Customer Service – Medical Records Retrieval

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

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.

APPLY HERE

Billing Coordinator

Trustmark Benefits

This is a part-time temporary remote position and will require 29 hours/week.

Summary: The primary objective of this position is to data enter daily premium remittances and validate the deposit is balanced within the Consolidated Billing System. Other responsibilities include the preparation of invoices to external vendors/carriers, tracking the payments, and follow-up on past due accounts.

This individual is the primary contact for external customer correspondence and inquiries (fax, mail, email) to research and provide customers with information and works with the Billing Team on the processing of change requests or other information/data entry requests.

Responsibilities include:

  • Daily premium deposit data entry and validation of balanced debits to Consolidated Billing System.
  • Audits incoming checks to verify premium is received direct from clients or by approved external Third-Party Administrators.
  • Primary contact for external customer correspondence or inquiries (fax, email, mail) to respond, research and provide customers with information.
  • Answers phone calls from internal and external customers.
  • Assists billing department team with customer service duties, including generating past due calls, change processing, and other information requests or data entry requests.
  • Prepares monthly invoices for external vendors/carriers based on queries/report data provided.
  • Collates invoices/reports to mail or email to external vendors/carriers.
  • Scans/remote deposits external vendor/carrier payments to bank.
  • Data enters external vendor/carrier payments and tracks past due payments.
  • Communicates with internal and external customers related to past due vendor/carrier payments and logs information.
  • Acts as subject matter expert to assist with training and mentoring for on-boarding of new staff members within the clerical function.
  • Assists with preparation and confirmation of off-site documents for destruction according to retention policy.
  • Other duties as assigned.

Qualifications:

  • A minimum of 1-2 years of general accounting experience is required.
  • Excellent data entry skills
  • Basic mathematical skills
  • Excellent Business Communication Skills (verbal and written)
  • Proficient Use of Microsoft office (Word, Excel, Outlook)
  • Excellent Organizational skills
  • Detail Oriented with multi-tasking abilities
  • Team Player

APPLY HERE

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.

APPLY HERE

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

APPLY HERE