Fraud Review Specialist

About us:

Live experiences help make us human, bringing us across today’s social and digital divides to focus on what truly connects us – the here, the now, the once-in-a-lifetime moment that we share – together. To fulfill Gametime’s vision to unite the world through shared experiences, we deliver fans an extraordinary experience for enjoying, discovering, and purchasing last-minute tickets to live events.

With platforms on iOS, Android, mobile web, and desktop supporting events across the US and Canada, we are reimagining the event ticket experience in a mobile-first world.

The Role:

We are looking for someone who will be responsible for manually reviewing orders that have been declined for fraud by our fraud provider. They will review for False Positive identifications of Fraud and assist those Fans to purchase tickets. This agent will communicate with Fan Happiness, Ticketing Ops, and other departments to facilitate ticket purchases.

What you’ll do / own:

  • Resolve ticket purchasing issues as related to Fraud
  • Identify causes of wrongful cancellations or other undesirable situations for our Fans
  • Document actions, processes, and policies around fraud detection and ticket procurement
  • Provide information to the dispute team to successfully resolve ticketing issues

Our ideal candidate has:

  • Strong verbal and written communication skills
  • Attention to detail
  • Ability to manage varying workloads and deadlines

What we can offer you:

  • Flexible PTO
  • Medical, dental, & vision insurance
  • Life insurance and disability benefits
  • 401K, HSA, pre-tax savings programs
  • New equipment setup provided
  • Wellness programs
  • Tenure recognition

APPLY HERE

Corporate Filing Support

Overview:
Corporate Tools in Post Falls, Idaho is hiring a Filing Assistant to support the Corporate Filings Department. You will assist the team by uploading necessary filing related documentation, updating registration data, and filing records. In addition to supporting the team, you will be responsible for your own performance and managing the successful problem solving and completion of all IRS filings as well as annual compliance filings. Communication with clients and internal teams will be required.

This job is coded as “Flex” which means the company does not currently require this position to be performed in office.

Wage:
$16.00/hour

Benefits:
100% employer-paid medical, dental and vision for employees
Annual cost of living increase
Annual review with raise option
22 days Paid Time Off
After 3 years, PTO increases to 29 days. Employees transition to flexible time off after 5 years with the company—not accrued, not capped, take time off when you want.
Paid Maternity and Paternity Leave
4% company matching 401(k) with no vesting period
Quarterly “Work Wherever” allowance
Use to make your remote work wherever set up more comfortable, for continuing education classes, a plant for your desk, coffee for your coworker, a massage for yourself… really, whatever.
Open concept office with friendly coworkers
Creative environment where you can make a difference
No dumb benefits like free dog walking on the weekends that snobby hipster places have to make you feel cool, but mathematically won’t cost the company much money because you won’t use it.
Trail Mix Bar — oh yeah.
Responsibilities:
Retrieve and upload required or missing filing documentation into company software
Keep client files up to date by consistently documenting client interactions and documentation
Communicate in a clear and timely manner with filings team when problems arise or assistance is needed
Clearly and professionally answer inbound client inquiries over the phone and via email; helping educate clients on their corporate filing requirements and complete filing forms
Learn and retain knowledge on filing specific requirements
Manage and submit all IRS filings and compliance filings as needed
Hit position metrics for filings/upload work, with no/minimal errors
Requirements:
Strong attention to detail
Self motivated and quick learner
Strong customer service skills, clear and concise communicator
Knowledge of computers and the ability to navigate systems to gather information, job duties are performed almost 100% online
Collaborative & coachable

APPLY HERE

Medical Payment Poster

Employer: TruBridge

CPSI is a proud equal opportunity employer (EOE). However you identify and whatever background you bring, we welcome you to apply to any role that would make you excited to work in healthcare. All employment decisions are based on business needs, job requirements and individual qualifications, regardless of race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law. We are committed to being a company where people thrive by being themselves and are inspired to do their best work every day.

DESCRIPTION

TruBridge brings years of expertise in delivering effective business, consulting and managed IT services created for the unique challenges faced by rural and community healthcare providers. We offer a broad range of services, from consulting and managed IT to full business process outsourcing that spans the revenue cycle from end to end. Our professionals have been helping hospitals and other healthcare institutions become more efficient at serving their communities for years. We are an Equal Opportunity Employer.

TruBridge is seeking qualified medical payment posters to join our growing team.

