by twochickswithasidehustle | Oct 3, 2024 | Uncategorized
Description
American Specialty Health Incorporated (ASH) is seeking a focused Claims Examiner to work in a production environment. This position is responsible for the accurate review, input, and adjudication of claims in accordance with regulations, ASH standards and contractual obligations of the organization. Claims is an integral department of ASH’s offerings to empower people to live longer and healthier lives. We are responsible for tracking the receipt of claims, adjudication, and payment of claims. Due to the nature of the business and always evolving rules and guidelines, Claims is a fun and fast-paced team that enjoys working side by side, developing new ideas for efficiency, and prioritizes a strong focus on exceeding regulatory and contractual standards. Our driving mission is to offer world-class customer service (and expedited reimbursement) to healthcare providers on behalf of our members. Claims offers a career path progression that begins upon hire and allows development-focused staff to achieve two promotions in just one year. We succeed as a team and we prioritize professional development, considering ourselves an operational springboard to spring talented and driven employees toward their future goals.
Remote Worker Considerations:
Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Responsibilities
- Processes claims accurately and efficiently.
- Reviews all incoming claims to verify necessary information.
- Determines that correct member and provider records are chosen and utilized to process claims.
- Enters claims data and information into the computerized Claims Processing System.
- Maintains all required documentation of claims processed and claims on hand.
- Adjudicates claims in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
- Maintains production standards; for direct data entry claims this includes processing an average of 31 claims per hour, with an accuracy rate of 98.5% over each pay period.
- Verifies data of scanned paper claims at stated standards.
- Provides backup for other examiners within the department.
- Promotes a spirit of cooperation and understanding among all personnel.
- Attends organizational meetings as required.
- Adheres to organizational policies and procedures.
- Maintains confidentiality of all claim files, claims reports, and claims related issues.
Qualifications
- High school diploma required.
- 6 months data entry experience with 10 key and word processing; minimum 10,000 keystrokes per hour required.
- Experience processing medical claims and knowledge of medical billing terminology and coding strongly preferred.
- Proficient in MS Office.
Core Competencies
- Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
- Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
- Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
- Ability to effectively organize, prioritize, multi-task and manage time.
- Ability to work and maintain production in a work-from-home (WFH) environment
- Demonstrated ability to show self-discipline to meet production goals.
- Demonstrated accuracy and productivity in a changing environment.
- Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions, and to utilize constructive criticism to improve.
- Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time.
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.
Environmental Conditions
Work-from-home (WFH) environment.
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.
ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.
by twochickswithasidehustle | Oct 3, 2024 | Uncategorized
Description
American Specialty Health Incorporated is seeking a Specialist – HR Compliance to join our Human Resources (HRS) department. This position will oversee HR Compliance, lead HR audit efforts, oversee the Immigration Process and create and maintain standard operating procedures (SOPs).
Salary Range
American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $48,000 to $65,000 Full-Time Annual Salary Range.
Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Responsibilities
- Researches, documents, and ensures compliance of State and Federal Employment Laws.
- Monitors compliance with federal, state, and local regulatory requirements including US employment and leave laws.
- Researches new and existing regulations, identifies processes and updates policies as needed.
- Maintains a comprehensive catalog of all state and federal HR employment laws and ensures required notifications including labor law posters are posted timely.
- Updates the monthly Compliance Workforce spreadsheets with additions and changes to regulatory mandates.
- Works with their manager, HR Managers and Legal Council on implementing new laws to ensure compliance with employment laws in all 50 states.
- Ensures corporate compliance with government regulations.
- Tracks and ensures all Certificates of Insurance (COIs) are up to date and adhere to company policy.
- Tracks, audits and ensures HR is in compliance with California Consumer Privacy Act (CCPA).
- Oversees Audits and SOPs.
- Takes the lead and acts as liaison between HR and Delegation Support on external audits.
- Organizes and gathers information requested for external audits.
