Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Description for Internal Candidates
Remote Claims Processor
Equipment Provided
$18/HR.
Training Hours: 8 am to 4:30 pm, M-F
Production hours: 8:00AM until clean desk. Some weekend days required during peak season
Would you enjoy being part of a team that makes a difference in people’s lives
Do you love helping people solve complex problems and delivering solutions?
About the Role
As a member of the team, you will be processing FSA and HSA claims. You will review and research the claim and process them on a web-based application. It is essential to have a good understanding of EOBs, FSAs, how to read receipts, doctor bills, and basic medical paperwork.
A successful candidate will be computer literate, maintain good attendance, and have the right attitude and discipline to work from home. You will take pride in being a contributing member of a busy team. Meet your quality and volume requirements consistently. You will receive paid training of 4-6 weeks.
What you will be doing:
Review and research claims
Determine if the claim is valid to approve
Process claims on a web-based application
Completes assignments using multiple source documents to verify data or use additional information to do the work.
Follows up on pending documents involving analysis.
Requirements
Be computer literate – able to set up equipment and operate with ease
Have own highspeed internet connection: 25 download and 5 upload wired internet only (No WIFI)
Must be at least 18 years of age or older.
Must have a high school diploma or general education degree (GED).
Must be eligible to work in the United States.
Must be able to clear a criminal background check
Join a rapidly growing customer service organization that can support your career goals and Apply Today!
About Conduent
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments, creating exceptional outcomes for our clients and the millions of people who count on them.
You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
We offer excellent benefits (medical, dental, vision), a consistent work schedule, paid training, and a great work environment.
Conduent is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
Pay Transparency Laws in some locations require disclosure of compensation-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time. The estimated salary for this role is $18.00 per hour.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the “Submit” button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent’s ADAAA Accommodation Policy.At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.
At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This position analyzes medical records for DRG’s, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation improvement. This role also facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to all patients. Additional duties include supporting the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes and educating all members of the patient care team on an ongoing basis.
Requirements:
PEOPLE ESSENTIAL FUNCTIONS
Improves the overall quality, completeness and accuracy of clinical documentation by performing open record reviews using clinical documentation guidelines. Supports the accuracy and completeness of clinical information used for measuring and reporting physician and medical outcomes.
SERVICE ESSENTIAL FUNCTIONS
Seeks additional information regarding clinical condition from appropriate clinical personnel and follows up as necessary. Tracks responses and trends completion of DRG/Documentation worksheets as pertinent to scope of department.
Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient’s chart.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures. Requests clarification and/or correction from physicians for unclear diagnoses, complications, procedures, and clinical information. Helps identify appropriate ICD10 codes for diagnoses or procedures related to projects or studies being conducted as needed.
FINANCE ESSENTIAL FUNCTIONS
Promotes clarification to clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to all patients. Identifies diagnoses and procedures performed and comorbidities and complications. Impacts discharges by updating the DRG worksheet to reflect any changes in status, procedures/treatments, conferring with physician to finalize diagnosis as necessary.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Educates all internal customers on clinical documentation opportunities, coding, and reimbursement issues, as well as performance improvement methodologies
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications:
EDUCATION
Associate’s or bachelor’s degree in nursing; OR
Medical School graduate where Western Medicine is practiced
WORK EXPERIENCE
For RN – At least five years of recent clinical experience caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred
For Medical School graduate – One year of clinical experience preferred
LICENSES AND CERTIFICATIONS – REQUIRED
RN – Registered Nurse – Texas State Licensure and/or Compact State Licensure within 60 days OR
RN-Temp – Registered Nurse – Temporary State Licensure within 60 days
CCDS – Clinical Documentation Specialists (ASDIS) — For Medical School graduate OR
CDIP – Certified Documentation Integrity Practitioner (AHIMA) — For Medical School graduate OR
CCS – Certified Coding Specialist (AHIMA) — For Medical School graduate
KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Demonstrates knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies and procedures
Demonstrates accountability and professional development
Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication
Regular significant contacts with other personnel throughout the institution (including but not limited to – physicians and their staff, mid-level providers, mid-level staff, coders, Case Managers). Contacts may be in person, by telephone, or through correspondence. Requires assertiveness while being even tempered, with a pleasing personality and the ability to communicate easily with others.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform No
Scrubs No
Business professional Yes
Other (department approved) No
ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* No
TRAVEL** **Travel specifications may vary by department**
May require travel within the Houston Metropolitan area No
May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist is one of the nation’s leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.
