by twochickswithasidehustle | Jun 28, 2022 | Uncategorized
Employer: Soleo Health
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Receive requests for prior authorizations and ensure that they are properly and closely monitored within company set standards
- Review accuracy and completeness of information requested and ensure that all supporting documents are present
- Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
- Collaborate with other departments to assist in obtaining prior authorizations/appeals
- Manage correspondence with insurance companies and internal customers as required
- Document all interactions with insurance companies within pharmacy system
- Document all prior authorization information including approval dates, billing units, procedure codes, and prior authorization number in patient profile
- Review insurance denials and submit appeals (as permitted by payor)
- Proactively work on prior authorizations that are due to be expired
- Secure patients demographics and medical information by using discretion and ensuring that all procedures are in sync with HIPAA compliance and regulation
- Conducts job responsibilities in accordance with the standards set out in the Companys Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
- Completes all required duties, projects and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
- Other duties as assigned
QUALIFICATION REQUIREMENTS
- At least 2 years experience in specialty pharmacy, home infusion, or other pharmacy prior authorization is required
- At least 1 year of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
- Ability to effectively handle multiple priorities within a changing environment
- Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.
- Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling).
- Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns).
APPLY HERE
by twochickswithasidehustle | Jun 28, 2022 | Uncategorized
Employer: Kraken
About Kraken
As one of the largest and most trusted digital asset platforms globally, we are empowering people to experience the life-changing potential of crypto. Trusted by over 8 million consumer and pro traders, institutions, and authorities worldwide – our unique combination of products, services, and global expertise is helping tip the scales towards mass crypto adoption. But we’re only just getting started. We want to be pioneers in crypto and add value to the everyday lives of billions. Now is not the time to sit on the sidelines. Join us to bring crypto to the world.
To ensure Kraken is the right fit for you, please ensure you read Kraken Culture Explained to find out more about us!
About the Role:
We are looking for a dedicated and professional data entry clerk to work with a very unique and interesting data set in the NFT space. You will be tasked with validating data concerning various NFT projects for accuracy, completeness and authenticity.
As a result of your work, our users will be able to discover exciting new NFT projects and you’ll have the opportunity to learn more about NFTs on a daily basis
What You’ll Do:
- Verify and standardize user submitted content.
- Ensure timely processing of new data to keep our content up to date.
- Make updates to existing content based on customer requests.
- Help us maintain and further improve the high standards we have for the quality of our data.
Who You Are:
- Previous experience working in a similar role.
- Spreadsheet power user.
- Obsessive about details and proud of the quality of your work.
- Security conscious and cautious.
- Interested in the NFT and crypto space.
APPLY HERE
by twochickswithasidehustle | Jun 28, 2022 | Uncategorized
Employer: UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Energize your career with one of Healthcare’s fastest growing companies.
Must be able to work Pacific standard time
This is a challenging role that requires consistence performance by delivering excellence and high-quality results. It’s a fast-paced environment that requires focus and ability to multi-task throughout the day. This is a 40-hour, full time role working flexible shifts, sometimes including evenings or Saturdays. We require our employees to be flexible enough to work any shift, any day of the week during those hours.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:00 AM – 5:00 PM. It may be necessary, given the business need, to work occasional overtime or weekends.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Perform research on various computer systems and document customer information regarding status, payment expectations, notes of conversations and other relevant information
- Retrieval of electronic payment data, review and interpretation of electronic and paper EOB’s, verification of contractual write off amounts and data entry and balancing of payment data to patient accounts according to payer or program specifications; performs other related duties as assigned.
- Accurately post transaction (payments and adjustments) from various sources on a daily basis. Payment sources include Electronic Remittances, Lockboxes with paper checks and EOB’s, patients, collection agencies, credit cards.
- Collaborate with the manager and team to research third party medical and administrative policy that may affect billing operations – communicating relevant changes to supervisor and manager.
- Able to reconcile monthly Reconciliation Spreadsheets and balance. Recognize trends and report them to management.
- Research unidentified payments, prepares refund requests and have extensive knowledge of recoupments. Poster will be expected to maintain department expectations and hold a high production level.
- Contact payers regarding missing files and payments and/or other claim related issues.
Required Qualifications:
- High School Diploma / GED (or higher)
- 1+ years of customer service experience OR 1+ years of experience in an office setting environment
- Demonstrated ability in using a computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs
- Ability to successfully complete the UnitedHealth Group new hire training with demonstrated proficiency
- Ability to work an 8-hour shift Monday through Friday (if the month ends on a weekend, then you will have to work on that Saturday)
Preferred Qualifications:
- 1+ years of electronic cash posting and reconciliation experience in a managed care (hospital, physician office, clinic, insurance company, etc.) setting
- 1+ years of experience and / or knowledge of accounting functions
- Make accurate mathematical computations and comparisons
- Operate 10 key with speed and accuracy
- Intermediate or Advanced Microsoft Office Suite experience in a professional setting – Microsoft Word (create and edit correspondence), Microsoft Excel (ability to create, edit, and sort spreadsheets, basic analytical formulas (VLOOKUP, if). Microsoft PowerPoint (ability to create and edit slides), and Microsoft Outlook (email and calendar management)
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
- Read, comprehend, and apply moderately complex information from procedure manuals
- Concentrate and attend to detail under pressure from volume and time constraints to effectively meet production expectations, including the ability to multi-task
- Establish and maintain effective working relationships with those contacted in the course of daily work, communicate clearly and concisely
- Maintain flexibility and adjust priorities as circumstances arise
- Maintain confidentiality of patient data and patient accounting transactions
APPLY HERE
by twochickswithasidehustle | Jun 28, 2022 | Uncategorized
Employer: TranscribeMe
Remote Transcriptionist (entry-level with opportunities for advancement)
Field of Work: Transcription
Job Description: TranscribeMe is a global, award-winning company that offers the best in human intelligence to deliver the highest quality speech and AI training data to our customers.
FlexJobs has recognized us as a top 100 company with remote jobs three years in a row, and placed us in the number 7 and 10 spots for 2021 and 2022! We are also the highest-rated remote transcription company on Fairwork’s Annual Report 2021!
We’re currently working on several large volume, long-term projects and are looking for transcriptionists in the US to join our team.
- Prior transcription experience is a plus.
- Each individual is responsible for transcribing audio or video files of various lengths with a high degree of accuracy and within a reasonable timeframe according to specific style guides.
- The pay rate starts at US$15 per audio hour. With training and more experience working on our projects, you can progress into our background-checked US Authorized Special Styles team by taking our internal Special Styles exam where the pay rate increases to US$25 per audio hour.
- This is an independent contractor role, and as such is not available to residents of California or Massachusetts.
In order to apply, first register here (https://workhub.transcribeme.com/Account/Register) to create your account with us. You must have a valid PayPal account in order to register. After your registration has been verified, take the English Entrance Exam to join our team.
Job Types: Full-time, Part-time, Contract
COVID-19 considerations: This job is 100% remote and can be done from home. All you need is a computer with a stable internet connection and headphones.
There is no interview for this position. You need to take and pass the English Entrance Exam on our website.
APPLY HERE
by twochickswithasidehustle | Jun 28, 2022 | Uncategorized
Make up to $100+ in your spare time simply by sharing your honest opinions and feedback with top brands and product manufacturers. It really is that easy.
APPLY HERE
Recent Comments