by twochickswithasidehustle | Aug 23, 2022 | Uncategorized
Remote, Nationwide – Seeking Electronic Remittance Specialist
Everybody Has A Role To Play In Transforming Healthcare
As an Electronic Remittance Specialist, you play a vital role in Billing Operations, balancing, interpreting EOBs’ and/or ERA files for posting of insurance, patient payments and denials which can be received via Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA) or paper EOB. You contribute to our team’s success. At Vituity we know the impact you can have.
Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.
Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
Review and interpret Electronic Remittance Advice (ERA) files or Explanation of Benefits (EOB) to ensure they balance to the corresponding Electronic Transfer Fund (EFT) Deposits.
Follow up on outstanding and/or out of balance deposits in PARM (Payment Automation/Reconciliation Manager).
Contact insurance carriers and utilize payer websites to obtain necessary information for processing of EFT deposits
Review and update patient accounts to reflect the correct Financial Classification (FC), Contract ID (CID) and Insurance key based on the Electronic Remittance Advice Query to ensure accounts reflect payment from the correct payer.
Review outstanding Electronic Remittance Advice (ERA) batches for assigned payers to ensure timely posting and aging requirements are met. Aging is to be kept within 45 days of creation date.
Post Electronic Payments and Denials in the Electronic Funds Transfer (EFT) tab in Payment Automation Reconciliation Manager (PARM) application and CPU/AS400 Billing System.
Review Open Batch Query to resolve outstanding aging electronic batches.
Maintain current knowledge of payment posting practices by attending meetings, training sessions and seminars.
Post paper check payment packs via PARM (Payment Automation/Reconciliation Manager).
Process ACT Code (SC) Share of Cost, (OC) Outside Collections, (RT) Retractions.
Complete ACT (Activity Code Tracking) codes related to Billing Team inquiry on payments pending for outstanding patient accounts receivable.
Required Experience and Competencies:
High school diploma or GED required
At least one year of work experience in a related field required
Payment representative or equivalent experience is preferred
The Community
Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.
Monthly wellness events and programs such as yoga, HIIT classes, and more
Trainings to help support and advance your professional growth
Team building activities such as happy hours and holiday celebrations
Flexible work hours
Opportunities to attend Diversity, Equity and Inclusion (DEI) events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
Benefits & Beyond*
Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.
Superior health plan options
Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical
Student Loan Repayment Program
Professional and Career Development Program
EAP, travel assistance and identify theft included
Wellness program
Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
Purpose-driven culture focused on improving the lives of our patients, communities, and employees.
APPLY HERE
by twochickswithasidehustle | Aug 23, 2022 | Uncategorized
About us:
Live experiences help make us human, bringing us across today’s social and digital divides to focus on what truly connects us – the here, the now, the once-in-a-lifetime moment that we share – together. To fulfill Gametime’s vision to unite the world through shared experiences, we deliver fans an extraordinary experience for enjoying, discovering, and purchasing last-minute tickets to live events.
With platforms on iOS, Android, mobile web, and desktop supporting events across the US and Canada, we are reimagining the event ticket experience in a mobile-first world.
The Role:
Are you a TikTok Content Creator who keeps up with all the trends (including advertising trends) on both TikTok and Instagram? Do you have experience and a portfolio demonstrating excellence creating ads for brands on these channels? If so, you just might be the perfect fit for our TikTok Advertising Content Creator position as part of Gametime’s in-house Creative Team. Specializing in TikTok and social media advertising, you’ll have the chance to ideate, shoot, and edit advertising content alongside the Creative Director, Art Director, Producer, and our talented team of Designers, Editors, Motion Graphic Artists, and VFX specialists—producing a large amount of original advertising content, with little red tape. You’ll create advertising content working with talent ranging from actors to models through influencers, athletes, and celebrities.
NOTE: All applicants MUST submit a portfolio demonstrating excellence and showing their range of skills creating advertising concepts on the TIkTok platform.
What you’ll do / own:
Ideation and execution of original TikTok video advertising concepts working with the creative team – 75%
Work with the creative team to iterate based on test results – 25%
Our ideal candidate has:
An extremely high personal immersion on the TikTok platform with a finger on the pulse regarding social media content trends (particularly TikTok, Instagram, Facebook, and SnapChat).
A portfolio that demonstrates excellence creating original TikTok advertisements that shows your skill set with shooting, editing, vfx, and storytelling.
Expert level skills with the adobe suite or equivalent creator tools. A passion for advertising and commercial art, along with the ability to concept, shoot, and edit original advertising executions that tell simple concise stories and are both engaging and creatively attractive for marketing/advertising purposes on TikTok and other social media channels.
The confidence to communicate your ideas and sell them to peers and management, and the resilience to perform under pressure while delivering high-quality work under tight deadlines.
Experience with data-driven performance creative, working with either ad agencies or in-house brands that specialize in this format.
Experience working with influencers and celebrities
What we can offer you:
Flexible PTO
Medical, dental, & vision insurance
Life insurance and disability benefits
401K, HSA, pre-tax savings programs
New equipment setup provided
Wellness programs
Tenure recognition
APPLY HERE
by twochickswithasidehustle | Aug 23, 2022 | Uncategorized
Due to Covid–19 we are working 100% remotely, this includes the hiring process. When it is safe to do so, we will return to a hybrid of onsite and remote work for some positions.
