by twochickswithasidehustle | Jan 24, 2023 | Uncategorized
ICON plc is a world-leading healthcare intelligence and clinical research organisation. From molecule to medicine, we advance clinical research providing outsourced services to pharmaceutical, biotechnology, medical device and government and public health organisations. With our patients at the centre of all that we do, we help to accelerate the development of drugs and devices that save lives and improve quality of life. Our people are our greatest strength, are at the core of our culture, and the driving force behind our success. ICON people have a mission to succeed and a passion that ensures what we do, we do well.
· Data Entry Support for Non-SIP Studies/Sites – make updates in CTMS as provided on pre-validated site lists, ISIF forms, ISI change forms, and change requests received via email. Review reference data to see if required account/contact/address records already exist in the system. Create new/update existing reference data as needed. Create sites, enter site accounts and addresses, enter site contacts and addresses, assigned required external system provisioning roles, Make updates as requested throughout the course of the study.
· Data Entry Support for Outsourced Studies – create countries and/or sites, enter milestones and enrollment information for outsourced studies. Make updates as trackers are received throughout the course of the study. Follow up with sponsor project leads if trackers are not received according to agreed schedule. Periodically run FOCUS reports and follow up with sponsor project lead to ensure errors are corrected and updates are made.
· Data Entry Support for Acquired Studies – create countries and/or sites, enter milestones and enrollment information for acquired studies. Make updates as trackers are received throughout the course of the study. Follow up with sponsor project leads if trackers are not received according to agreed schedule. Periodically run FOCUS reports and follow up with sponsor project lead to ensure errors are corrected and updates are made.
· Provisioning Support for SIP Studies – assign external system provisioning roles to site contacts created in SPECTRUM through SIP integration. Periodically run reports and follow up on missing/incorrect provisioning values
· Reference Data Updates – create and/or update accounts, contacts, addresses as needed for study site creation or cleanup. Review data coming into the system from outside sources and take appropriate action as required to ensure reference data is clean and accurate. Review data for duplicate entries and take appropriate action to remediate duplicates in reference data.
· Protocol Level Updates – provide support updating trial level information (study team history, protocol level accounts, etc.) as requested by the study teams.
· Data Setup for UAT – create and/or modify data in non-production environments as requested in preparation for the execution of test scripts
· Ad-hoc CTMS Cleanup Activities – perform manual updates in the system that result from data reviews, cleanup campaigns and periodic monitoring activities. Run periodic reports as needed and take appropriate actions to clean/modify identified data issues. Monitor and resolve SPECTRUM/CORE/Exostar discrepancies that impact automated provisioning process.
For all tasks if there are any discrepancies in the information provided the CTMS DE team member will reach out to the requester, management or reference aids provided to rectify the discrepancy.
Data Entry experience preferred but not required
APPLY HERE
by twochickswithasidehustle | Jan 23, 2023 | Uncategorized
Ventra Health
Job Summary:
- The Payment Posting Specialist is responsible for the monetary intake for Ventra Health clients. The Payment Posting Specialist may be assigned between 13-14 facilities/clients that they will be responsible for maintaining our 6 days turnaround time. Posts all deposits for current month by our month end deadline. Payment Posting Specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to Ventra Health clients throughout the country.
Responsibilities
Essential Functions & Tasks:
- Posts Accounts Payable deposits.
- Processes electronic 835’s and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, contractual allowances, recoups and forward balancing.
- Interprets Explanation of Benefits (EOB) remittance codes and applies correct denial codes.
- Balances and closes payment batches timely.
- Navigate websites to obtain EOBs.
- Performs special projects and other duties as assigned.
Qualifications
Education and Experience Requirements:
- High School Diploma or Equivalent.
- Two (2) year of experience posting insurance payments in a healthcare setting.
- Two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred.
Knowledge, Skills, and Abilities (KSAs):
- Knowledge of insurance payer types.
- Knowledge of Explanation of Benefits (EOB) statements.
- Strong balancing and reconciliation skills.
- Strong 10 Key calculator skills.
- Strong oral, written, and interpersonal communication skills.
- Strong mathematical skills.
- Strong time management skills.
- Strong organizational skills.
- Ability to read, understand, and apply state/federal laws, regulations, and policies.
- Ability to remain flexible and work within a collaborative and fast paced environment.
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
APPLY HERE
by twochickswithasidehustle | Jan 23, 2023 | Uncategorized
ExamWorks
Overview
Preference will be given to those who have experience with medical bills, ICD’s and CPT’s.
Joining ExamWorks as a Data Entry Associate may be the best decision you ever make.
We are seeking a medical billing-savvy professional who is keen to pick up on important details and looking to thrive in a fast-paced, growing environment.
