Claims Examiner

by twochickswithasidehustle | Oct 7, 2024 | Uncategorized

Job Description

Overview

BroadPath is hiring a work from home, detail-oriented medical Claims Examiner looking to make a significant impact in the healthcare industry. Join our remote team as a Claims Examiner and play a crucial role in ensuring the financial integrity and efficiency of our healthcare organization. The Claims Examiner’s will be responsible for accurately processing a wide range of claims, identifying and resolving complex issues, and providing top-notch customer service to our valued providers and members. 
Responsibilities

• Adjudicate a variety of claims, including routine and complex cases, resolving system edits and audits for both hardcopy and electronic submissions.
• Effectively communicate with providers and members to address issues related to claims, eligibility, and authorizations.
• Generate emergency reports and authorizations for claims lacking prior approval.
• Process third-party liability and coordination of benefit claims in accordance with company policies.
• Assist in the review of stop loss reports to identify members approaching reinsurance thresholds.
• Escalate potential system programming issues to supervisors for resolution.
• Provide guidance and training to less experienced claims processors.
• Recognize and appropriately route claims for carved-out services according to plan contracts.
• Apply knowledge of plan contracts, provider pricing, member eligibility, referral authorization procedures, benefit plans, and capitation arrangements.
• Collaborate with the Accounting team to ensure accurate posting of claims information to general ledger accounts.
• Work closely with Customer Service and Provider Services departments on large claim projects and adjustments.
• Interpret benefit and plan details for customers through the use of the cut-log system when necessary.
• Assist senior examiners in the adjustment of complex claims.
• Perform other duties as assigned by management.

Qualifications

• High school diploma or equivalent required
• 1-3 years of medical claims processing experience 
• Knowledge of ICD-9, CPT, HCPC, and Revenue Coding
• Strong analytical and problem-solving skills to address claim issues and troubleshoot problems
• Excellent communication and customer service skills to effectively interact with providers and members
• Attention to detail and the ability to maintain focus in a high-volume, production-oriented environment
• Proficiency with claims processing software and technology
• Understanding of medical terminology, coding, and healthcare industry regulations
• Ability to learn and apply complex claims procedures and policies
• Teamwork skills to collaborate with colleagues and provide training or support
• Adaptability to work under demanding performance standards for production and quality

Preferred Qualifications: 

• Commercial Claims Experience, QNXT

People Generalist

by twochickswithasidehustle | Oct 7, 2024 | Uncategorized

Everything we do at Sunrun is driven by a determination to transform the way we power our lives. We know that starts at the individual employee level. We strive to foster an environment you can thrive in through our commitment to diversity, inclusion and belonging.

Overview

Human Resources (People) Generalist partners closely with functional management on HR related responsibilities in some or all of the following functional areas: employee relations, training, performance management, employee relations, engagement, compensation, and retention activities.

RESPONSIBILITIES

• Provide HR generalist and organizational support on a variety of People items. 
• Provide support and guidance to managers and employees on a full range of HR policies and practices including; employee relations, performance management and enablement, training, development, change management, conflict resolution.
• Consult with managers and employees to proactively address employee relations items.  
• Timely investigate basic employee concerns and partner with manager/safety/employee relations, etc. on resolution. 
• Consult with and educate leaders on compensation, performance review processes, new hire onboarding, compensation, conflict resolution, etc.
• Support Workday transactional items and ensure employee changes are processed appropriately, accurately, and timely. 
• Partner closely with Center of Excellence (COE) groups to ensure full service to client groups.
• Support a variety of engagement activities that align with our corporate values and support retention activities.  
• Projects, innovations, creative problem solving, not only for client group but for entire organization.
• Any additional special projects or requests.
• Travel to branches and corporate locations to meet with leaders and employees

QUALIFICATIONS

• Bachelor’s Degree in Business Administration, Human Resources, or equivalent, with 2-3 years experience in an HR Generalist-type role. 
• Must be able to maintain a high level of professionalism and confidentiality.  
• Effective interpersonal skills, communication and presentation skills.
• Strong employee relations and conflict resolution skills.
• Must possess the ability to problem solve and multi-task in a fast paced environment while working independently.
• Must possess good judgment.
• Ability to travel ~25% of the time and spend time in local branches
• Fluency in Spanish a plus
• Strong computer skills required. Knowledge of Workday and GoogleSuite Platform a plus

WORK ENVIRONMENT:

Traditional office or remote work environment, visit Sunrun branch locations  

PHYSICAL DEMANDS:

Normal office physical demands

Recruiter:Amanda Frock ([email protected])

Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to acts, such as The Equal Pay Transparency Act. It assumes that the successful candidate will be located in markets within the United States that warrant the compensation listed. Candidates in locations outside this local area may have a different  starting salary range for this opportunity which may be higher or lower.  Please speak with your recruiter to learn more.

