by twochickswithasidehustle | Apr 22, 2023 | Uncategorized
We hold ourselves to exceptionally high standards in order to provide unparalleled service to healthcare professionals, their staff and patients. We strive to end each workday knowing that we’ve made someone’s life better.
Our team is comprised of courageous and caring healthcare warriors. We’re here to solve the impossible problems, such as reducing medical errors, saving patient lives, and empowering physicians to stay financially independent. We care deeply about making a big impact and we are relentless.
Inspired to grow the company and our careers, we remain committed to daily discipline, self improvement, and a ceaseless search for solutions.
We equally value our work and our life apart from work. We’re compelled to work with urgency, decisiveness, and efficiency in everything we do. This affords us freedom and time for things that matter most.
Leaders at pMD are developed through our mentorship program. Investing in the success of each individual strengthens our team and builds loyalty. We believe in leading by example. Everything one does ripples outward. Therefore, we need each individual at pMD to embody our leadership principles to thrive as an enduring great company.
(Contract) Medical Billing & Collections Specialist
The (Contract) Medical Billing & Collections Specialist role at pMD helps our team and our customers reach our business goals through the reconciliation of outstanding accounts. This role primarily focuses on aggressively pursuing payment on accounts receivables from insurance carriers and effectively appealing denials to exceed industry standard benchmarks.
Responsibilities include:
collect on delinquent accounts and aggressively work the aging receivables for both patient and insurance balances
resubmit charges for reprocessing, i.e. provide supporting documentation for medical necessity and/or take corrective action for resubmission
appeal outstanding denials issued by the insurance carrier
retrieve explanation of benefits from payer portals to reconcile deposits and post both payer and patient payments expeditiously
proactively communicate denial trends identified to manager for prevention
ability to manage time effectively
Requirements include:
post-secondary certificate in Medical Billing and Coding
2 – 4 years of medical billing experience with an emphasis on managing accounts receivable
ability to work at least 25 hours per week during ET business hours for a 6 month period with the option to extend
availability to start immediately
must be familiar with CPT/ICD-10 and the latest coding guidelines
EMR experience
must currently have or be willing to register a business per independent contractor guidelines
reside in the U.S.
Hourly rate: $27.54 / hour
APPLY HERE
by twochickswithasidehustle | Apr 22, 2023 | Uncategorized
We’re transforming the grocery industry
At Instacart, we invite the world to share love through food because we believe everyone should have access to the food they love and more time to enjoy it together. Where others see a simple need for grocery delivery, we see exciting complexity and endless opportunity to serve the varied needs of our community. We work to deliver an essential service that customers rely on to get their groceries and household goods, while also offering safe and flexible earnings opportunities to Instacart Personal Shoppers.
Instacart has become a lifeline for millions of people, and we’re building the team to help push our shopping cart forward. If you’re ready to do the best work of your life, come join our table.
Instacart is a Flex First team
There’s no one-size fits all approach to how we do our best work. Our employees have the flexibility to choose where they do their best work—whether it’s from home, an office, or your favorite coffee shop—while staying connected and building community through regular in-person events. Learn more about our flexible approach to where we work.
OVERVIEW
The role will include a blend of areas from reviewing transactions in real-time to prevent fraud, identifying fraudulent activities/ patterns, account takeovers, and handling internal escalations to provide services through the Instacart platform and much more.
This is a 6-month contracted position at Instacart with expectations to work 40 hours/week. This is a non-exempt position, paid hourly, and eligible for additional hours as necessary. You will be scheduled to work 1 or 2 weekend days which your manager will assign to your schedule based on your availability.
Instacart’s Fraud & Identity team takes data-driven, customer-first approaches to ensure we are compliant with all local, state and federal regulations regarding grocery fulfillment. In this role, you will be responsible for executing on processes critical to ensuring the Instacart platform remains secure, safe, and stable for all users.