Why This Role Is Important To Arcadia
The Claims Analyst role is responsible for claims processing, reviewing, auditing and investigation of high-level coding review and processing discrepancies. Average number of claims entered weekly 800-1100, depending on level of difficult claims being worked that week.
What Success Looks Like
In 3 months
- Familiar with basic navigation in the Eldorado processing system
- HCFA and UB92 Workflow Queues in Eldorado System
- HCFA and UB92 Pended Claims and Exception Reports
- Auditing weekly reports
In 6 months
- Review and Finalize 095 report of claims sent to BCBS needing MG review and status of approval.
- Working special projects
- Familiar with BlueCross portals
- Familiar with internal portals, MCG, Arcadia share point, Appeal Module
- Processing the minimum requirement of 20 claims per hour.
In 12 months
- Assist with other coworker’s workflow when assigned client based primary responsibilities are caught up.
- Meeting and maintaining production expectations 23-27 claims per hour on commercial accounts
- Meeting and maintaining production expectations 18-22 claims per hour on Medicare Advantage.
- Meeting quality expectations of an average of 95% or higher
- Full understanding of Eldorado system
What You’ll Be Doing
HCFA and UB92 Pended Claims and Exception Reports
HCFA and UB92 Workflow Queues in Eldorado System
Audit Reports such as possible duplicates, timely filing review
Work special reports such as Anesthesia, Mental Health, etc.
Review and Finalize claims appeals received by providers/members
Review Pre-payment audit reports
Review and Finalize 095 report of claims sent to BCBS needing MG review and status of approval.
Assist with other coworker’s workflow when assigned client based primary responsibilities are caught up.
What You’ll Need to Have
High School diploma or equivalent
1 -3 years medical claims adjudication experience (HMO claims preferred)
Proficiency in Microsoft Office Applications, high Excel proficiency
Excellent verbal and written communication skills
Good attention to detail and commitment to quality
Positive mental attitude
Ability to multi-task
Deadline oriented
Ability to work independently with minimal supervision
Would Love for You to Have
Coding certification
Excel
Access
What You’ll Get
Join a high performing team who brings all data into one of the top Healthcare Analytics companies in the US
Be a part of a mission driven company that is transforming the healthcare industry by changing the way patients receive care
A flexible, remote friendly company with personality and heart
Employee driven programs and initiatives for personal and professional development
Be a member of the Arcadian and Barkadian Community
APPLY HERE
by twochickswithasidehustle | Aug 23, 2022 | Uncategorized
Description
Interview
Team
Hi there!
We are Semrush, a global IT company developing our own product—a platform for digital marketers.
And this is our Social Media Team Lead role for idea generators, planning geniuses, and natural-born analysts.
Tasks in the role
Think of this role as the leader of a mini in-house social media agency. As the Social Media Team Lead, you will lead the team of four social media managers responsible for the brand’s organic social media presence on various platforms (Twitter, LinkedIn, Instagram, Facebook, TikTok) across all of Semrush’s key markets.
We expect you to:
Own and refine the social media plan and its associated budget across campaigns & channels to achieve our ambitious goals and look for ways to grow even further.
Launch, optimize, and facilitate the team’s processes and initiatives that help to move the team forward toward ambitious goals.
‘Hands-on’ support for English-speaking-region social media initiatives.
Be the main point of contact in the social media team for internal customers across various brand and product marketing teams.
Stay up-to-date with the latest social media trends, best practices, and technologies.
Propose new ideas and organize experiments to improve Semrush’s social media presence.
Who we are looking for
We think that these types of experience and competencies will help our future colleague to join the team.
5+ years of experience in social media marketing.
2+ years of experience leading a social media team.
You are fluent in English with exceptional writing skills, correct grammar, and an appreciation for the power of tone, brevity, and microcopy.
You have a combination of creative, analytical, and strategic thinking skills.
You have a strong portfolio of cases in a related field that you are proud of.
You are a social media geek on top of the latest social channels and trends and are creative and detail-oriented.
You have a keen eye for content, and you can quickly understand what type of content is meaningful, appropriate, and valuable in each situation or on each platform.
Highly creative, ‘hands-on’ leader who embraces ambiguity and defines a way forward.
The agility at one moment to discuss strategy and planning, and the next to execute it.
They say there are no perfect candidates, but that might well be you, if
You have ever used Semrush and are familiar with our social media efforts.
Have a passion for, or are proficient in, digital marketing.
Have experience working with international teams.
A bit about the team
You can get to know the team better at one of the interviews, but some brief information about future colleagues will be useful now.
The Social Media Team is in charge of defining the strategy, creating content, and promoting brand and product campaigns on social media channels.
We will try to create all the right conditions for you to work and rest comfortably
This offer stands for the remote work format. Digital nomadism, #wfh—call it what you like ;).
Flexible working day start.
Health insurance coverage.
Annual leave as per the employment legislation of the country of stay (employment).
Training, courses, conferences.
Gifts for employees.
APPLY HERE
by twochickswithasidehustle | Aug 23, 2022 | Uncategorized
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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