by twochickswithasidehustle | Mar 7, 2023 | Uncategorized
SUMMARY OF RESPONSIBILITY:
The Credentialing Specialist reports to the Credentialing Team Lead and is responsible for collecting and verifying sensitive provider data through confidential sources and maintains credentialing database.
Essential Functions:
Complete complex credentialing forms accurately and complies requested information for packets.
Enters and tracks information into databases.
Communicate positively with customers and companies to maintain customer loyalty
Organizes and maintains file system and files correspondence and other records.
Reads and routes incoming mail. Locates and attaches appropriate file to correspondence to be answered by employer.
Makes copies/scans correspondence or other printed materials
Prepares outgoing mail and correspondence, including e-mail and faxes to meet department deadlines.
Adheres to the policies and procedures of USM
QUALIFICATIONS AND COMPETENCIES:
Exemplary attention to detail
Ability to multi task and work independently
Possess excellent computer and communication skills
REQUIRED CREDENTIALS & TRAINING/EDUCATION
Associate’s Degree or equivalent from a two-year college or technical school; or two to three years of related work experience and/or training or equivalent combination of education and experience
Experience in Credentialing, Insurance or Insurance knowledge and background is a plus
APPLY HERE
by twochickswithasidehustle | Mar 7, 2023 | Uncategorized
Insurance Benefits Verification Supervisor
OVERVIEW: The Patient Access Supervisor has the primary responsibility for direct oversight of the IBV team members. This position is responsible for the day-to-day operations and performance management of the IBV staff across the enterprise. This position is accountable for all aspects of the new patient financial journey as it relates to benefit verification and updating information in NG. This position requires excellent supervisory skills with the ability to demonstrate leadership and analytical thinking capabilities, facilitate timely resolution of patient financial issues by contacting and creating positive communication/relations with staff.
HOURS: Monday – Friday 8am-5pm
ESSENTIAL RESPONSIBILITIES:
Responsible for the management of the daily activities of the IBV team, to include, but not limited to new patient financial consultations, benefit verification, updated documentation in NG and updating Phreesia for all self-pay patients.
Ensure that all intake financial documents have been received, signed, and appropriately documented within the practice management system. (HIPAA and Financial Guidelines and Waiver)
Ensure that team members are knowledgeable and trained appropriately, our processes are effective and documented, and the team is well versed on the navigation and functional use of the PM and EMR systems.
Understands and develops key measures for staff and closely monitors these indicators to track the level of service delivery.
Possesses knowledge and ability to leverage technology, optimize the utilization of internal resources and improve the quality of work and information flows
Coordinates and assists with the training and orientation of new staff.
Evaluates and provides a written employee performance at 90 days / annually performs evaluations providing feedback.
Counsels and mentors staff as needed to improve employees’ skills and implements corrective action as needed to ensure adherence to expected standards.
Performs time keeping and payroll duties. Tracks leave requests to ensure proper documentation of employee’s time. Maintains calendar, recording staff leave dates to monitor for adequate coverage of teams and/or offices.
EDUCATION/EXPERIENCE REQUIREMENTS:
At least two years of medical business office experience including insurance procedures, patient interaction, and health records systems experience required. Associates degree is preferred.
Experience working in a healthcare field, preferably in a clinical setting or business office is required.
Computer literacy required. Ability to access, input, and retrieve information from a computer and proficient with a variety of hardware and software applications.
Insurance knowledge requirements including: Understanding of medical terminology, Managed care authorization process, ICD9 and CPT codes, Comfortable with navigating Managed Care Websites
Managing remote associates and creating accountability
More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful.
At USFertility, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values – Empathy, Patient Focus, Integrity, Commitment, and Compassion (EPICC) – guide us daily to work hard and enjoy what we do. We’re committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team!
What We Offer:
Competitive pay + bonus
Comprehensive training
Medical, dental, vision, and 401(k) matching
Generous paid time off and holidays
Tuition assistance
Ability to make an impact in the communities we serve
To learn more about our company and culture, visit here.
How To Get Started:
To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen.
APPLY HERE
by twochickswithasidehustle | Mar 7, 2023 | Uncategorized
Everyone is welcome at Handshake. We know diverse teams build better products and we are committed to creating an inclusive culture built on a foundation of respect for all individuals. We strongly encourage candidates from non-traditional backgrounds, historically marginalized or underrepresented groups to apply.
