by twochickswithasidehustle | Nov 8, 2022 | Uncategorized
American Specialty Health
Description
American Specialty Health (ASH) is seeking a focused Claims Examiner to work in a production environment. This position is responsible for the accurate review, input, and adjudication of claims in accordance with regulations, ASH standards and contractual obligations of the organization. Claims is an integral department of ASH’s offerings to empower people to live longer and healthier lives. We are responsible for tracking the receipt of claims, adjudication, and payment of claims. Due to the nature of the business and always evolving rules and guidelines, Claims is a fun and fast-paced team that enjoys working side by side, developing new ideas for efficiency, and prioritizes a strong focus on exceeding regulatory and contractual standards. Our driving mission is to offer world-class customer service (and expedited reimbursement) to healthcare providers on behalf of our members. Claims offers a career path progression that begins upon hire and allows development-focused staff to achieve two promotions in just one year. We succeed as a team and we prioritize professional development, considering ourselves an operational springboard to spring talented and driven employees toward their future goals.
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.
Responsibilities
- Processes claims accurately and efficiently.
- Reviews all incoming claims to verify necessary information.
- Determines that correct member and provider records are chosen and utilized to process claims.
- Enters claims data and information into the computerized Claims Processing System.
- Maintains all required documentation of claims processed and claims on hand.
- Adjudicates claims in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
- Maintains production standards; for direct data entry claims this includes processing an average of 31 claims per hour, with an accuracy rate of 98.5% over each pay period.
- Verifies data of scanned paper claims at stated standards.
- Provides backup for other examiners within the department.
- Promotes a spirit of cooperation and understanding among all personnel.
- Attends organizational meetings as required.
- Adheres to organizational policies and procedures.
- Maintains confidentiality of all claim files, claims reports, and claims related issues.
Qualifications
- High school diploma required.
- 6 months data entry experience with 10 key and word processing; minimum 10,000 keystrokes per hour required.
- Experience processing medical claims and knowledge of medical billing terminology and coding strongly preferred.
- Proficient in MS Office.
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.
- Ability to work and maintain production in a work-from-home (WFH) environment
- Demonstrated ability to show self-discipline to meet production goals.
- Demonstrated accuracy and productivity in a changing environment.
- Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions, and to utilize constructive criticism to improve.
- Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time.
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.
Environmental Conditions
Work-from-home (WFH) office setting
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability.
ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.
APPLY HERE
by twochickswithasidehustle | Nov 8, 2022 | Uncategorized
Rethink First
Entry Level
Rethink Behavioral Health is in search of a detail-oriented, tech-savvy, resourceful, and fast-learner to join our growing Enrollment and Credentialing team. We are a passionate group of individuals who take pride in knowing the services we provide allow our customers to focus on providing services to children and their families.
Rethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform (https://RethinkBH.com) provides clinical, staff training, and practice management tools for private ABA and other therapy based service providers in addition to full-cycle Billing Services.
We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. Our Kokomo office specializes in Revenue Cycle Management, as well as Enrollment and Credentialing Services. We are looking for professionals that are customer-focused and enjoy a fast-paced environment.
Remote opportunities are available only in the following states: CA, CO, FL, GA, IL, IN, MO, NE, NY, NC, PA & TX
Main Responsibilities:
- Ensure strict HIPAA-compliant confidentiality with all client-related data
- Review enrollment onboarding documentation for missing information
- Follow all set policies and procedures for assigned tasks
- Electronically file provider documents received
- Set up new providers in credentialing database
- Verify and obtain provider NPIs
- Communicate new provider onboarding completion with Rethink Enrollment and Credentialing team
- Verify provider license and certification renewals and update in database
- Manage and distribute faxes received
- Manage all provider CAQH updates and attestations
- Use new provider information to create CAQHs
- Report information to client assigned Enrollment Specialists
- Maintain contact with team throughout projects assigned to ensure timeliness of completion
- Conduct OIG Searches
- Alert team members on paid invoices so they can begin enrollment
Requirements:
- Ability to prioritize tasks according to timelines
- Strong verbal and interpersonal skills
- Willing to learn
- Positive attitude and love a good challenge
- Highly detail oriented and extremely organized
- Be a team player and willing to ask questions
- Self-motivated
- Ability to multitask
Preferred Qualifications:
- Minimum 1 year of experience working in an office setting
- Proficient using Microsoft Suite (Excel, Outlook, Word)
- Proficient using Google Drive
- Proficient using Adobe Acrobat
Education:
Benefits:
- PTO and Vacation Days after a 90-day introductory period
- Paid Holidays
- Generous Health, Denial & Vision benefits package 401k + Matching
Job Type: Full-time, Monday-Friday (8-5 PM)
Hourly
APPLY HERE
by twochickswithasidehustle | Nov 8, 2022 | Uncategorized
Ensemble Health Partners
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference.
