by twochickswithasidehustle | Sep 6, 2022 | Uncategorized
Overview
ExamWorks is currently seeking a Medical File Coordinator (internally named a Client Coordinator) who is skilled in communication, and administrative duties to join the team 100% Remote!
The work schedule is Monday-Friday 9:30 am-6pm CST. However you may be required to work 1-2 weekends a month and 2-3 holidays per year.
The Client Coordinator is responsible for servicing inquiries from clients, physicians, nurses or any representative acting on behalf of a client. This position performs a wide range of data processing tasks, including data preparation, data entry, data tracking, documentation and filing. All duties are handled with a high degree of quality customer service and in compliance with all regulatory and company standards.
Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:
Handles and responds promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information.
Utilizes appropriate systems and databases to enter client or examinee information and or retrieve information as needed.
Maintains daily contact with the QA department regarding workflow and pending report status.
Files and archives open and closed cases.
Verifies all client information is current in the database and all client specific guidelines and or rules or information is documented in the system.
Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion.
Appropriately directs calls to other departments as needed.
Performs various clerical duties such as typing, filing, emailing, and proofreading as required.
Assists in resolution of customer complaints and quality assurance issues as needed.
When necessary, notifies management of any report issues or concerns.
Ensures all practices are carried out in accordance with state and federal safety and legal regulations.
Perform other duties as assigned.
Qualifications
EDUCATION AND/OR EXPERIENCE
High school diploma or equivalent required. Minimum one year clerical experience; or equivalent combination of education and experience. Experience in a medical office or insurance industry preferred.
QUALIFICATIONS
Must possess complete knowledge of general computer, fax, copier, scanner, and telephone
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must have a full understanding of HIPAA regulations and compliance.
Must be a qualified typist with a minimum of 40 W.P.M.
Ability to follow instructions and respond to managements’ directions accurately.
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
Must be able to demonstrate and promote a positive team -oriented environment.
Must be able to stay focused and concentrate under normal or heavy distractions.
Must be able to work well under pressure and or stressful conditions.
Must possess the ability to manage change, delays, or unexpected events appropriately.
Demonstrates reliability and abides by the company attendance policy.
Must maintain a professional and clean appearance at all times consistent with company standards.
APPLY HERE
by twochickswithasidehustle | Sep 6, 2022 | Uncategorized
Description
Processes daily enrollee invoices and premium reconciliation for members
Reconciles unallocated payments, monies, and premiums received from the individual subscriber or responsible party with the amount due for the healthcare program the member is enrolled in.
Resolves invoice discrepancies prior to monthly report run.
Performs month-end invoicing and accuracy audits.
Collaborates with enrollment team to resolve eligibility issues affecting premium billing.
Generates reports and billing data using the premium billing module to be sent to print and fulfillment vendor.
Reconciles eligibility data to ensure that the member data loaded in system matches the file (exception report).
Works PCP exception report – assigns member to PCP.
Works pharmacy exception report – validates eligibility updating system and website.
Works vision exception report – validates eligibility and updates system.
Works ID card exception report – validates member demographic information updating system accordingly and regenerates ID card as needed.
Complete member moves – reassigning member from one PCP to another.
Works monthly eligibility reconciliation (audit file/baseline vs. system) – updates eligibility data in system accordingly.
Confirms monthly reporting. Validates eligibility by updating system accordingly using premium file details.
Qualifications
High School Diploma or G.E.D.
2 plus years’ experience in insurance health plans helpful
Basic computer skills, including MS Word, Excel, Outlook
Excellent communication (verbal and written) and customer service skills
Detail-oriented; ability to organize and multi-task
Ability to make decisions based on eligibility program design as appropriate
Primary Location: United States-Remote-Remote
Job: Associate
Organization: HPHS – Onshore Operations
Job Posting: Aug 26, 2022, 8:22:21 AM
APPLY HERE
by twochickswithasidehustle | Sep 6, 2022 | Uncategorized
Job Description
Data Entry Associate
Creates reporting and analysis to support the business. Provides back-up to Manager Data Operations. Inputs data, manipulates and edits existing data, and proofs new entries into database for accuracy within established policies, procedures, and standards. Compiles, sorts, and verifies accuracy of data to be entered. Trouble shoots problems relating to data entry.
