by twochickswithasidehustle | Oct 30, 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.
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by twochickswithasidehustle | Oct 30, 2022 | Uncategorized
Ensemble Health Partners
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 30, 2022 | Uncategorized
Moody’s
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.
APPLY HERE
by twochickswithasidehustle | Oct 30, 2022 | Uncategorized
Revalize
Company Description
At Revalize, we build the software and technology that powers sales of manufactured, complex products. Our customers rely on our software to select and sell everything from commercial ovens, to specialized pumps and valves, to grain elevators, and more. We are the global leader in sector-specific software solutions that help manufacturers optimize revenue operations through design applications, engineering simulations, product selection, CPQ, PIM, visualization, and data analytics.
Headquartered in Jacksonville, FL, we serve over 20,000 customers across the globe.
Revalize is a portfolio company of TA Associates and Hg.
Job Description
We are searching for a Collections Specialist to support and promote excellent customer service, accurate billing practices, prompt customer payments and detailed department record keeping. This role resides on our Accounting Team and reports to the Revenue Manager. This is a full-time, remote opportunity.
Responsibilities
- Order processing/Billing/Data Entry
- Accounts Receivablecustomer service for internal and external customers
- Perform collection calls and address customer emails and phone requests as required
- Process invoices, monthly statements and perform month-end processing
- Participate in AR aging and collection reviews with management
Qualifications
- 1+ years progressive billing and collections experience
- Associates Degree preferred or equivalent experience
- Proficiency with MS Office applications including Excel preferred
- Previous experience with Netsuite or SalesForce
APPLY HERE
by twochickswithasidehustle | Oct 29, 2022 | Uncategorized
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