Starting salary/wage for this opportunity:$65,640.49 to $87,520.65

Marketing Operations Specialist

by twochickswithasidehustle | Oct 7, 2024 | Uncategorized

At Mitratech, we are a team of technocrats focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions of Fortune 100 companies. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move rapidly with some of the most complex, leading-edge technologies available.

Given our continued growth, we always seek more intellect, energy, and enthusiasm – join our global team and see why it’s so special to be a part of Mitratech! 

We are in search of a Marketing Operations Specialist to strengthen our team. Your responsibilities will include designing and conducting training sessions on digital marketing strategies and tools, developing and maintaining process documentation, and overseeing change management strategies to facilitate smooth transitions during updates. You will offer data-driven performance insights to the marketing leadership, adapt to new tasks as they arise, and demonstrate excellent communication skills while collaborating with diverse teams. Additionally, you will coordinate with external vendors to achieve program objectives. Mitratech is a dynamic, fast-paced, and agile company filled with excitement. Join our marketing operations team and combine data, technology, and people to streamline and optimize marketing strategies, which can lead to more consistent and efficient outcomes.

Essential Duties & Responsibilities:

• Manage and Maintain Pardot System: Ensure smooth operation of the Pardot platform, including regular updates, user account management, and troubleshooting technical issues.
• Automation and Workflow Setup: Build and maintain automation rules, engagement programs, completion actions, and dynamic lists to streamline marketing efforts.
• Email Campaign Management: Oversee email campaigns, from creation and testing to execution and reporting, ensuring compliance with email best practices and legal regulations (e.g., GDPR, CAN-SPAM).
• Lead Scoring and Grading: Implement and manage lead scoring models to prioritize high-quality leads for sales teams, adjusting as needed based on business goals.
• Data Management and Segmentation: Maintain and segment prospect data for targeted marketing campaigns, ensuring data quality and integration with Salesforce CRM.
• Form and Landing Page Creation: Build and maintain Pardot forms, landing pages, and custom redirects to capture leads and drive engagement.
• Campaign Performance Tracking: Monitor and analyze key metrics, generating reports to assess the performance of marketing initiatives and offer recommendations for optimization.
• CRM Integration: Ensure seamless integration between Pardot and Salesforce CRM, managing sync errors and troubleshooting any connectivity issues.
• User Training and Support: Provide support to marketing and sales teams, ensuring they understand how to use Pardot features effectively; develop and deliver training sessions as needed.
• Compliance and Best Practices: Ensure marketing activities comply with data privacy regulations and internal guidelines, including tracking opt-ins, privacy notices, and unsubscribe requests.
• A/B Testing: Implement and manage A/B tests for emails, landing pages, and forms to improve engagement and conversion rates.
• Third-Party Integrations: Manage and configure integrations with third-party platforms (e.g., Google Analytics, webinar platforms, etc.) to enrich marketing data and insights.

Requirements & Skills:

• Proficiency with a broad array of marketing tools, including but not limited to Pardot, Salesforce, ZoomInfo, WordPress, and Asana.
• A highly analytical mindset coupled with meticulous attention to detail, akin to an eagle-eye’s precision.
• Advanced proficiency in Excel and a solid foundation in HTML for operationalizing engaging email campaigns.
• The capacity to juggle multiple projects simultaneously, demonstrating exceptional organizational skills and flawless execution.
• A creative problem-solving approach, underpinned by superb verbal and written communication skills.
• A self-assured, adaptable, and self-motivated demeanor, thriving in a fast-paced environment and capable of working effectively under tight deadlines.
• A deep understanding of the B2B marketing funnel, including its stages and implications for measurement, targeting, and messaging strategies.
• Exceptional project management expertise, with a proven track record of successfully coordinating tasks across diverse teams and managing competing deadlines.
• Experience in database management, with a keen awareness of and compliance with data protection regulations.

