Health Service Specialist

Change Healthcare

Position:
This position is responsible for the accurate input of data, checking of benefits, and ensuring the appropriate approval / denials for patient care. The position works closely with the provider offices and vendors to ensure members have access to services.

Core Responsibilities:

  • Accurate Data Entry into EZ-Cap
  • Verifying member information, benefits, and health plan criteria
  • Following appropriate processes to ensure health plan compliance
  • Other duties as assigned

Requirements:
Required: High school diploma or GED

  • Certified Medical Assistant
  • Minimum 1-2 years in a health care environment
  • Ability to meet position metrics goals (KPI’s)

Preferred Qualifications:

  • HMO or managed care preferred but not required
  • Strong organizational skills, familiarity with medical terminology, CPT and ICD-9 / ICD-10 coding
  • Strong data entry / computer skills
  • Organized
  • Detail Oriented
  • Ability to multi-task
  • Work well with others
  • Computer literate

Working Conditions/Physical Requirements:

  • Remote environment with high-speed internet
  • 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.

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Billing Specialist III

USAP – US Anesthesia Partners

Overview

Data Entry team member whose primary responsibility will be working and clearing edits in TES and BAR. Posting prepay payments, doing package adjustments, and sending out monthly invoices for all package accounts that are surgeon/facility directed.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

  • Processing and clearing TES and BAR edits to ensure clean claims going out.
  • Contacting surgeon/facilities to confirm billing information.
  • Running eligibility on a variety of insurance portals.
  • Confirming authorizations, etc. in hospital portals
  • Working prepay task manager view in order to process cosmetic adjustments.
  • Send out monthly invoices to all surgeon/facility directed accounts.
  • Post all prepay payments to patient accounts.
  • Reconcile any package credit balances.
  • Partnering with surgeons’ offices and facilities to help resolve any billing or patient issues.
  • Partnering with other RCM departments to ensure appropriate billing for cosmetic/insurance splits.
  • Processing custom edits to ensure proper billing to either patient or surgeon.

REPORTING TO THIS POSITION: This position will not be responsible for any direct reports.

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

  • Healthcare/RCM experience
  • Professional communication skills, both verbal and written

EDUCATION/TRAINING/EXPERIENCE:

  • High School diploma
  • Healthcare/RCM experience a must
  • Anesthesia knowledge is a bonus
  • Payment posting experience preferred

PHYSICAL REQUIREMENTS:

  • Ability to sit at a desk and computer for a full 8 hour shift, continuous data entry
  • Ability to answer inbound phone calls and make outbound phone calls

WORKING CONDITIONS (environment and safety):

  • Work performed in office environment
  • Involves frequent contact with professional staff and managed care organizations
  • Work may be stressful at times
  • Interaction with others is frequent and often disruptive

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Charge Specialist

USAP – US Anesthesia Partners

Overview

Billing team member whose primary responsibility will be reviewing and correcting anesthesia EDI rejections, anesthesia, and billing edits with the goal of clean claims. Other responsibilities may include, but are not limited to:

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

  • Processing patient demographics, registering patients in USAP’s billing system
  • Processing custom edits to ensure proper billing based on payer policy and anesthesia billing rules
  • Researching accounts to ensure correct updates are applied
  • Partnering with department leadership and colleagues to cross train in other edit or billing workflows as the billing department has a culture of teamwork

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

  • Proficient in keyboarding/data entry
  • Professional communication skills, both verbal and written
  • RCM experience preferred, health care experience preferred
  • Knowledge of organization policies, procedures and systems.
  • Skilled in computer applications including MS Word, MS Excel.
  • Skilled in gathering and reporting information.
  • Ability to work effectively within a team and alone as an individual contributor
  • Must have a pleasant disposition and be a team player
  • Ability to work independently with limited supervision
  • Ability to read, write, and speak English

EDUCATION/TRAINING/EXPERIENCE:

