by twochickswithasidehustle | Mar 3, 2023 | Uncategorized
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 2, 2023 | Uncategorized
About Carrot:
Carrot Fertility is the leading global platform for fertility healthcare and family-forming benefits. Trusted by hundreds of the world’s best multinational employers, health plans, and health systems, Carrot’s comprehensive clinical program delivers industry-leading cost savings for employers and exceptional experiences for millions of employees. Its award-winning product serves all populations – inclusive of age, race, income, sex, sexual orientation, gender identity, marital status, or geographic location. Whether there is a need for care through fertility preservation, male-factor infertility, pre-pregnancy, IVF, pregnancy and postpartum, adoption, gestational surrogacy, or menopause, Carrot supports members and their families through many of the most memorable and meaningful moments of their lives.
The Role:
In this role, you will be responsible for reviewing incoming members’ out-of-pocket expenses, as well as expenses incurred using their Carrot Card. You will collaborate with members of both Reimbursements, and Care Navigation to ensure an exceptional member experience. You need to be able to work between the hours of 11 AM-8 PM PT while noting our operations hours are 2 AM-8 PM PT.
The Team:
This role will coordinate activity between our Care Navigation team and other internal departments to ensure that payment for applicable care is quickly and accurately processed.
Minimum Qualifications:
1-3 years of relevant work experience including claims submission/processing experience
Highly detail-oriented and organized
Structured thinker and love checking things off your to-do list
Excellent verbal and written communication skills
Problem-solving skills to analyze, troubleshoot and resolve issues
An innovative spirit to push the boundaries of claims operations
English Speaking
Preferred Qualifications:
Strong Interpersonal Skills
Ability to thrive in a fast-paced, results-oriented environment
Solve problems creatively and think on your feet
Ability to lean in to changing priorities and processes
Track claims and denials through the entire lifecycle
Identify gaps in claims and reach out to providers for missing information
Help members troubleshoot issues involving claims or eligibility
Compensation:
Carrot offers a holistic Total Rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, parental leave, family-forming assistance, and a competitive compensation package. The expected base salary for this position will range from $61,000 – $83,000. Actual compensation may vary from posted base salary depending on your confirmed job-related skills and experience.
APPLY HERE
by twochickswithasidehustle | Mar 2, 2023 | Uncategorized
Job Description
Monitors and evaluates the quality and handling of inbound calls, outbound calls and/ or correspondence, and documents quality and productivity issues and performance measures for management review. Provides information to assist in the feedback and formal education process of call center staff.
-Coaches customer service staff on work procedures including but not limited to proper call handling and maintaining call quality standards.
-Provides on-going feedback and acts as subject matter expert in addressing procedural issues.
-Conducts audits ensuring compliance with performance standards and superior outcomes (e.g., quality, accuracy and timeliness).
-Performs mandatory call monitoring
-Utilizes available software/hardware applications promoting “reinforcement coaching” for staff.
-Identifies developing trends impacting service levels and proactively partners with appropriate parties to recommend process enhancements or solutions to avoid potential service delivery problems (e.g., quality increasing management controls, tightening procedures or addressing training needs, etc.)
-Reports on performance results and may provide support to supervisors in the development of action plans for staff and unit effectiveness; If required, provides training to call center staff in support of these efforts.
-If required, may answer phone calls, respond to written inquiries, and handle “escalated” issues in support of work performed by customer service and/or supervisory staff.
-Performs effective service recovery and provider education
-Monitors the participation and completion of Web-based training for call center staff and completes appropriate follow-up with supervisors.
-Through local quality reviews and effective time management of call activity, works to improve the rate of first call response
-Provides technical and subject matter expertise relative to policies, procedures, and customer service applications/systems tools
Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 34.60
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
Must exhibit leadership and coaching qualities.
-Must have exceptional attendance.
-Must have the ability to work a flexible schedule.
-Demonstrated analytical and problem-solving skills.