ESSENTIAL FUNCTIONS:
Reporting
Create and run weekly and monthly reports to support planning and merchandising
Assist in developing specific reports and analysis to support the business
Purchase Orders
Data entry of unit commitments into PLM
Data entry of all finalized purchase orders into RMS, to be sent to vendors
Data entry of PO changes – RMS
Responsible for accuracy of weekly PO and Receipt reports
Promotions
Responsible for company promotion set up in the mozart, promo services, and ECP systems
Ensures accurate promotional pricing for web and concierge (not POS)
Proofs all Merchandising promotion lists for accuracy
Markdowns
Markdown file setup and updates for planning team
Uploading Approved markdowns into RMS
Responsible for accuracy of pricing in stores and on the web
Mapping
Attach list of new items to offer codes – for catalog and web reporting
Move carryover items monthly from old codes to new active codes
Move all MD items from FP codes to MD codes in time for MD effective date
Responsible for accurate reporting by offer code
Item maintenance (Item setup now automated through PLM interface)
Data entry MPCS item/color plans
Data entry CNS codes (do not backorder) in MPCS
Systems support
RMS/RPM – pricing and purchase orders
Mozart table maintenance, offer code set up
MPCS table maintenance, offer code set up
Actively participate in system upgrades and implementations
Job Requirements
NE Admin – Quincy – Remote
APPLY HERE
by twochickswithasidehustle | Sep 6, 2022 | Uncategorized
Position Type
Full-Time/Regular
Data Entry Operators are responsible for inputting a high volume of data from multiple sources into a Company database. A Data Entry Operator’s role is to ensure that all necessary data is being entered accurately for timely claims and application processing.
Primary Duties & Responsibilities
- Enter customer and account data from various sources into corresponding fields within Company database software
- Identify and correct errors using appropriate quality control methods
- Review data for discrepancies in information and obtain further information for incomplete documents
- Notify applicable department leadership if the system is not accepting information
- Maintaining a daily production log to ensure all time and work is accurately documented.
- Performs other duties as assigned
Required Skills
- Must have excellent alpha and number recognition skills.
- Must be able to work quickly and accurately.
- Ability to key 10,0000 keystrokes per hour (equivalent to 45-50 wpm)
- Two years of experience in a full Data Entry capacity is preferred.
- Excellent oral and written communication
- Ability to work both independently and as part of a group.
- Ability to work with minimal supervision
- Reliable and predictable attendance of your assigned shift
- Ability to work Full-Time and/or Part-Time based on the specific position for which you’re applying
Required Experience
- High school diploma or equivalent.
- Two years of experience in a full Data Entry capacity is preferred
APPLY HERE
by twochickswithasidehustle | Sep 6, 2022 | Uncategorized
Job Description
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client’s needs and tailoring innovative healthcare cost management solutions.
Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!
JOB SUMMARY: This role maintains provider demographic data within the organizationally utilized database environment. The incumbent will regularly add and edit participating provider records in accordance with organizational and network processing guidelines. The driven individual will also coordinate communication with designated provider groups, and will create and implement electronic provider rosters on behalf of the department.
JOB ROLES AND RESPONSIBILITIES:
- Analyze, research, and input relevant data for providers added to the organization’s network through individual contracts, facility/ancillary contracts and/or newly acquired group contracts. Maintain changes to current provider files including provider terminations. Provider records to be updated include but are not limited to: practitioner, facility, ancillary, and group records.
- Obtain missing data and update provider profiles specific to provider directory and/or client data extracts.
- Research and respond to all adhoc requests (status checks) from both internal and external customers. Fully update provider profiles as appropriate assuring continual adherence to established operational guidelines.
- Utilize organizationally embraced technologies to build provider group rosters for use within the organization’s database environment.
- Participate in routine review of department processes and procedures to grasp an expert understanding of the impact process updates have on the organization’s internal and external customers. Provide feedback on potential improvement opportunities to management as appropriate.
- Liaise amongst internal and external partners in regards to the solicitation of demographic data and resolution of inaccuracies as necessary.
- Foster an environment encouraging open communication, knowledge sharing, and process improvement opportunities on behalf of the department on an internal and external basis.
- Identify issues that require additional investigation and evaluation, validate discrepancies incurred, and ensure appropriate follow up. Partner with management team to identify and implement an appropriate disposition to discrepancies and issues as they occur.
- Complete data validation processes specific to provider data received to ensure accuracy prior to entry.
- Verify, research, and respond to telephone inquiries and written inquires, from providers and other departments, pertaining to provider participation in a professional and courteous manner. Complete special projects as assigned by management this may include but is not limited to both telephonic and electronic investigative work.
- Ensure systematic data oriented efforts to improve consumer and/or client services. 100% of this job is related to QM activities.
- Partner cross-functionally as necessary to ensure accurate and efficient disposition of data investigations and maintenance work.
- Collaborate, coordinate, and communicate across disciplines and departments.
- Ensure compliance with HIPAA regulations and requirements.
- Demonstrate Company’s Core Competencies and values held within.
- The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. JOB SCOPE:
The incumbent works under general supervision in a self-directed and results oriented manner. The incumbent works within established standards and procedures, relying on a broad range of knowledge gained through experience to complete job responsibilities. Work involves support tasks with some of complex issues referred to supervisor. This job does not directly supervise other personnel.
**Pursuant to Colorado’s “Equal Pay for Equal Work Act”, the following salary range is provided solely for applicants living in Colorado: $18-24 per hour. If an applicant does not live in Colorado, this salary range may not apply. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
APPLY HERE
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