by twochickswithasidehustle | Oct 31, 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 31, 2022 | Uncategorized
Rethink First
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
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by twochickswithasidehustle | Oct 31, 2022 | Uncategorized
Our mission of “doing what’s right to change lives for the better” isn’t just a slogan. It’s the guiding principle in everything we do. The culture at Great Lakes has attracted employees who all share a belief in the value of higher education. They stay because we invest in our communities and reward people for doing what’s right.
Perform multiple complex duties; including monitor, review, evaluate, coach, and research unique or escalated accounts.
Job Responsibilities:
- Commit to Performance Based Organization (PBO) & Easy to Do Business with (ETDBW) philosophy.
- Contribute to Continuous Process Improvement.
- Manage multiple conflicting priorities & consistently meet deadlines.
- Identify trends and problems.
- Ensure compliance with Federal regulations and departmental policies.
- Research and resolve complex and unique scenarios.
- Develop, maintain and distribute reports as necessary.
- Provide backup support as directed by leadership team.
- Perform quality control functions as needed.
- Work on special projects as assigned by leadership team.
EDUCATION:
Associate’s degree or Bachelor’s in Business preferred.
COMPETENCIES – SKILLS/KNOWLEDGE/ABILITIES:
- Service Excellence
- Oral communications
- Written communications
- Teamwork
- Accuracy/Attention to Detail
- Problem Solving
- Managing Multiple Priorities
- Decision Making and Critical Thinking
- Initiative
Our benefits package includes medical, dental, vision, HSA and FSA, generous earned time off, 401K/student loan repayment, life insurance & AD&D insurance, employee assistance program, employee stock purchase program, tuition reimbursement, performance-based incentive pay, short- and long-term disability, and a robust wellness program. Click here to learn more about our benefits: LINK.
Nelnet is an Equal Opportunity Employer, complies with Executive Order 11246, and takes affirmative action to ensure that qualified applicants are employed, and that employees are treated during employment, without regard to race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance.
APPLY HERE
by twochickswithasidehustle | Oct 31, 2022 | Uncategorized
Our mission of “doing what’s right to change lives for the better” isn’t just a slogan. It’s the guiding principle in everything we do. The culture at Great Lakes has attracted employees who all share a belief in the value of higher education. They stay because we invest in our communities and reward people for doing what’s right.
Review and process on customer accounts regarding their student loans. Responsible for researching information related to these activities.
Job Requirements:
- Commit to Performance Based Organization (PBO) and Easy to Do Business with (ETDBW) philosophy.
- Contribute to Continuous Process Improvement.
- Ensure integrity of data and information.
- Validate and update information in the Loan Servicing systems.
- Review prior lender service and payment histories.
- Staying updated on company and department communication, emails and procedures.
- Attending team meetings and required trainings.
- Completing corporate trainings and quarterly meeting with leadership
- Working your regularly scheduled work week. (Unless using ETO/Floating Holiday, FMLA or make up time if approved)
- Working required overtime as needed.
EDUCATION:
High school degree or equivalent required.
EXPERIENCE:
- 1 – 2 years customer service experience and/or general work experience preferred.
- Knowledge of Loan Servicing and/or Originations systems preferred.
COMPETENCIES – SKILLS/KNOWLEDGE/ABILITIES:
- Service Excellence
- Oral communications
- Written communications
- Teamwork
- Accuracy/Attention to Detail
- Working with MS Office
- Business Math
- Problem Solving
- Managing Multiple Priorities
- Basic Computer skills
Our benefits package includes medical, dental, vision, HSA and FSA, generous earned time off, 401K/student loan repayment, life insurance & AD&D insurance, employee assistance program, employee stock purchase program, tuition reimbursement, performance-based incentive pay, short- and long-term disability, and a robust wellness program. Click here to learn more about our benefits: LINK.
Nelnet is an Equal Opportunity Employer, complies with Executive Order 11246, and takes affirmative action to ensure that qualified applicants are employed, and that employees are treated during employment, without regard to race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance.
APPLY HERE
by twochickswithasidehustle | Oct 31, 2022 | Uncategorized
Nelnet is a diversified and innovative company committed to enriching lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, and K-12 and higher education expert. For over 40 years, Nelnet has been serving its customers, associates, and communities.
The perks of working at Nelnet go beyond our benefits package. When you join the Nelnet team, you’re part of a community invested in the success of each individual. That support comes through in our work, as we are united by our mission of creating opportunities for people where they live, learn, and work.
Provide administrative and clerical support to Absence and Time Tracking Manager and the Payroll Team. Serve as a resource person to employees regarding absence and time tracking questions and needs.
JOB RESPONSIBILITIES:
- Maintain employee data in Workday (terminations, Time Off balances, Time Entry).
- Process all benefit and payroll paperwork for Nelnet associates including new hire paperwork, status changes, benefit election forms, termination paperwork, and other.
- Audit ERP and vendor reports
- Communicate with People Leaders when necessary
- Respond to associate questions regarding leave of absence plans, Time Off plans, Time Tracking function
- Cross audit other teammates work, as needed
- Process ETO Donation Forms and Requests
- Work to coordinate Federal & State FMLA and Nelnet Leave Of Absence policies with Leave of Absence Vendor.
- Administer Nelnet’s Paid Medical Leave plan and process paid leaves
EDUCATION:
High School diploma or equivalent required, and a 2-year college degree in a business-related field preferred.
EXPERIENCE:
At least one year administrative experience in Payroll and/or Benefits. Three years of work experience may be substituted for degree. Previous experience with ERP system, desired.
COMPETENCIES – SKILLS/KNOWLEDGE/ABILITIES:
- Moderate to advanced knowledge of Microsoft Word, Excel and Outlook, ability to navigate Internet and Intranet.
- Ability to appropriately work with confidential materials.
- Must have excellent customer service skills.
- Must be able to effectively communicate in writing, on the phone, and in person.
- Must be able to work effectively with diverse personalities and maintain professionalism when working with employees and vendors.
- Must be organized.
- Must be able to effectively work on multiple projects at the same time with strict deadlines.
- Must be able to work with a sense of urgency
- Analytical Skills
Compensation range for this role is $40,000 to $50,000.
Our benefits package includes medical, dental, vision, HSA and FSA, generous earned time off, 401K/student loan repayment, life insurance & AD&D insurance, employee assistance program, employee stock purchase program, tuition reimbursement, performance-based incentive pay, short- and long-term disability, and a robust wellness program.
APPLY HERE
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