by twochickswithasidehustle | Mar 30, 2023 | Uncategorized
Cotiviti
Overview
The purpose of the MIPS (Medical Image Processing) Agent is to review and associate medical records to the appropriate requests while maintaining adequate production and quality levels through tracked metrics.
**This is a TEMPORARY position. This is a REMOTE position. Pay Rate is $13.25/HR**
Responsibilities
- Review medical records and associate individual records to the correct location for client downloading
- Perform quality checks prior to associating each record for download, ensuring all protected health information is safeguarded in the client record
- Responsible for identifying incoming invoices and provide to the PIQ lead
- Process incoming authorizations for request of records in a timely manner as outlined by Cotiviti process
- Completes all responsibilities as outlined on annual Performance Plan.
- Completes all special projects and other duties as assigned.
- Must be able to perform duties with or without reasonable accommodation.
Qualifications
- High School diploma, GED, or equivalent work experience
- Some previous healthcare experience preferred, specifically with medical records
- Self-motivated with a high degree of ownership/accountability, with strong attention to detail (including planning, executing, and follow-up procedures)
- Effective written and verbal communication skills required
- Demonstrable punctuality and ability to maintain a consistent schedule
#LI-MV1
Cotiviti is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Cotiviti values its diverse workforce and its selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy, childbirth or pregnancy-related conditions, national origin, sexual orientation, marital status, genetic carrier status, military service, veteran status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.
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by twochickswithasidehustle | Mar 30, 2023 | Uncategorized
Episource
Job Description
Advance Possibility. Join Episource, a leading provider of risk-adjustment services, software, and solutions for health plans and medical groups.
Job Summary:
The MAC Data Entry Associate will log into Medicare internet portals for the purpose of inputting detailed information for direct Medicare submissions and Medicare Administrative Contractor (MAC) Portal Entry. This person will work independently and as part of a team to enable the submission of missed risk adjustment diagnoses to CMS via established methods. This person is responsible for the accurate and timely submission of healthcare data.
Essential Duties & Responsibilities:
The MAC Data Entry Associate is responsible for entering healthcare diagnosis data to improve accurate claim submissions for healthcare organizations. Internal facing, they will be responsible for recognizing issues while bringing them to the immediate attention of their manager. Though their main duty is data entry, they will work with a cross-functional team to problem solve and provide accurate, timely, data to the client. They may need to telephone a Medicare Area Contractor helpline or research information on government websites. Collecting client information, maintaining an organized filing system, and reviewing data for completeness and accuracy.
- Enter client data from source documents within time limits into electronic portals.
- Review data for completeness and accuracy
- Gain access to MAC portals to prepare for computer entry
- Review data for deficiencies or errors, correct incompatibilities and check output
- Follow established entry priorities
- Maintaining a detailed and organized storage system to ensure reporting is complete and accurate
- Work with supervisor and analysts to prepare client progress reports
- Maintain the ability to work in an environment with PHI / PII data
- Identify data inconsistencies and report data errors to management.
- Troubleshoot, investigate, and research technical issues while involving appropriate internal support
- Research and navigate in government and MAC websites
- Meet production deadlines by completing timely and accurate submission entries
- Comply with government rules and regulations
- May be assigned other duties.
- Must maintain compliance with all company policies and procedures.
Qualifications / Requirements:
- High school graduate, some college preferred
- Over 1+ years of experience in data entry and data management
- Possess a social security number
- Experience working in a variety of databases
- Knowledge of data management
- Detail-oriented with the ability to accurately and completely enter data
- High school graduate, some college preferred
- High-speed internet connection
- Private home workspace
- First-rate typing skills with the ability to type 60 WPM
- Solid time management skills and the ability to prioritize tasks
- Excellent communication skills, both verbal and written
- Excellent computer skills and proficiency in MS Office and G-suite
- Ability to communicate professionally with internal organizational leaders
- Contributes to the development of procedures to ensure timely deliverables
- Ability to communicate professionally
- High level of ethics, integrity, discretion, and confidentiality.
Here is how you will benefit as a valued member of our Expert Teams at Episource.
