by twochickswithasidehustle | Aug 4, 2022 | Uncategorized
Employer: American Specialty Health
Description
American Specialty Health Incorporated 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 American Specialty Health’s offerings to empower people to live longer and healthier lives. We’re 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 in a designated work area with company-provided technology equipment.
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) office setting.
APPLY HERE
by twochickswithasidehustle | Aug 3, 2022 | Uncategorized
Employer: LHH
LHH Recruitment Solutions is partnering with a national team to bring on several contract Billing Specialists. These Billing Specialists will be completely remote, but preference will be given to those based in the South Carolina and Charlotte, North Carolina area.
Those stepping into this role will be responsible for entering payment into the client’s billing portal, so experience in third party portal billing and attention to detail is a must. Candidate must be able to communicate in a professional manner, and compensation can be expected from $22-24 per hour based on experience. If interested, apply today!
Job Responsibilities:
- Enter in payment invoices into client databases
- Maintain contact with accounts and clients
- Entering high volumes of data
- Track incoming payments
- Prepare billing status schedules
- Research billing inquiries that are presented
Qualifications:
- 1-3 years of billing experience
- Understanding of third party portal billing
- Strong attention to detail
- Ability to work with high volume invoicing
- Ability to stay organized
APPLY HERE
by twochickswithasidehustle | Aug 3, 2022 | Uncategorized
Employer: General Assembly
Since 2011, General Assembly has transformed tens of thousands of careers through pioneering, experiential education in today’s most indemand skills. As featured in The Economist, Wired, and The New York Times, GA offers training in web development, data, design, business, and more, both online and at campuses around the world. Our global professional community boasts 40,000 alumni — and counting.
In addition to fostering career growth for individuals, GA helps employers cultivate top tech talent and spur innovation by transforming their teams through strategic learning. More than 21,000 employees at elite companies worldwide have honed their digital fluency with our corporate training programs. GA has also been recognized as one of Deloitte’s Technology Fast 500, and Fast Company has dubbed us leaders in WorldChanging Ideas as well as the #1 Most Innovative Company in Education.
As a Cash Management Lead, you are primarily responsible for application of high volume transactions for General Assembly’s accounts receivable department. You will ensure the accurate and timely application of student and other customer payments, check deposits, and maintenance of lockbox management. You have strong attention to detail and maintain a clear and organized report of all cash received in the period. You have a sharp eye for process gaps and look for opportunities to improve efficiency and effectiveness. You look for opportunities for growth in more junior team members and identify technical solutions for manual processes. You are able to use your critical thinking skills to effectively solve issues, while assisting other team members in doing the same. You are comfortable communicating with multiple stakeholders across several departments, and can help with reporting and reconciliations related to cash management.
Responsibilities
- Checking bank activities daily and ensuring that they get summarized and categorized appropriately in preparation for application in our books and records
- Working with team members to apply cash payments to outstanding Accounts Receivable balances
- Reviewing weekly cash forecasts
- Help with the management of customer database accounts Handle all differences and discrepancies such as payment issues
- Troubleshoot complex cash management issues that arise and assist other team members in doing the same
Requirements
- Ability to multitask and communicate effectively with individuals of all backgrounds
- Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data
- Effective attention to detail and a high degree of accuracy
- You possess strong critical thinking skills, ability to proactively and independently solve problems
- Self starter and ability to work effectively in a fully remote environment
- 3+ years working in an accounts receivable department
- Previous experience with cash applications
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by twochickswithasidehustle | Aug 3, 2022 | Uncategorized
Employer: PETA
Position Objective:
To assist with the input, hygiene, segmentation, and distribution of all of supported organizations’ membership data at the general and major donor levels
Primary Responsibilities and Duties:
In consultation and verified compliance with the objectives, standards, and requirements communicated by PETA:
Complete requests for donor data and information from staff of PETA Foundation and its supported organizations
Assist in implementing necessary changes in data processing, coding, and analysis for new fundraising efforts
Facilitate the entry and processing of donor data, as well as coordinating the import and export of data to and from external suppliers
Assist with training department staff members in data systems and usage
Identify and propose data processing improvements, as well as perform routine hygiene processes to ensure best available data
Troubleshoot supported organization donor file segmentation and coding
Assist with statistical analysis of supported organizations’ donor programs and individual campaigns
Perform any other duties assigned by the supervisor
Requirements
Bachelor’s degree or equivalent experience
Experience working with relational database systems
High proficiency in using Microsoft Excel
Proven ability to solve problems and manage complex projects
Excellent organizational skills and attention to detail
Demonstrated ability to work independently
Proven ability to collate, analyze, and present data methodically and accurately
Proven ability to work well under pressure and meet deadlines
Commitment to the objectives of the organization
APPLY HERE
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