by twochickswithasidehustle | Jul 20, 2022 | Uncategorized
Employer: Cotiviti
Description
Cotiviti Healthcare is the payment accuracy expert! We work with healthcare organizations to recover money, improve processes, strengthen relationships and maximize their value. We are a fast growing and highly successful payment integrity firm with a long history of success. As we continue to grow, we are seeking experienced Payment Accuracy Specialist II to join our team. This is a great opportunity to join a well-established company with competitive pay, opportunities to develop professionally and excellent benefits.
For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually. In addition, the majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well. As we monitor the pandemic, these arrangements may change and we will update accordingly.
Job Responsibilities
As a successful Payment Accuracy Specialist II, you will identify, develop, and implement new concepts that will recognize incorrect payments. Concepts are developed based on your industry experience, regulatory research, and your ability to analyze medical claim data to discover incorrect payments. You will be responsible for analyzing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients. You will assist in the identification, validation and documentation of moderate to more complex recovery projects. You will also be responsible for executing more independent projects assigned by your Operations Manager. If you are successful at thinking “outside of the box”, very analytical and love problem/puzzle solving complex medical claims, then look no further, review the position and requirements below and apply now!
Other responsibilities of the Payment Accuracy Specialist II role include:
- Utilizing healthcare experience to perform audit recovery procedures
- Identifying and validating incorrect claim payments
- Identifying and defining issues, developing criteria, reviewing and analyzing contracts and Health Plan reimbursement regulations
- Entering and documenting the incorrect payment issue into Cotiviti’s systems accurately and in accordance with standard procedures
- Updating and developing new and current audit recovery reports, developing and running custom queries
- Researching reimbursement regulations for claim payment compliance reviews and documentation to support current audit findings
As a Payment Accuracy Specialist II – you must have a passion for solving complex medical claim reimbursement problems. You must be an independent thinker with a great attention to detail. You must be a self-disciplined team player who enjoys working in a collaborative environment. Qualified candidates have the ability to multitask, set priorities and meet deadlines.
Requirements:
- Bachelor’s Degree preferred
- Minimum 3 year’s knowledge of direct claim processing/reimbursement, medical facility contracts, fee schedules, inpatient/outpatient/physician claims or strong data analytics experience required
- Medicare experience strong preferred
- Certified Professional / Hospital Coder Certification (CCS, CPC, CPC-H, CCS-P, CCRC, CCS-A, RHIA, RHIT ) preferred
- Prior claims auditing or consulting experience desirable in either a provider or payer environment
- Excellent communication skills both oral and written
- Strong interpersonal skills that will support collaborative team work
- Microsoft Office Proficient: Word and Excel; Access – highly preferred
Our most important resource at Cotiviti is our dedicated staff of professionals. Joining the Cotiviti team means being welcomed into a collaborative, team-oriented environment. Our open and supportive culture encourages employee contributions that enable individual success and professional development. Our team thrives on a passion for success and creative independence.
APPLY HERE
by twochickswithasidehustle | Jul 20, 2022 | Uncategorized
Job Description
WEBTOON is a world leader in digital entertainment with over 82 million unique monthly readers. We are a rapidly growing digital entertainment company and storytelling platform with users and creators from all over the world. Every day we come ready to learn, contribute, and get excited about the opportunity to work alongside people of different backgrounds and work styles.
We are looking for content moderators to review and moderate all user-generated content. As a Content Moderator, you will review and investigate visual and written content that violate our Community Guidelines. You must be detail-oriented, visual, and self-motivated. Past moderation experience is preferred, but not required.
This is a remote, part-time contract role.
Requirements:
Native-level or near native proficiency in English
Experience in user-generated content moderation, or interested in online safety
Culturally aware of trends and pop culture in United States
Self-starter and ahead of the game
Technically savvy and able to quickly learn new systems
High speed internet connection required
Multilingual is a plus
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by twochickswithasidehustle | Jul 20, 2022 | Uncategorized
Job Description
Part-time, Work from Home
Up to 20 hours per week
Hours fluctuate; some evenings and weekends may be required
Starting Pay: $15.00/hour
Growing Market Share 365 is a professional marketing firm Headquartered in Salt Lake City, UT and has been in business since 1998. We are currently seeking proactive individuals to assist in data entry and maintaining excel databases.