locationsUnited States of America – Remotetime typeFull timeposted onPosted 3 Days Agojob requisition idJR0024518
Yahoo serves as a trusted guide for hundreds of millions of people globally, helping them achieve their goals online through our portfolio of iconic products. For advertisers, Yahoo Advertising offers omnichannel solutions and powerful data to engage with our brands and deliver results.
A Little About Us
Yahoo is a global media and tech company that connects people to their passions. We reach nearly 900 million people around the world, bringing them closer to what they love — from news, finance and sports, to shopping and gaming — with the trusted products, content and tech that fuel their day.
At Yahoo News, we are laser-focused on becoming the world’s best curator for our 35 million daily users, expanding our distribution to meet millions more users where they are through high-quality content from premium publishers, Yahoo News staff and the Yahoo Creator network. Building the best guide to the internet (and the world) requires building the best team.
A Lot About You
We’re looking for a social editor to lead Yahoo News’ evening coverage across our news, entertainment and lifestyle accounts, tapping into over a thousand premium publishers, Yahoo originals team and our community of Yahoo Creators.
As the evening editor, you will play a pivotal role in driving our growth and engagement across Instagram, Facebook, X, Threads, Reddit, LinkedIn and WhatsApp. You will ensure the team’s timely coverage continues around the clock — thinking strategically about our content offer for a U.S. audience. You will be the key point of contact for all Yahoo News social platforms in the evening, working closely with editors on the curation and originals teams to ensure breaking news is handled accurately and quickly across Yahoo’s platforms. This editor also will be instrumental in planning and executing coverage of key 2024 election events.
The ideal candidate will be a West Coast-based social journalist who is able to manage multiple tasks simultaneously and swiftly pivot between assignments. This role demands a confident self-starter with demonstrated news judgment in a fast-paced environment. As our evening editor, you will be responsible for maintaining a consistent flow of expertly curated content from our Yahoo originals team, Yahoo Creators and high-quality news and lifestyle publishers and planning ahead for the morning teams.
Responsibilities:
Manage Yahoo News channels across platforms, ensuring effective prioritization of breaking news
Write, edit and post content on News accounts across platforms including but not limited to Instagram, X (Twitter), Facebook, TikTok, Threads, Reddit, WhatsApp, and LinkedIn
Identify content from our ecosystem – tapping Yahoo originals, our Creator network and hundreds of premium news and lifestyle publishers – to bubble up the right topics for the right platforms at the right times
Collaborate with multiple teams across Yahoo to ensure the best content is promoted in a timely manner during the U.S. evenings
Coordinate with appropriate teams during breaking news and planned news events
Quickly edit short video clips of key news moments and stream live events across platforms
Maintain Yahoo’s editorial voice; uphold Yahoo News editorial standards and best practices on social media; and reflect our North Star and user needs in decisions
Qualifications:
Minimum of 3-5 years experience in social media-focused journalism roles
Experience working in fast-paced and/or large-scale media, news or social media companies
Demonstrated news judgment and ability to adapt text-based journalism for social and messaging platforms
Ability to craft compelling, clear, error-free copy for social audiences that adheres to AP and house style guidelines
Extensive knowledge of social platforms – established and emerging – as well as platform best practices, industry trends and audience consumption habits
Collegial, adaptable and eager to experiment toward experiences that deliver the greatest impact for users
Ability to perform deadline-oriented tasks without sacrificing quality
Knowledge of video editing software and experience using templates, graphics and footage to create video content for social
Attention to detail and strong communication skills
Experience with analytics tools and making insightful data actionable
Fluency in tools such as Canva, SocialFlow, Emplifi, Sprout, Adobe Premiere, Photoshop, Later, etc.
