by twochickswithasidehustle | Dec 21, 2022 | Uncategorized
Ferguson Enterprises
Ferguson is currently seeking the right individual to fill an immediate need for a Sourcing Coordinator! The Sourcing Coordinator works under direct supervision to perform routine account management activities. The associate will serve as a point of contact for supplier issues and partner with internal and external teams to find a solution.
Responsibilities:
- Submit project deliverables, ensuring adherence to quality standards
- Assist senior associates in a range of activities associated with sourcing goods, materials, supplies, and services on terms that are in the organization’s best interest
- Manage supplier portal launch support and ongoing maintenance
- Support internal and portal functionality inquiries
- Participate in the creation and distribution of the monthly supplier scorecard
- Maintain the Supplier Compliance doc and get in touch with suppliers when updated documentation is needed
- Consolidate supplier feedback and report on key themes and document frequently asked questions
- Review and submit SOPs/job aid updates as needed
- Participate in associate meetings and communicates any concerns to management
- Adhere to all policies, rules, regulations, and procedures
- Perform other duties or functions as requested by management
Qualifications:
- 2 years of experience is preferred
- Prior training and/or project management experience is a plus
- Strong verbal and written communication skills to include use of proper grammar and punctuation
- Basic understanding of supplier management principles and compliance
- Possess strong organizational and time management skills
- Proficient in Microsoft Office software (Outlook, Word, Excel, PowerPoint, Access, etc.)
APPLY HERE
by twochickswithasidehustle | Dec 21, 2022 | Uncategorized
UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM
The position in general requires someone to be responsible for the coordination and completion of projects across various functional areas. Provides subject matter expertise in areas including project coordination, risk identification, project methodology, resource allocation and facilitation, as well as someone who will ensure that projects are completed on time and in scope. Supports the Clinical Pharmacy Programs Team.
This position is full-time, Monday – Friday. Employees are required to have the flexibility to work any shift schedule within our normal business hours. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Provides explanations and information to others on topics within area of expertise
- Supports Pharmacy and Therapeutics process including, but not limited to: event scheduling, meeting coordination and documentation of minutes and follow up deliverables, maintains appropriate documentation of contractor agreements and conflict of interest statements for members, coordinates remuneration for external members
- DUR Committee support including but not limited to: event scheduling, meeting coordination and documentation of minutes and follow up deliverables, maintains appropriate documentation of contractor agreements and conflict of interest statements for members, coordinates remuneration for external members
- Pharmacy Communications Oversight and execution including but not limited to member and provider communication approval and oversight of mailout process leveraging internal teams and corporate processes already in place
- Facilitation of pharmacy website
- Non-clinical support for the Clinical Pharmacy Programs team
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED (or higher)
- 2+ years of experience managing end-to-end projects
- 2+ years’ experience in a clerical health care setting
- Ability to work any of our available shift schedules within our normal business hours
Preferred Qualifications:
- Experience with Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (ability to sort, filter, and create simple spreadsheets
- Experience as a Pharmacy Tech
Telecommuting Requirements:
- Have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
APPLY HERE
by twochickswithasidehustle | Dec 21, 2022 | 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.
Patient Benefit Advocate
Work Location:
Position:
Identify & confirm coverage for patients who present at hospitals, clinics, and offices due for services related to inpatient and outpatient services. This position is responsible for educating patients on coverage(s) available, Coordination of Benefits (COB) process related to medical claims and payment processing. Engage each patient in the claims review process and provide details to ensure claims are processed in a timely manner. Provides outstanding customer service and collection activities through efficient, effective communication and resolution of the outstanding accounts receivable balance.
Core Responsibilities:
- Identify & confirm coverage for patients who present at hospitals, clinics, and offices due for services related to inpatient and outpatient services.
- This position is responsible for educating patients on coverage(s) available, Coordination of Benefits (COB) process related to medical claims and payment processing.
- Engage each patient in the claims review process and provide details to ensure claims are processed in a timely manner.
- Provides outstanding customer service and collection activities through efficient, effective communication and resolution of the outstanding accounts receivable balance.
