by twochickswithasidehustle | Oct 26, 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.
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by twochickswithasidehustle | Oct 26, 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 | Oct 26, 2022 | Uncategorized
Moody’s
Moody’s empowers people to make better decisions and achieve brighter futures. This is what motivates us to bring out the best in our products and our people. Join us. Forward Together.
Moody’s (NYSE: MCO) is a global integrated risk assessment firm that empowers organizations to make better decisions. Our data, analytical solutions and insights help decision-makers identify opportunities and manage the risks of doing business with others. We believe that greater transparency, more informed decisions, and fair access to information open the door to shared progress. Moody’s combines international presence with local expertise and over a century of experience in financial markets. Learn more at moodys.com.
At Moody’s, we’re taking action. We’re hiring diverse talent and providing underrepresented groups with equitable opportunities in their careers. We’re educating, empowering and elevating our people, and creating a workplace where each person can be their true selves, reach their full potential and thrive on every level. Learn more about our DE&I initiatives, employee development programs and view our annual DE&I Report at moodys.com/diversity
Moody’s Analytics provides financial intelligence and analytical tools supporting our clients’ growth, efficiency and risk management objectives. The combination of our unparalleled expertise in risk, expansive information resources, and innovative application of technology, helps today’s business leaders confidently navigate an evolving marketplace.
Department
Moody’s Analytics products are becoming an essential tool in the rapidly expanding Commercial Real Estate market. We deliver an integrated and holistic platform that automates critical processes and generates insights and recommendations to drive better decisions. Lenders, asset managers and brokers are some of our biggest customers. Our analytics provide key property performance indicators, research, and risk assessment, giving our customers a good understanding of their future cashflows. We have a team of brokerage and lending solutions experts as well as passionate sales, marketing and technology professionals who constantly strive to add value to our customers’ experience.
Role/Responsibilities
As a CRE Researcher you will collect the highest quality commercial real estate property data for customers and products. Researchers will leverage different data collection methods including phone calls or emails to commercial real estate professionals, extraction from online sources and review of internal proprietary or licensed data sets.
Responsibilities:
- Obtain, confirm and enter property level information into our proprietary commercial real estate database.
- Review websites to obtain and validate information.
- Outreach to real estate professionals via phone and email to collect and verify property level data. Must be able to make 25-30 outbound phone calls/day.
- Process identified data corrections from our Quality Assurance or Management team in a timely manner.
- Effectively prioritize workload, ensuring that time-sensitive tasks are done efficiently and accurately.
Qualifications
- Experience working in a role where data is processed.
- Strong computer and data entry skills.
- Demonstrated research capabilities (telephone, library, web-based).
- Self-motivated and entrepreneurial attitude.
- Reliable high-speed internet access.
Education & Experience
- 6+ months in a Customer Service, Telemarketing or Call Center environment
- Experience in real estate or related field preferred, but not required.
- High School Diploma required; Associates or Bachelor’s Degree a plus
Moody’s is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, gender, age, religion, national origin, citizen status, marital status, physical or mental disability, military or veteran status, sexual orientation, gender identity, gender expression, genetic information, or any other characteristic protected by law. Moody’s also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief in accordance with applicable laws.
For San Francisco positions, qualified applicants with criminal histories will be considered for employment consistent with the requirements of the San Francisco Fair Chance Ordinance.
This position may be considered a promotional opportunity, pursuant to the Colorado Equal Pay for Equal Work Act.
Click here to view our full EEO policy statement. Click here for more information on your EEO rights under the law. Click here to view our Pay Transparency Nondiscrimination statement.
For Colorado-based roles only: the anticipated base salary range for this position is $36,400 to $43,400, depending on factors such as experience, education, level, skills, and location. This range is based on a full-time position. In addition to base salary, this role is eligible for annual performance incentive compensation. Moody’s also offers a competitive benefits package, including not but limited to medical, dental, vision, parental leave, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, a discounted employee stock purchase plan, and tuition reimbursement.
Candidates for Moody’s Corporation may be asked to disclose securities holdings pursuant to Moody’s Policy for Securities Trading and the requirements of the position. Employment is contingent upon compliance with the Policy, including remediation of positions in those holdings as necessary.
APPLY HERE
by twochickswithasidehustle | Oct 26, 2022 | Uncategorized
Moda Health
Let’s do great things, together!
Founded in Oregon in 1955, ODS, now Moda, is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
We are currently seeking Medical Claims Entry Operator who enters the processing system all claims received by mail or route claims as directed to processing specific data entry queues. Interrogates data on claims received electronically where member or provider information does not match Moda records.
Primary Functions:
- Data enters claims accurately using Moda computer systems. Reassigns claims appropriately as outlined by Medical Claims processing guidelines.
- Resolves claims that pend with errors in the processing system by matching claims received to Moda providers or member records.
- Researches and problem solve basic claims data.
- Identifies and communicates trends.
- Performs other duties as assigned.
Requirements:
- High school diploma or equivalent.
- Six months data entry experience.
- 10-key proficiency of 135 spm net on a computer numeric keypad.
- Typing ability of 35 wpm net.
- Proficiency with Microsoft Office applications and an understanding of basic claims processing rules.
- Strong problem solving and detail orientation skills.
- Medical terminology helpful.
- Ability to adapt to frequent changes in instructions.
- Ability to come into work on time and on a daily basis.
- Maintain confidentiality and project a professional business image.
Benefits:
- Medical, Dental, Vision & Pharmacy
- FSA & 401K
- PTO and Company Paid Holidays
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Location: AK, AZ, FL, ID, TX, WA, OR
APPLY HERE
by twochickswithasidehustle | Oct 26, 2022 | Uncategorized
Summary
Title: Data Entry Operator – Remote Role (East Coast Hours)
ID: 4096268
Department: Client Services
Description
Position : Data Entry Operator – Remote Role (East Coast Hours)
Location : Franklin Lakes, NJ
Duration : 6 Months
Total Hours/week : 40.00
1st Shift
Client: Medical Device Company
Level Of Experience: Entry Level
Employment Type: Contract on W2 (Need US Citizens or GC Holders Only)
Job Description:
We are looking for a Data Entry Operator to update and maintain information on our company databases and computer systems.
Data Entry Operator responsibilities include collecting and entering data in databases and maintaining accurate records of customer assessment information.
Our ideal candidate has essential data entry skills, like fast typing with an eye for detail and familiarity with spreadsheets and online forms, especially MS PowerPoint and MS Excel.
You will work with a clinically focused team.
Previous experience as a Data Entry Clerk or similar position will be considered an advantage.
Ultimately, a successful Data Entry Operator will be responsible for maintaining accurate, up-to-date, and useable information in our systems.
Responsibilities
Insert customer and account data by inputting text based and numerical information from source documents within time limits
Compile, verify accuracy and sort information according to priorities to prepare source data for computer entry
Review data for deficiencies or errors, correct any incompatibilities if possible and check output
Research and obtain further information for incomplete documents
Apply data program techniques and procedures
Generate reports, store completed work in designated locations
Scan documents and print files, when needed
Keep all information confidential
Respond to queries for information and access relevant files
Comply with data integrity and security policies
Ensure proper use of office equipment and address any malfunctions
Requirements and skills
Proven data entry work experience, as a Data Entry Operator or Office Clerk
Experience with MS Office and data programs
Familiarity with administrative duties
Experience using office equipment, like fax machine and scanner
Typing speed and accuracy
Excellent knowledge of correct spelling, grammar, and punctuation
Attention to detail
Confidentiality
Organization skills, with an ability to stay focused on assigned tasks
APPLY HERE
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