Qualifications & Requirements
High School Diploma or equivalent
Previous data entry experience
Type 40+ WPM and 10-key efficiency
High level of accuracy
Detail-oriented, self-disciplined, and self-motivated
Knowledge of correct spelling, grammar, and punctuation
Excellent reading comprehension and analyzing skills
Proficient in Microsoft Office, Outlook, Excel, and Word
MUST have Windows PC, 3-year old or newer computer with a minimum of 8GB usable RAM (Mac/Apple, Tablets, Chromebooks are not compatible with our templates/software and cannot be used at this time)
MUST have Windows 10 or higher, Microsoft 365 subscription, a printer with ink, and high-speed internet access
MUST have High-Speed Internet with at least 3mbps or better upload speed
APPLY HERE
by twochickswithasidehustle | Jul 20, 2022 | Uncategorized
Please note:
We hire independent contractors in the U.S. only.
We are not hiring independent contractors in the following states: AL, CA, CO, CT, MI, NY, OH, TN, VA, WA.
Applicants must be 18 years of age or older.
APPLY HERE
by twochickswithasidehustle | Jul 19, 2022 | Uncategorized
Employer: TridentCare
Description
- Monitors specimen testing and resulting workflow post collection for all STAT orders, and orders sent to reference labs.
- Serves as liaison between client and Laboratory to ensure speedy resulting and release of results in the LIS. Activities can involve following up with dispatchers, phlebotomists, CLS, Lab Assistants, or specimen processors.
- Serves as liaison between client and reference labs (stat labs) to ensure promt fax of results. Activities include calling the reference lab to follow up on result status, adding/modifying requested tests, refaxing results, making demographic corrections.
- Completes data entry of patient demographics and lab order collection details into the LIS.
- Actively monitors LIS “STAT Tracking” program to continually evaluate all pending orders and conduct appropriate follow-up on the oldest orders.
- Collaborates with Lab Dispatch Department to gain an understanding of order comp[etion and drop status.
- Contacts client facilities to schedule “Redraws”; orders that need to be recollected due to unfavorable circumstances.
- Relays critical report values to appropriate personnel at client facilities.
- Conducts detailed and thorough research to find missing specimens.
- Escalates issues to appropriate management staff.
- Assists Customer Service Departments with results requests.
- Uses IP phone to answer calls, place calls, and redirect calls as needed.
- Answers calls from reference labs and phlebotomists.
- Uses email to communicate with in-house lab departments, phlebotomy supervisors, Lab Dispatch, and other departments.
- Works cooperatively and fully communicates with Area/ Regional Phlebotomy Management, Logging staff, Lab Dispatch, Customer Service, Redraw Department, and Courier services.
- Exercises initiative and responsibility by accommodating special requests, expediting urgent cases by conducting constant follow-up, and maintaining a positive attitude to connecting parties to ensure excellent customer service is provided.
- Composes detailed written documentation of issues that occur throughout the shift. It may be necessary to do mild investigations of situations, or conduct troubleshooting, or oversee immediate handling of an unexpected problem.
- Identifies and pursues self-improvement, and positively and quickly adapts to changes when directed.
- Performs other duties as assigned, helps out when attendance issues arise within the office, maintaining a positive attitude during crisis and engaging in daily teamwork with minimal encouragement.
Skills
Required
Typing Skills Min 35 wpm
Intermediate
Typing Skills – 10 Key
Novice
Identify/Resolve Problems
Intermediate
English written/verbal
Some Knowledge
Communication Skills
Novice
Computer Skills
Intermediate
Preferred
Medical Terminology
Novice
Customer Service
Some Knowledge
Behaviors
Required
Dedicated: Devoted to a task or purpose with loyalty or integrity
Team Player: Works well as a member of a group
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Motivations
Preferred
Self-Starter: Inspired to perform without outside help
Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Education
Preferred
High School or better.
APPLY HERE
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