by twochickswithasidehustle | Feb 24, 2023 | Uncategorized
TridentCare
Description
The 3rd Party Quality Assurance Representative is responsible for completing Quality Audits for all of the 3rd Party AR team as well as creating New’s Flash / SOP’s for use by management and team members.
- Prepare, edit and submit New’s Flash, quick reference guides for the 3rd Party AR team.
- As required, develop and update SOP’s related to 3rd Party billing practices.
- Responsible for providing training sessions or creating training materials to be shared with the individual team members, teams, or leadership.
- Q&A representative is responsible for weekly/monthly audits of the entire 3rd party team.
- This individual will need to have a vast knowledge in the 3rd party Medical billing and have some knowledge of payers, trends, and billing processes in the QA environment.
- This individual will be tasked to complete 30 claims per representative per team.
- Review and monitor performance measures of QA through internal audits and review of best billing practices in order to ensure conformance and effectiveness of 3rd Party billing team.
- Demonstrate time management and project organizational skills.
- Complete all reports according to schedule.
- Perform other tasks as assigned to support the goals of the organization.
- To be able to work independently and to assist the Quality Assurance Supervisor in all Quality Assurance tasks.
- This will be a remote position and will required proficient excel and proficient computer knowledge is required.
- To work remote position requires high speed internet and be able to pass speed test.
Qualifications
Skills
Required
Microsoft Office
Some Knowledge
Typing Skills Min 35 wpm
Intermediate
Claims Processing
Some Knowledge
Preferred
Analysis
Novice
Time Management
Novice
Behaviors
Required
Enthusiastic: Shows intense and eager enjoyment and interest
Team Player: Works well as a member of a group
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Preferred
Thought Provoking: Capable of making others think deeply on a subject
Motivations
Preferred
Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
Self-Starter: Inspired to perform without outside help
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
APPLY HERE
by twochickswithasidehustle | Feb 24, 2023 | Uncategorized
Ensemble Health Partners
Job Description:
The Accounts Receivable Specialist role responsibilities include following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursement. Identify and analyze denials and payment variances and take action to resolve account including drafting and submitting technical appeals.
Other Job Duties include:
- Examine denied and underpaid claims to determine the reason for discrepancies.
- Communicate 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 the root causes of issues in the A/R.
- Maintain a thorough understanding of federal and state regulations, as well as payer-specific requirements and take appropriate action accordingly.
- Document activity accurately including contact names, addresses, phone numbers, and other pertinent information.
- Demonstrate 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 Qualifications: 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 the 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.
- 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 with the DDE Medicare system. Working knowledge of medical terminology and/or insurance claim terminology.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Scheduled Weekly Hours: 40
Work Shift: Days (United States of America)
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
by twochickswithasidehustle | Feb 24, 2023 | Uncategorized
Ensemble Health Partners
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference.
The Opportunity:
The Denials/Audit Specialist performs all denial and audit activities across Ensemble Health Partners. Job duties include, but are not limited to:
- Contacting insurance companies to determine reasons claims are unpaid
- Correcting and resubmitting claims in a timely manner to ensure payment
- Identifying trends in denied payments by insurance companies to remediate issues
- Identifying changes with insurance company policies to ensure compliant billing
- Communicating with other departments to resolve denial issues and submitting appeals in a timely manner
- They will perform these duties while meeting the mission of Ensemble Health Partners, as well as meeting the regulatory compliance requirements
- Performs other duties as assigned
Required Minimum Education:
- High School Diploma or GED
Preferred Education:
- 2 Year/ Associates Degree
Certification Required:
- CRCR (Certified Revenue Cycle Representative) within 6 months of hire
Minimum Years and Type of Experience:
- 2 years’ applicable experience strongly preferred
Other Knowledge, Skills and Abilities Required:
- Must pass typing test of 35 words per minute (error adjusted)
Other Knowledge, Skills and Abilities Preferred:
- Experience in physician and hospital operations, billing, AR follow-up, denials & appeals, compliance, and provider relations.
Join an award-winning company
Three-time winner of “Best in KLAS” 2020-2022
2022 Top Workplaces Healthcare Industry Award
2022 Top Workplaces USA Award
2022 Top Workplaces Culture Excellence Awards
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive.
