Operations Support Specialist

Employer: MultiPlan

JOB DESCRIPTION

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client’s needs and tailoring innovative healthcare cost management solutions.

Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!

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

Quality Assurance Specialist

Description
AdaptHealth Opportunity – Apply Today!

At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you.

Quality Assurance Specialist

The Quality Assurance Specialist is responsible for reviewing delivery/shipping tickets and on-site orders to ensure AdaptHealth is meeting compliance standards according to accreditation and payer regulations/guidelines prior to confirming the delivery ticket in our billing system. Their review will include, but not limited to, things such as proof of delivery standards and accuracy of CMS or managed care payer billing guidelines. The Quality Assurance Specialist will be responsible for confirming all delivery/shipping tickets and on-site orders daily as received from the regions and indexing each ticket onto the appropriate EMR after confirmation.

Job Duties:

Develop and maintain working knowledge of current HME products and services offered by the company.
Accurately enters patient notes and updates into patient records
Reviews documentation to make sure it is valid prior to processing an order to ensure completeness and accuracy.
Verifies or obtains alternate contact information
Verifies delivery address, delivery instructions and telephone number for all orders
Understands and utilizes the most cost-effective delivery method for items ordered
Documents accounts with any delivery expectations and requests
Through daily work activities identifies trends, either system or process driven, that can be changed or modified to improve efficiency and create cost savings
Accurately process, verify, and/or submit documentation and orders
Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles
Must be able to navigate through multiple online EMR systems to obtain applicable documentation
Enter and review all pertinent information in EMR system including authorizations and expiration dates
Communicate with leadership on an on-going basis regarding any noticed trends with insurance companies
Verify insurance carriers are listed in the company’s database system, if not request the new carrier is entered
Meet quality assurance requirements and other key performance metrics
Maintain and review all required documentation for insurance coverage and reimbursement per insurance guidelines and company policy
Contact AdaptHealth sales and/or operations teams, and physicians, to obtain additional supporting medical necessity documents
Report to supervisor any apparent issues and coordinate submission of all required documentation.
Assist with implementation of performance improvement program as it relates to billing and coding performance.
Other duties as assigned.

Requirements
Minimum Job Qualifications:

High School Diploma or equivalent
One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.
Senior level requires two (2) years of work-related experience and one (1) year of exact job experience.
Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.

Salary Description
Hourly range from 17 to 20 an hour

APPLY HERE

Part-Time Media Editor (Weekend-Overnight)

Cision employs the brightest, most passionate people in the tech industry. We’d love for you to join our growing team! We invest in our people through training and professional development while supporting you along the way—all so you can meet your career goals. To us, the most important measure of our success is yours.

Cision Group Ltd. is a global leader in earned media management software, helping PR and communications professionals do their jobs better. As a news-monitoring and analysis boutique within Cision, Bulletin Intelligence creates bespoke, expert-curated briefings and dashboards for approximately 150 of the most demanding clients in the world; chief executives who are household names, and their Comms and other teams. Client contracts are for as much as $1mm per year. Annual client-retention rates are typically in the mid-90% range. Bulletin was acquired by Cision in March 2017.

Location: This is a remote role within the US. The company’s Analysts are able to use the company’s cloud-based software to work almost anywhere in the US that has a high-speed internet connection.

Hours: This is a part-time, weekend role. Due to our morning deadlines, this position require evening/overnight hours. (Sat., Sun.: 10pm – 6am EDT)

Responsibilities:
Researching, selecting and preparing daily news coverage in print, TV, online and social media from around the worldWriting summariesFinal editing and quality assurance of multimedia productsCommunication and coordination with client contacts
Qualifications:
Excellent writing and editing abilityStrong skills in competitive-intelligence analysisUnderstanding the information needs of chief executives and their teamsExcellent computer skills and comfort learning advanced technical toolsAbility to work non-traditional hours to meet early morning deadlinesCommunication skills in dealing with customersBachelor’s degreeUS citizen or permanent resident
Company Insights:
Opportunity to work remotelyCompetitive payIndependent and responsible work in an innovative companyProfessional development opportunitiesSeamless, cloud-based workSo if you thrive in today’s fast-paced media industry where no two days are the same, apply now. In return, we offer you an appealing work environment with a highly motivated team

APPLY HERE

Specialist, Compliance (Remote)

Date: Jul 5, 2022

Primary Location: Radnor, PA, US

Company: Lincoln Financial

Alternate Locations: Work from Home; US All Regions

Work Arrangement: Work from Home

Relocation assistance:: is not available for this opportunity.

Pay Range: $48,900 – $103,600

Bonus Potential: 5%

Requisition #: 69651

The Role at a Glance
This position will perform and deliver on routine assignments/projects while simultaneously leveraging and applying knowledge of their assigned area(s) of responsibility. They will develop and execute compliance plans for their assigned area(s) of responsibility. They will also conduct compliance reviews and risk analysis to monitor the effectiveness of compliance plans.