If you are not sure that you’re 100% qualified, but up for the challenge – we want you to apply. We believe skills are transferable and passion for our mission goes a long way.
Your Impact:
Handshake is looking to bring on a Content Moderation Specialist (contract) to provide support to our employer, student, and career services users. This role is a 3 month contract with the possibility of contract extension upon evaluation of fit for the role and company needs. If you are resourceful and attuned to detail, love to research and feel comfortable with data entry – this is the role for you!
You will be helping verify new employers on the platform. You will work closely with our Support Team to provide efficient and effective support and contribute to an overall seamless experience for users. As an advocate for our career centers, students, and employer users, you’ll improve the Handshake user experience and make an impact on our mission to democratize opportunity.
Your Role:
Contribute 40 hours per week during a predetermined schedule (Monday-Friday, Tuesday-Saturday, or Sunday-Thursday) by evaluating new employers on our platform. Your day-to-day will consist of:
90%: New employer tickets, ~60/day. Agents are expected to meet their weekly equal % of queue goal.
5%: attending team meetings (1-3 per week)
5%: completing administrative tasks (emails, checking daily announcements, training, etc.)
Use app demo environments, troubleshooting tools, help center, team communication channels, and internal documentation systems to find the quality answer for a wide range of users
Maintain a standard level of excellence in regards to response times, resolution times, and the quality of the customer support experience
Be both a content moderator and an experienced consultant for users of the Handshake platform
Utilize internal tools to manage issues between Customer Support, Customer Success, Product, and Engineering
Your Experience:
Location: if working from home, you must be located in AZ, DC, CA, CO, FL, GA, ID, IL, IN, MA, MD, ME, MI, MN, NC, NM, NV, NJ, NY, OR, PA, SD, TN, TX, VA, WA, or WI.
1+ year in a Content Moderation role
Technical Aptitude: Ability to learn technical tools and concepts quickly
Teamwork: Connects with teammates and actively builds a sense of community on Support and with other teams. Collaborates with manager and team on daily or weekly guidance on ticket workflows and prioritization.
Communication: Excellent verbal and written communication skills with a clear ability to communicate complex topics with simple language.
Results oriented and ownership: Ability to maintain or exceed ticket and quality goals. High level of self accountability and integrity for processes and metrics.
Passion for the problem: Desire to help give people the chance to build the career they want, no matter where they’re from or what school they attend
EQ: A strong sense of empathy with users of our products
Critical Thinking: High attention to detail and ability to troubleshoot with limited information and a clear plan of action.
Expertise and Curiosity: Retains knowledge, shows ability to partially solve issues independently, and asks questions to increase personal knowledge. Isn’t afraid to do independent research on third party tools and systems to find answers.
Growth Mindset: Positive, eager to learn, utilizes resources, takes and gives feedback, connects with support team and key cross team stakeholders.
Diversity and Inclusion: Eagerness to contribute to and help build a diverse and inclusive team and exhibit these values internally and externally with customers or users.
Coverage: Can provide a regular schedule to provide consistent assistance to users. Based in the U.S. and is not a current student.
Bonus Areas of Expertise:
Relevant experience in cross – functional communication or close partnerships with various teams (Success, Sales, Product etc).
Previous experience working in an Enterprise SaaS Customer Support team at a fast-paced tech company or customer focused position involving technical knowledge of a company’s products and services.
Looker, or Microsoft Excel experience
Trust & Safety or other Fraud experience
Compensation Range:
Remote: $23 per hour
For cash compensation, we set standard ranges for all U.S.-based roles based on function, level, and geographic location, benchmarked against similar stage growth companies. In order to be compliant with local legislation, as well as to provide greater transparency to candidates, we share salary ranges on all job postings regardless of desired hiring location. Final offer amounts are determined by multiple factors, including geographic location as well as candidate experience and expertise, and may vary from the amounts listed above.
APPLY HERE
by twochickswithasidehustle | Mar 6, 2023 | Uncategorized
Careers at UnitedHealth Group
We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life’s best work.SM
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California, to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.
