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.

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Electronic Medical Records Processor

Employer: Ciox Health

Overview

Who we are…

Ciox Health merged with Datavant in 2021, creating the nation’s largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. Ciox, a Datavant company will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments to health analytics and medical research.

What we offer…

At Ciox Health we offer all employees a place to grow and expand their current skills so that they can not only help build Ciox Health into the greatest health technology company but create a career that you can be proud of. We offer you complete training and long-term career goals. Our environment is what most of our employees are the proudest of and our Architecture Group is comprised of some of the brightest and most talented individuals. Give us just a few moments to explain why we need you and hope you will help us change how the health Industry manages its’ medical records.

What we need…

The EMR Remote Processor serves as a key member of the EMR Remote team. This position is responsible for processing Release of Information (ROI), specifically medical record requests in a timely and efficient matter, ensuring accuracy and individual metrics are met. Verifying and analyzing data to affect the efficient and effective retrieval of charts in accordance with the core business function of Ciox Health. Associate must always safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Come be a part of a team where we win together, deliver awesome and make a difference in not only the lives of our employees but by transforming the exchange of clinical data using the most advance technology available.

We are looking to fill a remote, work from home position.

  • Full-Time: Monday-Thursday 6:00am-5:00pm (Voluntary and Mandatory Hours)
  • Comfortable working in a high-volume production environment.
  • Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical record status
  • Documenting information in multiple platforms using two computer monitors.
  • Proficient in Microsoft office (including Word and Excel)

We offer:
Comprehensive virtual training program followed by job shadowing with an assigned mentor

Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)

Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance

Responsibilities

  • Enter accurate data when assigned by team lead/coordinators
  • Remote processing of electronic medical records through various EMR systems as directed
  • Ability to work with minimum supervision responding to changing priorities and role needs
  • Report any technical difficulties that you may experience as soon as they occur.
  • Meet required metrics for your role (CPH – Charts Per Hour), Attendance.
  • Actively participate in all training that is assigned to you by your supervisor
  • Maintain high standards of Confidentiality to safeguard and protect Patient’s Right and comply with all company and facilities policies and HIPPAA regulations
  • Read all documentation and follow written instructions provided to ensure compliance and accurate job completion.
  • Immediately report to team lead/coordinator/supervisor or management any security breaches, unsafe behavior witnessed or any site difficulties.
  • Support a service environment that focuses on quality processes
  • Ensure that deadlines are met and respond to emails and other requests for information timely

Qualifications

  • Six months data entry experience required
  • High School Diploma/GED required
  • Adhere to company policies
  • Experience in a healthcare environment or office setting is strongly preferred.
  • Work effectively with co-workers in a constructive and positive manner
  • Listen to and objectively consider ideas and suggestions for improvement
  • Address problems constructively to find acceptable solutions
  • Demonstrate accuracy and attention to detail
  • Computer skills including Windows based applications (Word, PowerPoint, Excel, Access, Outlook)
  • Excellent organizational skills
  • Adaptable to changing business environment
  • Demonstrated ability to work within a diverse group of individuals
  • Perform other duties as assigned

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Ciox Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.

With very limited exceptions (medical conditions or sincerely held religious beliefs that prohibit you from getting the vaccine), one of the requirements for this job is that you be fully vaccinated against COVID-19.

*Except for states where legally prohibited to enforce mandates.

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SEO Specialist (remote)

We are looking for an entrepreneurial SEO Manager to manage all search engine optimization activities such as content strategy, tactical and technical SEO, onsite and offsite SEO, link building and keyword strategy to increase organic acquisition and rankings on all SERPs. You will collaborate with content, marketing and development to develop and lead implementation of winning SEO tactics and strategies to improve organic search visibility.
Your curiosity, creativity and passion for continuous improvement will help you identify and lead high-impact opportunities to improve performance. To be successful in this role, you need to be highly self-motivated and achievement oriented.

About Us

iSeeCars is using the power of data science and analytics to turn car shopping on its head and help consumers find the best deals. Our big data analytics and proprietary algorithms objectively analyze, score and rank millions of new and used vehicles and dealers. So far our users have saved over $325 million and counting. iSeeCars has been featured extensively in the media for its data-driven research, including The Wall Street Journal, The New York Times, Bloomberg, CNN, Consumer Reports, Forbes, Fortune, TODAY Show, USA TODAY, ABC, CBS, NBC and many other outlets.

We’re a growing company that values innovation, collaboration and entrepreneurship. Above all, we want to give users the most useful resources and trustworthy info.

