Chart Research Representative

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

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Billing Account Representative

MetLife

Role Value Proposition:

Responsible for bill entry, payment application and refund check processing in support of National Accounts group customers.

Key Responsibilities:

  • Receives and processes moderate to complex bills and payments.
  • Inputs various forms of payments into the billing systems and ensures accurate application of premium in a timely manner.
  • Reviews billing history and makes determination, within authorized limits and procedures, to credit , apply, suspend or refund premium. Contacts billing team to clarify issues on complex or referred cases and takes appropriate action based on research.
  • Reconciles daily transactions and report discrepancies.
  • Proactively monitors billing transmission and payment processes for assigned block in order to prevent billing issues and avoid escalations

Essential Business Experience and Technical Skills:

  • Working knowledge of remittance processing and billing.
  • High School Diploma and 2-4 years business experience.
  • Detail oriented with basic math skills. Strong time management and organizational skills.
  • Ability to communicate effectively and work in team environment.

Required:

  • High school Diploma

Preferred:

  • 2-4 years business experience
  • Excel knowledge
  • Payment Application Experience

At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.

MetLife:

MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies, providing insurance, annuities, employee benefits and asset management to help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.

We are one of the largest institutional investors in the U.S. with $642.4 billion of total assets under management as of March 31, 2021. We are ranked #46 on the Fortune 500 list for 2021. In 2020, we were named to the Dow Jones Sustainability Index (DJSI) for the fifth year in a row. DJSI is a global index to track the leading sustainability-driven companies. We are proud to have been named to Fortune magazine’s 2021 list of the World’s Most Admired Companies.

MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.

We want to make it simple for all interested and qualified candidates to apply for employment opportunities with MetLife. For further information about how to request a reasonable accommodation, please click on the Disability Accommodations link below.

MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

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Billing Specialist

Jobvite

Job Description

Jobvite, an Employ brand, is an end-to-end Talent Acquisition Suite that takes a marketing-first approach to intelligently attract dream candidates, automatically screen for the highest quality, engage employees invested in the future, and retain the people who care the most about your organization by combining the power of AI and the human touch. Jobvite is proud to serve a broad range of customers including Zappos, JPMorgan Chase, Ingram Micro, Trek Bikes, and Panasonic.

What you will do:

Reporting to the Manager of Revenue & A/R, the Billings Specialist will play a critical role in supporting the day-to-day operations of the accounting revenue department as the company continues to grow. The successful candidate will be a hands-on, high energy employee who looks forward to working in a rapidly changing environment and wants to make a difference every day.

  • Perform weekly/monthly/quarterly customer billings within ERP system.
  • Set up customers in ERP system.
  • Establish appropriate revenue recognition for invoices.
  • Follow established and evolving procedures and make recommendations to improve efficiencies and processes.
  • Assist in month-end close as directed, including certain reconciliations of internal systems to ensure proper and complete capture of revenue, credit memos and other month-end close duties as assigned.
  • Contract setup and monitoring for changes/additions/expirations (ensuring proper financial coding)
  • Maintain/update job knowledge by participating in educational opportunities.
  • Maintain electronic and physical filing systems, make recommendations to foster organization and efficient workflow.
  • Other duties assigned, including but not limited to sorting and distributing incoming mail, assist with annual audits.

What you will bring:

  • 2+ years of experience in Billings.
  • Undergraduate degree or higher.
  • Strong knowledge of accounting and bookkeeping terminology and practices.
  • Ability to compare data from a variety of sources for accuracy and completeness and detect errors.
  • Strong Excel skills.
  • Sage Intacct, Salesforce, DealHub experience a plus
  • Superior attention to detail working with large volume of data.
  • Proven ability to communicate effectively, both verbally and in writing with all levels in the organization.
  • A natural curiosity to learn, apply accounting guidelines, makes informed decisions and appropriate actions.
  • Ability to work well under deadlines.
  • Proficient at 10-key and typing, ability to compose routine correspondence and reports.

About Employ:

Employ empowers organizations of all sizes to overcome their greatest recruiting and talent acquisition challenges. Offering a combination of purpose-built intelligent software technologies, services, and industry expertise, Employ provides businesses of all sizes with powerful solutions for recruiting a diverse workforce. Through its JazzHR, Lever, and Jobvite technologies, and NXTThing RPO services, Employ serves more than 12,000 customers across all industries.

