by twochickswithasidehustle | Aug 30, 2022 | Uncategorized
Employer: UnitedHealth Group
If you are located in Pacific or Mountain time zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.
Billing Representatives are responsible for ongoing account maintenance, data entry of enrollment applications, review and reconciliation of premium billing invoices and provide superior customer service to internal / external clients.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:00am – 4:00pm PST or 8:00am-5:00pm PST). It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Research and resolve enrollment, eligibility, and billing discrepancies on premium invoices
- Educate customers on payment options, billing information, payment addresses, invoice due dates and clarify information contained on premium invoices and electronic services
- Contact external customers regarding outstanding balances and required payments
- Reconcile discrepancies identified within customer invoices and ensure aging balances on accounts are being resolved in a timely manner
- Analyze reports against existing billing data and make appropriate changes to ensure billing accuracy
- Review rates from the Underwriting, Sales and Implementation departments to ensure accuracy before entering rates into applicable systems
- Monitor customer account balances through researching, generating data queries and creating reports such as member audits and bills issued vs. bills paid reports
- Coordinate with internal partners to validate and process rates and contract information to ensure they are updated accurately
- Utilize multiple reports to research, resolve, and ensure the accuracy of enrollment eligibility
- Analyze reports against existing billing / commission data and make appropriate changes to ensure accurate statement information
- Account payable (A / P) and Accounts Receivable (A / R)
- Ability to remain focused and productive with changing priorities and repetitive tasks
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED (or higher)
- Experience with account reconciliation
- Healthcare background / experience
- Customer Service experience
- Data entry experience
- Experience explaining billing and / or reconciliation of discrepancies
- Experience with Microsoft Excel (sorting & filtering data), Microsoft Word (creating & editing documents) and Microsoft Outlook (emailing & calendaring)
- Ability to work an 8 hour shift between 7:00am – 4:00pm PST or 8:00am – 5:00pm PST including the flexibility to work occasional overtime per business need
Preferred Qualifications:
- Associate’s Degree (or higher)
- Experience with Facets platform and 834 membership files
- Siebel program experience
Telecommuting Requirements:
- Reside in Pacific or Mountain time zone
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Colorado or Nevada Residents Only: The salary range for Colorado residents is $16.00 – $26.88. The salary range for Nevada residents is $16.83 – $29.66. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
APPLY HERE
by twochickswithasidehustle | Aug 30, 2022 | Uncategorized
Employer: 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.
The Billing Specialist will be responsible for Medicaid claims submission, denial management, hospital claims and associated professional claims for assigned clients. They may also be assigned to work claims associated with state specific Medicaid or Out of State Medicaid claims. Additionally, they are responsible for ensuring all claims are processed in a timely manner according to state guidelines..
Location: Remote
Schedule: Monday-Friday, 8 hour shift within business hours of 7:30 – 5:30 ET
What will be my duties and responsibilities in this job?
- Ensure billing inventory for all assigned clients is managed to the process activity metrics and financial goals as set by the company
- Responsible for ensuring the timely and accurate billing of all accounts for assigned clients
- Responsible for entering Medicaid eligibility information into the client system.
- Responsible for denial management of all assigned claims
- Responsible for analyzing all remits to ensure accurate payment has been received
- Ensure proper and timely notes are document in both Change Healthcare system and client system
- Keeps Manager aware of any issues that may be impacting claims resolution.
- Helps Manager to build and maintain strong, long-lasting customer relationships
- May be required to work on site with client billing team as needed
- May be required to perform data entry and key claims into billing systems
What are the requirements needed for this position
- Minimum of 1 year of experience in billing and denial management. Preferably with Medicaid in a hospital setting
- Thorough knowledge of Medicaid billing guidelines; experience with Medicaid billing in multiple states
- Working knowledge of EPIC, Cerner, Meditech, or other applicable Hospital Information Systems desired
- Experience with Microsoft Excel and the Microsoft Office suite of programs
- Minimum high school diploma or GED
- Advanced Excel and PowerPoint skills
- Strong communication skills, both written and verbal
- Excellent customer service skills
- Strong follow-up and organizational skills
- Ability to work collaboratively within a team and with limited supervision
- Ability to think strategically
- Ability to follow HIPPA policies and confidentiality processes
- Thorough knowledge of Medicaid HOSPITAL billing guidelines; experienced with Medicaid billing in states other than Georgia also desire
- Knowledge of Epic, Meditech, and Cerner
What are the working conditions and physical requirements of this job?
- Use of phone and computer
- Sitting for long periods of time
- Remote from home – must have reliable internet and quiet work space
- If candidate lives in Atlanta area 5% travel to office may be required
Education
- High School Diploma or GED, some college preferred
Experience / Abilities:
- Minimum of 1 year of experience in billing and denial management. Preferably with Medicaid in a hospital setting.