This position is 100% remote. Candidate must be available to work 8:00am-5:00pm PST; Monday through Friday. Office equipment (office phone, screen, keyboard, mouse and virtual desktop) will be provided.
If you’re ready for a change, let’s hear from you!
Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:
- Gathers, organizes and prepares source documents for data entry into the appropriate system database.
- Reviews data for discrepancies, missing pages or information and resolves discrepancies by using standard procedures or returning incomplete documents to the team leader for resolution.
- Enters both alphabetic and numeric data from source documents into the proper system database.
- Reviews data entered against the original source documents for accuracy and corrects any data entry errors or duplications.
- Follows data program security practices and procedures at all times.
- Routinely secures information by completing database backup daily.
- Performs other varies clerical duties such as sorting, filing, emailing and proofreading as required.
- Maintains confidentiality of all personal and financial information at all times and in accordance with HIPPA regulations.
- Perform other duties as assigned.
Qualifications
EDUCATION AND/OR EXPERIENCE
- High school diploma or equivalent required. A minimum of 6 months related experience; or equivalent combination of training and experience. Experience in a medical office preferred.
QUALIFICATIONS
- Must possess complete knowledge of general computer, fax, copier, scanner, and telephone.
- Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
- Must have a full understanding of HIPAA regulations and compliance.
- Must be a qualified typist with a minimum of 40 W.P.M.
- Ability to follow instructions and respond to managements’ directions accurately.
- Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
- Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
- Must be able to work independently, prioritize work activities and use time efficiently.
- Must be able to maintain confidentiality.
- Must be able to demonstrate and promote a positive team -oriented environment.
- Must be able to stay focused and concentrate under normal or heavy distractions.
- Must be able to work well under pressure and or stressful conditions.
- Must possess the ability to manage change, delays, or unexpected events appropriately.
- Demonstrates reliability and abides by the company attendance policy.
- Must maintain a professional and clean appearance at all times consistent with company standards.
ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services.
Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers’ compensation insurance coverages.
ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k
APPLY HERE
by twochickswithasidehustle | Jan 23, 2023 | Uncategorized
Change Healthcare
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Work Location:
• Fully Remote – U.S.”
Position:
Responsible for data entry of material from source documents to a computer-connected terminal. Verifies data and performs clerical tasks in the data processing functions. Examines, revises, approves and dispatches input and output materials according to established specifications. Reports to Operations Manager.
Core Responsibilities:
• Works on assignments that are moderately complex in nature where judgement is required in resolving problems and making routine recommendations Normally receives no instructions on routine work, general instructions on new assignments.
• Keying of Data Entry charges and chargebacks.
• Reconciling charge batches with facility batches
• Leading weekly meetings with offshore team
Requirements:
• High School Diploma
• Vocational Training or equivalent
• 2+ years data processing experience
• Working knowledge of data entry
• Oral communication skills, visual acuity and manual dexterity
Working Conditions/Physical Requirements:
• General office demands
Unique Benefits*:
• Flexible work environments
• Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
• Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
• Employee wellbeing programs and generous health plans
• Educational assistance programs
• US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions
• Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies
• Learn more at https://careers.changehealthcare.com
*Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor.
California / Colorado / New Jersey / New York / Rhode Island / Washington Residents Only:
The applicable base pay for your state is listed below. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives.
The base pay range for this position is $13.46 – $29.88
APPLY HERE
by twochickswithasidehustle | Jan 23, 2023 | Uncategorized
Highmark Inc.
JOB SUMMARY
This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark’s utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax or phone, and at times may require follow-up calls with physicians or pharmacists.
ESSENTIAL RESPONSIBILITIES
- Obtain requests from provider or pharmacy via phone, fax, or provider portal (online). Use multiple software systems and various resource sites to determine member plans and requirements.. Gather all required documentation including verification of benefit eligibility. Build cases in the utilization management system.
- Use knowledge of process and judgement to evaluate identified cases that require additional notification to member, provider, and/or pharmacist. At times, contact by phone members, providers and/or pharmacists to obtain additional information.
- Ensure accuracy of data entry to prevent compliance and/or downstream process issues.
- Other duties as assigned.
EDUCATION
Required
Substitutions
Preferred
EXPERIENCE
Required
- 1 – 3 years of Customer Service experience
- 0 – 1 year of experience working in the Healthcare Industry
Preferred
- 0 – 1 year of experience working in the Health Insurance Industry
LICENSES AND CERTIFICATIONS
Required
Preferred
SKILLS
- Oral & Written Communication Skills
- Telephone Skills
- Problem Solving & Decision Making
- Compliance
- Healthcare Industry
- Health Insurance
Language (Other than English)
None
Pay Range Minimum:
$16.75
Pay Range Maximum:
$24.08
APPLY HERE
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