- Maintains a report of all audits and responses.
- Works with HR management on ensuring SOPs are complete and followed in all areas of HR.
- Proactively evaluates current processes and provides recommendations for improvement.
- Oversees Immigration Process.
- Oversees Immigration paperwork and stays abreast on Immigrations laws. Seeks guidance and refers matters that involve legal or business risk matters to their manager.
- Acts as a liaison and point of contact for ASH and external counsel for all immigration needs.
- Manages immigration cases ensuring legal compliance, optimal processing timelines and maximum efficiency.
- Collaborates with their manager to conduct the appropriate due diligence and to strategize and develop short- and long-term solutions and business plans as they relate to immigration needs.
- Educates Talent Acquisition team and Department Managers on US immigration regulations and updates.
- Maintains public access files, ensuring files are current and compliant.
- Maintains and recertifies I-9s to ensure ASH employees are eligible to perform labor and services in the United States.
- Proactively communicates with employees and other relevant contacts regarding the status of their visa cases and extensions.
- Ensures integrity of PERM Green Card process, including job description review, accurate minimum requirements and extensive strategy discussions with managers and HR which includes the business necessity defense of job requirements.
- Supports the recruitment process in connection with PERM Green Card process, including coordinating recruitment with external legal counsel, analyzing resumes, and preparation of recruitment reports to defend findings.
- Creates, develops and maintains immigration records for reporting and tracking data/case quarterly ensuring compliance with budget and service level agreements. Responsible for continual learning and education regarding Immigration laws and regulations.
- Oversees Affirmative Action Plan (AAP).
- Develops AAP internal and external communication procedures.
- Assists in the identification of AAP/EEO challenges and recommends effective solutions.
- Designs and implements an internal audit and reporting system that measures the effectiveness of ASH’s program and determines the degree to which AAP goals and objectives are met and identifies the need for remedial action.
- Keeps the Sr. Manager, Talent Acquisition informed of equal opportunity progress and reporting potential concerns.
- Serves as a liaison between the Company and enforcement agencies.
- Processes audit reports quarterly for review prior to government report preparation.
- Assists Sr. HRIS Analysts in preparing and submitting the EEO-1 and Vets-100 reports annually by the required deadlines.
- Works with the Sr. Manager, Talent Acquisition to develop and deliver training to management and staff annually to outline ASH’s affirmative action goals and progress towards said goals.
- Works with Sr. Manager, Talent Acquisition to provide training to all personnel involved in the recruitment, screening, selection, promotion, disciplinary and related processes to meet ASH’s affirmative action, ADAAA and VEVRAA goals.
Qualifications
- Bachelor’s degree in related field or equivalent experience. If equivalent experience, high school diploma required.
- A minimum of 5 years of experience assisting or overseeing compliance efforts in a Human Resources department.
- Current knowledge of states and federal compliance, immigration legislation, affirmative action plans, leave of absences and current HR practices and trends required.
- Project Management experience preferred.
- Proficient in MS Office.
- Demonstrated ability in quality assurance.
Core Competencies
- Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
- Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
- Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
- Ability to effectively organize, prioritize, multi-task and manage
- Demonstrated accuracy and productivity in a changing environment with constant interruptions.
- Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
- Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time, able to answer telephones.
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.
Environmental Conditions
Work-from-home (WFH) environment.
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.
ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.
by twochickswithasidehustle | Oct 3, 2024 | Uncategorized
Are you excited by the thought of helping entrepreneurs across the country realize their dreams of building their own company? We have a bold vision of increasing the number of people who succeed in small business. To date, our team has put $5B of funding to use, helping launch over 20,000 businesses and creating nearly 100,000 jobs to the economy. We’re doing this by delivering innovative funding solutions and building the latest technology to help entrepreneurs across the country start and grow their small businesses. Our purpose goes beyond supporting entrepreneurs – we want our employees to feel as empowered as our entrepreneurs to make an impact on our clients and their careers.