Mitratech remains committed to equitable and transparent pay practices. Final base salary offered may vary from the range listed and will be determined after carefully considering multiple factors during the hiring process, including location, relevant experience and education, required competencies and skill proficiency level, and review of internal equity. We encourage candidates to apply even if they may not meet all listed requirements.

We will disclose intended pay ranges in our job ads for US-based opportunities– This role can be performed 100% remote anywhere in the US. Anticipated Pay Range: $75,000 – $85,000 Annually USD

Total compensation includes US employee benefits, and annual bonus eligibility.  

Billing Team Lead

by twochickswithasidehustle | Oct 7, 2024 | Uncategorized

At Mitratech, we are a team of technocrats focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions of Fortune 100 companies. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move at a rapid pace with some of the most complex, leading-edge technologies available.

Given our continued growth, we always have room for more intellect, energy, and enthusiasm – join our global team and see why it’s so special to be a part of Mitratech! 

Essential Duties & Responsibilities:

• Ensure prompt and accurate billing and provisioning of customer accounts
• Review customer contracts for completeness and accuracy in accordance with our billing policies and collaborate with the Account Managers 
• Build, maintain, and produce reports as necessary to support business objectives 
• Assist the revenue management team with preparation of reports and analysis
• Field customer and interdepartmental inquiries relating to invoices, payments, account updates, vendor forms, service hours and contractual obligations
• Work collaboratively and build strong relationships across the organization with Sales Operations, Revenue, Professional Services, Deal Desk and Customer Success teams
• Document and manage escalations from customers and interdepartmentally among other teams
• Generate and manage process documentation
• Assist the Billing Team with questions, required training and concerns
• Prepare, review and manage monthly invoicing along with financial progress reports to ensure compliance with deliverable deadlines for Syntrio
• Regularly evaluate and integrate internal processes for the Billing Team
• Navigate and oversee migration to Salesforce Billing software

Requirements & Skills:

• 5+ years experience in an accounting role with a proven track record of increased responsibilities and scope
• Experience in Accounts Receivable and Collections 3 years
• Oracle and Net Suite experience 
• Experience with QuickBooks and Maxio 
• Experience with Salesforce Billing is a plus
• Very hands-on but also loves finding and building better ways to do things
• Meticulous attention to detail, highly organized, and strong analytical and Excel skills
• Self-confident team player with a positive, can-do attitude
• Able to multi-task and work independently in a fast-paced, dynamic environment

Education:                         

• Bachelor’s Degree in Accounting, Finance or related field

Compensation

Mitratech remains committed to equitable and transparent pay practices. Final base salary offered may vary from the range listed and will be determined after carefully considering multiple factors during the hiring process, including location, relevant experience and education, required competencies and skill proficiency level, and review of internal equity. We encourage candidates to apply even if they may not meet all listed requirements.

We will disclose intended pay ranges in our job ads for US-based opportunities– This role can be performed 100% remote anywhere in the US. Anticipated Pay Salary: $60,000 Annually USD

Total compensation includes US employee benefits and annual bonus eligibility.  

Benefits we offer:

• Health, Dental & Vision Insurance
• 401k + Employer Match
• PTO + 11 Paid Holidays + 4 Annual Paid Global Wellness Days Off
• STD, LTD & Group Life Insurance
• Paid Parental Leave
• Pet Insurance
• FSA & HSA Options
• Employee Assistance Program

Perks we offer:

• Remote Work
• Career Advancement & Professional Development Opportunities
• Employee Recognition

The position will remain posted until a candidate has been hired, or we may pull the job ad at any time due to volume of qualified applicants.

Mitratech is proud to be an EEOE, M/F/D/V, and we are committed to diversity both in practice and spirit at the corporate level. Mitratech participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com

We are an equal-opportunity employer that values diversity at all levels. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, or veteran status.

Accounts Receivable Analyst

by twochickswithasidehustle | Oct 7, 2024 | Uncategorized

Be essential at Cars Commerce

At Cars Commerce, we’re fanatical about simplifying everything about car buying and selling. We do right by our customers and consumers to better connect the industry with simplified and tierless technology to enhance, measure and drive local automotive retail. Whether through our No.1 most recognized marketplace, Cars.com, our industry-leading digital experience, Dealer Inspire, our trade and appraisal technology, AccuTrade, or our new Cars Commerce Media Network, Cars Commerce is essential for success in the automotive industry.  

