by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Cotiviti
Overview
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
by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
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
APPLY HERE
by twochickswithasidehustle | Dec 29, 2022 | Uncategorized
American Specialty Health – ASH
Description
American Specialty Health is seeking a detail oriented research representative for our Eligibility team. This position will research and resolve eligibility verification requests while providing the highest quality of customer service by maintaining a professional and courteous manner. The ideal candidate will have strong typing and 10-key skills while maintaining 98% accuracy. The research representative follows confidentiality guidelines to ensure security measures are enforced and proprietary information remains protected.
Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Responsibilities
- Verifies member eligibility from the eligibility file, communications logs, and health plan websites or by calling the health plan directly when all other resources are exhausted.
- Inputs and saves verified member’s information into the communications log and/or member maintenance.
- Promptly processes and completes research to ensure turnaround times are met.
- Makes follow up calls to practitioners and members to provide research results.
- Builds or updates member and group records in ASH’s proprietary claims processing system including documentation in notes.
- Follows confidentiality guidelines to ensure security measures are enforced and proprietary information is protected
- Must maintain a minimum production level of 85 claims, 60 CSS/MNA, or 60 Ashlink requests per day pro-rata with no less than 98% accuracy.
- Ability to assist in multiple functions as needed.
- Ability to participate in peer mentorship as needed.
Qualifications
- High School Diploma required.
- Minimum one year experience with 10 key, typing, and computer skills. 8,000-10,000 key strokes per hour required.
- Excellent customer service skills, experienced in making outbound calls and meeting expectations for productivity and accuracy required.
- Experience with claims processing or eligibility verification preferred.
Core Competencies
- Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
- Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
- Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
- Ability to effectively organize, prioritize, multi-task and manage time.
- Demonstrated accuracy and productivity in a changing environment with constant interruptions.
- Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
- Ability to exercise strict confidentiality in all matters.
APPLY HERE
by twochickswithasidehustle | Dec 29, 2022 | Uncategorized
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 Role: FULL-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
by twochickswithasidehustle | Dec 29, 2022 | 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
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