  • High School diploma
  • Healthcare/RCM experience preferred
  • High volume phone call experience preferred
  • Anesthesia knowledge is a bonus

PHYSICAL REQUIREMENTS:

  • Ability to sit at a desk and computer for a full 8 hour shift, continuous data entry
  • Ability to answer inbound phone calls and make outbound phone calls when necessary

WORKING CONDITIONS (environment and safety):

  • Work performed in a remote environment
  • Involves frequent contact with department colleagues and leaders
  • Work may be stressful at times

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CRM Data Specialist

Charles River Laboratories

Job Summary

Charles River’s Digital Sales Enablement team is seeking a full time CRM Data Specialist. This position will work remotely.

Should be knowledgeable in using the Pardot and Salesforce systems.

  • Tradeshows:
    • Document any change in processes
    • Recommend improvement when needed
    • Assign the leads to the appropriate user to follow up.
  • Will work with Accounts data related updates and changes including but not limited to MDM, Industry coding, and Account Name Changes
  • Will be involved in data clean-up projects, and merging appropriate records
  • Will be responsible for clearing the CR Inbox, sfdc inbox and to send weekly new opt-ins to security
  • Primary Responsibility is tradeshows.
    • Receiving and working on Workfront requests (form handler, imports, Zuant import task assignments)
    • Creating form handlers
    • Importing lists
      • Creating auto rules
      • Pushing data to SFDC
    • Using the Territory assignment guidebook
    • Assigning leads
    • Creating tasks
    • Running Reports
    • Managing Tradeshow Tracker
  • Misc. projects for the different businesses

Job Qualifications

  • Minimum of 6 mos. experience with data entry.
  • Strongly prefer a completed college degree.
  • Excellent organization skills and attention to detail.
  • Strong communication skills.
  • Proficient in Excel.
  • Experience with SalesForce.com/Pardot strongly preferred
  • Experience with Zoominfo/Ringlead strongly preferred

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Setup Coordinator

Waste Management

I. Job Summary
Sets up and maintains digital customer records and provides administrative support for the Technical Service Center. Provides service and support for internal and external customers.

II. Essential Duties and Responsibilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned.

  • Conducts routine data maintenance of sales, web, landfill, Visor and company landfill systems.
  • Performs profiled and non-profiled account setups and other data entry into WM systems.
  • Performs quality assurance reviews of account setups.
  • Maintains electronic filing systems.
  • Reviews central setup knowledgebase and updates when changes are necessary.
  • Coordinates with Technical Service Center on projects as assigned by supervisor.

III. Supervisory Responsibilities
This job has no supervisory duties.

IV. Qualifications
The requirements listed below are representative of the qualifications necessary to perform the job.

A. Education and Experience

  • Education: High School Diploma or G.E.D (accredited).
  • Experience: One (1) year of relevant work experience (in addition to education requirement).

B. Certificates, Licenses, Registrations or Other Requirements

  • Intermediate level experience with Microsoft Word, Excel and Windows.

C. Other Knowledge, Skills or Abilities Required

Reasoning Skills:
Ability to prioritize and apply common sense to carry out instructions furnished in written, oral, or diagram form is required. Ability to deal with and solve practical problems specific to job is required.

Language Skills:
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals is required. Ability to write routine reports and correspondence is required. Ability to speak effectively before groups of customers or employees of organization is required.

Mathematical Skills:
Ability to add, subtract, multiply and divide in all units of measure, using whole numbers is required.

V. Work Environment
Listed below are key points regarding environmental demands and work environment of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

  • Required to use motor coordination with finger dexterity (such as keyboarding, machine operation, etc.) most of the workday
  • Required to exert physical effort in handling objects less than 30 pounds rarely
  • Required to be exposed to physical occupational risks (such as cuts, burns, exposure to toxic chemicals, etc.) rarely
  • Required to be exposed to physical environment which involves dirt, odors, noise, weather extremes or similar elements rarely
  • Normal setting for this job is: Remote.

Benefits
At Waste Management, each eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short-Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site.

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