Electronic Medical Record 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.

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

  • Full-Time: Monday-Thursday 6:00am – 5:00 PM (Mandatory Overtime)
  • Comfortable working in a high-volume production environment.
  • Processing medical record requests 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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Claims Examiner I

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.

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SIGTRACK

Sigtrack is a database application that links grassroots campaigns with crowdsourced data entry freelancers.

Legal
Requirements
Access to voter data is restricted by law. Every user must provide proof of U.S. residency.

Independent contractors cannot be residents of or work in California or Massachusetts.

SystemRequirements

  • Windows 10/11, or MacOS 10.15+
  • high speed internet
  • single 4k monitor or a second 1080p monitor

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Claims Processing Associate

Job ID 2022-13820 Category Claims Support Team Min USD $16.35/Hr. Max USD $20.00/Hr.
Overview
Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care.

As a Claims Processing Associate you will review and investigate claims, make payment determinations, as well as process and match claims data with appropriate authorizations as necessary.

Responsibilities
In this Job, you will:

Review electronic claims, resolve computer generated edits, determine correct payment or denial amounts, and document notes.
Identify questionable claims and authorizations or system issues as appropriate.
Achieve production and quality targets as set by the department.
Adhere to all CareCentrix policies which may include but is not limited to; Mandatory HIPAA privacy program, Business Ethics and Compliance, Attendance and any additional Corporate or departmental policies.
This is the job for you if:

You exercise good judgement and want to help patients heal at home.
You have an ability to clearly communicate with internal and external customers.
You are comfortable working in a fast-paced environment with multiple tasks, and possess strong organizational skills.

Qualifications
You should reach out if you have:

Experience with claims processing, medical services, or medical terminology knowledge.
A high school diploma or the equivalent.
Minimum of one year of work experience.
Know every healthcare problem is unique and approach problems with questions not answers.
Are fun to work with! We take our commitment to patients seriously, but we don’t take ourselves seriously. We are looking for team members who bring joy to the work they do.

What we offer:

Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
Advancement opportunities, professional skills training, and tuition Reimbursement
Great culture with a sense of community.

APPLY HERE

Work from Home: Sr.Inbound Chat Service Associate

Job Description
Digital Service Associate

NOTE: This is a virtual position in the United States where you will work from your personal residence in a distraction free space. Due to the needs of the business at this time, we are only hiring in the following time zones: MST and PST

The Wayfair Opportunity:

At Wayfair, we believe a phenomenal customer experience combined with a supportive employee structure has resulted in our award-winning Customer Service Team.

This isn’t just about taking another contact— this is about empowering our customers to create spaces reflecting who they are, what they need, and what they value. You’ll play a crucial role by providing a best in class experience when it’s most needed to our UK & IE based customers. Wayfair will give you the training, tools, and decision-making ability to help our customers find solutions that work best for them.

You will empathetically help customers navigate a variety of post-order issues such as: shipping questions, damages, returns, replacements, assembly services and order notifications.

No scripts. No canned responses. These are true human to human interactions where you can make a meaningful impact. Wayfair will invest in you with continuous development, career opportunities, and will surround you with a team of great people.

What Does a Senior Digital Service Associate Do?

Navigates Technology Effectively: You should have the ability to proficiently navigate hardware and software which is imperative to success in this role. You will rely on technology daily in order to do your work and you should feel comfortable with continuous learning.
Mastery of the Written English Language: Written communication will be your primary tool. You should have an unparalleled understanding of the English language and ability to convey empathy in all written formats. You will be expected to use your analytical skills to read, probe, and fully understand the needs of our customers to assess the best resolution to each unique problem.
Ability to Handle Multiple and Concurrent Contacts: This is a fast paced and highly structured environment. Attention to detail will be crucial since you will not be speaking to customers by phone, only through written communications via our digital platforms (i.e.-chat, email, and SMS).
Read Analytically and Show Empathy: You will work to understand relevant customer information and find the best way to solve their problem quickly and thoroughly through written communication. You will reference policies and procedures to respond in a respectful and courteous manner when addressing customer inquiries, requests or escalations.
Demonstrates Reliability: Attendance and commitment to being present for your full shift each day is crucial. This helps ensure we’re ready and available to help our customers when they need us most. For unexpected events or issues, we require our associates to be proactive in their communication and planning whenever possible.
Meets Our High Performance Bar: You’ll work to exceed customer satisfaction, excel in meeting customer service efficiency metrics, and other responsibilities as assigned. Our associates set and hold a high bar for themselves and own their own development plan by setting tangible goals, driving regular development conversations with their manager, and taking the initiative to get appropriate feedback and support.
Engages Customers: You’ll need a passion for people to create an exceptional experience by delivering effective support aligned with Wayfair’s values, principles and standards. You’ll represent Wayfair and build trusting relationships with customers who contact us through our digital platforms. Topics can range from returns, replacements, delivery, product availability, order status, and more.
De-Escalate Customer Concerns: Most customers contact us because they’ve had an order issue and need your help. You will use your conflict management skills to balance the needs of the customer with the options from the business, while always maintaining professional composure in your communications.
Problem Solves: Solutions aren’t a one-size-fits-all approach and associates do not use pre-populated scripts. You will be given a level of autonomy to help customers find the right solution. You’ll need to think analytically to solve customer problems in a first contact resolution approach.
Multitasks: You’ll need to juggle navigating multiple browsers, tabs, tools, screens, and concurrent chats in order to quickly and effectively answer questions. The ideal digital service associate will be highly familiar with computers and can effectively navigate technology on a daily basis.
Escalates Systemic Issues: You’ll continuously look for areas of improvement and communicate trends in customer contacts to leadership as appropriate.

What are the Pay & Benefits?:

Pay:

Hourly Pay Rate: $17.85 ( cost of living adjustments could apply)
Tenure based pay increases starting as early as 6 months
Quarterly Performance Bonuses (up to $2,200)
Referral Bonus ($500 per eligible referral)

Benefits:

Health, Vision and Dental Insurances (coverage starts on Day 1!)
401(k) with company match up to 4%
Paid Time Off (start accruing time immediately)
7 Paid Federal Holidays and 1 Floating Holiday
Paid / Unpaid Parental Leave options
Eligible Tuition Reimbursement (up to $5,250)
Wayfair Employee Discount

What are the Requirements?
Demonstrated proficiency in written English language.
1+ years in a call center environment or similar. (digital or chat experience preferred)
Comfort in working with our customers internationally.
Ability to work shifts and training between the hours of 3pm-12am PST
You will required to type 45 or more words per minute (wpm) (assessed)
You must be 18 years of age or older.
You must hold a High School Diploma, GED, or equivalent.
You will be required to hardwire your computer to a modem with minimum internet speeds of 25Mbps (download) and 5Mbps (upload). Wireless (WiFi) access is not permitted for use. All other necessary computer equipment and accessories are provided by Wayfair.
Comfortable working with a variety of systems and platforms simultaneously. (Windows Operating Systems or equivalent.)
A private and dedicated workspace free of any distractions (roommates, children, spouses, pets, etc.)
Wayfair wants to ensure your success. This is why our training is 100% mandatory. We are unable to accommodate any misses, time off, or tardiness during this period.

APPLY HERE