Claims Examiner I

by | Oct 13, 2022 | Uncategorized

American Specialty Health – ASH

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.

APPLY HERE

Transcriptionist

by | Oct 13, 2022 | Uncategorized

Date Posted :   30/07/2020

Job Number :   0002201

Schedule :   Full Time / Part Time


Apply

Details of Opportunity

  • Flexible hours
  • Competitive salary
  • Full or part time

To Apply

Send CV, test transcription sample, and salary requirements to jobs@capitaltyping.com. Be sure to include Skype details. All attachments should be word documents.

Test Instructions

Type out the content of the audio file located at the following link: https://capitaltyping.sharefile.com/d-s496312f159b4589a

  • Anything you are not 100% sure of, add a tag with at time stamp. Example: Inaudible [hh:mm:ss]
  • Make sure the transcript is word for word accurate.
  • Use correct punctuation.
  • Do not change anything or add anything to what is said. Just type what you hear, word for word.

APPLY HERE

Work when and where you want

by | Oct 13, 2022 | Uncategorized

We are looking for highly proficient English first language speakers from the following countries and regions: South Africa, the United Kingdom, countries in the European Union, the United States, Canada, Australia, New Zealand, Malaysia, Singapore and Hong Kong.

Freelance or full time. Earn between $0.45 – $1.73 per audio minute based on project turnaround time.

APPLY HERE

Medical Scribe (Remote)

by | Oct 13, 2022 | Uncategorized

Forward is on a bold mission to make high quality healthcare available to a billion people across the globe. We’re building the world’s most advanced healthcare platform from the ground up, combining hardware, software and doctors under one roof.

We’re quickly expanding our team and looking for a Medical Scribe who is hardworking and committed to helping Forward rebuild our country’s broken healthcare system.

Press and Videos:

Virtual Tour of Forward [YouTube]

Health Moves Forward [CEO Blog Post]

Series D Funding Funds Doctor-led Programs [TechCrunch]

Forward – What Quality Healthcare Should Look Like [Mashable]

Primary Care Start-ups Vying for 170B Market [Business Insider]

The Pivot to Virtual Care [Chief Medical Officer @ Stanford Medicine]

The Meaning of Trans Broken-Arm Syndrome [USA Today]

Forward is redesigning the way we deliver healthcare using all the technologies healthcare has neglected: sensors, mobile, and AI. We’re quickly expanding our team and looking for a Medical Scribe who is hardworking and committed to helping Forward rebuild our country’s broken healthcare system.

We were founded in January 2016 by former executives and engineering leaders from Google and Uber. We are funded by some of the world’s best investors and entrepreneurs including Founder’s Fund, Khosla Ventures, First Round Capital, Eric Schmidt (Google/Alphabet Chairman), Marc Benioff (Salesforce Founder), Joe Lonsdale (Palantir Founder), Joshua Kushner (Oscar co-Founder) and Garrett Camp (Uber co-Founder).

You can read our story here and some recent press in USA Today, Forbes & TechCrunch.

WHAT YOU’LL DO:

  • Drive the technology behind a completely new primary care experience. We’ve traded in notepads and keyboards for human conversation and real-time collaboration between doctor and patient.
  • Generate comprehensive medical records to optimize doctor time and enable robust, 24/7 care for our members.
  • Gain valuable clinical experience working alongside world-class doctors in delivering patient-centered, comprehensive primary care services in a concierge-style model.
  • You’ll have the flexibility to work remotely from the comfort of your own home.

WHO YOU ARE:

  • Responsible. You take ownership for your work, and you operate with a high level of ownership, confidentiality, and attention to detail.
  • Tech savvy. You have strong technology intuition with exceptional typing speed and accuracy.
  • Constantly improving. You are quick to pick up new skills, tools, and operational processes, and relentlessly competitive to improve performance with them.
  • Reliable. You have a track record of met SLAs or quotas, and great follow-through on tasks.
  • Calm under pressure. When the pressure to perform increases, you bring a calm head and a positive attitude.
  • Passionate about healthcare and helping people. Educational or professional experience in healthcare, medicine, and life sciences a big plus.
  • Articulate. You have excellent written and verbal communication skills.
  • Looking to work 20+ hours per week.

Why join Forward?

We don’t want to just move dollars around the healthcare industry – we want to rebuild it and fix it. All of it. You’d be a major part of the story behind one of the most ambitious startup attempts of the past decade and you’d work with a team of people who want to use their talents for good.

We are an equal opportunity employer. In accordance with anti-discrimination law, it is the purpose of this policy to effectuate these principles and mandates. We prohibit discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. We conform to the spirit as well as to the letter of all applicable laws and regulations. Pursuant to the San Francisco Fair Chance Ordinance and the Los Angeles Fair Chance Initiative for Hiring, we will consider for employment qualified applicants with arrest and conviction records.

TECHNICAL REQUIREMENTS

Internet: You must have wired or wifi connectivity, with download speed minimum of 5.0 Mbps and upload speed minimum of 3.0 Mbps

Mobile device: You will need to install a few programs on a personal phone or tablet for authentication purposes. This device should be running Android iOS 8+ or iOS 12+

Computer: You need to provide your own laptop or desktop with a monitor capable of displaying 1920 x 1080 pixels, and a sound card installed for use with speakers or headphones. Your device should meet the following requirements:

Processor

ChromeOS: Intel Pentium

Non-ChromeOS: Apple M1, Intel i3, AMD Ryzen, or better

Memory

ChromeOS: 4GB of RAM or better

Non-ChromeOS: 6 GB of RAM or better

Operating System

ChromeOS: no minimum

MacOS

Windows 10 or better

Browser

Google Chrome (latest version), Safari (latest version), or Internet Explorer 11

Please let us know during the interview process if you have concerns with any of these requirements.

APPLY HERE