English Test Auditor (DET)

We are hiring English Test Auditors as independent contractors worldwide (with the exception of the USA at this time) to:

Review and audit test taker behaviors for a recorded online English proficiency test
Ensure that all tests are processed within 48 hours of being uploaded to the site
Notify supervisors of issues via Slack messaging tool
Be available for 3-5 monthly remote meetings
Requirements:

Expert English fluency
Language evaluation, teaching and test proctoring experience defined by having one or more of the following:
A TEFL/TESOL/ESL certificate (120-hour minimum) PLUS 2 or more years of applied ESL experience
A BA/MA in Linguistics/TESOL/Education
A BA/MA in another relevant education field with experience in assessment and teaching
Experience using the CEFR
Ability to utilize G-suite tools such as Google Docs, Sheets and Slides
Ability to read gestures, facial expressions, and behaviors
Excellent critical thinking and problem-solving skills
Strong attention to detail, ability to follow directions and decision-making skills
Ability to thrive in a fast-paced remote-work environment and adapt to frequent process changes
Strong, high-speed internet connection
Plans to live in current location for at least one year
Nice-To-Haves:

Fluency in other languages (especially in Mandarin, Arabic, or any Indian language)
Schedule & Contract Details:

Must commit to at least 20 hours per week (with priority given to those who can work 25+ hours)
Work at least 10 hours per weekend (Sat, and Sun in UTC time)
With any additional hours to be worked throughout the week (Mon-Fri)
Starting rate between $18-20 (depending on experience)
All training paid at agreed upon rate above
90-day probationary period
Contract and all payments are done via Upwork

APPLY HERE

BECOME A PROFESSIONAL SCORER

Write Score is a fast-growing educational company that helps administrators, teachers, and students use our assessment data to promote learning and academic achievement. All our students’ writing responses, from our own formative assessments, are scored by professional scorers, who work remotely.

​Our scoring season will begin with the first orientation in late July to early August. We are looking for conscientious people to read and score student responses. Applicants first undergo orientation, pass the qualifying levels, and then score actual student responses. During orientation, applicants will analyze student papers to learn the scoring system, score practice papers, and discuss the results with lead instructors. Additionally, all applicants must pass a qualifying test to become a scorer.

​Write Score has scorer positions available throughout the school year and the position requires scorers who have a 2-year college degree and pass the final qualifying test.

APPLY HERE

Billing Representative

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

Billing Specialist Hospital

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

Medical Benefit Review Services Associate II

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