What you’ll be doing:

Prepares, updates and/or files applicable compliance reports, forms, and/or contracts for their assigned area(s).
May provide ongoing compliance review of all related marketing, product, service, and/or sales materials.
Performs analysis and communicates recommended changes as a result of new and/or revised State and Federal laws and regulations affecting for their assigned area(s).
May draft, and/or file all applicable forms and/or applications by identifying and complying with regulatory requirements within for their assigned area(s).
Researches, compiles, and reviews state laws and regulations using appropriate databases, the internet, and other resources as assigned.
Develops and performs compliance reviews and analysis to assess compliance with internal controls and regulatory requirements for their assigned area(s) of responsibility.
Identifies and communicates risks to management.
Escalates identified risks to management as needed.
Develops and maintains compliance review documentation.
Provides effective and open communication with internal/external stakeholders to ensure transparency and consistency of compliance actions.
Prepares responses to regulatory and audit inquiries for their assigned area(s).
Obtains input from management as appropriate before making internal/external statements or providing information that could impact the corporation.
Maintains knowledge on current and emerging developments/trends for assigned area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current and future solutions.
Promotes and enhances organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
Performs and delivers on routine assignments/projects while simultaneously leveraging and applying knowledge of their assigned area(s) of responsibility.
Identifies and communicates to management process improvements that reduce workloads or improve quality for their assigned area(s) of responsibility.

What we’re looking for:
Must haves:

4 Year/Bachelor’s degree or equivalent work experience (4 years of experience in lieu of Bachelor’s) (Minimum Required)
1 – 3+ Years experience in insurance regulatory compliance that aligns with the specific responsibilities for this position (Preferred)
1 – 3 + Years experience with group benefit products and services (Preferred)
Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). (Required)
1 – 3+ years experience with online compliance tools such as CODE, SERFF, etc. (Preferred)

Nice-to-haves:

Ability to work with others in a team environment.
Demonstrated solid relationship management skills with internal clients (e.g. management, peers and colleagues).
Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail.
Demonstrates solid project management skills including, critical ability to coordinate and balance multiple projects in a time-sensitive environment, under pressure, and meeting deadlines.
Demonstrates strong interpersonal skills with a collaborative style.
Demonstrates the ability to use sound judgment and discretion regarding confidential information.
Finds common ground and can gain collaboration among management, colleagues and peers; can influence outcomes without directing or commanding.
Successfully completes regulatory and job training requirements.
What’s it like to work here?

At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.

What’s in it for YOU:

A clearly defined career framework to help you successfully manage your career

Leadership development and virtual training opportunities

PTO/parental leave

Competitive 401K and employee benefits

Free financial counseling, health coaching and employee assistance program

Tuition assistance program

A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations

Effective productivity/technology tools and training

Work Arrangement

Work from Home : Employees will work from home and are not required to work in a Lincoln office on a regular basis.

Lincoln will evaluate the following when setting the successful candidate’s wage rate:
• Prior work or industry experience.
• Education level to the extent education is relevant to the position.
• Unique skills

About The Company

Lincoln Financial Group, a Fortune 200 company with over 10,000 employees, provides advice and solutions that help empower Americans to take charge of their financial lives with confidence. Our core business areas — Life Insurance, Annuities, Retirement Plan Services and Group Protection — focus on supporting, preserving and enhancing over 17 million customer’s lifestyles and retirement outcomes.

Headquartered in Radnor, Pennsylvania, Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. The company had $324 billion in end-of-period account values as of June 30, 2021.

Ranked one of the Best Large Employers in America and Best Employers for Women by Forbes magazine as well as one of Newsweek’s Most Responsible Companies, Lincoln Financial Group makes a serious investment in our employees’ futures through a broad range of wealth accumulation and protection plans, health and wellness programs, and career development resources designed to help each individual reach their personal and professional goals.

Lincoln is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Lincoln Financial Group is a committed corporate citizen included on major sustainability indices including the Dow Jones Sustainability Index North America and FTSE4Good. Dedicated to diversity and inclusion, we earned perfect 100 percent scores on the Corporate Equality Index and the Disability Equality Index. Follow us on Facebook, Twitter, LinkedIn, and Instagram. Sign up for email alerts at http://newsroom.lfg.com

Be Aware of Fraudulent Recruiting Activities

If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.

Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln’s fraud team at [email protected] if you encounter a recruiter or see a job opportunity that seems suspicious.

APPLY HERE

Digital Content Editor – US

The role is restricted to those physically located in the USA. While this is a remote position, we cannot consider candidates that are not based in the USA.

We’re growing even bigger and we’re on the lookout for English speaking creatives to join our team as Digital Content Editors for our US products.

Whether you’re passionate about sports or a big fan of casinos, or even both – why not, this could be the perfect job for you! You’ll be responsible for editing and distributing high-quality SEO friendly content across our affiliate sites, together with mapping out roadmaps and taking ownership on some seriously fun projects.

As part of the role, you will need to think creatively and use our data stats to your advantage to beat our competition. Interested? Tell us which vertical you’d like to work in, drop us your CV and let’s chat.

Transparency is very important to us, hence we are happy to share with you what our team mates think about working at Raketech. Here are some of our Officevibe ratings, keep in mind 10 is the best one can get!

What does the role entail?

Plan, write, translate, distribute and execute a content strategy relevant to the localized market
Co-ordinate with a team of freelance writers to manage the distribution of content according to your content plan
Provide content quality assurance & proofing
Optimize both on and off-site content
Keep up to date with the latest industry news
Create content for CRM, SoMe & advertorial purposes
Work in a scrum/agile format
Carry out content audits to make sure our content is relevant, compliant and up to date
Use our data to come up with fresh and creative content ideas
WordPress editing – including proofreading and publishing
Pro-actively carry out competitor research and industry analysis
Provide support for users
Take part in ad-hoc duties to support additional business areas, including the vertical priorities

REQUIREMENTS
Fluent in English, both written & verbal
An understanding of the iGaming industry
Experience in either Casino and/or Sports verticals
1+ years’ experience in a similar field
The ability to stick to deadlines
Experience with WordPress
SEO knowledge
An eye for the little details
The ability to work both independently and in a team
Familiarity with casino & sports verticals market compliance
Understanding of web analytics & data

APPLY HERE