by twochickswithasidehustle | Mar 7, 2023 | Uncategorized
Representing clients on a variety of projects via inbound/outbound telecommunication.
This is your opportunity to join Ashfield, represent a top biotechnology company.
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.
APPLY HERE
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
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