As with most news roles, this position will also require some weekend and holiday work. If you are passionate about informing and empowering social media users with information that helps them in their lives, we invite you to apply.
Yahoo is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. Yahoo is dedicated to providing an accessible environment for all candidates during the application process and for employees during their employment. If you need accessibility assistance and/or a reasonable accommodation due to a disability, please submit a request via the Accommodation Request Form (www.yahooinc.com/careers/contact-us.html) or call 408-336-1409. Requests and calls received for non-disability related issues, such as following up on an application, will not receive a response.
At Yahoo, we know that diversity makes us stronger. We are committed to a collaborative, inclusive environment that encourages authenticity and fosters a sense of belonging. We strive for everyone to feel valued, connected, and empowered to reach their potential and contribute their best. Check out our diversity and inclusion (www.yahooinc.com/diversity/) page to learn more.
The compensation for this position ranges from $72,750.00 – $151,250.00/yr and will vary depending on factors such as your location, skills and experience. The compensation package may also include incentive compensation opportunities in the form of discretionary annual bonus or commissions, in addition to equity incentives. Yahoo provides industry-leading benefits including healthcare, 401K savings plan, company holidays, vacation, sick time, parental leave and an employee assistance program. Eligibility requirements apply.
Yahoo has a high degree of flexibility around employee location and hybrid working. In fact, our flexible-hybrid approach to work is one of the things our employees rave about. Most roles don’t require specific regular patterns of in-person office attendance. If you join Yahoo, you may be asked to attend (or travel to attend) on-site work sessions, team-building, or other in-person events. When these occur, you’ll be given notice to make arrangements.
If you’re curious about how this factors into this role, please discuss with the recruiter.
We’re the fastest-growing sports gaming company ever.
We build innovative games and products for American sports fans.
Founded in 2020, our team built four of today’s most widely played fantasy games and recently launched our Underdog Sportsbook. We are the only sportsbook to ever launch on our own home grown technology, which allows us to build different and innovative experiences. We believe there’s so much more to be built for sports fans, and we’ll continue to win by building the best products and experiences for our customers.
The opportunity in front of us to become the biggest company in our space is massive; after all, we’re currently sitting in the fastest-growing consumer industry in the U.S. In just over two years, we reached a nearly $500 million valuation through some of the best investors in the game, including Mark Cuban, Kevin Durant, BlackRock, and SV Angel. We are many times larger now and our growth is not slowing down.
At Underdog, we believe that sports are for everyone and are building a tomorrow for every fan. Want to help create that future? Join us.
About the role:
Review high volumes of data with meticulous attention to detail and strong analytical skills
Gather information from users in order to efficiently reach solutions by cross-collaborating with teams from several different departments
Create a lasting impression on every user through transparent, open, and honest communication
Identify and implement process improvements within fraud and payment workflows
Show up everyday with a positive attitude and excited to help the team collectively reach its goals
Work in a dynamic and fast-paced environment where every transaction handled is critical to our customers’ experience and trust in our platform
Assist in facilitating a smooth and seamless onboarding experience for users, ensuring their successful adoption of the app
Who you are:
Flexible weekday & weekend availability due to varying shifts
An optimistic and proactive individual, dedicated to finding solutions
A versatile team player, adept at navigating diverse situations with ease
A clear and concise communicator, with an emphasis on writing skills
A receptive individual who embraces new perspectives and approaches
An insatiably curious learner, driven to acquire new knowledge daily
A customer service expert, delivering exceptional support by showcasing deep product expertise
Proficient multitasker, committed to delivering high-quality work across various tasks
Even better if you have:
1-2 years of fraud support or related experience
Experience with Intercom (or other ticketing processor systems)
Fantasy Sports and/or Sports Betting knowledge
Our target starting base salary range for this position is $20/hr, plus target equity. The starting base salary will depend on a number of factors including the candidate’s skills and experience, among other things.