What You’ll Do

Execute tests based on new hypotheses, collect and analyze data, identify trends and insights in order to achieve maximum ROI in organic search campaigns
Regularly track, analyze, and report on organic search performance overall and report on progress and trends for key initiatives and campaigns
Optimize copy, design and user experience for landing pages to further SEO growth. Recommend A/B testing for landing page content and design.
Perform ongoing keyword discovery, expansion and optimization
Work with editorial and marketing teams to drive SEO in content creation and onsite and offsite organic growth
Research and implement search engine optimization based on the latest SEO practices including but not limited to: algorithm updates, emerging trends, etc
Research and analyze competitor content and link building strategies for recommendations on content creation and link building growth
Develop, implement and optimize link building strategies
Work with the development team to ensure SEO best practices with respect to code implementation or tactical/technical SEO
Recommend changes to website architecture, content, linking and other factors to improve SEO positions for target keywords.
Leverage organic growth from multiple channels (social, video and paid)
Monitor and recommend improvements for website health, speed and assist with troubleshooting technical issues
Keep abreast of industry changes to ensure ongoing competitiveness
Who We’re Looking For
Someone with a strong experience as an individual contributor at a company with good enterprise SEO and is ready to move up to managing the SEO at a large site completely on their own.
5+ years of SEO experience and strong understanding of search engine optimization, content marketing, conversion data, page analytics, user flow, and online customer acquisition
Experience working on a large, global site (millions of monthly visits from natural search traffic)
Deep foundation of leveraging core SEO concepts (keyword research, user intent, crawlability, mobile-friendly, page speed, etc.) to improve SEO channel performance
Strong technical SEO skills including: content optimization, XML Sitemaps, structured data, CSS, HTML, JavaScript, information architecture, & agile software development practice
Ability to interpret data and make clear, concise recommendations, across all levels of the organization
Experience with Google Search Console, Google Analytics and other tools such as SEMRush, ahrefs, screaming frog, etc.
Up-to-date knowledge of the latest SEO trends and best practices
Experience with App Store Optimization is a plus
Outstanding project management, attention to detail and accountability.
Effective communication and problem-solving skills
High comfort level asking questions and leading different personalities across teams
Willingness to introduce and advocate for new ideas/approaches
Ability to follow through and thrive in a fast-paced, hands-on environment.
Automotive industry experience is a plus.
We offer a flexible working schedule, a collaborative team environment and the opportunity to grow with us.
Please email your resume to [email protected] if you are interested.

APPLY HERE

Chat Specialist

Position description:
This is a remote opportunity.

Gubagoo, an affiliate of Reynolds and Reynolds, is hiring for inbound chat operators. Our Chat Specialists provide individuals the ability to engage in online conversations to inquire about automotive and recreational vehicle sales, service, finance and general dealership questions. Our focus is to represent our dealer clients favorably online and to turn the experience into a lead so that our dealer clients can generate revenue from their website traffic.

Gubagoo is a relaxed, but professional and fun environment to work in. We are seeking positive and energetic people who understand the importance of great customer service and enjoy being on a computer and around technology.

Responsibilities:

  • Handle customer inquiries and complaints via online chat
  • Provide information about the products and services via online chat
  • Troubleshoot and resolve product issues and concerns via online chat
  • Document and update customer records based on interactions via online chat
  • Develop and maintain a knowledge base of the evolving products and services
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    Requirements:
    Excellent customer service skills and ability to work in a fast paced environment
    Must have your own computer or laptop with a webcam, microphone, and external mouse
    Computer must have a minimum of 8 GB of RAM, 64bit Operating System, and 8th Generation Intel Core i3 equivalent or higher
    Quiet, dedicated work space free from distractions
    Able to attend 5 weeks of remote training, Tuesday – Saturday between the hours of 11:00 AM – 7:30 PM EDT

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Quality Assurance Representative (Remote)

Advise / Bloom, the insurance industry’s trusted growth partner, is looking for an experienced and dedicated Quality Assurance Representative (QAR) to monitor recorded calls using rigorous standards to help agents develop habits and actions that improve their overall job performance. QAR’s must possess a superior attention span, enjoy a fast-paced environment, and demonstrate efficiency and accuracy when reviewing and scoring recorded calls.

We are looking for an exceptional individual who can:

Conduct quality monitoring of call center agent recordings using documented standards and systems to identify trends and make recommendations for improvement, where applicable.
Identify performance gaps in soft skills, administrative service, and established policies or processes.
Summarize findings and recommend solutions to management for individual and systematic and or process improvements.
Collaborate with the call center management team to implement solutions.
Document agent interaction with callers for both agent feedback and tracking purposes.
Flag compliance issues when identified and escalate to the appropriate department.
Communicate with managers on agent progress and follow up.
Review Bloom intranet, emails, and agent folders to stay updated on program specifics.
Keep informed on daily client requests through monitoring Teams channels and QA group chats and incorporate those into the evaluation forms, where applicable.
Attend calibration sessions, if scheduled by client/manager.
Assist in ad-hoc projects, including live monitoring and/or coaching.
Assist with onboarding new Quality Assurance Representatives through nesting activities.
Perform all other duties as assigned.

Education and Experience

High school diploma or GED
Experience in Customer Service, Call Center Experience and/or Quality review in a Call Center Environment preferred
Skills and Abilities

Proficient with Windows programs, specifically Excel
Strong comprehension skills
Robust writing skills
Adept verbal communication skills
Detail-oriented
Proven ability to work accurately and efficiently with daily deadlines
Effective multitasking aptitude
Able to work independently without supervision, and as part of a team
Discreet and professional attitude
Always maintain discretion and professionalism regarding agent performance

What We Offer
At Advise / Bloom, we offer an engaging, supportive work environment, great benefits, and the opportunity to build the career you always wanted. Benefits of working for Advise / Bloom include:

Competitive compensation
Comprehensive health benefits
Long-term career growth and mentoring

About Advise
Advise Insurance is a licensed Medicare agency that aims to preserve the patient–physician relationship and help build a better healthcare experience. We provide education that explains how Medicare works and helps beneficiaries select a plan that meets their healthcare needs and includes their trusted doctor.

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