-Ability to multitask and meet deadlines.
-ASD OR GPS experience
-ACAS experience
-Health Concierge 1+ yr
Preferred Qualifications
Experience working in special projects, or escalated tasks.
Education
High school diploma or equivalent
APPLY HERE
by twochickswithasidehustle | Mar 2, 2023 | Uncategorized
HealthMark Group
HealthMark Group is a leader in health information management and technology focusing on serving the health information management needs of physician practices and hospitals throughout the nation. HealthMark Group’s innovative technology and superior customer service enable clients to streamline operations by outsourcing administrative support functions such as the release of information and form completion processes. By integrating experience, technology and service, we help hospitals, health systems and clinics concentrate on what they do best, patient care.
HealthMark Group is growing and looking for bright, energetic and motivated candidates to join our team. This is an entry level position and an exciting opportunity for someone looking to start their career with a fast-growing company.
Our Data Entry role involves entering data from various sources into the company computer system for processing and management. A candidate working in data entry will need to efficiently manage a large amount of information that is often sensitive or confidential.
Location: Can work remotely
Entry level job duties include but not limited to:
- Preparing and sorting documents for data entry.
- Entering data into database software and checking to ensure the accuracy of the data that has been inputted.
- Resolving discrepancies in information and obtaining further information for incomplete documents.
- Reports directly to Quality Control/Data Entry Manager
- Completes Data Entry of all requests
- Records any relevant notes on specific requests for further/proper handling throughout the request life cycle
- Identify and accurately classify each request
- Uphold HealthMark Group’s values by following our C.R.A.F.T.
- Work quickly to meet the high-volume demand
Requirements:
- Computer literacy and familiarity with various computer programs such as MS Office (formal computer training may be advantageous in progressing in this career)
- Attention to detail
- Knowledge of grammar and punctuation
- Ability to work to time constraints
When applying, it would be greatly appreciated if you would complete the assessment screening process. This helps us to set candidates apart and make more informed decisions.
Job Type: Full-time $14.00 to 16.00 per hour DOE
APPLY HERE
by twochickswithasidehustle | Mar 2, 2023 | Uncategorized
Ensemble Health Partners
Accounts Receivable Specialist:
- Responsible for following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursement.
- Identifies and analyzes denials and payment variances and takes action to resolve account including drafting and submitting technical appeals.
- Examines denied and underpaid claims to determine reason for discrepancies.
- Communicates directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement.
- Ability to identify with specific reason underpayments, denials, and cause of payment delay.
- Works with management to identify, trend, and address root causes of issues in the A/R.
- Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and taken appropriate action accordingly.
- Documents activity accurately including contact names, addresses, phone numbers, and other pertinent information.
- Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.
- Needs to be a strong problem solver and critical thinker to resolve accounts.
- Must meet productivity and quality standards.
- Performs other duties as assigned
Minimum Years and Type of Experience: High School Diploma
Other Knowledge, Skills and Abilities Required:
- Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
- Must pass typing test of 35 words per minute (error adjusted).
- Excellent Verbal skills.
- Problem solving skills, the ability to look at account and determine a plan of action for collection.
- Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.
- Adaptability to changing procedures and growing environment.
Other Knowledge, Skills and Abilities Preferred:
- 2 or 4 year degree.
- 1-3 years of relevant experience in medical collections or professional billing preferred.
- Knowledge of claims review and analysis.
- Working knowledge of revenue cycle.
- Experience working the DDE Medicare system.
- Working knowledge of medical terminology and/or insurance claim terminology.
- Certifications: CRCR within 6 months hire.
Scheduled Weekly Hours: 40
We’ll also reward your hard work with:
- Great health, dental and vision plans
- Prescription drug coverage
- Flexible spending accounts
- Life insurance w/AD&D
- Paid time off
- Tuition reimbursement
- And a lot more
APPLY HERE
Recent Comments