Job Description
Document Imaging Specialist
Performs all Scanning Department duties pertaining to various departments’ work that occurs in Patient Financial Services.
The Document Imaging Specialist performs all Scanning Department duties relating to various departments’ work that occurs in Patient Financial Services. Job duties include, but are not limited to, processing incoming mail and preparing documents for scanning, scanning documents to proper location in accordance to the Record Retention Policy, any tasks resulting from these basic functions which are necessary to complete the document process, and communicating with coworkers and supervisor in order to maintain proper processing methods and remain aware of proper procedures.
Performs other duties as assigned.
Required Minimum Education: High School Diploma or GED
Minimum Years and Type of Experience: 1-2 years experience in healthcare industry.
Other Knowledge, Skills and Abilities Required: Experience with general computer systems such as Microsoft Office programs and office equipment such as scanning machines and printers.
Other Knowledge, Skills and Abilities Preferred: Experience in physician and hospital operations, compliance and provider relations.
Certifications: CRCR within 6 months of hire
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Join an award-winning company
- Three-time winner of “Best in KLAS” 2020-2022
- 2022 Top Workplaces Healthcare Industry Award
- 2022 Top Workplaces USA Award
- 2022 Top Workplaces Culture Excellence Awards
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Benefit packages – We offer a variety of medical plans, retirement options, and 401k options.
- Wellness Programs – Are designed to help our associates enhance their health, including a comprehensive annual health risk assessment.
- Our Culture – Ensemble’s Associate Engagement Committee facilitates fundraising, community outreach and DEI events throughout the year.
- Growth – We invest in your professional development. Each associate receives a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
APPLY HERE
by twochickswithasidehustle | Nov 7, 2022 | Uncategorized
Anderson Business Advisors
Salary Range $19.00
Anderson Business Advisors is a planning and consulting firm with a focus on providing high-quality services to real estate investors, stock traders, and business owners. Services provided focus on Asset Protection, Estate Planning, and Tax Planning. We are looking to add a few talented people to our organization as a Land Trust and Deed Processor
Our Company Values are: Integrity | Resilient | Driven | Innovative | Conscientious
Description
This is a full-time position, with a starting wage of $19.00 per hour
Requirements:
- Enjoy helping others and able to work well under pressure
- Excellent computer skills, 60WPM+, 10-key proficient
- Proficient with MS Office and/or Google Apps
- Happy to speak with clients using proper phone, email, and office etiquette
- Comfortable navigating the internet and researching information
- Title Company experience preferred, but not required
- Work independently at times as well as on team assignments
- Ability to prioritize and complete work in a timely manner
Job Duties:
- Researching county records and rules
- Data Entry and Scanning
- Document Drafting and Recording
- Shipping and Receiving correspondence
- Emailing clients documents they request
- (training is provided)
Full Benefits Include:
- Competitive compensation
- Insurance plans including health, dental, and vision; short and long term disability, 401(k) plan, and more
- Generous allocation of paid time off and holidays
- Opportunities for professional development
APPLY HERE
by twochickswithasidehustle | Nov 7, 2022 | Uncategorized
Change Healthcare
Position Description
Responsible for ensuring processes meet the established quality standard. A Data Integrity Associate (DIA) is an important part of our company’s team. The DIA will perform audits for both internal and external clients following a strict schedule of audited employees. Audits will be completed using the pathway (set of instructions) supplied by the teams being audited. Auditors are required to create audit reports, identify process improvements, and have communication skills – verbal and written.
The DIA Analyst will review charge entry, payment posting, and accounts receivable (A/R) transactions. Charge entry and payment posting require data entry and attention to details by the users. A/R includes follow up of outstanding claims for all payers, outstanding balances with patients, and/or resolution of denials. A/R reps are responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. The DIA needs to have the skills to understand the above transactions taken by other employees.
The DIA provides training on various systems including EPIC, MMIS, Cerner
Minimum Requirements
3+ years work experience; 1 year of medical billing and research experience required.
Critical Skills
- Medical Billing experience
- Attention to detail
- Time management
- Planning and organizing
- Judgment
- Decision making / Analytical processing
- Strong work ethic
- Dependable and responsible
- Team player
- Works autonomously
Technical / Software Skills:
- Microsoft Office
- Utilize dual monitors
- Toggle between multiple screens / programs
- Ability to learn and work within multiple billing software programs
- GE Centricity / Epic experience (preferred – not required)
- Efficient use of keyboard commands (preferred – not required)
Additional Knowledge & Skills
Excellent understanding of the A/R process. Capable of training others and answering questions from co-workers when necessary. Strong analytical and interpersonal skills and ability to interact with senior level management, and high level of computer literacy with command of office software including excel spreadsheets. Good knowledge of healthcare, government and/or insurance industry.
Education
- High School Diploma or equivalent work experience.
APPLY HERE
Recent Comments