by twochickswithasidehustle | Oct 26, 2022 | Uncategorized
time type
Part time
posted on
Posted 30+ Days Ago
job requisition id
R0005848
Security Clearance required:
No clearance required
Cognosante is on a mission to transform our country’s healthcare and national security systems. With our health and security-focused solutions, we help public sector organizations achieve the important task of providing the best possible public services to American Citizens. From Enterprise IT, Data Science, and Security Services, to full-scale Consumer Engagement and Interoperability solutions, we are moving government services forward with transformation and innovation. Learn how we are making a difference in people’s lives today!
Job Description
The role of the Quality Analyst is to perform quality assurance audits on phone calls, emails, and chats. The analyst will review and grade customer contact events for technical accuracy, compliance to policies and procedures, and observable soft skills. The analyst may also provide measurements to help gauge the customers overall level of satisfaction with the contact event.
Schedule, Reporting and Training:
PART TIME Employees: A typical workweek will consist of 4-hour shifts per day, Monday- Friday, between the hours of 8am – 5pm EST. Two shifts are available, 8am – 12pm and 1pm – 5pm (all times based on Eastern Time Zone). All employees are required to commit to at least 20 hours per week.
Training will include 2- 3 weeks of remote web based training and 9 – 10 weeks of additional on the job training. Classes will run 4-5 hours per day, Monday- Friday, between the hours of 8am – 5pm EST. Breaks will be administered.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Job Requirements:
Must have a safe and secluded at-home office that is free of normal household distractions
Typing speed of 35wpm with at least 85% accuracy
Must have a home PC equipped with MS Word and MS Excel
Must be proficient with MS Word and Excel
Must have basic computer skills
Strong customer service skills required
Strong verbal and written skills (excellent grammar, punctuation and spelling required)
High school diploma or GED required. College degree preferred.
Competencies
To perform this job successfully, the individual should demonstrate the following competencies:
Technical Skills – Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
Quality Management– Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
Judgment – Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
Planning/Organizing – Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Develops realistic action plans.
Innovation – Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others’ attention.
Language Skills
Must have strong written and verbal communication skills.
Computer Skills
To perform this job successfully, an individual should have knowledge of database software, spreadsheet software and word processing software.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit. Specific vision abilities required by this job include close vision, color vision and ability to adjust focus.
Quick tips on virtual hiring success:
Test your tech—make sure your internet connection and video conferencing program are both working prior to your interview.
Dress appropriately—dress for success and ensure your surroundings are tidy.
Be prepared—do your homework, rehearse your responses to key interview questions, and prepare your own questions.
Be personable—make eye-contact, smile often, and demonstrate enthusiasm for the role.
Remove distractions—engage with the interviewer by removing all distractions, including your smartphone.
Cognosante will not provide sponsorship for employment-based immigration benefits for this position.
Cognosante requires all employees regardless of position, work location or telework status to be fully vaccinated against COVID-19 unless prohibited by federal, state, or local laws. Cognosante will consider requests for reasonable accommodations due to disability or a sincerely held religious belief or otherwise in accordance with any federal, state, or local laws.
Like many other growing companies, Cognosante has been targeted by scammers attempting to make fraudulent job offers to potential candidates. Communication from Cognosante recruiting will only be sent with an official corporate domain email (e.g., @cognosante.com or @accurate.com) and not a commercial domain e-mail (e.g., @gmail.com or @yahoo.com). We will never request payment from you, nor will we send payment to you, prior to your start date. If you have been asked to send or receive any payment, or if you have any doubt about whether you have been contacted by a Cognosante employee, please contact us at [email protected]. Thank you.
Cognosante is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.
APPLY HERE
by twochickswithasidehustle | Oct 25, 2022 | Uncategorized
Ventra Health
Job Summary:
- The Payment Posting Specialist is assigned facilities/clients that they are responsible for keeping up with to meet our 6 day turn around. Posts all money posted for current month by our month end deadline. The typical Posting Coordinator has between 13-14 assigned facilities for Emergency Departments & Hospitalists.
