Operations Support Specialist

Employer: MultiPlan

The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The duties require an intermediate knowledge of the subrogation process. Responsibilities include sorting scanning incoming correspondence, data entry, and creating new Subrogation cases.

JOB ROLES AND RESPONSIBILITIES:

  • Completing data entry and new case creation.
  • Reviewing claims.
  • Retrieving, imaging and prioritizing the daily incoming mail
  • Performing ISO Index searches and identifying accidents to refer to Subrogation Specialists.
  • Generating and processing IQ batches with guidance for the Subrogation Business Analyst.
  • Obtaining information such as claims and plan documents from client remote systems.
  • Processing outgoing mail and certified mail.
  • Processing incoming emails, faxes, and voicemails onto the Discovery Case Management system.
  • Collaborate, coordinate, and communicate across disciplines and departments.
  • Ensure compliance with HIPAA regulations and requirements.
  • Demonstrate Company’s Core Competencies and values held within.
  • Please note due to the exposure of PHI sensitive data — this role is considered to be a High Risk Role.
  • The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:

The incumbent keeps the needs of external and internal customers as a priority when making decisions and taking action. The incumbent relies on established guidelines, policies, and procedures, allowing for little to no exercise of independent judgment. Accurate and timely processing of claim documents and requests directly impacts company revenue and client savings.

**Pursuant to Colorado’s “Equal Pay for Equal Work Act”, the following salary range is provided solely for applicants living in Colorado. $17.00 – $18.50. If an applicant does not live in Colorado, this salary range may not apply. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

JOB REQUIREMENTS

JOB REQUIREMENTS (Education, Experience, and Training):

  • High School Diploma or GED with 1+ years of experience in an office environment, prefer experience in medical claims industry
  • Typing skills of a minimum of 45 wpm
  • The ability to ask questions to uncover the information needed
  • Basic knowledge of working computers/scanners
  • Strong communication and client interfacing skills
  • Basic knowledge of the Microsoft Office 365 tools
  • Required licensures, professional certifications, and/or Board certifications as applicable
  • Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

  • Medical, dental and vision coverage (low copay & deductible
  • Life insurance
  • Short- and long-term disability
  • 401(k) + match
  • Generous Paid Time Off
  • Paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • Summer Hours

APPLY HERE

Order Processor

Employer: Transactly

What we need

We are seeking an organized multi-tasker with exceptional customer service skills to join our team as an Order Processor. An Order Processor will own the relationships we have with our clients and pride themselves on always providing an exceptional customer experience.

This position can be fully remote.

What you’ll do

  • Manage clients’ orders from time of order through installation
  • Enter orders into the system
  • Ensure client orders are placed properly and installed on the date requested
  • Additional responsibilities as assigned

What you have

  • Excellent oral and written communication skills
  • Must be comfortable on the phone
  • Customer Service experience
  • Call Center experience highly preferred
  • Previous order processing experience preferred
  • Experience with Salesforce or a similar CRM preferred’

What we offer

  • Opportunities for career growth and a chance to make a big impact
  • A culture that supports work/life balance and flexibility
  • Competitive pay
  • Health, dental, & vision plans
  • Wellness reimbursement
  • 401(k) plan w/ company match
  • Generous paid time off, including 10 paid holidays

APPLY HERE

Project Specialist – Specialty Services Team

Employer: CVS Health

***Open to any US location, but regardless of where you reside, ask that you match a Central time zone need for availability***

bswift is currently seeking a Project Specialist to join our growing team. The Project Specialist will be responsible for helping bswift meet and exceed client expectations as the primary processor from the Specialty Services department for our internal team members.

Responsibilities include (but are not limited to):

  • Complete system processing for specialty services (Dependent Verification, Evidence of Insurability, Death, Power of Attorney etc.)
  • Perform ongoing audits and communicate impact to internal team members
  • Update benefit records
  • Assist with Data Entry
  • Complete deliverables timely and accurately
  • Create and update reports in the bswift system
  • Participate in system testing
  • Participate in special projects as assigned
  • Provide open communication in a pleasant, professional manner with a can-do-attitude
  • Serve as coach to peers

Required Qualifications

  • Strong organization skills
  • Attention to detail during repetitive processes
  • Agility to adapt to changing priorities
  • Good written/verbal communication skills and the ability to communicate with both technical and non-technical personnel
  • Ability to listen, clarify and respond well to questions
  • Ability to operate and make timely decisions in an ambiguous, fast-paced atmosphere
  • Must possess a passion for teamwork, client service and reaching business results through problem solving
  • Help foster a diverse and inclusive work environment
  • Working knowledge of MS Excel (data entry, basic navigation)

Preferred Qualifications

Preferred Qualifications :

  • Health and welfare benefits administration experience
  • Proficiency in MS Excel (reading formulas to understand what they are doing, adding new formulas to workbooks)

Education

  • A Bachelor s Degree from a four-Year College or university; or equivalent combination of education and experience.