- Remote culture with company equipment, virtual access, and monthly internet allowance
- Self-managed Flexible Time Off / Paid Time Off + eight paid holidays per year
- Parental Leave
- Wellness Programs (EAP, free subscription to Calm App)
- 401(k) with company match
- Career Development: Tuition reimbursement, certifications, and seminars
- Health, Vision, Dental, Voluntary Life, and AD&D Insurance
- Health Savings Account / Flexible Savings Account
Expert Teams. Ingenious Technologies.
Our journey started in 2006 with medical billing and coding services for physicians, then pivoted to HCC coding for payers. Today, we are an end-to-end enterprise for risk adjustment solutions. We’ve grown by learning and listening to our customers. Our entrepreneurial mindset drives innovation and collaboration. Our goal is to always provide exceptional service and experiences. And now, 15 years later, we are a platform company delivering insights and interventions using superior technology, workflows, and people.
Salary Rate: $17.00/hour)
Pay is based on several factors, including but not limited to education, work experience, certifications, location, and other relevant factors. This is Episource’s good faith and reasonable estimate of the compensation range for this position as of the time of posting. In addition to your salary, Episource offers benefits such as a comprehensive benefits package, incentive and recognition programs, and 401k contribution (all benefits are subject to eligibility requirements: See our benefits section above for more information.)
Episource will require proof of COVID-19 vaccination for all patient-facing healthcare workers, client-facing employees, those employees who are required to perform business travel, and all designated hybrid/in-office-based positions. Episource, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Episource, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.
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by twochickswithasidehustle | Mar 30, 2023 | Uncategorized
American Specialty Health
Description
American Specialty Health Incorporated is seeking a Fitness Reimbursement Examiner to join our Fitness Reimbursement department. The primary purpose of this position is to enter data from fitness and exercise center billing reports into the Reimbursement Processing System. This position is responsible for the accurate review, input and adjudication of reimbursement requests in accordance with regulations, ASH standards and contractual obligations of the organization.
Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Responsibilities
- Processes reimbursement requests accurately and efficiently.
- Reviews all incoming reimbursement requests to verify necessary information.
- Enters reimbursement requests and information into a computerized request Processing System.
- Maintains all required documentation of reimbursement requests processed and reimbursement requests on hand.
- Adjudicates reimbursement requests in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
- Maintains minimum production standard, 98.5%.
- Provides backup for other examiners within the department.
- Promotes a spirit of cooperation and understanding among all personnel.
- Attends organizational meetings as required.
- Adheres to organizational policies and procedures.
- Maintains confidentiality of all files, reimbursement request reports, and reimbursement request related issues.
Qualifications
- High school diploma required.
- 10 key and word processing; minimum 10,000 key strokes per hour required with 95% accuracy.
- Data Entry Experience.
- Proficient in MS Office.
- Ability to recognize unique and/or problem situations and brings to attention of Supervisor.
- Demonstrated ability to meet department performance standards and quality improvement processes.
Core Competencies
- Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
- Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
- Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
- Ability to effectively organize, prioritize, multi-task and manage time.
- Demonstrated accuracy and productivity in a changing environment with constant interruptions.
- Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
- Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time.
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.
Environmental Conditions
Work-from-home (WFH) environment.
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.
ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.
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by twochickswithasidehustle | Mar 30, 2023 | Uncategorized
Valenz Health
Description
Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.
About Our Opportunity
As a Data Verification Specialist, you will be responsible for verifying and validating the accuracy of healthcare professionals’ information, such as licensure, board certification, education, and training.
To be successful in this role, you will have a high attention to detail and thrive in a deadline driven environment.
Things You’ll Do Here:
- Verify and validate healthcare professionals’ information, including licensure, board certification, education, and training, to ensure accuracy and compliance with industry standards and organizational policies.
- Review and analyze documentation, such as transcripts, certificates, and licenses, to confirm the authenticity and validity of the information provided.
- Perform primary source verifications for healthcare professionals, including contacting educational institutions, licensing boards, and other relevant organizations.
- Maintain and update healthcare professionals’ records in our database, ensuring that all information is current, accurate, and complete.