ABOUT THE JOB
Identify fraud patterns and conduct investigations to deter fraudulent/suspicious activities
Maintain a queue of inbound customer appeals with time management and prioritization skills
Recognize and present opportunities to improve and drive tasks to full resolution
Complete live/ historical data reviews with a detail-oriented approach
Execute on repetitive operational tasks while maintaining attention to detail and having an eye for process improvements
ABOUT YOU
MINIMUM QUALIFICATIONS
1-2+ years of professional experience, ideally in a fast-paced setting in Fraud, Data Processing, or Support related fields OR strong academic record
Strong verbal and written communication skills
Positive attitude and fortitude to work through ever-changing and dynamic operational conditions
Ability to make critical and sensitive issues quickly in a fast paced environment
Operate within a high degree of confidentiality
Weekends or holiday availability
PREFERRED QUALIFICATIONS
Familiarity with ZenDesk or similar (preferred)
Proficient in Excel/ Google Sheets
Understanding of the gig economy
APPLY HERE
by twochickswithasidehustle | Apr 22, 2023 | Uncategorized
Description
A Minneapolis online university is looking for a Chat Support Representative to start immediately. If you type 50+ WPM, APPLY TODAY! This is a remote opportunity so anyone in the US is able to be considered for this job!
Chat Support Representatives are primarily responsible for handling incoming chats from the university Visitor Center. This individual provides prospective learners with information about and determines the level of interest with the goal of connecting the prospect with the most appropriate resource.
Job Functions:
80% Answer and communicate via chat
-Engage in incoming chats from both prospective and current learners. Answer questions and provide general support.
-Determine the needs of the prospect or learner to provide an efficient transfer to the appropriate individual or team
-Manage multiple chats at once
-Utilize tools, systems and software applications to manage learner data and answer questions.
-Operate within a team reinforcing a high quality, timely prospect/learner experience. This entails supporting colleagues, other departments, taking an active part in team discussions, 1:1 coaching sessions, and providing constructive feedback to management.
20% Answer and communicate via phone
-Answer tier 1 level questions to support our Enrollment Services and Academic Advising departments.
-Determine the needs of the caller and provide an appropriate solution which aligns with the teams business processes and guidelines.
-Utilize tools, systems and software applications to manage learner data and answer questions.
The shift available is outlined below:
2:30-11 Monday-Thursday, Friday 11-8pm
This is a long-term, open-ended temporary position that could go permanent for the right candidate.
Requirements
Qualifications:
-Bachelors degree or higher ed experience
-Type at least 50 WPM, prefer 60-70+ WPM
-1+ years of experience using written and verbal communication as the primary focus on a job
-Experience using chat instant messaging and related communication tools preferred
-Ease with learning new technology
-Superior organization, prioritization, and self-motivation skills
-Ability to multitask and shift priorities quickly
-Must be self-directed in accomplishing workflow
-Must be able to spend significant time working at a computer
-Strong written and verbal communication skills
-Experience using MS Office (Word, Excel, One Note, SharePoint, Outlook)
APPLY HERE
by twochickswithasidehustle | Apr 22, 2023 | Uncategorized
Independence Pet Group® (IPG) is one of North America’s largest pet insurance and services organizations. Our impressive family of brands (PetPartners, Figo, Pethealth, IAIC) supports insurance for more than 600,000 pets in the U.S. and Canada and provides well-being, safety, resources, and business solutions to the pet industry, including microchip identification and an online pet registry.
Job Summary:
This remote position is responsible for providing adjudicating claims in support of our insured pet parents in a manner that promotes efficiency and customer satisfaction.