APPLY HERE

Account Specialist, Thrive & Tuition

About the Role
The Account Specialist is integral to our customer support team, working directly with our clients. This role coordinates with the relationship management team to ensure high client retention and satisfaction. Account Specialists assist with day-to-day client interactions that support both the client and the relationship managers.

Responsibilities
Consistently hit quarterly Big 3 goals while embodying our CARE values
Be a direct day-to-day point of contact for all Thrive Account and Tuition clients, providing issue management and client support via email and phone
Provide feedback to the Relationship Manager and operational leadership on trends and opportunities within the assigned book of business and the broader client base
Assist with client and participant training opportunities
Clearly articulate and communicate with internal and external stakeholders
Adhere to and update KPIs as it relates to the role
Assist in the renewal and termination process
Responsible for timely and effective client support, problem resolution, and proactive follow-up
Manage system updates during implementation, renewal, and mid-year changes
Provide stellar customer service to internal staff, clients, and participants
Provide ongoing assistance to team members
Requirements
1-3 years experience in Customer Support or a similar role
Demonstrated understanding of how to deliver high-quality customer service
Working knowledge of Microsoft Word and Excel
Ability to understand how to utilize technology
Ability to identify and provide solutions for client needs
Quick learner and detailed oriented
Strong communication skills, complemented by both excellent verbal and written communication customer-centric with a strong desire to help people; highly empathetic
Positive attitude
Takes initiative to uncover/develop solutions before escalating issues
Ability to take on new projects and easily transition between tasks
Team player who is receptive to coaching and adaptive to change
Desire to excel and grow each day
Ability to work in a remote environment
Additional Information
Salary Offered

$37,000-$43,000/annually

Benefits Offered

Health, Dental, and Vision Insurance
Life and AD&D Insurance
Short-and long-term disability insurance
Maternity and Paternity Leave
401K with employer match
5-and 10-year sabbatical program
Employee Assistance Program (EAP)
Voluntary Benefits
Monthly Employer Contributions to Employee ThrivePass Account
Annual Learning and Development Funds
Generous Paid Time Off (PTO) Policy

APPLY HERE

Cash Posting Rep II

R1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1 is publicly-traded organization with employees throughout the US and international locations.
Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patient’s and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

The Cash Posting Representative will be responsible for supporting the back-end cash posting function for R1 customer sites across the United States. The primary goal is to ensure maximum revenue for our clients. The Cash Posting Representative is responsible for the accurate and timely application of payments to various customer accounts.
Responsibilities:
• Monitor and gather remittance advice or lock box deposits for manual or electronic postings.
• Reconcile individual payer transmissions or lock box deposits in a timely and accurate manner.
• Post transactions manually when necessary.
• Work exception and error listings associated with maintaining and processing the hospital receivables such as overpayments, refunds, misapplied, unapplied payments and charges, and returned checks.
• Comply with all government and third-party payers regulatory mandated requirements for billing and collections.
• Ability to maintain confidentiality of all information under HIPPA guidelines.
• Meet departmental productivity and quality standards in timeframe given upon completion of training.
Required Qualifications:
• High School Diploma or equivalent (GED).
• Ability to execute processes efficiently and maintain highest level of quality
• Demonstrates ability to identify and communicate issues
• Computer literacy skills, including Excel spreadsheets and Microsoft Office products.
• Enhanced communication and customer service skills.
• Ability to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks.
Desired Qualifications:
• Experience with hospital patient accounting systems.
• Understanding of financial terminology.
• Understanding of the entire revenue cycle process.
• Knowledge of Revenue and ICD coding language.
• 1-2 years of back end revenue cycle experience in a facility and hospital setting.
Physical Requirements:
• See, read, and/or operate computers, telephones, office equipment, documents, labels, including manipulating paper requiring the ability to move fingers and hands.
• Remain sitting, standing, or walking for long periods of time to perform work on a computer, telephone, or other equipment.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information banding patients, etc.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:

Comprehensive Medical, Dental, Vision & RX Coverage
Paid Time Off, Volunteer Time & Holidays
401K with Company Match
Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
Tuition Reimbursement
Parental Leave

APPLY HERE