A few of those include:
- Benefit packages – We offer a variety of medical plans, retirement options, and 401k options.
- Wellness Programs – Are designed to help our associates enhance their health, including a comprehensive annual health risk assessment.
- Our Culture – Ensemble’s Associate Engagement Committee facilitates fundraising, community outreach and DEI events throughout the year.
- Growth – We invest in your professional development. Each associate receives a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
APPLY HERE
by twochickswithasidehustle | Feb 24, 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
by twochickswithasidehustle | Feb 24, 2023 | Uncategorized
TridentCare
ROLE:
The Senior Payroll Specialist acts as the lead payroll personnel representative accountable for the administration of the payroll functions, accurate and timely processing of employee payroll and payroll processing procedures as established by the company.
This is a remote position.
TASKS AND RESPONSIBILITIES:
- Process Manual checks are needed for missing hours, terminations and bonus.
- Act as primary payroll tax specialist, addressing all inquiries relating to Employer Identification Numbers for payroll tax purposes
- Coordinate and ensure payroll data has been entered for a biweekly payroll and provide back up for bi-weekly payroll.
- Audit incoming data provided from both internal and external sources
- Process manual checks as needed
- Provide back -up payroll support to Payroll Manager.
- Manage workflow to ensure all payroll transactions are accurate and timely
- Handle year-end payroll processing and W2 corrections
- Coordinate and process all year end information, including W2s.
- Create and provide various wage related reports upon request.
- Identify and communicate payroll issues to management.
- Ensure accurate payroll reporting to various departments, agencies and Accounting
- Review wages computed and corrects errors to ensure accuracy of payroll.
- Verify updates to employee records for benefit deductions, increases, status changes etc.
- Perform Employee Transfers from one state to another.
- Maintain and audit company accrual policy and Vacation, Sick, Floating and Company Holiday pay practices including Sick Leave.
- Sort and distribute paystubs to off-site locations when necessary.
- Encourage and implement continuous improvement measures within Payroll.
- Manage regular preparation of relevant management reports, including weekly, monthly, quarterly and year-end reports (gross payroll, hours worked, vacation accrual, tax deductions, benefit deductions, etc.).
- Ability to work effectively with senior-level staff
- Assist with management and tracking all company garnishments
- Ability to run and create ad-hoc reports as needed
- Various other special projects
PREFERRED QUALIFICATIONS:
- Excellent customer service skills
- Must be able to demonstrate basic payroll auditing skills
- General knowledge of state and federal wage and hour laws
- Advanced knowledge of US Payroll laws, rules and regulations, audit and internal control guidelines
- Basic knowledge of Power Point
- Excellent organizational skills and detail oriented
- Must demonstrate initiative and ability to anticipate and problem solve.
- Handle highly confidential information and relate well with all levels of the organization
- Ability to complete assignments in an accurate and timely manner
- Advanced verbal and written communication skills
- Interpersonal skills with the ability to interact professionally with all levels of the organization as well as customers and vendors
- Effective multitasking skills in a high-volume fast paced, team-oriented environment
- General HRIS System knowledge
SKILLS|EXPERIENCE:
Basic/Minimum Qualifications:
- High School Diploma or GED
- Minimum of 3-5 years payroll experience
- Knowledge of UKG payroll system and time and attendance (Dimensions).
- Knowledge of BI reporting with UKG
- Multi-State payroll experience
- Advanced computer skills and experience using Microsoft Word, Excel and Outlook
Preferred Qualifications:
- Excellent customer service skills
- Must be able to demonstrate basic payroll auditing skills
- General knowledge of state and federal wage and hour laws
- Advanced knowledge of US Payroll laws, rules and regulations, audit and internal control guidelines
- Basic knowledge of Power Point
- Excellent organizational skills and detail oriented
- Must demonstrate initiative and ability to anticipate and problem solve.
- Handle highly confidential information and relate well with all levels of the organization
- Ability to complete assignments in an accurate and timely manner
- Advanced verbal and written communication skills
- Interpersonal skills with the ability to interact professionally with all levels of the organization as well as customers and vendors
- Effective multitasking skills in a high-volume fast paced, team-oriented environment
- General HRIS System knowledge
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
APPLY HERE
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