- Thorough knowledge of Medicaid billing guidelines; experience with Medicaid billing in multiple states
- Working knowledge of EPIC, Cerner, Meditech, or other applicable Hospital Information Systems desired.
- Experience with Microsoft Excel and the Microsoft Office suite of programs
- Strong communication skills.
- Excellent customer service skills.
- Strong follow-up and organizational skills.
- Demonstrated ability to think analytically.
- Ability to follow HIPPA policies and confidentiality processes
- Ability to work collaboratively within a team.
Travel and Hours:
- 8 Hour shift between hours of 7:30-5:30 Eastern
Diversity and Inclusion:
- At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
- Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs.
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when job-related and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
About Us
Careers Transforming the Healthcare System
Who is Change Healthcare? We are a leading technology company inspiring a better healthcare system. Through innovative technology solutions like cutting-edge cloud technology, artificial intelligence, and data insights, we drive better patient outcomes, reduce costs, and create value for our partners.
Positive Impact and Shared Purpose. Through visionary leadership and a culture of collaboration, we share a common purpose to positively impact our communities by creating a stronger, better coordinated, increasingly collaborative, and more efficient healthcare system.
Employee Experience, Cultural Values, and Total Rewards. We celebrate diversity and earn trust with our employees by promoting innovation at every level within the organization. Our teams are agile, and their work is fast paced and engaging. We’re committed to providing competitive compensation that rewards and recognizes performance, offer well-being programs that empower your overall health, and provide learning and development opportunities to accelerate your professional growth.
Find Your Path. Whether you’re ready to make an impact in technology and product innovation or support our mission to inspire a better healthcare system in a variety of career areas, find your path and accelerate your career. What are you waiting for?
APPLY HERE
by twochickswithasidehustle | Aug 30, 2022 | Uncategorized
Employer: Conduent
About Conduent
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them.
You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Job Description
- Retrieves and analyzes health insurance eligibility policy information from health insurance claim systems related to third party liability accidents.
- Monitors and completes requests.
- Investigates and communicates questionable situations.
- Inputs medical claims information.
- Completes updates in the client system related to the member eligibility.
- May also initiate and adjust claims in the client system for offsets.
Closing
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the Submit button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent’s ADAAA Accommodation Policy.
At Conduent, we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible.
APPLY HERE
by twochickswithasidehustle | Aug 30, 2022 | Uncategorized
Employer: 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
Diversity and Inclusion:
- At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
- Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs.
Diversity and Inclusion:
At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs.
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when job-related and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
About Us
Careers Transforming the Healthcare System
Who is Change Healthcare? We are a leading technology company inspiring a better healthcare system. Through innovative technology solutions like cutting-edge cloud technology, artificial intelligence, and data insights, we drive better patient outcomes, reduce costs, and create value for our partners.
Positive Impact and Shared Purpose. Through visionary leadership and a culture of collaboration, we share a common purpose to positively impact our communities by creating a stronger, better coordinated, increasingly collaborative, and more efficient healthcare system.
Employee Experience, Cultural Values, and Total Rewards. We celebrate diversity and earn trust with our employees by promoting innovation at every level within the organization. Our teams are agile, and their work is fast paced and engaging. We’re committed to providing competitive compensation that rewards and recognizes performance, offer well-being programs that empower your overall health, and provide learning and development opportunities to accelerate your professional growth.
Find Your Path. Whether you’re ready to make an impact in technology and product innovation or support our mission to inspire a better healthcare system in a variety of career areas, find your path and accelerate your career. What are you waiting for?
APPLY HERE
by twochickswithasidehustle | Aug 30, 2022 | Uncategorized
Employer: CareSource
Job Summary:
The Data Entry Clerk compiles, sorts and completes data entry of source documents and information.
Essential Functions:
- Processes source documents and information by reviewing data for deficiencies and resolving discrepancies by using standard procedures or returning incomplete documents for resolution
- Process the data entry of source documents in a timely and accurate manner
- Completes a variety of data entry and clerical tasks at the direction of management
- Maintains operations by following policies and procedures and reporting needed changes
- Perform any other job related instructions as requested
Education and Experience:
- High School Diploma or GED is required
- One year of experience in data entry is preferred
Competencies, Knowledge and Skills:
- Ability to perform data entry functions at 55 WPM preferred
- Basic proficiency with Microsoft Office Suite to include Outlook, Word and Excel
- Effective written and verbal communication skills
- Ability to work independently and within a team environment
- Strong organizational skills
- Ability to multitask
- Critical thinking and listening skills
- Customer service oriented
- Proper phone etiquette
- Time management skills
- Effective problem solving skills with attention to detail
- Effective listening and critical thinking skills
- Familiarity with the healthcare field and basic medical terminology
Licensure and Certification:
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Organization Level Competencies
- Leveraging Feedback
- Customer Orientation
- Valuing Differences
- Managing Work
- Earning Trust
- Quality Orientation
- Adaptability
- Influencing
- Collaborating
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.
APPLY HERE
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