This position may require sports betting licensure based on certain state regulations.
Underdog is an equal opportunity employer and doesn’t discriminate on the basis of creed, race, sexual orientation, gender, age, disability status, or any other defining characteristic.
FORM Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Obesity impacts more than 40% of the US adult population, and although historically only about 1% of patients received medical treatment for their disease, the field of Obesity Medicine is entering a period of rapid growth. FORM provides high-quality expert care and leverages technology to enhance the patient experience. All FORM patients work closely with their care team, which includes board certified physicians, advanced practice professionals and Registered Dietitians. Through our proprietary mobile app patients engage in regular video visits, as well as text messaging, photo journaling, digital data transmission, and customized educational materials. We hold ourselves to the highest standards of clinical care, and to treating every individual with empathy and respect.
Founded in 2019, FORM is a venture-backed innovative startup with an experienced clinical and leadership team. Our mission is to empower patients and be leaders in Obesity Medicine driving impact at a national scale. We are deeply invested in our core value to put patients first, and also deeply committed to creating a culture where every employee is valued and we learn and improve together.
About the Role:
We are looking for an experienced Medical Scheduler who excels in a collaborative telemedicine environment. The ideal candidate will have strong interpersonal, critical thinking, and organizational skills and be excited to join a healthcare startup focused on helping patients achieve sustained weight loss for healthier, happier lives. In this role, you will manage high-volume provider scheduling and work with a growing team to improve processes, provide feedback on scheduling tools, and develop best practices. You will also help refine scheduling workflows and implement scalable procedures to ensure smooth operations as we grow.
This is a full-time, remote position serving patients in the Central/Pactific time zones, with working hours from 10 AM – 6 PM CT or 9 AM – 5 PM PT
Key responsibilities include:
Manage and schedule new and existing patient appointments to ensure timely scheduling.
Maintain accurate and up-to-date patient records and appointment schedules.
Utilize an internal scheduling tool to optimize provider utilization. Assess clinician schedules to determine focus areas and availability.
Work with practice operations to allocate resources and time slots appropriately.
Confirm appointments with patients and send reminders. Handle cancellations, rescheduling, and rejoining requests.
Suggest and implement workflows to enhance efficiency and patient experience.
File and manage documentation in patient charts, including medical records, prior authorizations, referrals, and determinations.
Communicate with patients to resolve scheduling issues and troubleshoot any conflicts or concerns.
Continuously improve scheduling processes to enhance efficiency and support the organization’s growth.
Implement new procedures to ensure scalability and seamless scheduling operations as the practice expands.
Perform other duties as assigned
You’ll be successful in this role because you have:
Minimum of 2 years’ experience in medical scheduling within a high-volume setting. Experience working with multiple providers across states is highly preferred.
Experience in a startup medical practice is preferred
Experience supporting Providers in a multi-state telehealth practice.
Possess Electronic Medical Record (EMR) experience and a solid understanding of medical terminology.
Exhibits strong organizational skills and effective prioritization.
Excels in managing tasks individually as well as in a team environment.
Demonstrates excellent verbal and written communication skills, with experience in both asynchronous and synchronous patient communication.
Possess strong computer skills, including experience with Google Suite and the ability to work comfortably with custom-built and evolving IT systems.
More about FORM’s benefits:
Competitive compensation and equity in a high growth start-up
Comprehensive health benefits (medical, dental, vision)
401k Program
Flexible work schedules and paid time off
Paid parental leave
FORM Health’s commitment to building a diverse, equitable, and inclusive work environment:
FORM Health is committed to creating a culture and environment that celebrates diversity and inclusion, while fostering safety and belonging. This extends from our remote patient care to our corporate offices and everywhere in between. We are looking for team members who want to help us further our Diversity, Equity, and Inclusion (DEI) efforts and who share our attitudes for creating an inclusive, safe, and positive work environment.
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