No one ever travels alone here: at its core, Cars Commerce is collaboration. In fact, it’s built into the very fabric of our shared values. We like to say we Rise Together – putting people at the center of what we do, from consumer to customer to community. Life at Cars Commerce makes it easy when we share the ethos to be Open to All, encouraging open-minded communication because we know diverse thinking yields better outcomes. But critical to our success is Caring to Challenge and Taking Ownership, fueling a competitive spirit in a respectful environment where we think about tomorrow but act today. At our foundation, we have integrity, Doing the Right Thing, even when it’s hard. It’s our shared commitment to these values that makes Cars Commerce a place where growth becomes not only possible, but downright unavoidable.

But don’t take our word for it. As a U.S. News & World Report Best Company to Work For in 2024, we’re obsessive about the employee experience. We are among the top 20% being declared “Best” of our industry based on six critical factors that are important to employee wellbeing, like quality of pay, benefits, work life balance and more.

ABOUT THIS ROLE: Chicago IL/Remote

The AR Analyst is the central figure of responsibility in the successful management of Account Receivables balances.  The primary responsibility of the AR Analyst is to establish and maintain communication lines with various customer departments that may impact the payment status of customers, thus impacting Accounts Receivable. The ideal AR Analyst will proactively identify and quantify credit risk issues and create solutions for the resolution of these items. The position requires excellent communication and negotiating skills, strong analytical skills, and advanced organizational and presentation abilities.

Additional duties include but are not limited to:

• Review and analyze 1250+ Dealer Customer AR accounts by making collection inquiries and efforts via phone, email and fax. 
• Ability to proactively research any billing discrepancies causing the collection issue and make necessary corrections, including but not limited to: processing cancellation requests, issuing credits, applying misapplied payments and writing off debt when necessary.
• Communicate to customer in a professional manner
• Work closely with Sales to escalate and communicate the collection issues and communicate the resolution to Sales
• Thoroughly document all contacts on each account 
• Responsible for meeting weekly, monthly and quarterly collection goals on assigned accounts. 
• Prepare credits and/or billing corrections per established company guidelines

ACCOUNTABILITY AND DECISION MAKING:     

• Responsible for managing all aspects of the Accounts Receivable accounts assigned in accordance with the Company credit and collection guidelines and policies.  
• Responsible for communicating to the respective departments the root cause for collection issues that are related to billing discrepancies, product performance issues, sales issue, etc.
• Ability to provide resolution to collection issues to Management
• Ability to quickly identify accounts at risk proactively before delinquency become inevitable

INTERNAL AND EXTERNAL CONTACTS:

• Communicate with external customers in a professional manner at all times to determine the root cause for the collection issue.
• Communicate with Sales to inform issues with their accounts and provide resolution
• Communicate collection issues due to internal process/training or product issues resulting in collections issues so the issues are addressed in a timely manner

Required Skills:

• Excellent verbal and written communication skills
• General knowledge of accounts receivable
• Knowledge of internet and email protocols
• Ability to learn various systems used to document collection efforts (Salesforce, Psoft)
• Ability to meet monthly AR goals as provided by Management
• Ability to analyze AR account trends and proactively resolve any collection issues
• Knowledge of Microsoft Office (Excel and Word) program
• Knowledge of G-Suite (Gmail, Sheets & Docs) program
• Knowledge of Peoplesoft preferred

Required Experience:

• 4 Year College Degree
• Ability to work in a fast-paced changing environment. 
• 2 to 4 years of work experience required, in related area preferred

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

#LI-SY #LI-REMOTE

In the spirit of pay transparency, we are excited to share the base salary range for this position which is not inclusive of bonuses, benefits or other forms of compensation that the position may be eligible for. If you are hired at Cars Commerce, your final base salary compensation will be determined based on factors such as skills and/or experience. If the salary range is close to what you’re seeking, then we encourage you to apply and learn more about the total compensation package for this position.

Salary Range

$39,000 – $46,800 USD

Our Comprehensive Benefits Package includes:

• Medical, Dental & Vision Healthcare Plans
• 401(k) with Company Match + Immediate Vesting
• New Hire Stipend for Home Office Set-Up
• Employee Stock Purchase Program
• Generous PTO
• Refuel – a service based recognition program where employees receive additional paid time away to learn grow and reset
• Paid Holidays, Floating Holiday, Volunteer Day, Recharge Day
• Learn more about our Benefits, Perks, & Culture on our LinkedIn Life Pages!