ANALYST II, OPERATIONS

osition Summary…
What you’ll do…
Want to shape one of the most important and powerful elements of online shopping? The Site Operations Specialist is part of the eCommerce Site Operations team and plays a critical role in driving strategy & business outcomes. Working within one of our Strategic Business Units (SBUs), you will identify opportunities to improve site experience & customer shopping, maximize operating leverage by enabling scale with technology & data and own operational cadence & performance reporting. You’ll help build a truly customer-centric experience and help our eCommerce business drive sales, conversion and customer satisfaction. This role will support the Central Site Operations Team.

You’ll sweep us off our feet if:

You understand what customers need from site experience and bring customer focus to everything you do, inspiring inspire others to do the same.
You’re a self-starter, ambitious and resourceful, and can work effectively with minimal direction.
You use data and insights to make informed and impactful decisions.
You get stuff done and have an incredible focus on operational excellence, making processes run more efficiently and displaying a sense of urgency around action, accuracy and feedback.
You’re a problem solver, who sees “yes” as the answer and is creative about breaking down barriers.
You’re an effective communicator, who can disseminate information clearly to audiences of all backgrounds and levels.
You follow through on all outstanding tasks. You take pride in your work and make sure to not leave any issue without a resolution or by finding the right support to solve.
You’ll make an impact by:

Collaboration: Collaborating with cross-functional teams across the organization to investigate and recommend solutions to partner questions and issues.
Continuous Improvement and Support Strategy: Performing in-depth ongoing analysis of partner operations to track performance, identifying inefficiencies and inform product and tools roadmap; Determining areas of improvement for partner operations and related tools and systems; Identifying and analyzing trends to identify root cause of medium to high complexity issues; Developing recommendations for solutions and proposes implementation plans for proposed solutions.
Partner Support and Resolution: Providing second-level and/or executive escalation support by collaborating with both internal and external partners to identify issue root causes, determining solutions and ensuring issue resolution for medium to high complexity issues; regularly coordinating with cross functional teams to ensure issue resolution; Tracking and managing tickets to ensure timely and agreed upon resolutions; promptly escalating unresolved tickets.
People Development: Coaching less experienced team members and providing feedback to enhance skills, knowledge, and work performance; Mentoring less experienced specialists.
Identifying opportunities to improve site experience, augment operations and enhance data delivery – You’ll dive deep into business problems and create recommendations for internal stakeholders to enhance customer experience, optimize processes and increase traffic, sales & conversion.
Possess knowledge around on-site metrics and ways to drive change – you’ll be a key member of the team in supporting business decisions in the moment and for future ways of working.
Minimum Qualification:

Bachelor degree in a related field or equivalent experience in Business, Marketing or related field
Preferred Qualification:

1-3 years related experience in Site Merchandising, Business Analytics, Product Operations, Digital Marketing, Merchandising or related field
Strong customer obsession, critical thinking skills, communication skills and detail-orientation; ability to problem solve, make data-driven decisions and drive results
Analytical and process-oriented; high-level of comfort with website metrics and customer & engagement data (e.g. SEO, internal search, transactional, navigation, etc.)
Proficient in Microsoft Office Suite (Excel, PowerPoint, Word); experience with VLOOKUPs and Pivot tables
Technical aptitude with site analytics tools, such as Adobe Analytics or Google Analytics; experience with SQL or Python a plus
Adaptable and demonstrates initiative in a fast-paced environment with competing priorities
Demonstrated ability to work as part of a cross-functional team and willingness to take on responsibilities outside primary job description when necessary
The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process.

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Healthcare Billing Specialist

Labcorp

LabCorp is seeking a HealthCare Billing Specialist to join our team! LabCorp’s Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then LabCorp is the place for you!

Responsibilities:

  • Research, translate, and analyze routine front end billing issues
  • Research, translate, and update demographic data to ensure prompt payment from customers
  • Resolve systems issues from daily reports to determine appropriate resolution action
  • Fast paced; after extensive training- will have daily/weekly goals to be met

Requirements:

  • High School Diploma or equivalent
  • Associate’s Degree or Medical Coding and Billing Certification a plus
  • REMOTE work; must have high level Internet speed (50 mbps) connectivity
  • 1 year Billing experience a plus, but not required
  • Ability to work and learn in a fast paced environment
  • Strong attention to detail
  • Ability to perform successfully in a team environment
  • Excellent organizational and communication skills
  • Strong verbal communication skills and excellent ability to listen and respond
  • Basic knowledge of Microsoft office
  • Alpha-Numeric Data Entry proficiency strongly preferred

Why should I become a Healthcare Billing Specialist at LabCorp?

  • Generous Paid Time off!
  • Medical, Vision and Dental Insurance Options!
  • Flexible Spending Accounts!
  • 401k and Employee Stock Purchase Plans!
  • No Charge Lab Testing!
  • Fitness Reimbursement Program!
  • And many more incentives!

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Medical Imaging Processing Agent 1

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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Encounter Provider Data Specialist

Guardian Life Insurance

Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

The Encounter Provider Data Specialist is responsible for researching, correcting and updating data relating to Avesis’ network of dental and vision provider information due to encounter responses received from partnered health plans in accordance with policies, procedures, and guidelines as outlined in Avesis contractual agreements and State and Federal Guidelines. We are seeking a self-starter who is fueled by collaboration, able to maintain established performance metrics and contribute to team and departmental standards for quality and production. Our chosen candidate will identify opportunities for process improvements and initiatives, along with providing back up support to other areas of the provider data team.

Essential Job Functions:

  • Capability to learn/understand the Avesis’ Provider Network and the information necessary to successfully submit encounter files for all Avesis Government clients.
  • Conduct reviews to ensure provider information processed on claims is accurate and in accordance with guidelines.
  • Update provider data in Avesis’ systems accurately and timely.
  • Handle difficult or non-routine scenarios and special projects.
  • Monitor and manage encounter rejections from multiple sources.
  • Research, track, and trend issues to improve encounter submission processes.
  • Test and implement system changes and updates by working with our IT Department.
  • Possess thorough knowledge of State and Federal requirements for providers participating in Medicare and Medicaid contracts.
  • Skilled use of Avesis systems and applications for claims adjudication and research of provider data.
  • Apply policies and procedures to confirm that providers meet the criteria for payment as indicated in contractual guidelines.
  • Attend team meetings related to encounter processing and updates regarding encounter submissions.
  • Maintain effective intradepartmental communications through sharing of plans, routinely held departmental meetings, and informal interactions.
  • Other duties as assigned.

Requirements:

  • Associate’s degree in a related field is preferred; High School Diploma, GED or equivalent, required.
  • Prior experience with healthcare provider data entry
  • Knowledge of Medicare, Medicaid, and Commercial insurance
  • Strong skills using Microsoft applications and other windows-based tools
  • Ability to read, write, and communicate at a professional level
  • Ability to manage multiple tasks and prioritize work
  • Effective time management and organizational skills
  • Ability to work overtime as needed

We Offer

  • Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
  • Competitive compensation package.
  • Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
  • Life and disability insurance.
  • A great 401(k) with company match.
  • Tuition assistance, paid parental leave and backup family care.
  • Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
  • Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
  • Employee Resource Groups that advocate for inclusion and diversity in all that we do.
  • Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Equal Employment Opportunity

At Avsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avsis, where We See You!

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Data Entry Associate

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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