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.

APPLY HERE

Human Resources Administrator

ActionLink

POSITION OVERVIEW:

The Human Resources Administrator supports all functions of the HR Department as needed for the expansion and growth of business and department needs. The HR Administrator performs a variety of administrative support activities that are integral to HR information processing, such as maintaining employee electronic files and record systems, reviewing personnel files for compliance with federal and state regulations, responding to HR calls/inquiries professionally and effectively, processing employee status and data changes, preparing and submitting personnel documentation and processing equipment returns.

SCHEDULE:

  • Monday-Friday: 9:00am – 5:00pm
  • Strongly prefer candidates to be located in either Eastern or Central Time Zone

COMPENSATION & BENEFITS:

  • $19.50 – $21.50 per hour
  • Fully Remote Work
  • Laptop plus Monthly Internet/Phone Stipend
  • Medical, Dental, Vision, Life, and Prescription Insurance
  • W2 Employment with Biweekly Pay Schedule
  • Paid Time Off
  • Paid Holidays
  • 401(k) Option

WHAT WILL YOU DO?

  • Enter employee data changes in various ActionLink systems with high level of accuracy
  • Maintain employee electronic files
  • Update corrective actions/disciplinary logs
  • Communicate with employees at various levels
  • Forms Management tracking, updating, and revising
  • Process end of employment and electronically log equipment returns
  • Follow up on employee file check requests
  • Provide backup assistance for other functional HR areas as assigned

ARE YOU A MATCH?

  • Minimum 1-2 years experience providing administrative support, preferably in Human Resources
  • Ability to work remotely with access to reliable high-speed internet connectivity
  • Proficient in Microsoft Office Applications: Word, Outlook, and Excel
  • Excellent interpersonal and written communication skills
  • Proven time management and organizational skills with attention to detail
  • Positive attitude and the ability to work well with co-workers
  • Must be able to maintain a high level of confidentiality

ActionLink is an Equal Opportunity Employer

APPLY HERE

Bookkeeper

Robert Half International

Description

Robert Half is looking for a bookkeeper to place with one of their clients. The position would be offered on a permanent term. If you are a self-driven and organized accounting professional who thrives under tight deadlines with minimal supervision this could be the Bookkeeper role for you! As the Bookkeeper, you will oversee the month-end closing, accounts receivable, accounts payable, and reconciliation. Additionally, the Bookkeeper will handle coding, light journal entries or general ledger reconciliation and perform data entry, cash applications, and full cycle A/P. Located in Chicago, Illinois, this Bookkeeper role will be a permanent opening. Act now and apply today!

Accounts Receivable:

  • Responsible for full cycle Accounts Receivable function including managing A/R Inbox, desktop deposits, cash collections, posting of cash and sending invoices and statements
  • General ledger activities including preparing A/R and A/P related journal entries
  • Reconcile key A/R accounts
  • Receive, researches and resolve a variety of routine internal and external inquiries concerning account status, including communicating the resolution of discrepancies to appropriate persons
  • Ensures that all invoices are accurate and sent out in a timely manner to receive payment.
  • Following up on open invoices and have a 90% pay on time record.

Accounts Payable:

  • Processes and enters all A/P invoices and expense reports into QuickBooks
  • Assists with the credit card process including gathering all receipts from cardholders timelyto meet the month-end credit card journal entry deadline.
  • Review employee expense reports and ensure receipts are attached and approvals received
  • Files, maintains, and distributes accounting documents, records and reports.
  • Performs other duties as required to support the HR Department.
  • Analyzing workflow processes

Other Duties:

  • Completing the financial parts of insurance renewal documents, 401k documents, and government bids.
  • Working alongside the accountant to get required financial documents.

Requirements

Qualifications:

  • 3 years experience
  • Maximize Discounts
  • Accurate A/P Accrual
  • Competency with QuickBooks, virtual AP workflow solutions, Concur or similar accounting systems
  • Strong Excel skills

APPLY HERE

Bilingual Medical Assistant – English-Spanish

Vesta Healthcare

Nice to meet you, we’re Vesta Healthcare.

Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise.

At Vesta Healthcare, we enable people with personal assistance to thrive at home, in their community by assuring the people they rely on, their caregivers, have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise. Our analytics help identify and target the right people and populations. Our technology creates real-time connectivity and actionable data out of observations. Our services connect to real people who can help when needs arise, and our healthcare expertise helps us understand how we create value for both payers and providers.

Vesta Healthcare partners with physician groups and home care agencies to help implement and deliver these services, providing administrative support, and helping to find committed and capable staff for the physician group.

We’re looking to add to our team of experts who care deeply about our mission.