Jobvite is an Equal Opportunity employer.

Jobvite is an E-Verify employer.

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Data Entry Clerk

Soleo Health

Soleo Health is seeking a Part-time Data Entry Clerk to work Remotely (USA). This is a temporary position with the possibility of temp to hire. Pacific or Mountain Standard time.
This position is responsible for the data entry of patient medical records into our electronic medical record system. Responsibilities include patient intake, procuring patient documentation, assigning records to appropriate staff, and securing records are entered in a timely fashion.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Data entry provided by customers to electronic medical records system
  • Provides exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
  • Retrieve data from the database or electronic files as requested
  • Provide general clerical assistance to support branch services
  • Supports client satisfaction at a level that ensures account retention
  • Ensures timely acceptance of patient records
  • Collecting, filing and organizing office documents, such as reports and confidential records
  • Update existing data, as needed
  • Establishes entry priorities

Schedule:

Up to 20 hours per week

QUALIFICATION REQUIREMENTS

  • High School Diploma
  • Experience in Home Infusion, Specialty Pharmacy, Physician Office, or Dental Office
  • Working knowledge of HCPCs, CPT, and ICD-10 coding
  • Ability to type 45-60 WPM (words per minute)
  • Proficient with Microsoft Office products
  • Ability to effectively handle multiple priorities within a changing environment
  • Attention to detail
  • Time management and organization skills
  • Highly effective in working objectively with a diverse group of people and must demonstrate communication, organizational, administrative and office managerial skills

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Corporate Credentialing Specialist

Shriners Hospitals for Children

Company Overview

Shriners Children’s is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience defines us as leaders in pediatric specialty care for our children and their families.

Job Overview

Shriners Children’s is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center. We have an opportunity for a remote Corporate Credentialing Specialist reporting into our Headquarters location.

The Corporate Credentialing Specialist coordinates and organizes ongoing credentialing and privileging of physicians and advanced practice professionals. Responsible for review, analysis and follow up of credentialing and privileging applications, maintaining strict confidentiality. Ensures compliance with federal and state agencies, organizational policies and accrediting and regulatory agencies.

Shriners Children’s is an EOE/Drug-Free, Smoke-Free Workplace

Responsibilities

Position Responsibilities:

  • Verifies and documents expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards; as well as manages communication to providers and primary facilities to ensure notification of upcoming expirables. – 25%
  • Responsible for confidentiality and data entry, maintenance, and analysis of clinical provider information within database per established guidelines to ensure complete electronic credential file to support provider enrollment and delegation requirements. – 25%
  • Coordinates and organizes credentialing/privileging requests and evidence of education, training, and experience to determine eligibility for requested privileges, membership. – 20%
  • Recognizes, investigates, and validates discrepancies and adverse information obtained; obtains and evaluates practitioner sanctions, complaints, and adverse data to ensure compliance. – 10%
  • Collaborates credentialing, OPPE, FPPE and privileging activities with SHC Medical Staff Offices to ensure timely approval process of governing bodies, participation in accreditation surveys and audits, to include verification of appropriate drug and criminal background screenings. Prioritizes workload to meet deadlines. – 10%
  • Maintains current knowledge of accreditation standards (TJC, NCQA), state and federal regulations, as well as SHC medical staff bylaws, regulations, and procedural rules. – 5%
  • Flexible and responsive with other assigned duties. – 5%

Qualifications

Experience Required/Preferred:

  • 1 year of hospital regulatory credentialing experience required
  • 1 year of experience maintaining all required data in MD Staff or relevant credentialing database required

Education Required/Preferred:

  • High School/GED required
  • Associates Degree in related field preferred
  • CPCS or CPMSM certification required (it not currently certified, CPCS will be required within 24 months of hire or upon eligibility)

Knowledge, Skills & Abilities:

  • Effective written and verbal communication skills
  • Analytical thinking and attention to details
  • Ability to work independently but also have a strong commitment to being a team player
  • Ability to prioritize and maintain results in a fast-paced environment, with conflicting deadlines.
  • Demonstrable proficiency in Microsoft Office Applications (Excel, Access, Word, PowerPoint, Outlook, etc.)

APPLY HERE