However, there may be slight nuances given the role and or department we are hiring for. Please keep in mind that individuals can be declined from the position at any stage of the process.
Qualified individuals will be invited to schedule a phone interview with a member of our recruiting team. This is a great time to ask any initial questions you have about the company or the role.
Next, we’ll put you in direct contact with your potential manager. You’ll get a chance to learn even more about life at Calendly, the responsibilities within your role, and the qualities needed to succeed here.
Then, you will perform an interview exercise, where you can highlight your skills.
Next, or in parallel, you’ll meet with your potential team members.
Finally, we connect with those you’ve worked with before, to learn more about the impact you can make, the value you bring, and the best way to set you up for success at Calendly.
APPLY HERE
by twochickswithasidehustle | May 8, 2023 | Uncategorized
Overview
ExamWorks is looking for an organized, detail-oriented and highly motivated candidate to join our team as a * Remote* Records Coordinator (internally known as Document Management Technician).
The Records Coordinator is responsible for tracking, gathering and preparing examinee charts for use. This position sorts records, creates cover letters, updates client lists and maintains efficient document storage.
This role is a full time position Monday-Friday 8:00am-5:00pm PST (must be on Pacific timezone), offering between $21-$23/hour.
Responsibilities
Gather, print and organizes examinee charts for examinations and depositions purposes.
Responsible for sorting and maintaining electronic and or hard copies of charts and or medical report forms.
Finalizes completed charts by confirming all records are included and consolidates charts as needed to ensure no duplicates or unnecessary documents are stored.
Prepares and ships records to physicians utilizing appropriate mailing sources (USPS, UPS, or Electronic) within required timeframes.
Performs clerical duties such as typing, filing, emailing, and proofreading as required.
Promotes effective and efficient utilization of clinical resources and supplies.
Protects examinee rights by maintaining confidentiality of personal and financial information at all times and in accordance with HIPPA regulations.
Perform other duties as assigned.
Qualifications
REQUIREMENTS:
High school diploma or equivalent required.
A minimum of one year related experience; or equivalent combination of training and experience.
Experience in customer service, call center, dispatch preferred.
Must possess complete knowledge of general computer, fax, copier, scanner, and telephone
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must have a full understanding of HIPAA regulations and compliance.
Must be able to maintain confidentiality.
Must possess the ability to manage change, delays, or unexpected events appropriately.
APPLY HERE
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