The Payment Entry Specialist works under general supervision to perform payment entry duties involving settlement of patient accounts and related clerical activities including posting patient and third party payments and adjustments; and balancing daily batches. The Payment Entry Specialist is responsible for maintaining a positive working relationship with patients, staff and third parties; representation of the organization in a professional manner; and, keeping the assigned supervisor apprised of work product/projects status on a routine basis.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer
Reviews encounter data forms for accuracy of CPT and ICD-10 codes, required modifiers, and other encounter data
Prints insurance claim forms
Maintains Claim Form log
Performs electronic claims submission
Maintains summary report notebooks and confirmation logs
Reviews insurance claim forms for accuracy and completeness
Makes necessary claims corrections
Sorts and reviews payments received by the Business Office
Calculates insurance contact adjustments
Prepares payments for data entry according to Payment Calculation policies and procedures
Applies knowledge of Medicare and Medic-Cal guidelines in reviewing claims to ensure appropriate use of modifiers and CPT/ICD-10 codes
Corrects claims appearing on edit reports
Maintains Edit Report binders
Communicates trends to department supervisors
Maintains working knowledge of general claims requirements and updates to ICD-10/CPT codes
Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High school diploma, GED or equivalent experience
1+ years of working in a general clerical in a medical setting
Ability to demonstrate solid proficiency using MS Suite and other systems
Professional working knowledge of CPT & Diagnosis Coding, Medical Terminology, and basic Anatomy
Preferred Qualifications:
CPC certificate
2+ years of medical billing and/or related job experience
1+ years of working in a healthcare setting
Bilingual
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
APPLY HERE
by twochickswithasidehustle | Mar 6, 2023 | Uncategorized
Description
The world of working and learning has changed. This is your opportunity to be a part of a brand transformation and growth strategy within the retail industry. Staples is helping our customers and community discover innovative products, services, and inspiration that unlock what’s possible, while empowering you to unlock your potential. Our people are the heart of our success and there has never been a better time to join us as we lead the way in a new era of working and learning.
The Order Processor is part of the COA team. The Order Processor Role will primarily focus on processing orders that are pre-configured, or “clean,” and routing them to the appropriate production facility. This subset of orders should require very limited knowledge of digital print. You will field, asses, and direct all inbound calls to the COA desk. You will need to utilize all available Staples order systems, as well as understand how & who to contact at each Production Facility, to allow them to effectively answer inbound inquiries from Partners/Customers. You will work directly with the Retail store teams on orders routed to the Production Facilities. You will also be responsible for all post-production administrative responsibilities.
Get great perks.
Hourly Rate $16-$19 per hour based on experience
Generous amount of paid time
Flexible work arrangements, including remote and flexible hours
401(k) plan with a company match, full benefits plan and options, and associate resource groups
Associate store discount and more perks (discounts on mobile plans, movie tickets, etc.
Customer Service:
Excellent phone and communication skills
Primary team fielding inbound calls
Monitor COA email queue, and distribute to appropriate team member
Ability to utilize multiple order entry and tracking systems simultaneously
Ability to handle multiple priorities; shift between job functions i.e.: data entry, handling customer inquiries, etc.
Answer phones, monitor emails, respond to store inquiries, and/or accept and transfer correspondence to appropriate parties; Follow up with Partners/Customers over inquiries, order change requests, etc.
Complete all post-production administrative functions. Tracking info, Procure, etc., Complete/Close. This must be done no later than 6:00 am the day after an order is completed
Guide and educate Store Associates and Sales Team members on order entry guidelines, and specifically where to find the appropriate assistance/training
Job Ticketing & Routing:
Make minor edits to Solution Builder job tickets
Ensure all due dates, shipping details, and special instructions have been reviewed and clearly noted
Utilize Order Routing Matrix to determine appropriate Production Facility
Print tickets to appropriate Production Facility
Name files to standard naming convention, and save to server
Enter transfer orders into Nowdocs as necessary
Qualifications
Essential skills and experience:
2-4 years’ experience in a Customer Service or Office Administration Role
Demonstrated ability in a position that required solid negotiation and relationship building skills
Ability to read & interpret instructions, identify problems/missing information and address them proactively
Computer Skills: Microsoft Office, Acrobat
Preferred Experience:
1+ years’ experience in a Digital Copy & Print or Manufacturing environment
APPLY HERE
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