by twochickswithasidehustle | Mar 24, 2023 | Uncategorized
Ashfield Engage
What’s in it for you?
- Competitive compensation
- Excellent Benefits – accrued time off, medical, dental, vision, 401k, disability & life insurance, employee discounts/promotions
- Competitive environment with company wide recognition, contests and coveted awards
- Exceptional company culture
- Recognized as a Top Workplace USA 2021
What will you be doing?
- Maintain excellent quality standards for all client programs; adhere to program guidelines. Accurately transcribe and data enter information required by individual programs and correctly capture in specific program databases.
- Adhere to all company policies and Standard Operating Procedures.
- Display flexibility within department to maximize utilization.
- Exhibit highly effective transcription and data entry skills meeting or exceeding productivity expectations.
- Must safeguard patient privacy and confidentiality by following the guidelines set forth in the Privacy and Security Rules of the Health Insurance Portability and Accountability Act (HIPAA).
- Manage day to day activities of patient and health care provider support requests and deliverables across multiple communication channels i.e. Fax, Chat, eMail, etc.
- Perform intake of cases and capture all relevant information in the Case Management system
- Ensure all support requested is captured within the Case Management system and routed to appropriate next step using decision tools and reference guides
- Ensure timely and accurate processing of requests including reviewing source documentation
- Escalate complex cases, when appropriate
- Maintain excellent quality standards for all client programs; adhere to program requirements and guidelines.
- Accurately transcribe and document information received via form into client databases
What do you need for this position?
- High School Diploma required
- Bachelor’s degree or equivalent work-related experience preferred.
- Excellent verbal, written and listening communication skills.
- Knowledge of reimbursement mechanisms for medical and pharmacy benefits, patient access processes and patient assistance programs: operational policies and processes preferred.
- Proficiency in reviewing intake documents thoroughly and entering information in database with little to no errors.
- Proficiency with Word and Excel
- Analytical thinking, problem solving and decision making.
- Ability to multitask and manage multiple parallel projects with strong time management skills
About Ashfield Engage
Ashfield Engage, part of Inizio, is a global leader in commercialization services for the healthcare industry. We partner with our clients across Commercial, Patient Solutions, Medical Affairs, Market Access, and Event Experiences to build creative, scalable and tailored health solutions that are executed flawlessly, to deliver positive outcomes for patients.
Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need.
To learn more about Ashfield Engage, visit us at: https://ashfieldengage.com/
Ashfield Engage is proud to be an equal opportunity employer. Individuals seeking employment at Ashfield are considered without regards to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related medical conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by federal, state, or local laws. Further, pursuant to applicable local ordinances, Ashfield will consider for employment qualified applicants with arrest and conviction records.
Ashfield Engage is an equal opportunity employer M/F/V/D. We appreciate your interest in our company, however; only qualified candidates will be considered.
APPLY HERE
by twochickswithasidehustle | Mar 24, 2023 | Uncategorized
BroadPath
Job Description
Innovative, Dynamic, Fast Pace and Collaborative, these are just some of the words that our employees use to describe us but hey – don’t just take it from us – become a part of BroadPath today and experience our Culture of Constant Connection! BroadPath is hiring Data Entry Representatives. Data Entry Representative will be responsible to obtain and process all pertinent clinical information needed for the authorization of professional and medical services. The position responds to patient referrals and works insurance companies to pre-certify services based on the patient’s benefit plan.
Responsibilities
- Reviews all referrals for eligibility, expiration date, and accuracy
- Acts as a liaison between patients, providers, and staff members to direct appropriate cases to the Utilization Management staff
- Works cooperatively with internal and external customers to help members and providers with referral issues
- Participates in answering Prior Authorization calls and entering customer data in database daily
Basic Qualifications
- Clinical experience and/or healthcare experience with medical insurance
- Ability to handle insurance-based questions
- Authorization experience (office and/or experience with CPT, ICD 10 codes)
- 2+ years’ experience in a medical office or clinical environment
- Must have knowledge of durable medical equipment
- Knowledge of HMO systems and experience working with the medical referral process required
Our Data Entry Representatives will love the following benefits & perks!
- Invitation to join our Inclusivity, Diversity, Equity, + Action Committee
- Access to BroadPath’s Limited Medical Plan starting first of the month after 60 days of employment. After one (1) year of full-time employment, you will receive access to our Major Medical Plan, 401K, and our one of a kind “Bhive Kit;” which includes a camera that allows you to join our Connected Culture!
- Uncapped Employee Referral Program & Weekly Pay
Preferred Qualifications
Additional related education and/or experience preferred
APPLY HERE
by twochickswithasidehustle | Mar 24, 2023 | Uncategorized
BroadPath
Job Description
Innovative, Dynamic, Fast Pace and Collaborative, these are just some of the words that our employees use to describe us but hey – don’t just take it from us – become a part of BroadPath today and experience our Culture of Constant Connection! At BroadPath we strive to transform the modern workplace by embracing the spirit of revolution coupled with advanced technology to create an experience out of every day. BroadPath is currently hiring Provider Enrollment Representatives . The Provider Enrollment Representatives is responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.