Responsibilities Include:

  • Daily cash reporting
  • Cash posting using Excel/Access and company software programs
  • Post denials to patient accounts
  • Assist other projects as needed
  • Assist other members of the team as needed
  • Working knowledge of EOB’s, EFT’s and ERA’s
  • Balance payments posted back to the original deposit amounts
  • Transfer copay/coinsurance and deductible balances to patient responsibility
  • Post some contractual adjustments to patient accounts
  • Other duties as assigned

Technical Specifications:

  • Base download/upload internet speed of at least 5Mbps — SATELLITE/HOT SPOT INTERNET IS NOT ACCEPTABLE.
  • Quiet, dedicated space to work
  • All equipment will be provided by TruBridge

POSITION REQUIREMENTS

Candidate Requirements:

  • High School diploma, GED or equivalent
  • 3+ years of previous experience in medical billing and general office procedures
  • Ten Key Minimum of 8,000 KPH
  • Type minimum of 35 wpm
  • 3+ years previous experience Medical Cash Posting
  • Ability to read and understand EOBs
  • Excellent Excel skills
  • Excellent verbal and written skills.

APPLY HERE

Data Control Specialist

Employer: TruBridge

CPSI is a proud equal opportunity employer (EOE). However you identify and whatever background you bring, we welcome you to apply to any role that would make you excited to work in healthcare. All employment decisions are based on business needs, job requirements and individual qualifications, regardless of race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law. We are committed to being a company where people thrive by being themselves and are inspired to do their best work every day.

DESCRIPTION

The Data Control Analyst is primarily responsible for transfer and manipulation of data to and from HRG and our clients. Accuracy and completeness, as well as attention to detail, are of paramount importance.

The Data Control Analyst will build automation, monitor and log in remotely to many different clients and systems, run pre-built reports and queries to extract data from some clients or pick up pre-generated data, transfer it to our servers, edit, audit, transform and perform quality control inspection of data files.

RESPONSIBILITIES:

  • Develops and maintains a thorough understanding of all clients’ data extracts and HRG Proprietary Database
  • Develops and maintains a thorough understanding of Helix/Self Pay Database logic with regards to importing client files
  • Thrives on multi-tasking, running different processes at the same time on different computers in different windows
  • Interested in learning more and new systems all the time as our client base changes and systems are upgraded and improved
  • Communicates with Management Level and above any client issues that arise, works collaboratively towards resolution with client/project teams
  • Provides accurate and timely completion of all other tasks assigned by Management/Executive Management/C-Level
  • Highly organized, punctual and reliable

Schedule:

  • Must be available from 3:30AM to 11:30AM PST

POSITION REQUIREMENTS

QUALIFICATIONS:

  • Understanding of data management
  • Knowledge of Revenue Cycle
  • 2+ years experience with Python
  • SQL knowledge is a plus
  • Adaptable to change and highly resilient
  • Happy with challenges to meet daily, weekly and monthly
  • Can take other duties as assigned in stride, with pride, as our business rapidly grows and change

APPLY HERE

Data Entry Specialist

Employer: CorVel Corporation

The Data Entry role is a very dynamic position where the associate will be supporting a critical part of Intake Operations for CorVel. The Data Entry agent is responsible for entering into CareMC email, fax, or written correspondence claim requests. The role requires the individual to manage their own work that has been assigned to them on a daily basis. This role is remote and does require the associate to hit daily production numbers to ensure timeline are met for our clients. This is a remote work opportunity.

Schedule for this role is 9-6pm, M-F with rotating weekends every 4th weekend.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Enter into CareMC application any assigned Email or Faxed requests from customer.
  • Use all available resources to correctly follow the clients filing requirements and/or fill in missing information.
  • Ability to multitask between applications utilizing 2 monitors
  • Consult with Supervisor or other departments to clarify answers to inquiries.
  • Contact AM if applicable to complete filing of claim
  • Maintain reports and spreadsheets as needed.
  • Requires punctual and consistent attendance.
  • Ability to hit daily performance goals
  • Exceptional quality on daily work
  • Additional duties as assigned.

KNOWLEDGE & SKILLS:

  • Proficiency in entering in Workers Comp claims in CareMC
  • Proficient in Microsoft Office 2016 tools (Word, Excel, Teams)
  • Solid Communication skills written and verbal
  • Attention to Detail and ability to prioritize work
  • Decision Making and Time management skills
  • Customer/Client Focus and Teamwork
  • Problem Solving/Analysis
  • Schedule flexibility

EDUCATION/EXPERIENCE:

  • Filing Workers Comp claims in Caremc
  • High school diploma or equivalent

About CorVel

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

APPLY HERE