Our team is passionate, driven, collaborative, intellectually curious, and excited about the opportunity to transform our healthcare system. We’re inspired by caregivers and seek to create a platform that recognizes, utilizes and supports the vital role they play. We strive to continuously learn, explore, experiment and achieve results. We are here to improve the quality of life for caregivers and care recipients, allowing them to focus on the important things (like going to the mall with their grandkids)

The ideal teammate would be

A customer focused individual who responsible for assisting the team in coordinating the care of members enrolled in Medicare’s chronic care management program during each calendar month. This will primarily entail periodic telephonic outreach calls to members, caregivers, and other care team members as directed with documentation in the appropriate platform to ensure compliance. The Care Coordinator will collaborate with the supervising provider and staff to conduct outreach, assessment and service planning to coordinate care for the CCM patients.

The care coordinator role would require a flexible schedule with weekend shifts in providing administrative support to the team, preparing charts, organizing data, and supporting the operations of the team.

The ideal teammate would be able to:

  • Provide practice support including: contacting members, caregivers, and care team members as directed, work closely with the clinical team to improve the health and care of our members
  • Coordinating care for members of the program
  • Data entry within operating dashboards, reporting and workflow platforms
  • Ensure Data Quality and Accuracy
  • Other administrative support

Would you describe yourself as someone who has:

  • Fluency in English and Spanish, in writing, reading and speaking (required)
  • Medical Assistant and or Medical Scribe Certification (required)
  • A minimum of 2 years of experience working in a healthcare setting (required)
  • The ability to work a flexible schedule including days and rotating holiday shifts (required)
  • Knowledge and understanding of medical terminology (required)
  • Knowledge and understanding of chronic care management processes (required)
  • A customer service mindset for both internal and external customers (required)
  • A strong proficiency in computer software navigation; data entry and data cleansing
  • A fundamental knowledge of Google Docs, Sheets, Slides or similar
  • A demonstrated ability to work effectively as a member of an interdisciplinary team, displaying good judgment and decision-making skills
  • Ability to perform duties as assigned or requested

In addition to amazing teammates, we also offer:

  • Health, dental, and vision insurance with a choice of many different plans/costs partially subsidized by us
  • Paid vacation
  • Paid Sick/personal days
  • ~10 paid holidays
  • One time reimbursement to set up your home office
  • Monthly reimbursement for internet or other home office expenses
  • Monthly gym reimbursement to be used for gyms, online classes, etc
  • Basic Life & AD&D, Short-term and Long-term Disability Benefits paid fully by us
  • Voluntary benefits such as Pet, Home and Auto, Legal Insurance plus more
  • Pre-tax Flex Spending/Dependent Care/Transit accounts
  • 401k with match

Pay rate is $18 hourly.

If yes, then we look forward to speaking to you!

Vesta Healthcare is committed to leveraging the talent of a diverse workforce to create great opportunities for our business and our people. Vesta Healthcare is an Equal Opportunity/Affirmative Action Employer. Candidates are selected without regard to race, color, religion, sex, national origin, disability, marital status, or sexual orientation, in accordance with federal and state law.

APPLY HERE

Data Entry Specialist

Robert Half International

$15.00 $16.00 / Hourly

Description

You’ll be great at this Data Entry Specialist job if you are a datadriven expert with great attention to detail. If you’re looking for work as a Data Entry Specialist, this shortterm contract / temporary basis position in the Vandalia, Ohio area might be right for you!

Candidates looking for work as a Data Entry Specialist will be interested in this opening at a growing company in the Manufacturing field. You might be right for Robert Half’s new job opportunity, if you are highlyskilled and motivated, with intermediate experience in spreadsheets and proficiency in database management.

Candidates for this position should have quick and accurate typing skills, and impeccable organization. This Data Entry Specialist job opportunity will let you start your career in a dynamic, growing environment! Data Entry Specialist will have 6 weeks of onsite training before being able to work remote.

Major responsibilities

  • Search the internet for information
  • Retain detailed accounts of tasks, files, and progress
  • Look over finalized work, reviewing for errors or duplicate entries before turning in the final product
  • File information into spreadsheets, databases and customer relationship management systems
  • Review and remove nonessential data as well as combine data from multiple sources
  • Examine reports and sheets of data
  • Search for additional information for documents that are deemed incomplete

Requirements

  • Ability to handle multiple tasks to prioritize needs and expedite tasks upon request
  • Proficient computer skills including word processing, spreadsheets, presentation software, as well as databases and customer database systems
  • Consistent typing accuracy
  • Sound written and verbal communication skills
  • Solid understanding of order entry

APPLY HERE