Requirements:
- Required: High school diploma or equivalent work experience
- General knowledge of Microsoft Office
- 2 – 3 years’ work experience in healthcare and/or insurance billing, processing or customer service
- Revenue Cycle Experience (EPIC, CERNER, MEDITEC, Athena IDX)
Preferred Qualifications:
- Hospital registration/patient access experience preferred.
- Medical Payer experience preferred.
- Subrogation and Coordination of Benefits experience preferred.
- Ability to meet position metrics goals (KPI’s)
- Strong written and verbal communication skills
- Ability to work well in an independent setting with minimal supervision.
- Ability to work collaboratively within a team.
- Ability to communicate effectively with patients, hospital staff, adjusters, and attorneys.
- Strong customer service skills.
- Ability to setup workstation and operate through various systems
- Must be able to multi-task and be detail oriented
- Work on special projects as assigned
Working Conditions/Physical Requirements:
- Remote Setting or Office 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.
APPLY HERE
by twochickswithasidehustle | Dec 21, 2022 | Uncategorized
UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM
As a clinical administrative coordinator working remotely you will have the comfortability of working for a quiet designated area in your home. You will be responsible for contacting members about the post discharge benefits including meals, transportation, and in home care. You will be trained as a backup for the intake team and will be speaking with members regarding their post discharge benefits. Your daily tasks will include, but not be limited to, accurately entering member and benefit information in a variety of platforms; and ongoingly review workflows and job aides to ensure correct and efficient processes are being followed.
It is recommended to have additional monitors as you will be navigating between computer screens and platforms to research member information. Other daily activities and tasks include participating in team chats throughout the day, working independently, acting as a resource for others, and complete other tasks as requested by your manager.
This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am 5:00pm.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Responsible for contacting member about the post discharge benefits including meals, transportation and in home care.
- Trained as back-up for our Intake team, speaking with members regarding their post discharge benefits.
- Accurately enter member and benefit information in a variety of platforms.
- Navigate between computer screens and platforms to research member information.
- Participate in TEAM chat throughout the day.
- Ongoing review of workflows and job aides to ensure correct and efficient processes are being followed.
- Extensive work experience within own function.
- Complete work that is frequently completed without established procedures.
- Work independently.
- Potentially act as a resource for others.
- Other tasks as requested by their manager.
Required Qualifications:
- High School Diploma / GED (or higher)
- 2+ years of customer service experience analyzing and solving customer problems
- 2+ years of telephonic customer service experience
- 1+ years of previous experience working with Microsoft Office Outlook, Word and Excel
Preferred Qualifications:
- Working Knowledge of Medical Terminology to communicate with members and providers.
- Previous experience working with Microsoft Access databases
- Experience working within the Healthcare Industry
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
- Working in a fast-paced environment where you respond to needs of many people at the same time.
- Excellent time management skills
- Ability to work independently and as part of a team
APPLY HERE
by twochickswithasidehustle | Dec 21, 2022 | Uncategorized
UnitedHealth Group
This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 06:30am 04:00pm. It may be necessary, given the business need, to work occasional weekends and overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Analyzes and applies denials to third party carriers in all media types.
- Complies with departmental Business Rules and Standard Operating Procedures
- Focuses efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt.
- Interprets explanation of benefits for appropriate follow up action.
- Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
- Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
- Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
- Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
- Conducts data entry and re-work for adjudication of claims.
- Works on various other projects as needed.
- Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.
Required Qualifications:
- High School Diploma / GED (or higher) OR equivalent work experience
- 1+ years of experience in A/R, Billing, and Customer Service, Insurance, or Healthcare.
- Demonstrated ability using computer and Windows PC applications, such as Microsoft Outlook (setting calendar appointments, email) and Microsoft Excel (creating spreadsheets, filtering, navigating reports) instant message, video conferencing.
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
- Some College level classes/coursework
- Medical terminology acumen and experience
- Must reside within a commutable distance from Quest office and be able to go into the office as needed for training, meetings, etc., depending on business needs
APPLY HERE
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