Values
Adaptability: Change isn’t scary. You embrace opportunities to adapt and bring others along.
Connection: Connection is important. You lift others up because when they grow you grow.
Excellence: You thrive outside of your comfort zone. You jump at the chance to make things better and have insatiable curiosity.
The Role
Lead and support a full-function team in client operations. This individual will be responsible for delivering the products, service, and experience that we promise to our clients while identifying process improvement needs, sharing best practices with peers, implementing policies/procedures within their team, and supporting the career development of individual team members. In addition, this role will lead their team to overcome obstacles and challenges standing in the way of team and client success.
What You’ll Be Doing
- Coach and develop a team of remote full-function employees who are responsible for all aspects of client services including but not limited to plan administration, client communication, and quality assurance.
- Allocate resources daily and weekly to adjust team focus towards goals attainment.
- Support company and team vision and values through role modeling and coach desired behaviors.
- Regularly communicate progress, results, challenges and obstacles with senior leaders and others involved in product management.
- Setting performance goals and delivering ongoing feedback.
- Lead the team to resolve escalated client issues efficiently and effectively.
- Cultivate strong team collaboration in alignment with PACED Values and Guiding Principles.
Additional Functions
- Partner with other managers and senior leaders on special projects, reporting and process improvement.
- Act as team ambassador for cross-department initiatives and projects.
- Recommend changes for organizational and process improvement.
- Support the team and the company by utilizing visual management to monitor performance and goal achievement.
- Performs other duties as required.
Requirements
- Must be 18 years of age
- 2+ years of customer care or client relations experience, preferably in a lead or supervisory role
- Ability to work in a fast-paced environment to meet deadlines while managing multiple priorities
- Demonstrate interpersonal leadership skills, including emotional intelligence, navigating team conflict, and motivating team members
- Passion for developing others including teambuilding, coaching, and mentoring
- Clear communicator
- Ability to work in an autonomous environment where you can be a self-directed, independent worker
- Ability to create an inclusive workplace where everyone feels a sense of belonging by empowering all our employees to speak up, ask questions, and be seen.
Other Requirements
- Must pass a background check
- Must meet work from home requirements to qualify
- Complete continuing education based upon current certifications
For this position there are minimum work from home requirements that must be met in order to perform the essential functions in a remote work from home (WFH) environment. These include 1) a space to work out of (i.e., home office) and 2) High speed internet
Benefits
- Our People are Key to Success: Work with a team of smart, creative, fun and highly motivated people
- When You Grow, We Grow: Continue to learn with ongoing training, career pathing, and supportive leaders. For the last three years, Guidant has promoted more than 20% of our organization into new and exciting roles!
- Wellness: Top benefits and perks including comprehensive health coverage (with free premium option), competitive salary, paid parental leave and a generous 401k match. Be able to disconnect with Paid Time Off of 3 weeks and 11 Paid Holidays.
- Flexible Work Arrangements: Work from the enjoyment of your home office. We work with entrepreneurs every day; we want you to have autonomy within your work structure with company provided equipment.
- Awesome Culture: Be part of Guidant’s award-winning culture and have the experience to connect through coffee with senior leaders or hit a home run being part of our company sporting events.
- Empowering Equity and Inclusion: Be part of an inclusive work environment that gives employees a voice to speak up, be heard, and supported.
This is a fully and permanently remote work from home opportunity with a growing and stable company available in select states across the US: AZ, FL, GA, ID, KS, LA, MI, MN, NC, NE, TX, UT, VA, MO
The wage for this position is between $65,000 – $70,000 annually
by twochickswithasidehustle | Oct 3, 2024 | Uncategorized
Are you excited by the thought of helping entrepreneurs across the country realize their dreams of building their own company? We have a bold vision of increasing the number of people who succeed in small business. To date, our team has put $5B of funding to use, helping launch over 20,000 businesses and creating nearly 100,000 jobs to the economy. We’re doing this by delivering innovative funding solutions and building the latest technology to help entrepreneurs across the country start and grow their small businesses. Our purpose goes beyond supporting entrepreneurs – we want our employees to feel as empowered as our entrepreneurs to make an impact on our clients and their careers.