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
by twochickswithasidehustle | Oct 25, 2022 | Uncategorized
Ventra Health
Job Summary:
- The Chart Research Representative Emergency Hospital Medicine is responsible for review of medical records for the necessary documents for proper indexing.
Responsibilities
Essential Functions and Tasks:
- Ensures medical records are complete within the electronic medical records system by identifying and obtaining any missing chart information including signatures from physicians and other pertinent personnel
- Conducts Review of Systems (ROS), Exam, HPI, and MD Notes
- Retrieves existing medical records from Electronic Medical Records (EMR) system
- Scans and inputs documents
- Verifies that information is indexed appropriately
- Pulls down medical records through Automate Tasks
- Monitors the performance of the Automate Tasks
- Logs into hospital systems and downloads registration logs and demographic data
- Documents work processes as required
- Creates new entries and sub files as needed with correct medical record number
- Performs special projects and other duties as assigned
Qualifications
Education and Experience Requirements:
- High School Diploma or Equivalent.
- One (1) year of experience handling patient health information and/or medical records, preferred.
Knowledge, Skills, and Abilities (KSA’s):
- Working knowledge of medical terminology, anatomy and physiology, legal aspects of health information
- Working knowledge of department roles and responsibilities
- Knowledge of Electronic Medical Records (EMRs) such as Cerner, Meditech, Epic, PICIS
- Strong critical thinking skills
- Strong organizational skills
- Strong time management skills
- Strong word processing, spreadsheet, database, and presentation software skills
- Strong oral, written, and interpersonal communication skills
- Ability to take initiative and effectively troubleshoot while focusing on innovative solutions
- Ability to read, understand, and apply state/federal laws, regulations, and policies
- Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately
- 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
by twochickswithasidehustle | Oct 25, 2022 | Uncategorized
Elevance Heath
The Recovery Specialist Associate is responsible for identifying, tracking, and reconciling overpayments made to providers and ensuring that recovery is made and reported under general supervision. Performs all authorized duties in the processing of overpayments allocated to the assigned market consistent with all applicable company and departmental policies.
Primary duties may include, but are not limited to:
- Processes daily provider refund checks and adjustment requests from overpayment projects.
- Interprets policy provisions to accurately process overpayment adjustments in accordance with department policies.
- Maintains working knowledge of all company products and services pertaining to business segment.
- Works with health plans regarding overpayment Provider disputes.
- Communicates with Providers regarding overpayment disputes on occasion.
- Adheres to company and department policies and procedures as well as HIPAA regulations.
- Effectively support the Subrogation Recovery Operations team.
- Provides exceptional service to member, providers, group administrators and attorneys who are providing information on, or seeking information about third party/worker’s compensation subrogation files.
- Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mail. For open cases, collects, records and verifies member information, pertinent accident details, attorney information and third-party liability information. Records detailed and accurate file notes obtained from calls or written correspondence.
- Manage high-volume intake calls and correspondence inventory effectively.
- Determine membership eligibility using various job aids and membership systems.
- Responds to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers
- Show initiative and resourcefulness in solving problems and meeting customer needs.
- Develop relationships with other business units and service partners whose assistance, cooperation and support may be needed.
- Performs other duties as requested or assigned.
Qualifications – External
Primary requirements:
- 2 years of experience in claims and/or customer service or data entry experience; or any combination of education, which would provide an equivalent background
- Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word) and software programs
- Excellent communications skills both oral and written.
Preferred requirements:
- H.S. diploma or GED preferred.
- Medical claims processing experience preferred.
- Prior health care experience.
- Requires strong problem-solving skills
- Experience with Medicare/Medicaid claims.
- Experience with using a document management system.
Applicable to Colorado Applicants Only
Hourly Pay Range*: $14.88/hr – $19.54/hr (Min – MRP)
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
* The hourly or salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
AFA > Financial Operations
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short- and long-term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
APPLY HERE
by twochickswithasidehustle | Oct 25, 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
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