- Collaborate with team members, departments, and external organizations to obtain necessary documentation and information to complete verifications and credentialing processes.
- Conduct research and utilize various databases, online resources, and other tools to gather additional information as needed for verification purposes.
- Identify discrepancies or inconsistencies in documentation and escalate issues to the appropriate team or department for resolution.
- Communicate with healthcare professionals, their employers, or other relevant parties to obtain clarifications or additional information when needed.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
What You’ll Bring to the Team:
- 1+ years of experience in a data entry or data verification position.
- Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers.
- Experience working in a fast-paced, detailed, and deadline-driven environment.
A plus if you have:
- Healthcare industry experience
- Primary source verification experience
Where You’ll Work
This role is remote.
Why You Will Love Working Here
We offer employee perks that go beyond standard benefits and compensation packages – see below!
At Valenz, our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. We want everyone engaged within our ecosystem to be strong, vigorous, and healthy. You’ll find limitless growth opportunities as we grow together. If you’re ready to utilize your skills and passion to make a significant impact in the healthcare self-funded space, Valenz might be the perfect place for you!
Perks and Benefits
- Generously subsidized company-sponsored medical, dental, and vision insurance
- Company-funded HRA
- 401K with company match and immediate vesting
- Flexible working environment
- Responsible Paid Time Off
- Paid maternity and paternity leave
- Paid company holidays
- Community giveback opportunities, including paid time off for philanthropic endeavors
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by twochickswithasidehustle | Mar 30, 2023 | Uncategorized
Holland America Line
Job Description
Welcome to Holland America Line, a premium cruise line dedicated to explorers, foodies and music lovers who want to explore the world on perfectly sized, refreshingly spacious ships filled with one-of-a-kind experiences.
We’re looking for an amazing Administrative Sales Specialist to fill this role. This is a remote-based, Work-From-Home role. You’ll be responsible for delivering and overseeing daily administrative tasks for the Consumer Programs team, while keeping in line with the Company’s strategy for maintaining the highest level of guest satisfaction and loyalty. Ensures agent schedules are accurately updated in BP/Verint, payroll is accurate, booking adjustments are made per booking credit guidelines, and managing department administrative tasks via the Consumer Programs email box.
Here’s a summary of what Holland America Line is looking for in its Administrative Sales Specialist. Is this you?
Responsibilities
- Monitor agent reporting, process pre-approved sick leave, vacation, and other time off requests daily. Facilitate processing of LOA. Coordinate with WFM to make necessary schedule changes and adjustments to time off coding. Approval of timesheets
- Process all booking adjustments adhering to department booking credit guidelines. This includes communication with agents, shipboard FCC, data analysis and management.
- Manage daily department processes including but not limited to security requests, office equipment supplies, audit reports, future dams, redeployments, department employee master list, employee milestone recognition program, IT enhancements and Seibel reassignment.
- Manage the department schedules for department meetings, Supervisor Line, management time off, new hires onboarding & department training.
- Any additional duties as directed by the supervisor or manager
Requirements
- Data Entry, Administrative and Customer Service skills
- Data Entry: 1 year
- Administrative: 1 year
- Customer Service: 1 year
- Strong personal computer skills with demonstrated proficiency with Microsoft Office software
- Strong verbal, written communication skills
- Effective organizational skills
- Ability to multi-task and reprioritize
- Ability to generate reports and business correspondence
- Self-motivated, coachable and a logical thinker.
- Demonstrated strong work ethics
- Strong decision-making ability
- Microsoft Office: Word, Excel, Teams (1 year preferred)
- Change Management
- Tableau
- Data analytics
- Demonstrated proficiency in managing data and administrative tasks
- Customer service experience
- Above qualifications in travel/cruise industry
What You Can Expect
- Cruise and Travel Privileges for You and Your Family
- Health Benefits
- 401(k)
- Employee Stock Purchase Plan
- Training & Professional Development
- Tuition & Professional Certification Reimbursement
- Rewards & Incentives
- Base Hourly Range: $15.91 to $21.49. The range is applicable for the labor market where the role is intended to be hired. Final base salary is directly related to each candidates’ qualifications and experience uniquely.
APPLY HERE
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