Audit Coordinator

HealthMark Group

JOB DESCRIPTION:

Location: Remote

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 Audit Coordinator 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.

Type of RoleFULL-TIME

Entry level job duties include but not limited to:

  • Preparing and sorting documents for data entry.
  • Manipulating and deduplicating excel lists.
  • Identifying client and patient matches within our computer system.
  • 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 Team Lead and ROI 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
  • Must dedicate at least 20 hours per week

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.

Pay- 15-16.00 per hour

APPLY HERE

Payment Posting Specialist – Unmatched

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

Healthcare Billing Specialist

Labcorp

LabCorp is seeking a HealthCare Billing Specialist to join our team! LabCorp’s Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then LabCorp is the place for you!

Responsibilities:

  • Research, translate, and analyze routine front end billing issues
  • Research, translate, and update demographic data to ensure prompt payment from customers
  • Resolve systems issues from daily reports to determine appropriate resolution action
  • Fast paced; after extensive training- will have daily/weekly goals to be met

Requirements:

  • High School Diploma or equivalent
  • Associate’s Degree or Medical Coding and Billing Certification a plus
  • REMOTE work; must have high level Internet speed (50 mbps) connectivity
  • 1 year Billing experience a plus, but not required
  • Ability to work and learn in a fast paced environment
  • Strong attention to detail
  • Ability to perform successfully in a team environment
  • Excellent organizational and communication skills
  • Strong verbal communication skills and excellent ability to listen and respond
  • Basic knowledge of Microsoft office
  • Alpha-Numeric Data Entry proficiency strongly preferred

Why should I become a Healthcare Billing Specialist at LabCorp?

  • Generous Paid Time off!
  • Medical, Vision and Dental Insurance Options!
  • Flexible Spending Accounts!
  • 401k and Employee Stock Purchase Plans!
  • No Charge Lab Testing!
  • Fitness Reimbursement Program!
  • And many more incentives!

APPLY HERE

Customer Service – Medical Records Retrieval

Cotiviti

Cotiviti is urgently hiring!

Are you ready for a rewarding career in the healthcare industry? Come join our team of 7000+ employees on a growing team of 500+ Call Center Agents in reshaping the economics of healthcare. Cotiviti drives better healthcare outcomes through data analytics. This means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. Learn more at www.Cotiviti.com.

Responsibilities

FANTASTIC PERKS AND BENEFITS

  • No nights or weekends
  • No irate customers or sales calls
  • 10 paid holidays a year
  • Incentive bonuses
  • 17 days of accrued Paid Time Off per year
  • Medical, dental and vision benefits
  • 401(k) matching with no vesting period
  • Access to Cotiviti Perks at Work – enjoy substantial savings from hundreds of local and national vendors
  • Tuition Reimbursement (after 1 year of employment)
  • Career advancement opportunities both within the Call Center as well as other areas of the business including IT, HR, Finance, Analytics and many other functions (see screenshot below for example paths!).

**REMOTE POSITIONS. Starting wage is $14.00 with full benefits available the 1st of the month following your start date. Potential $0.50 pay increase at 90 days. NO NIGHTS OR WEEKENDS!**

Check out this video to see what it’s like to work in our Call Center!
https://www.youtube.com/watch?v=HBAPEA0dkCo


Responsibilities:

The Records Retrieval Agent represents the clientele of Cotiviti in requesting and obtaining medical records from healthcare providers.

  • Contact healthcare provider offices to request copies of medical records
  • Identify and coordinate the method for record retrieval with provider offices
  • Maintain professional and frequent contact with provider offices throughout the record retrieval process
  • Provide accurate and timely updates on the record retrieval status to Cotiviti clients
  • Complete all responsibilities as outlined on annual Performance Plan.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

Potential Career Path Options

Qualifications

  • High School diploma, GED, or equivalent work experience
  • Previous call center sales or collections experience preferred, not required. We will provide training
  • Ability to communicate clearly through verbal and written communication, using proper spelling and grammar
  • Demonstrated ability to give close attention to details, including planning, executing, and follow up procedures
  • Must be able to work well in a team environment
  • Demonstrated understanding of HIPAA regulations preferred
  • Typing speed of 30 words per minute (wpm) with 90% accuracy
  • Basic computer navigational skills

Job Demands

  • This is a remote, work from home full-time role
  • Anticipated class starts on Monday 11/28/2022
  • Training is 4 weeks, M-F, 9:00 am – 5:30 pm Eastern time — 100% attendance required
  • Internet upload speed of 25 mpbs and download speed of 5 mpbs

APPLY HERE

Data Entry Specialist – Remote

Job Details
Description
Who We Are

WPS Health Solutions is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. In 2021, WPS Health Solutions celebrated 75 years of making health insurance easier for those we serve. Proud to be military and veteran ready.

Our Culture

WPS’ Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.

In 2021 and 2022, WPS Health Solutions was recognized for several awards including:

Madison, Wisconsin’s Top Workplaces
Top Workplace national cultural excellence awards for Remote Work and Work-Life Flexibility
Achievers 50 Most Engaged Workplaces® with the further honor of Achievers “Elite 8” winner in the category of Culture Alignment
Role Snapshot

The Data Entry Specialist will be responsible for reviewing claims that have missing or incorrect information, and verifying that the noted correction(s) are needed. Once the claim has been verified, the Data Entry Specialist edits the fields. This includes:

Review documents that have missing or incorrect information and confirm that the corrections are accurate
Edit fields that are missing or incorrect using the OCR (Optical Character Recognition) repair queue
How do I know this opportunity is right for me? If you:

Excel at working independently.
Are excited about working from home.
Are great at identifying errors or information that is “out of place” making your attention to detail second to none.
Have strong typing skills in terms of speed and accuracy.
What will I gain from this role?

Greater work life balance by working from the comfort of your home.
A deeper understanding of how medical claims are processed.
Satisfaction in knowing you have helped made health care easier our Medicare and TRICARE beneficiaires.
Minimum Qualifications

High school diploma or equivalent
Prior personal computer use with demonstrated keyboarding skills
Must live within vicinity of Madison, WI campus location
U.S. citizenship is required for this position due to Department of Defense restrictions.
Preferred Qualifications

Prior clerical background in a position requiring entry of alpha/numeric data
Possesses data entry, 50 wpm, 10-key skills
Ability to learn data entry fields, claims, edits, computer applications/programs, and department procedures
Additional Information

Anticipated Start Date: 1/30/23

of Openings: 3

Starting Hourly Rate: $15.00 to $17.00 per hour based on county SCA rates.
Pay for Performance: Each quarter you have the opportunity to increase your pay rate (after 9 months in the role).
Training Location/Schedule: Training will be done remotely. Training hours are Monday through Friday, 7:30 AM to 4:00 PM for 4 weeks.
Scheduled Shift: Monday through Friday, 8-hour daily shift. Employee can pick 8 hour shift anywhere between 6AM and 11:30 PM or can choose a split shift during these hours.
Work Location: This role is open to remote work in the following approved states:
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, and Wisconsin.
Remote Worker Requirements: For remote position, employee is required to meet remote worker requirements, including a designated work station, a wired (Ethernet) connection to the network, and a minimum of 10Mbps downstream connection with at least 1Mbps upstream (can be checked at https://speedtest.net)
To help strengthen communication, provide a sense of community, and improve the overall remote work experience, the assigned office community based on the position’s division is: Shared Services: West Frankfort, Illinois
Benefits

Performance bonus and/or merit increase opportunities
401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
Competitive paid time off
Health, dental insurance, Teladoc starts DAY 1

APPLY HERE