Responsibilities
Day to Day
- Provider Enrollment Representatives will be responsible for the review, research, analyze, and process Medicare Provider Enrollment applications.
- Determines the acceptability of provider enrollment applications (which may be used for initial full application)
- Ensure Provider file integrity and those suppliers are in compliance with established standards and guidelines
- Provides quality check on the provider enrollment data and enters application information into claims processing systems.
- Verifies credentialing information and completes fraud detection and prevention.
Qualifications
- 2+ years’ prior experience in any of the following:
- Provider Credentialing
- Provider Enrollment
- Claims
- Appeals
- Data Specialist
- 6 months experience working in office environment
- Excellent written and verbal communication skills
Money & Perks
- Competitive Salary
- Exclusive HiveLife entertainment events, and invitation to join our Diversity, Equity, + Action Committee
- Access to BroadPath’s Limited Medical Plan starting first of the month after 60 days of employment. After one year of full-time employment, you will receive access to our Major Medical Plan, 401K, Career Advancement Opportunities, and our one of a kind Bhive kit
- Uncapped Employee Referral Program & Weekly Pay Days!
Preferred Qualifications
Systems Experience preferred:
- Microsoft Office
- Pecos
- MCS
APPLY HERE
by twochickswithasidehustle | Mar 24, 2023 | Uncategorized
BairesDev
BairesDev is proud to be the fastest-growing company in America. With people on five continents and world-class clients, we are only as strong as the multicultural teams at the heart of our business. To consistently deliver the highest quality solutions to our clients, we only hire the Top 1% of the best talents and nurture their professional growth on exciting projects.
Sales Data Entry at BairesDev
We are looking for a Sales Data Entry to join our Sales team. We are looking for proactive, dynamic people and team players, with great organizational capacity, accustomed to handle multiple tasks and with marked attention to details. It is an excellent opportunity for those professionals looking to develop in one of the fastest growing companies in the industry!
What You’ll Do:
– Upload Data of Landing Page & Website New Leads on Marketing Sheet.
– Perform extensive searches in the Web to find Lead’s & Company’s Contact Information.
– Execute periodic Data Updates for Leads lacking Updated Contact Information.
– Execute periodic Data Updates for Reports prompt daily & weekly by the ERP.
– Read Raw ServiceConnect Responses & Website Messages (On Demand).
– Initial ServiceConnect Response Read & Website Messages Categorization (On Demand).
Here’s what we are looking for:
– 3-5 years of relevant experience as Data Entry.
– Detail oriented and deadline driven.
– Ability to work autonomously and remotely.
– Methodic and able to follow processes.
– Excellent English skills (able to read and understand it).
– Self-starter, can explore, learn and work independently.
– Can manage concurrent tasks.
– Advanced English level.
How we do make your work (and your life) easier:
– 100% remote work.
– Hardware setup for you to work from home.
– Flexible hours – make your schedule.
– Paid parental leave, vacation & holidays.
– Diverse and multicultural work environment.
– An innovative environment with the structure and resources of a leading multinational.
– Excellent compensation well above the market average.
– Here you can grow at the speed of your learning curve.
Our people work remotely but with a consistent and robust culture that promotes diversity and teamwork. To continue being the leading software development company in Latin America, we want to ensure that every BairesDev member gets the best growth and professional development opportunities in a diverse, welcoming, and innovative environment.
Every BairesDev team member brings something unique to our company.
APPLY HERE
by twochickswithasidehustle | Mar 24, 2023 | Uncategorized
agilon health
Job Description:
agilon health is hiring for a Data Management Coordinator – This person can work remotely from anywhere in the US.
The Data Management Coordinator (DMC) assists in data management to include accessing data, residency, Net Provider Score (NPS), growth information and the development and maintenance of accurate provider directories of contracted providers for all lines of business in each market. The DMC is responsible for auditing both internal and external client’s directories and updating Salesforce and working with health plan data and websites to assure that current and accurate information regarding contract status and demographics are displayed.
Essential Job Functions:
- Timely, accurate provider data to include adds, terms or changes in our data base, Salesforce based on Market information.
- Provides essential information for monthly Market review of Primary Care Provider (PCP) data.
- Compares health plan website and data to our in-house Salesforce roster. Provides all updates in a clear concise report.
- Run existing Salesforce reports and learn how to build custom reports to support Market use.
- Ensure accurate data loads and perform quality assurance on these loads.
- Create Excel spreadsheet and perform Vlookup, create pivot tables and run reports as needed.
- Engages with Markets, internal and external staff, as required by Manager.
- Regularly and dependable reports to work as scheduled.
- Follows all Company policies and procedures, including but not limited to personnel policies, safety policies and operation policies.
- Assists when required in contracting functions.
- Maintains proficiency in all technical applications.
- Ability to set priorities and meet deadlines.
- Attention to detail and good concentration skills.
- Performs other duties as assigned.
Required Qualifications:
Minimum Experience
- 2 years administrative/clerical experience, preferable in managed care or the health care industry.
Education/Licensure:
- Bachelor or Associate degree preferred. However, high school accepted with work experience.
Travel:
- Candidate must be able to travel occasionally as requested by Manager.
APPLY HERE
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