Values
Adaptability: Change isn’t scary. You embrace opportunities to adapt and bring others along.
Connection: Connection is important. You lift others up because when they grow you grow.
Excellence: You thrive outside of your comfort zone. You jump at the chance to make things better and have insatiable curiosity.
The Role
Guidant financial is currently looking for a remote Client Relations Specialist. With moderate autonomy, this role will support the Bookkeeping and Tax Services department by coordinating various client communications, department workflows and processing responsibilities.
What You’ll Be Doing
- Lead communication process with clients. Triage and answer technical accounting, product, pricing, and process questions with varying complexity
- Manage and prevent client escalations leveraging customer services and problem-solving skills with technical and product knowledge
- Effectively guide clients through product changes (upgrades or downgrades in service offerings) and follow up on resolutions
- Prepare and explain add-on billing charges
- Process client terminations
- Deliver high quality bookkeeping and tax service to a portfolio of clients of different sizes in multiple industries
- Understand client business models to support with products, processes, and client relations
- Advise on client communication and best practices
Additional Functions
- Support Maintenance, onboarding, and tax teams with phones or email, as needed
- Contributing to department and team projects
- Perform other duties as required
Requirements
- Must be 18 years of age
- Bachelor’s degree in Business, Accounting, or Finance or equivalent experience required
- Proficient knowledge of QuickBooks Online (QBO)/Certification highly desired
- 3 years of progressive bookkeeping experience in a multi-client environment
- 3 years of client servicing experience handling tasks of various complexity for small business owners
- Understands small business accounting and tax services
- Superior verbal (phone) and written communicator who knows how read their audience
- Excellent working knowledge of Microsoft suite including Excel, Outlook and Teams
- Skills in problem solving, process improvement, critical thinking, prioritization
- Ability to work in an autonomous environment where you can be a self-directed, independent worker
- Ability to create an inclusive workplace where everyone feels a sense of belonging by empowering all our employees to speak up, ask questions, and be seen
Other Requirements
- Must pass a background check
- Must meet work from home requirements to qualify
- Complete continuing education based upon current certifications
For this position there are minimum work from home requirements that must be met in order to perform the essential functions in a remote work from home (WFH) environment. These include 1) a space to work out of (i.e., home office) and 2) High speed internet.
Benefits
- Our People are Key to Success: Work with a team of smart, creative, fun and highly motivated people
- When You Grow, We Grow: Continue to learn with ongoing training, career pathing, and supportive leaders. For the last three years, Guidant has promoted more than 20% of our organization into new and exciting roles!
- Wellness: Top benefits and perks including comprehensive health coverage (with free premium option), competitive salary, and paid parental leave and a generous 401k match. Be able to disconnect with Paid Time Off of 3 weeks and 11 Paid Holidays.
- Flexible Work Arrangements: Work from the enjoyment of your home office. We work with entrepreneurs every day; we want you to have autonomy within your work structure with company provided equipment.
- Awesome Culture: Be part of Guidant’s award-winning culture and have the experience to connect through coffee with senior leaders or hit a home run being part of our company sporting events.
- Empowering Equity and Inclusion: Be part of an inclusive work environment that gives employees a voice to speak up, be heard, and supported.
This is a fully and permanently remote work from home opportunity with a growing and stable company available in select states across the US: AZ, FL, GA, ID, KS, LA, MI, MN, NC, NE, TX, UT, VA, MO
The wage for this position is between $57,000 – $62,000 annually.
by twochickswithasidehustle | Oct 3, 2024 | Uncategorized
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