Quality Control Specialist

HealthMark Group

HealthMark Group is a leader in health information management and technology focusing on serving the health information management needs of physician practices and hospitals throughout the nation. HealthMark Group’s innovative technology and superior customer service enable clients to streamline operations by outsourcing administrative support functions such as the release of information and form completion processes. By integrating experience, technology and service, we help hospitals, health systems and clinics concentrate on what they do best, patient care.

HealthMark Group is growing and looking for bright, energetic and motivated candidates to join our team. This is an entry level position and an exciting opportunity for someone looking to start their career with a fast-growing company.

Our Data Entry role involves entering data from various sources into the company computer system for processing and management. A candidate working in data entry will need to efficiently manage a large amount of information that is often sensitive or confidential.

Location: Can work remotely

Entry level job duties include but not limited to:

  • Preparing and sorting documents for data entry.
  • Entering data into database software and checking to ensure the accuracy of the data that has been inputted.
  • Resolving discrepancies in information and obtaining further information for incomplete documents.
  • Reports directly to Quality Control/Data Entry Manager
  • Completes Data Entry of all requests
  • Records any relevant notes on specific requests for further/proper handling throughout the request life cycle
  • Identify and accurately classify each request
  • Uphold HealthMark Group’s values by following our C.R.A.F.T.
  • Work quickly to meet the high-volume demand

Requirements:

  • Computer literacy and familiarity with various computer programs such as MS Office (formal computer training may be advantageous in progressing in this career)
  • Attention to detail
  • Knowledge of grammar and punctuation
  • Ability to work to time constraints

When applying, it would be greatly appreciated if you would complete the assessment screening process. This helps us to set candidates apart and make more informed decisions.

Job Type: Full-time $14.00 to 16.00 per hour DOE

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Data Entry Specialist

BairesDev

BairesDev is proud to be the fastest growing company in America. With people in five continents and worldclass clients, we are only as strong as the multicultural teams at the heart of our business. To consistently deliver the highest quality solutions to our clients, we only hire the Top 1% of the best talents and nurture their professional growth on exciting projects.

Data Entry Specialist at BairesDev

We are looking for Data Entry profiles to join our Talent Acquisition Team and participate in different projects made up of multicultural teams distributed throughout the world. This person must be proactive, detailoriented and demonstrate excellent analytical abilities, as well as teamwork and multitasking skills. This is an excellent opportunity for those professionals looking to develop in one of the fastest growing companies in the industry!

What You’ll Do:

  • Support the Recruiting area in the identification and initial contact of potential candidates for our searches.
  • Propose new alternatives to identify candidates.
  • Identify opportunities for improvement in the current processes of the area.
  • Manage the notices in the different job portals with which we work and evaluate the candidates that apply to them.
  • Identify and analyze professional profiles in job portals for the different searches we have open.

Here’s what we are looking for:

  • Proactivity and ability to work in a team.
  • Marked attention to detail in daily work.
  • 1+ previous work experience (is a plus).
  • Advanced English level.

How we do make your work (and your life) easier:

  • 100% remote work.
  • Hardware setup for you to work from home.
  • Flexible hours-make your schedule.
  • Paid parental leave, vacation & holidays.
  • Diverse and multicultural work environment.
  • An innovative environment with the structure and resources of a leading multinational.
  • Excellent compensation — well above the market average.
  • Here you can grow at the speed of your learning curve.
  • Our people work remotely but with a consistent and robust culture that promotes diversity and teamwork. To continue being the leading software development company in Latin America, we want to ensure that every BairesDev member gets the best growth and professional development opportunities in a diverse, welcoming, and innovative environment.

Every BairesDev team member brings something unique to our company.
We want to hear your story. Apply now!

APPLY HERE

Claims Examiner I

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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Payment Representative

Change Healthcare

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Work Location: Remote (Anywhere in U.S.)

Company: Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Position: As a Payments Representative, you will receive payments and prepare payments for deposit and forward to appropriate financial institution.

Core Responsibilities:

  • Receive payments and prepare payments for deposit and forward to appropriate financial institution.
  • Responsible for posting payments, rejections and LOA’s to accounts and making corrections to misapplied payments.
  • Reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary.

Requirements:

  • High School Diploma or equivalent
  • Entry level work experience
  • Posting experience preferred
  • Good understanding of posting process
  • 6,000 kph Alpha Numeric required
  • 5% error rate
  • MS Office experience specifically Excel
  • Detail oriented
  • Works well without supervision

Working Conditions / Physical Requirements:

  • General office demands

Unique Benefits:

  • Flexible work arrangements
  • Paid Time Off (PTO), eight (8) paid holidays and two (2) floating holidays
  • Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
  • Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
  • Your choice of four medical plans & My Healthy Changes well-being program

APPLY HERE

Document Imaging Specialist

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