Job Location:
Remote work is not available in AK, MT, HI (US)
Main Responsibilities:
• Process incoming claims based on established time-frames and goals utilizing company software. This includes researching policy limits to determine coverage eligibility, determining the necessity for medical records, as well as verifying coverage based on past claims history
• Assist other processors and other departments within the company with claims related questions
• Contact veterinary clinics to secure medical records and claim related information. Read and interpret veterinary medical records and lab reports
• Provide accurate and adequate documentation of all client and veterinary communication
• Research and review completed claims for accuracy and adjust any errors based on supervisor approval
• Provide “best in class” customer service to our customers to discuss claims
• Research and solve problems quickly and accurately; exercise sound independent judgment-make decisions that maintain the integrity of the company
• Monitor queues to ensure goals are being met. Self-manage priorities and self-source resources
• Accountable for prioritizing and completing multiple tasks under tight deadlines to meet/exceed performance metrics, including exemplary service. Ensure all policies and procedures are being adhered to
• Readily adapt to change and integrate new knowledge, policies, procedures, and regulations in our fast-paced and constantly improving environment
• Share expertise and their own best practices with peers
• Perform other duties as assigned by supervisor
• Operate standard office equipment/software including:
o Multi-line telephone system
o Excel/spreadsheet
o PC/printer/calculator/copier/fax
Qualifications:
• High School Diploma or equivalent
• Minimum of 2 year Veterinary Clinic experience or similar medical background with familiarity of breeds, pharmaceuticals, veterinary procedures, and terminology
• Strong written and oral communication skills with internal and external audiences
• Adjuster’s License required and maintained
• Proficiency with MS Office
Expected Hours of Work:
• This is a full-time position: Days and hours to be determined by needs of business. Hours to be determined between employee and director
Benefits:
All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:
• Comprehensive full medical, dental and vision Insurance
• Basic Life Insurance at no cost to the employee
• Company paid short-term and long-term disability
• 12 weeks of 100% paid Parental Leave
• Health Savings Account (HSA)
• Flexible Spending Accounts (FSA)
• 401(k) savings plan
• Personal Paid Time Off
• Ten holidays and company-wide Wellness Day off
• Paid time off to volunteer at nonprofit organizations
• Pet friendly office environment
• Commuter Benefits
• Group Pet Insurance
• On the job training and skills development
• Employee Assistance Program (EAP)
APPLY HERE
by twochickswithasidehustle | Apr 22, 2023 | Uncategorized
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You’ll work with dynamic colleagues – experts in their fields – who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you’ll have new and exciting opportunities to make life brighter for our Clients – who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.
Job Description:
Location: Remote
At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.
The opportunity:
Provider Enrollment and Credentialing Specialist reviews all aspects of the Initial/ Re-Apply Credentialing, Re-credentialing, privileging and overseeing the onboarding process for all incoming providers. Primary responsibilities include verifying all the credentialing criteria for practitioners that have applied to the network, including follow up with practitioners as needed to obtain information
How you will contribute:
Verify potential and existing provider’s licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification.
Review National Practitioners Data Bank for adverse charges pending or filed against Provider.
Review federal and/ or state OIG and SAM report for exclusion from the Medicaid or Medicare program.
Review state Medicare OPT Out report for exclusion from the Medicare program.
Monitors and reports provider complaints and utilization management reports.
Assist with scheduling site reviews.
Enroll the provider into payment system – Windward.
Enter all provider information into credentialing database – Cactus.
Maintain the integrity of the provider information in Windward and Cactus.
Ensures credentialing file is in order with any issues flagged for committee.
Meet required turnaround time and accuracy rate.
Assist with other duties as assigned.
Assist management in the implementation of department process improvements.
Assist with the ongoing NCQA certification activities.
Represent DentaQuest in a professional manner at all times while communicating with internal and external requestors.
Maintains confidentiality of the credentialing information.
Other duties as needed or required.
What you will bring with you:
High School Diploma or equivalent.
1 year job related experience
Previous experience working with files or the collection and coordination of data preferred.
Knowledge of Dental terminology preferred.
Good interpersonal skills.
Ability to work independently.
Excellent oral and written communication skills.
Efficient PC skills (Word, Excel, Outlook, Work Flow Software, Time Tracking Systems).
Ability to learn new software programs quickly.
Ability to prioritize and organize multiple tasks.
Ability to remain organized with multiple interruptions.
Good customer service and problem resolution skills.
Ability to navigate websites needed for credentialing purposes.
Ability to adapt to a constantly changing environment.
Ability to work in excess of 40 hours in a week.
Required to attend additional training as requested/deemed necessary.
Do you see yourself in this role even if you haven’t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.
Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!
Life is brighter when you work at Sun Life
Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial – including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
A flexible work environment with a friendly, caring, collaborative and inclusive culture
Great Place to Work® Certified in Canada and the U.S.
Named as a “Top 10” employer by the Boston Globe’s “Top Places to Work” two years running
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
If you are a California resident, the salary range for this position is:
Southern region: $39,300 –53,000 annually
Central region: $41,400 – 55,900 annually
Northern region: $44,300 – 59,800 annually
If you are a Colorado resident, the salary range for this position is $37,500 – 50,600 annually.
If you are a New York resident, the salary range for this position is $44,300 – 59,800 annually.
If you are Washington resident, the salary range for this position is $41,400 – 55,900 annually.
We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.
Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
APPLY HERE
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